法语版睡眠惯性问卷（SIQ）的验证及其在睡眠障碍中的评估

文献信息

中文摘要

背景： 睡眠惯性是觉醒后出现的一种短暂的认知和运动功能受损状态，尤其（但并非仅）见于中枢性嗜睡障碍（CDH）。睡眠惯性问卷（SIQ）是一份包含22个条目的自评量表，用于评估行为、躯体、情绪和认知维度，于2015年以英文开发。
目的： 翻译并验证SIQ的法语版，并评估其在CDH或阻塞性睡眠呼吸暂停（OSA）患者中的心理测量学特性。
方法： 采用正向-反向程序翻译SIQ。法语版量表施测于因OSA或CDH入住三级睡眠中心的成人，同时施测经过验证的问卷以评估疲劳（Pichot）、嗜睡（ESS）、睡眠质量（PSQI）、焦虑和抑郁（HAD-A和HAD-D）、时型（Horne & Ostberg）以及急性睡眠惯性（St Mary's Hospital Questionnaire第6项）。评估的心理测量学特性包括地板/天花板效应、内部一致性（Cronbach's α和McDonald's ω）、结构效度（验证性因子分析）和外部效度（Pearson相关）。比较两组之间的睡眠惯性特征。
结果： 我们纳入237名参与者（53.6%为女性，平均年龄46.5 ± 17.5岁，73%为OSA，27%为CDH）。法语版SIQ显示出极好的内部一致性（Cronbach's α = 0.93；McDonald's ω = 0.94）和可接受的结构效度。SIQ评分与疲劳（r = 0.70）、焦虑（r = 0.52）、抑郁（r = 0.52）、嗜睡（r = 0.51）、睡眠质量（r = 0.44）、急性惯性（r = -0.57）和时型（r = -0.52）相关（所有p < 0.001）。CDH患者的SIQ评分显著高于OSA患者，且睡眠惯性持续时间更长。
结论： 法语版SIQ是评估睡眠医学人群中睡眠惯性的有效且可靠的工具。

英文摘要

BACKGROUND: Sleep inertia is a transient state of impaired cognitive and motor performance following awakening, particularly, but not exclusively, observed in central disorders of hypersomnolence (CDH). The Sleep Inertia Questionnaire (SIQ), a 22-item self-report scale assessing behavioral, physical, emotional, and cognitive dimensions, was developed in 2015 in English.
OBJECTIVE: To translate and validate a French version of the SIQ and to evaluate its psychometric properties in patients with CDH or obstructive sleep apnea (OSA).
METHODS: The SIQ was translated using a forward-backward procedure. The French version was administered to adults hospitalized in a tertiary sleep center for OSA or CDH, alongside validated questionnaires assessing fatigue (Pichot), sleepiness (ESS), sleep quality (PSQI), anxiety and depression (HAD-A and HAD-D), chronotype (Horne & Ostberg), and acute sleep inertia (St Mary's Hospital Questionnaire item 6). Psychometric properties assessed were floor/ceiling effects, internal consistency (Cronbach's α and McDonald's ω), construct validity (confirmatory factor analysis), and external validity (Pearson correlations). Sleep inertia characteristics were compared between groups.
RESULTS: We included 237 participants (53.6% women, mean age 46.5 ± 17.5 years, 73% OSA and 27% CDH). The French SIQ demonstrated excellent internal consistency (Cronbach's α = 0.93; McDonald's ω = 0.94) and acceptable construct validity. SIQ scores correlated with fatigue (r = 0.70), anxiety (r = 0.52), depression (r = 0.52), sleepiness (r = 0.51), sleep quality (r = 0.44), acute inertia (r = -0.57), and chronotype (r = -0.52) (all p < 0.001). Patients with CDH had significantly higher SIQ scores and longer sleep inertia duration than patients with OSA.
CONCLUSION: The French SIQ is a valid and reliable tool for assessing sleep inertia in sleep medicine populations.