Validity of a single PTSD checklist item to screen for insomnia in survivors of critical illness

Elizabeth C. Parsons; Catherine L. Hough; Michael V. Vitiello; Brian Palen; Douglas Zatzick; Dimitry S. Davydow

doi:10.1016/j.hrtlng.2017.12.006

Validity of a single PTSD checklist item to screen for insomnia in survivors of critical illness

Elizabeth C. Parsons, Catherine L. Hough, Michael V. Vitiello, Brian Palen, Douglas Zatzick, Dimitry S. Davydow

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Background: There is no insomnia screening tool validated in intensive care unit (ICU) survivors. Objectives: To examine the validity of a single item from the PTSD checklist-Civilian version (PCL-C) to detect insomnia by Insomnia Severity Index (ISI) Methods: We performed a secondary analysis of data from a longitudinal investigation in 120 medical-surgical ICU survivors. At 1 year post-ICU, patients completed ISI, PCL-C, and Medical Short-Form 12 (SF-12) by telephone. A single PCL-C item rates difficulty initiating or maintaining sleep over the past month. We compared performance characteristics of this PCL-C item to ISI-defined insomnia (ISI ≥15). Results: A score of ≥3 on the PCL-C sleep item exhibited 91% sensitivity and 67% specificity for ISI-defined insomnia (ISI ≥ 15), and it demonstrated construct validity by correlation to related QOL indices. Conclusions: A single PCL-C sleep item score ≥ 3 is a reasonable screen to identify insomnia symptoms in ICU survivors.

Original language	English (US)
Pages (from-to)	87-92
Number of pages	6
Journal	Heart and Lung
Volume	47
Issue number	2
DOIs	https://doi.org/10.1016/j.hrtlng.2017.12.006
State	Published - Mar 2018
Externally published	Yes

Keywords

Critical illness
Insomnia
Intensive care unit
Sleep disorders
maintenance disorders
sleep initiation

ASJC Scopus subject areas

Pulmonary and Respiratory Medicine
Critical Care and Intensive Care Medicine
Cardiology and Cardiovascular Medicine

Access to Document

10.1016/j.hrtlng.2017.12.006

Cite this

@article{c0c9125515ae405fbd1db702fc9a8a1c,

title = "Validity of a single PTSD checklist item to screen for insomnia in survivors of critical illness",

abstract = "Background: There is no insomnia screening tool validated in intensive care unit (ICU) survivors. Objectives: To examine the validity of a single item from the PTSD checklist-Civilian version (PCL-C) to detect insomnia by Insomnia Severity Index (ISI) Methods: We performed a secondary analysis of data from a longitudinal investigation in 120 medical-surgical ICU survivors. At 1 year post-ICU, patients completed ISI, PCL-C, and Medical Short-Form 12 (SF-12) by telephone. A single PCL-C item rates difficulty initiating or maintaining sleep over the past month. We compared performance characteristics of this PCL-C item to ISI-defined insomnia (ISI ≥15). Results: A score of ≥3 on the PCL-C sleep item exhibited 91% sensitivity and 67% specificity for ISI-defined insomnia (ISI ≥ 15), and it demonstrated construct validity by correlation to related QOL indices. Conclusions: A single PCL-C sleep item score ≥ 3 is a reasonable screen to identify insomnia symptoms in ICU survivors.",

keywords = "Critical illness, Insomnia, Intensive care unit, Sleep disorders, maintenance disorders, sleep initiation",

author = "Parsons, {Elizabeth C.} and Hough, {Catherine L.} and Vitiello, {Michael V.} and Brian Palen and Douglas Zatzick and Davydow, {Dimitry S.}",

note = "Publisher Copyright: {\textcopyright} 2018",

year = "2018",

month = mar,

doi = "10.1016/j.hrtlng.2017.12.006",

language = "English (US)",

volume = "47",

pages = "87--92",

journal = "Heart and Lung",

issn = "0147-9563",

publisher = "Mosby Inc.",

number = "2",

}

TY - JOUR

T1 - Validity of a single PTSD checklist item to screen for insomnia in survivors of critical illness

AU - Parsons, Elizabeth C.

AU - Hough, Catherine L.

AU - Vitiello, Michael V.

AU - Palen, Brian

AU - Zatzick, Douglas

AU - Davydow, Dimitry S.

PY - 2018/3

Y1 - 2018/3

N2 - Background: There is no insomnia screening tool validated in intensive care unit (ICU) survivors. Objectives: To examine the validity of a single item from the PTSD checklist-Civilian version (PCL-C) to detect insomnia by Insomnia Severity Index (ISI) Methods: We performed a secondary analysis of data from a longitudinal investigation in 120 medical-surgical ICU survivors. At 1 year post-ICU, patients completed ISI, PCL-C, and Medical Short-Form 12 (SF-12) by telephone. A single PCL-C item rates difficulty initiating or maintaining sleep over the past month. We compared performance characteristics of this PCL-C item to ISI-defined insomnia (ISI ≥15). Results: A score of ≥3 on the PCL-C sleep item exhibited 91% sensitivity and 67% specificity for ISI-defined insomnia (ISI ≥ 15), and it demonstrated construct validity by correlation to related QOL indices. Conclusions: A single PCL-C sleep item score ≥ 3 is a reasonable screen to identify insomnia symptoms in ICU survivors.

AB - Background: There is no insomnia screening tool validated in intensive care unit (ICU) survivors. Objectives: To examine the validity of a single item from the PTSD checklist-Civilian version (PCL-C) to detect insomnia by Insomnia Severity Index (ISI) Methods: We performed a secondary analysis of data from a longitudinal investigation in 120 medical-surgical ICU survivors. At 1 year post-ICU, patients completed ISI, PCL-C, and Medical Short-Form 12 (SF-12) by telephone. A single PCL-C item rates difficulty initiating or maintaining sleep over the past month. We compared performance characteristics of this PCL-C item to ISI-defined insomnia (ISI ≥15). Results: A score of ≥3 on the PCL-C sleep item exhibited 91% sensitivity and 67% specificity for ISI-defined insomnia (ISI ≥ 15), and it demonstrated construct validity by correlation to related QOL indices. Conclusions: A single PCL-C sleep item score ≥ 3 is a reasonable screen to identify insomnia symptoms in ICU survivors.

KW - Critical illness

KW - Insomnia

KW - Intensive care unit

KW - Sleep disorders

KW - maintenance disorders

KW - sleep initiation

UR - http://www.scopus.com/inward/record.url?scp=85043598782&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85043598782&partnerID=8YFLogxK

U2 - 10.1016/j.hrtlng.2017.12.006

DO - 10.1016/j.hrtlng.2017.12.006

M3 - Article

C2 - 29449026

AN - SCOPUS:85043598782

SN - 0147-9563

VL - 47

SP - 87

EP - 92

JO - Heart and Lung

JF - Heart and Lung

IS - 2

ER -

Validity of a single PTSD checklist item to screen for insomnia in survivors of critical illness

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this