5/3/2023 0 Comments Insomnia pregnancyParticipants with an incomplete ISQ were also excluded from the final analysis ( N = 12). Exclusion criteria were age less than 18 years old, failure to provide free informed consent, and incomplete comprehension of the Italian language that prevented participants from completing the questionnaires. We recruited 39 women with DSM-5 insomnia. The women included in the study were screened once during their third trimester of pregnancy (T0) and again six months postpartum (T1). ![]() We recruited 304 women at the Gynaecology and Obstetrics unit of San Pietro Fatebenefratelli Hospital in Rome, a large maternity unit, between July and December 2018 during their routine third-trimester screening. The updated version of the DSM does not conflict with the former version for what concerns symptom identification and assigning the diagnosis. The International Classification of Sleep Disorders-Third Edition (ICSD-3) criteria are consistent with the DSM-5. When assessing sleep quality, the accuracy of the definition of sleep quality itself is a fundamental issue. In contrast to the DSM-IV-TR, the DSM-5 makes no distinction between primary and comorbid insomnia, and dissatisfaction with sleep quantity or quality were included as prerequisites for diagnosing insomnia. The sleep disturbance causes clinically significant distress or impairment in social, occupational, educational, academic, behavioral, or other important areas of functioning. Sleep difficulties occur despite adequate opportunity for sleep, at least 3 nights per week, for at least 3 months. The DSM-5 defined insomnia as dissatisfaction with sleep quantity or quality, associated with one or more of the following symptoms: difficulty initiating sleep, difficulty maintaining sleep, frequent awakenings, or problems returning to sleep after awakenings. The Italian version showed equivalent properties to the original version. The ISQ is useful, valid, and reliable for assessing perinatal insomnia in Italian women. ISQ scores correlated with all scales, indicating adequate convergent and discriminant validity furthermore, it showed antenatal–postnatal test–retest reliability, 97.5% diagnostic accuracy, 79.5% sensitivity, 94.9% specificity, 70.5% positive predictive power, and 92.8% negative predictive power. The insomnia group had received more psychopharmacotherapy, had more psychiatric family history, increased rates of medically assisted reproduction, of past perinatal psychiatric disorders, and scored higher on almost all TEMPS-A dimensions, on the EPDS, HCL-32, PSQI, and on ISQ prenatally and postnatally. ![]() ![]() Women were divided into DSM-5 No-Insomnia ( N = 253) and Insomnia ( N = 39) groups. Women were readministered the ISQ six months postdelivery to assess test–retest reliability. The ISQ was administered to 292 women prenatally along with other measures of sleep quality, depression, and anxiety, to examine its construct and convergent validity. We aimed to translate and validate and evaluate the psychometric properties of the Italian version of the Insomnia Symptom Questionnaire (ISQ), in a sample of women during late pregnancy and 6-months postpartum according to the DSM-5 criteria. ![]() Sleep disorders are common in perinatal women and may underlie or trigger anxiety and depression.
0 Comments
Leave a Reply. |