A new scale for measuring insomnia: the Bergen Insomnia Scale.
Abstract
A new scale for the measurement of insomnia, the Bergen Insomnia Scale, was constructed on the basis of current formal and clinical diagnostic criteria for insomnia. There are six items, of which the first three pertain to sleep onset, maintenance, and early morning wakening insomnia, respectively. The last three items refer to not feeling adequately rested, experiencing daytime impairment, and being dissatisfied with current sleep. This scale was validated in three samples, 320 students, 2645 community persons, and 225 patients. Cronbach alphas in the three samples were .79, .87, and .80, respectively. The 2-wk. test-retest reliability for students was .77. In the student and the patient samples, a two-factor solution was found, nocturnal symptoms and daytime symptoms, but in the community sample, a one-factor solution was found. The Bergen Insomnia Scale discriminated well between the patient sample and the other two. In all three, values of convergent and discriminative validity in relation to other self-report measures were good, as well as in relation to polysomnographic data for patients. It is concluded that the Bergen Insomnia Scale has good psychometric properties. It is one of very few insomnia scales which provide normative data for comparisons and which has been validated against subjective as well as polysomnographic data.
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Bergen Insomnia Scale has shown high reliability and validity in both patient and community samples.
“The Bergen Insomnia Scale has shown high reliability and validity in both patient and community samples [76].”
Cites
The Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb09716.x · Cited by 47,139 · see citing works
The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research
Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989) · Psychiatry Research · doi:10.1016/0165-1781(89)90047-4 · Cited by 35,234 · see citing works
Diagnostic and Statistical Manual of Mental Disorders.
Widiger, T. A. (2000) · Oxford University Press eBooks · doi:10.1037/10518-009 · Cited by 19,767 · see citing works
A New Method for Measuring Daytime Sleepiness: The Epworth Sleepiness Scale
Johns, M. W. (1991) · Sleep · doi:10.1093/sleep/14.6.540 · Cited by 17,364 · see citing works
An inventory for measuring clinical anxiety: Psychometric properties.
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.56.6.893 · Cited by 14,407 · see citing works
The validity of the Hospital Anxiety and Depression Scale
Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(01)00296-3 · Cited by 9,779 · see citing works
A Rationale and Test for the Number of Factors in Factor Analysis
Horn, J. L. (1965) · Psychometrika · doi:10.1007/bf02289447 · Cited by 8,844 · see citing works
Validation of the Insomnia Severity Index as an outcome measure for insomnia research
Bastien, C. (2001) · Sleep Medicine · doi:10.1016/s1389-9457(00)00065-4 · Cited by 8,067 · see citing works
A self-assessment questionnaire to determine morningness- eveningness in human circadian rhythms
Home, J. K. (1976) · Medical Entomology and Zoology · Cited by 4,783 · see citing works
Self-reports: How the questions shape the answers.
Schwarz, N. (1999) · American Psychologist · doi:10.1037/0003-066x.54.2.93 · Cited by 2,846 · see citing works
The International Classification of Sleep Disorders: Diagnostic and Coding Manual
(1991) · Annals of Internal Medicine · doi:10.7326/0003-4819-115-5-413_1 · Cited by 2,416 · see citing works
Harvey, A. G. (2002) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(01)00061-4 · Cited by 1,790 · see citing works
Athens Insomnia Scale: Validation of an instrument based on ICD-10 criteria
Soldatos, C. R., Dikeos, D. G., & Paparrigopoulos, T. J. (2000) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(00)00095-7 · Cited by 1,754 · see citing works
A methodological framework for assessing health indices
Kirshner, B., & Guyatt, G. (1985) · Journal of Chronic Diseases · doi:10.1016/0021-9681(85)90005-0 · Cited by 1,538 · see citing works
Sleep and Psychiatric Disorders: A Meta-analysis
Benca, R. M. (1992) · Archives of General Psychiatry · doi:10.1001/archpsyc.1992.01820080059010 · Cited by 1,468 · see citing works
Prevalence of sleep disorders in the Los Angeles metropolitan area
Bixler, E. O., Kales, A., Soldatos, C. R., Kales, J. D., & Healey, S. (1979) · American Journal of Psychiatry · doi:10.1176/ajp.136.10.1257 · Cited by 889 · see citing works
Quantitative criteria for insomnia
Lichstein, K. L., Durrence, H. H., Taylor, D. J., Bush, A. J., & Riedel, B. W. (2003) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(02)00023-2 · Cited by 531 · see citing works
Prevalence of sleep disturbance in a primarily urban Florida county
Karacan, I., Thornby, J. I., Anch, M., Holzer, C. E., Warheit, G. J., Schwab, J. J., & Williams, R. L. (1976) · Social Science & Medicine (1967) · doi:10.1016/0037-7856(76)90006-8 · Cited by 342 · see citing works
Reliability and validity of Women's Health Initiative Insomnia Rating Scale.
Levine, D. W., Lewis, M. A., Bowen, D. J., Kripke, D. F., Kaplan, R. M., Naughton, M. J., & Shumaker, S. A. (2003) · Psychological Assessment · doi:10.1037/1040-3590.15.2.137 · Cited by 283 · see citing works
Recent advances in the assessment and treatment of insomnia.
Lacks, P. B., & Morin, C. M. (1992) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.60.4.586 · Cited by 246 · see citing works
Self-citationDSM–IV and ICSD–90 insomnia symptoms and sleep dissatisfaction
Ohayon, M. M., Caulet, M., Priest, R. G., & Guilleminault, C. (1997) · The British Journal of Psychiatry · doi:10.1192/bjp.171.4.382 · Cited by 232 · see citing works
Estimating sleep parameters: A multitrait-multimethod analysis.
Coates, T. J., Killen, J. D., George, J., Marchini, E., Silverman, S., & Thoresen, C. E. (1982) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.50.3.345 · Cited by 211 · see citing works
Caelleigh, A. S. (2001) · Academic Medicine · doi:10.1097/00001888-200109000-00005 · Cited by 201 · see citing works
INSOMNIA AND USE OF HYPNOTICS—STUDY OF A FRENCH POPULATION
Quera-Salva, M. A., Orluc, A., Goldenberg, F., & Guilleminault, C. (1991) · SLEEP · doi:10.1093/sleep/14.5.386 · Cited by 198 · see citing works
Prevalence of Insomnia in the Adult Norwegian Population
Pallesen, S., Nordhus, I. H., Nielsen, G. H., Havik, O. E., Kvale, G., Johnsen, B. H., & Skjøtskift, S. (2001) · SLEEP · doi:10.1093/sleep/24.7.771 · Cited by 194 · see citing works
Self-citationRecent advances in the assessment and treatment of insomnia.
Lacks, P. B., & Morin, C. M. (1992) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.60.4.586 · Cited by 177 · see citing works
Self-citationMeasuring outcomes in randomized clinical trials of insomnia treatments
Morin, C. M. (2003) · Sleep Medicine Reviews · doi:10.1053/smrv.2002.0274 · Cited by 172 · see citing works
Self-citationHohagen, F., Käppler, C. D. O., Schramm, E., Riemann, D. W., Weyerer, S. B., & Berger, M. (1994) · SLEEP · doi:10.1093/sleep/17.6.551 · Cited by 150 · see citing works
Chung, K. (2005) · Respiration · doi:10.1159/000087668 · Cited by 129 · see citing works
Self-report measures of insomnia in adults: rationales, choices, and needs
Moul, D. E., Hall, M. H., Pilkonis, P. A., & Buysse, D. J. (2004) · Sleep Medicine Reviews · doi:10.1016/s1087-0792(03)00060-1 · Cited by 127 · see citing works
Activity, Arousal, and the MSLT in Patients with Insomnia
Bonnet, M. H., & Arand, D. L. (2000) · SLEEP · doi:10.1093/sleep/23.2.1g · Cited by 125 · see citing works
Validity of a Short Insomnia Questionnaire: the SDQ
Violani, C., Devoto, A., Lucidi, F., Lombardo, C., & Russo, P. M. (2004) · Brain Research Bulletin · doi:10.1016/j.brainresbull.2003.06.002 · Cited by 88 · see citing works
Differential diagnosis in hypersomnia
Dauvilliers, Y. A. (2006) · Current Neurology and Neuroscience Reports · doi:10.1007/s11910-996-0039-2 · Cited by 52 · see citing works
Omvik, S., Sivertsen, B., Pallesen, S., Bjorvatn, B., Havik, O. E., & Nordhus, I. H. (2008) · Behaviour Research and Therapy · doi:10.1016/j.brat.2008.02.013 · Cited by 45 · see citing works
Self-citationAssessment and diagnosis of insomnia in non-pharmacological intervention studies.
Martin, J. L., & Ancoli-Israel, S. (2002) · Sleep Medicine Reviews · doi:10.1053/smrv.2001.0208 · Cited by 30 · see citing works
Clinical assessment and treatment of insomnia.
Pallesen, S., Nordhus, I. H., Havik, O. E., & Nielsen, G. H. (2001) · Professional Psychology Research and Practice · doi:10.1037//0735-7028.32.2.115 · Cited by 12 · see citing works
Self-citationClinical assessment and treatment of insomnia.
Pallesen, S., Nordhus, I. H., Havik, O. E., et al. (2001) · Professional Psychology Research and Practice · doi:10.1037/0735-7028.32.2.115 · Cited by 9 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
European guideline for the diagnosis and treatment of insomnia
Riemann, D., Baglioni, C., Bassetti, C., Bjorvatn, B., Dolenc Groselj, L., Ellis, J. G., Espie, C. A., Garcia‐Borreguero, D., Gjerstad, M., Gonçalves, M., et al. (2017) · Journal of Sleep Research · doi:10.1111/jsr.12594 · Cited by 2,049 · see citing works
Self-citationChristensen, H., Batterham, P. J., Gosling, J. A., Ritterband, L. M., Griffiths, K. M., Thorndike, F. P., Glozier, N., O'Dea, B., Hickie, I. B., & Mackinnon, A. J. (2016) · The Lancet Psychiatry · doi:10.1016/s2215-0366(15)00536-2 · Cited by 365 · see citing works
Vøllestad, J., Sivertsen, B., & Nielsen, G. H. (2011) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.01.007 · Cited by 361 · see citing works
Self-citationShift Work Disorder in Nurses – Assessment, Prevalence and Related Health Problems
Flo, E., Pallesen, S., Magerøy, N., Moen, B. E., Grønli, J., Hilde Nordhus, I., & Bjorvatn, B. (2012) · PLoS ONE · doi:10.1371/journal.pone.0033981 · Cited by 316 · see citing works
Self-citationFear for the future: Eco-anxiety and health implications, a systematic review
Boluda-Verdú, I., Senent-Valero, M., Casas-Escolano, M., Matijasevich, A., & Pastor-Valero, M. (2022) · Journal of Environmental Psychology · doi:10.1016/j.jenvp.2022.101904 · Cited by 306 · see citing works
Ogunbode, C. A., Pallesen, S., Böhm, G., Doran, R., Bhullar, N., Aquino, S., Marot, T., Schermer, J. A., Wlodarczyk, A., Lu, S., et al. (2023) · Current Psychology · doi:10.1007/s12144-021-01385-4 · Cited by 255 · see citing works
Self-citationSweetman, A., Lack, L., & Bastien, C. (2019) · Brain Sciences · doi:10.3390/brainsci9120371 · Cited by 253 · see citing works
“In their recent COMISA study, although both the CBTi book and sleep hygiene control groups reported significant improvement of insomnia symptoms from pre- to post-treatment (change in ISI, and Bergen Insomnia Scale [86]), there was no difference in improvements between groups [84].”
BackgroundEldevik, M. F., Flo, E., Moen, B. E., Pallesen, S., & Bjorvatn, B. (2013) · PLoS ONE · doi:10.1371/journal.pone.0070882 · Cited by 255 · see citing works
Self-citationBinge Viewing, Sleep, and the Role of Pre-Sleep Arousal
Exelmans, L., & Van den Bulck, J. (2017) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.6704 · Cited by 180 · see citing works
Patient characteristics and predictors of sleep medication use
Omvik, S., Pallesen, S., Bjorvatn, B., Sivertsen, B., Havik, O. E., & Nordhus, I. H. (2010) · International Clinical Psychopharmacology · doi:10.1097/yic.0b013e328334e5e6 · Cited by 95 · see citing works
Self-citationPersonality factors related to shift work tolerance in two- and three-shift workers
Natvik, S., Bjorvatn, B., Moen, B. E., Magerøy, N., Sivertsen, B., & Pallesen, S. (2011) · Applied Ergonomics · doi:10.1016/j.apergo.2010.11.006 · Cited by 93 · see citing works
Self-citationBJORVATN, B., FISKE, E., & PALLESEN, S. (2011) · Scandinavian Journal of Psychology · doi:10.1111/j.1467-9450.2011.00902.x · Cited by 60 · see citing works
Self-citationPalagini, L., Bramante, A., Baglioni, C., Tang, N., Grassi, L., Altena, E., Johann, A. F., Geoffroy, P. A., Biggio, G., Mencacci, C., et al. (2022) · Archives of Women's Mental Health · doi:10.1007/s00737-022-01226-8 · Cited by 42 · see citing works
Bjorvatn, B., Berge, T., Lehmann, S., Pallesen, S., & Saxvig, I. W. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.02413 · Cited by 37 · see citing works
Self-citationBjorvatn, B., Pallesen, S., Grønli, J., Sivertsen, B., & Lehmann, S. (2014) · Perceptual and Motor Skills · doi:10.2466/15.06.pms.118k20w3 · Cited by 34 · see citing works
Self-citationSteine, I. M., Krystal, J. H., Nordhus, I. H., Bjorvatn, B., Harvey, A. G., Eid, J., Grønli, J., Milde, A. M., & Pallesen, S. (2012) · Journal of Interpersonal Violence · doi:10.1177/0886260511430385 · Cited by 29 · see citing works
Self-citationAdapting shift work schedules for sleep quality, sleep duration, and sleepiness in shift workers
Hulsegge, G., Coenen, P., Gascon, G. M., Pahwa, M., Greiner, B., Bohane, C., Wong, I. S., Liira, J., Riera, R., & Pachito, D. V. (2023) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010639.pub2 · Cited by 31 · see citing works
Hoffart, A., Burger, J., Johnson, S. U., & Ebrahimi, O. V. (2023) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2022.102658 · Cited by 21 · see citing works
Reme, S. E., Munk, A., Holter, M. T. S., Falk, R. S., & Jacobsen, H. B. (2022) · PLoS ONE · doi:10.1371/journal.pone.0268606 · Cited by 21 · see citing works
“The Bergen Insomnia Scale has shown high reliability and validity in both patient and community samples [76].”
A systematic review of climate emotions and mental health in adults
Pitt, C., Norris, K., & Pecl, G. (2023) · Global Environmental Psychology · doi:10.5964/gep.11405 · Cited by 20 · see citing works
Dasa, M. S., Friborg, O., Kristoffersen, M., Pettersen, G., Sagen, J. V., Torstveit, M. K., Sundgot‐Borgen, J., & Rosenvinge, J. H. (2024) · European Journal of Sport Science · doi:10.1002/ejsc.12129 · Cited by 15 · see citing works
Lunde, L.-H., & Skjøtskift, S. (2015) · Clinical Case Studies · doi:10.1177/1534650114557566 · Cited by 9 · see citing works
Erren, T. C., Herbst, C., Koch, M. S., Fritschi, L., Foster, R. G., Driscoll, T. R., Costa, G., Sallinen, M., & Liira, J. (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010639 · Cited by 9 · see citing works
Dammen, T., Tunheim, K., Munkhaugen, J., & Papageorgiou, C. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.948081 · Cited by 8 · see citing works
- Authors
- Pallesen, S., Bjorvatn, B., Nordhus, I. H., Sivertsen, B., Hjørnevik, M., & Morin, C. M.
- Affiliations
- Faculty of Psychology, University of Bergen, Norwegian Competence Center for Sleep Disorders
- University of Bergen (NO)
- Université Laval (CA)
- Venue
- Perceptual and Motor Skills
- Publisher
- SAGE Publications
- Published
- 2008-12
- Volume
- 107
- Issue
- 3
- Pages
- 691-706
- ISSN
- 0031-5125 (ISSN-L)
- 1558-688X
- OpenAlex
- W2084471229
- Cited by
- 426
- References
- 37
- Citations by year
- 2026: 26 · 2025: 39 · 2024: 44 · 2023: 44 · 2022: 40 · 2021: 48 · 2020: 29 · 2019: 20 · 2018: 27 · 2017: 25 · 2016: 10 · 2015: 14 · 2014: 17 · 2013: 16 · 2012: 10
- FWCI
- 7.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Perceptual and Motor Skills (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- insomnia, sleep onset insomnia, sleep maintenance insomnia, daytime dysfunction, self-report scale, psychometric validation, reference values, polysomnography
- MeSH terms
- Anxiety, Factor Analysis, Statistical, Female, Humans, Disorders of Excessive Somnolence, Sleep Initiation and Maintenance Disorders, Male, Surveys and Questionnaires, Registries, Sleep Apnea Syndromes, Polysomnography, Nocturnal Myoclonus Syndrome, Young Adult
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