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Cross-cultural adaptation, validation, and the reliability of the Sleep-Related Behaviors Questionnaire in patients with multiple sclerosis

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A Correction to this article was published on 18 June 2022

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Abstract

Purpose

Examining sleep-related behavioral disorder strategies in detail for MS patients provides an essential assessment to address specific disease findings. The aim of the study was to demonstrate the reliability and validity of the Turkish Sleep-Related Behaviors Questionnaire in patients with multiple sclerosis (MS).

Methods

A total of 100 MS patients were filled Sleep-Related Behaviors Questionnaire (SRBQ), Beck Depression Inventory (BDI), Insomnia Severity Index (ISI), and Pittsburgh Sleep Quality Index (PSQI). One week later, 30 randomly selected patients were refilled the SRBQ. The test–retest reliability, internal consistency, and contruct validity were determined.

Results

The mean age of the individuals included in the study was 38.9 ± 11.0 years. The ICC value of the reproducibility of SRBQ was calculated as 0.877 (CI: 0.74–0.94). The test–retest reliability of the SRBQ was excellent (ICC > 0.80). Cronbach’s alpha value of the SRBQ was 0.877, which indicates excellent consistency. The SRBQ had correlation coefficients of 0.573, 0.509, and 0.523 with ISI, PSQI, and BDI, respectively. The SRBQ had high validity (r > 0.50, p < 0.01).

Conclusion

The Turkish SRBQ was found to be valid and reliable in patients with MS. Owing to the long but comprehensive nature of the SRBQ, a low-cost detailed measurement could be obtained in clinical practice.

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References

  1. Pokryszko-Dragan A, Bilińska M, Gruszka E, Biel Ł, Kamińska K, Konieczna K (2013) Sleep disturbances in patients with multiple sclerosis. Neurol Sci 34(8):1291–1296

    Article  Google Scholar 

  2. Bamer A, Johnson K, Amtmann D, Kraft G (2008) Prevalence of sleep problems in individuals with multiple sclerosis. Mult Scler J 14(8):1127–1130

    Article  CAS  Google Scholar 

  3. Merlino G, Fratticci L, Lenchig C, Valente M, Cargnelutti D, Picello M, Serafini A, Dolso P, Gigli G (2009) Prevalence of ‘poor sleep’among patients with multiple sclerosis: an independent predictor of mental and physical status. Sleep Med 10(1):26–34

    Article  CAS  Google Scholar 

  4. Bøe Lunde HM, Aae TF, Indrevåg W, Aarseth J, Bjorvatn B, Myhr K-M, Bø L (2012) Poor sleep in patients with multiple sclerosis. PLoS ONE 7(11):e49996

    Article  Google Scholar 

  5. Garland SN, Scurrey SR, Ploughman M (2017) Factors associated with poor sleep in older adults with multiple sclerosis. Int J Behav Med 24(6):937–945

    Article  Google Scholar 

  6. Fleming WE, Pollak CP (2005) Sleep disorders in multiple sclerosis. In: Seminars in neurology. Copyright© 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New 01. pp 64–68

  7. Sakkas GK, Giannaki CD, Karatzaferi C, Manconi M (2019) Sleep abnormalities in multiple sclerosis. Curr Treat Options Neurol 21(1):4

    Article  Google Scholar 

  8. Taphoorn M, Van Someren E, Snoek F, Strijers R, Swaab D, Visscher F, De Waal L, Polman C (1993) Fatigue, sleep disturbances and circadian rhythm in multiple sclerosis. J Neurol 240(7):446–448

    Article  CAS  Google Scholar 

  9. Irwin MR, Wang M, Ribeiro D, Cho HJ, Olmstead R, Breen EC, Martinez-Maza O, Cole S (2008) Sleep loss activates cellular inflammatory signaling. Biol Psychiat 64(6):538–540

    Article  CAS  Google Scholar 

  10. Melamud L, Golan D, Luboshitzky R, Lavi I, Miller A (2012) Melatonin dysregulation, sleep disturbances and fatigue in multiple sclerosis. J Neurol Sci 314(1–2):37–40

    Article  CAS  Google Scholar 

  11. Kaminska M, Kimoff R, Schwartzman K, Trojan D (2011) Sleep disorders and fatigue in multiple sclerosis: evidence for association and interaction. J Neurol Sci 302(1–2):7–13

    Article  CAS  Google Scholar 

  12. Schutte-Rodin S, Broch L, Buysse D, Dorsey C, Sateia M (2008) Clinical guideline for the evaluation and management of chronic insomnia in adults. J Clin Sleep Med 4(5):487–504

    Article  Google Scholar 

  13. Hughes AJ, Dunn KM, Chaffee T (2018) Sleep disturbance and cognitive dysfunction in multiple sclerosis: a systematic review. Curr Neurol Neurosci Rep 18(1):1–9

    Article  Google Scholar 

  14. Amtmann D, Bamer AM, Kim J, Chung H, Salem R (2018) People with multiple sclerosis report significantly worse symptoms and health related quality of life than the US general population as measured by PROMIS and NeuroQoL outcome measures. Disabil Health J 11(1):99–107

    Article  Google Scholar 

  15. Riachi N, Ahdab R, Challah MA, Creange A, Lefaucheur J-P, Ayache SS (2015) Fatigue in multiple sclerosis

  16. Braley TJ, Boudreau EA (2016) Sleep disorders in multiple sclerosis. Curr Neurol Neurosci Rep 16(5):50

    Article  Google Scholar 

  17. Ree MJ, Harvey AG (2004) Investigating safety behaviours in insomnia: the development of the Sleep-Related Behaviours Questionnaire (SRBQ). Behav Chang 21(1):26–36

    Article  Google Scholar 

  18. Lebrun C, Gély-Nargeot M-C, Maudarbocus KH, Bayard S (2018) Assessing sleep-related safety behaviors: adaptation and validation of a french version of the sleep-related behaviors questionnaire in a nonclinical sample. Behav Sleep Med

  19. Beaton DE, Bombardier C, Guillemin F, Ferraz MB (2000) Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 25(24):3186–3191

    Article  CAS  Google Scholar 

  20. Guillemin F, Bombardier C, Beaton D (1993) Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 46(12):1417–1432

    Article  CAS  Google Scholar 

  21. Faul F, Erdfelder E, Buchner A, Lang A-G (2009) Statistical power analyses using G* Power 3.1: tests for correlation and regression analyses. Behavior research methods 41 (4):1149–1160

  22. Faul F, Erdfelder E, Lang A-G, Buchner A (2007) G* Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 39(2):175–191

    Article  Google Scholar 

  23. Walter S, Eliasziw M, Donner A (1998) Sample size and optimal designs for reliability studies. Stat Med 17(1):101–110

    Article  CAS  Google Scholar 

  24. Bonett DG (2002) Sample size requirements for estimating intraclass correlations with desired precision. Stat Med 21(9):1331–1335

    Article  Google Scholar 

  25. Hisli N (1989) The validity and reliability of Beck Depression Inventory for university students. Psikoloji dergisi 7:3–13

    Google Scholar 

  26. Boysan M, Gulec M, Besiroglu L, Kalafat T (2010) Psychometric properties of the Insomnia Severity Index in Turkish sample

  27. Ağargün MY, Kara H, Anlar Ö (1996) The validity and reliability of the Pittsburgh Sleep Quality Index. Turk Psikiyatri Derg 7(2):107–115

    Google Scholar 

  28. Juniper EF (1996) How to develop and validate a new health-related quality of life instrument. Quality of life and pharamacoeconomics in clinical trials:49–56

  29. Baumgartner TA, Chung H (2001) Confidence limits for intraclass reliability coefficients. Meas Phys Educ Exerc Sci 5(3):179–188

    Article  Google Scholar 

  30. Portney LG, Watkins MP (2009) Foundations of clinical research: applications to practice, vol 892. Pearson/Prentice Hall Upper Saddle River, NJ

  31. Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, Bouter LM, de Vet HC (2007) Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol 60(1):34–42

    Article  Google Scholar 

  32. Hamilton N, Freche R, Zhang Y, Zeller G, Carroll I (2021) Test anxiety and poor sleep: a vicious cycle. Int J Behav Med 28(2):250–258

    Article  Google Scholar 

  33. Regier DA, Kuhl EA, Kupfer DJ (2013) The DSM-5: classification and criteria changes. World Psychiatry 12(2):92–98

    Article  Google Scholar 

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Authors and Affiliations

Authors

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Correspondence to Fatih Özden.

Ethics declarations

Ethical approval

The permission for the translation for the Turkish version of the Sleep‐Related Behaviors Questionnaire was acquired from the developer of the original questionnaire. The study was carried out in accordance with the ethical principles and the Helsinki Declaration. The study protocol was approved by the ethics committee of Ege University (No: 21-5 T/76).

Consent to participate

Informed consent of the patients was obtained.

Conflict of interest

The authors declare no competing interests.

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The original online version of this article was revised: The above article was published online with error.

The following sentence (in methods section);

- MS patients followed in “X” University Faculty of Medicine Department of Neurology were evaluated.

should be changed as:

- MS patients followed in Ege University Faculty of Medicine Department of Neurology were evaluated.

On the other hand, the following sentence (in “methods" section and also “declarations” section);

- The permission for the translation for the Turkish version of the Life Balance Inventory was acquired from the developer of the original questionnaire.

should be changed as:

- The permission for the translation for the Turkish version of the Sleep‑Related Behaviors Questionnaire was acquired from the developer of the original questionnaire.

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Özden, F., Özkeskin, M. & Yüceyar, N. Cross-cultural adaptation, validation, and the reliability of the Sleep-Related Behaviors Questionnaire in patients with multiple sclerosis. Neurol Sci 43, 5471–5477 (2022). https://doi.org/10.1007/s10072-022-06196-4

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  • DOI: https://doi.org/10.1007/s10072-022-06196-4

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