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題名 Are the Insomnia Severity Index and Pittsburgh Sleep Quality Index valid outcome measures for Cognitive Behavioral Therapy for Insomnia? Inquiry from the perspective of response shifts and longitudinal measurement invariance in their Chinese versions
作者 詹雅雯
Chen, Po-Yi
Jan, Ya-Wen
Yang, Chien-Ming
貢獻者 心理系
關鍵詞 Cognitive Behavioral Therapy for Insomnia; CBT-I; Insomnia Severity Index; Pittsburgh Sleep Quality Index; Measurement invariance; Response shift
日期 2017-07
上傳時間 21-Nov-2017 17:50:24 (UTC+8)
摘要 Objective : The purpose of this study was to examine whether the Insomnia Severity Index (ISI) and Pittsburgh Sleep Quality Index (PSQI) are valid outcome measures for Cognitive Behavioral Therapy for Insomnia (CBT-I). Specifically, we tested whether the factorial parameters of the ISI and the PSQI could remain invariant against CBT-I, which is a prerequisite to using their change scores as an unbiased measure of the treatment outcome of CBT-I. Methods : A clinical data set including scores on the Chinese versions of the ISI and the PSQI obtained from 114 insomnia patients prior to and after a 6-week CBT-I program in Taiwan was analyzed. A series of measurement invariance (MI) tests were conducted to compare the factorial parameters of the ISI and the PSQI before and after the CBT-I treatment program. Results : Most factorial parameters of the ISI remained invariant after CBT-I. However, the factorial model of the PSQI changed after CBT-I treatment. An extra loading with three residual correlations was added into the factorial model after treatment. Conclusions : The partial strong invariance of the ISI supports that it is a valid outcome measure for CBT-I. In contrast, various changes in the factor model of the PSQI indicate that it may not be an appropriate outcome measure for CBT-I. Some possible causes for the changes of the constructs of the PSQI following CBT-I are discussed.
關聯 Sleep Medicine,Volume 35, Pages 35-40
資料類型 article
DOI https://doi.org/10.1016/j.sleep.2017.04.003
dc.contributor 心理系
dc.creator (作者) 詹雅雯zh_TW
dc.creator (作者) Chen, Po-Yien_US
dc.creator (作者) Jan, Ya-Wenen_US
dc.creator (作者) Yang, Chien-Mingen_US
dc.date (日期) 2017-07
dc.date.accessioned 21-Nov-2017 17:50:24 (UTC+8)-
dc.date.available 21-Nov-2017 17:50:24 (UTC+8)-
dc.date.issued (上傳時間) 21-Nov-2017 17:50:24 (UTC+8)-
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/114847-
dc.description.abstract (摘要) Objective : The purpose of this study was to examine whether the Insomnia Severity Index (ISI) and Pittsburgh Sleep Quality Index (PSQI) are valid outcome measures for Cognitive Behavioral Therapy for Insomnia (CBT-I). Specifically, we tested whether the factorial parameters of the ISI and the PSQI could remain invariant against CBT-I, which is a prerequisite to using their change scores as an unbiased measure of the treatment outcome of CBT-I. Methods : A clinical data set including scores on the Chinese versions of the ISI and the PSQI obtained from 114 insomnia patients prior to and after a 6-week CBT-I program in Taiwan was analyzed. A series of measurement invariance (MI) tests were conducted to compare the factorial parameters of the ISI and the PSQI before and after the CBT-I treatment program. Results : Most factorial parameters of the ISI remained invariant after CBT-I. However, the factorial model of the PSQI changed after CBT-I treatment. An extra loading with three residual correlations was added into the factorial model after treatment. Conclusions : The partial strong invariance of the ISI supports that it is a valid outcome measure for CBT-I. In contrast, various changes in the factor model of the PSQI indicate that it may not be an appropriate outcome measure for CBT-I. Some possible causes for the changes of the constructs of the PSQI following CBT-I are discussed.en_US
dc.format.extent 264919 bytes-
dc.format.mimetype application/pdf-
dc.relation (關聯) Sleep Medicine,Volume 35, Pages 35-40en_US
dc.subject (關鍵詞) Cognitive Behavioral Therapy for Insomnia; CBT-I; Insomnia Severity Index; Pittsburgh Sleep Quality Index; Measurement invariance; Response shiften_US
dc.title (題名) Are the Insomnia Severity Index and Pittsburgh Sleep Quality Index valid outcome measures for Cognitive Behavioral Therapy for Insomnia? Inquiry from the perspective of response shifts and longitudinal measurement invariance in their Chinese versionsen_US
dc.type (資料類型) article
dc.identifier.doi (DOI) 10.1016/j.sleep.2017.04.003
dc.doi.uri (DOI) https://doi.org/10.1016/j.sleep.2017.04.003