The Insomnia Severity Index: cross-cultural adaptation and psychometric evaluation of a Persian version

• Published in: Quality of life research 2014-03, Vol.23 (2), p.533-537
• Main Authors: Sadeghniiat-Haghighi, Khosro, Montazeri, Ali, Khajeh-Mehrizi, Ahmad, Nedjat, Saharnaz, Aminian, Omid
• Format: Article
• Language: English
• Subjects: Adaptation; Adult; Bilingualism; Brief Communication; Committees; Construct validity; Control groups; Cronbach's alpha; Cross-Cultural Comparison; Culture; Female; Hospitals; Humans; Insomnia; Iran; Male; Medical research; Medicine; Medicine & Public Health; Middle Aged; P values; Patients; Personality Inventory; Polysomnography; Principal components analysis; Psychometrics; Psychometrics - methods; Public Health; Quality of Life Research; Quantitative psychology; Questionnaires; Reproducibility of Results; Severity of Illness Index; Severity of illness indices; Sleep; Sleep disorders; Sleep Initiation and Maintenance Disorders - diagnosis; Sleep Initiation and Maintenance Disorders - psychology; Sociology; Standard deviation; Statistical analysis; Surveys and Questionnaires; Translations; Validation studies; Validity
• ISSN: 0962-9343; 1573-2649
• DOI: 10.1007/s11136-013-0489-3

Purpose The main purpose of this study was to describe the cultural adaptation of a Persian version of the Insomnia Severity Index and to evaluate its psychometric properties by testing internal consistency, construct validity, discriminant validity, and concurrent validity. Methods Cross-cultural adaptation was carried out according to guidelines and included forward and backward translations, expert committee, and field test. A sample of 1,037 sleep clinic patients filled in a questionnaire package including the Persian version of the Insomnia Severity Index (ISI-P), the Pittsburgh Sleep Quality Index (PSQI), the Epworth Sleepiness Scale (ESS), and the Beck Depression Inventory (BDI). In addition, 624 of these patients were assessed by polysomnography (PSG). A group of 50 members of hospital staff responded to the ISI-P as the control group. Internal consistency with Cronbach's alpha, construct validity with principal component analysis, discriminant validity with assessing the ISI-P's ability to differentiate patients from control group and concurrent validity with exploring the spearman correlation with the PSQI, ESS, BDI, and corresponding parameters in PSG were followed to examine the psychometric properties of the ISI-P. Results The ISI-P showed acceptable internal consistency (Cronbach's alpha = 0.78) and a 2-factor solution in factor analysis. The ISI-P discriminated well between patients and control group (15.90 ± 6.12 vs 10.10 ± 5.76, P value