Índice de Higiene del Sueño: Dimensionalidad, consistencia interna y validez nomológica en estudiantes de medicina colombianos

Contenido principal del artículo

Adalberto Campo-Arias
https://orcid.org/0000-0003-2201-7404
John Carlos Pedrozo-Pupo
Carmen Cecilia Caballero-Domínguez

Resumen

El objetivo fue determinar la dimensionalidad, consistencia interna y validez nomológica del Índice de Higiene del Sueño (IHS-10) en estudiantes de medicina de Santa Marta, Colombia. Se diseñó un estudio psicométrico en el que participaron 309 estudiantes de medicina entre 18 y 39 años (20,83±2,68) y el 54,69% eran mujeres. La validez de constructo se probó mediante análisis factorial confirmatorio, consistencia interna y validez nomológica mediante correlaciones con las Escalas de Insomnio de Atenas, Somnolencia de Epworth, Trastorno de Ansiedad Generalizada y el Cuestionario de Salud del Paciente. La estructura de cuatro dimensiones del IHS-10 mostró adecuada de bondad de ajuste; empero, la consistencia interna de las dimensiones fue inferior a .70 y la validez nomológica limitada (menor de .30). En conclusión, las cuatro dimensiones del IHS-10 presentan baja consisten-cia interna y validez nomológica limitada. Se necesitan más estudios para demostrar el rendimiento psicométrico del IHS-10

Palabras clave:
Índice de Higiene del Sueño, Análisis factorial, Consistencia interna, Validez nomológica, Estudiantes de medicina, Estudios de validación

Detalles del artículo

Biografía del autor/a

Adalberto Campo-Arias, Universidad del Magdalena, Colombia

Magíster en Salud Sexual y Reproductiva

John Carlos Pedrozo-Pupo, Universidad del Magdalena, Colombia

Magíster en Sueño

Carmen Cecilia Caballero-Domínguez, Universidad del Magdalena, Colombia

Doctora en Psicología

Referencias

Abdulghani, H. M., Alrowais, N. A., Bin-Saad, N. S., Al-Subaie, N. M., Haji, A. M. & Alhaqwi, A. I. (2012). Sleep disorder among medical students: Relationship to their academic performance. Medical Teacher, 34(Supl.1), S37-S41. https://doi.org/10.3109/0142159X.2012.656749

Ahrberg, K., Dresler, M., Niedermaier, S., Steiger, A. & Genzel, L. (2012). The interaction between sleep quality and academic performance. Journal of Psychiatric Research, 46(12), 1618-1622. https://doi.org/10.1016/j.jpsychires.2012.09.008

Ali, R., Zolezzi, M., & Awaisu, A. (2021). The Arabic version of the sleep hygiene index: Linguistic validation and cultural adaptation among university students in Qatar. Qatar Medical Journal, 2021(2), 26. https://doi.org/10.5339/qmj.2021.26

American Academy of Sleep Medicine. (2023). International Classification of Sleep Disorders, 3rd edition. American Academy of Sleep Medicine.

American Educational Research Association, American Psychological Association, & National Council on Measurement in Education. (2014). Standards for educational and psychological testing. American Educational Research Association.

Anwer, S., Alghadir, A., Manzar, M. D., Noohu, M. M., Salahuddin, M. & Li, H. (2019). Psychometric analysis of the sleep hygiene index and correlation with stress and anxiety among Saudi University students. Nature and Science of Sleep, 11, 325-332. https://doi.org/10.2147/NSS.S222440

Campo-Arias, A. & Pineda-Roa, C. A. (2022). Instrument validation is a necessary, comprehensive, and permanent process. Alpha Psychiatry, 23(2), 89-90. https://doi.org/10.5152/alphapsychiatry.2022.21811

Cassiani-Miranda, C. A. & Scoppetta, O. (2018). Factorial structure of the Patient Health Questionnaire-9 as a depression screening instrument for university students in Cartagena, Colombia. Psychiatry Research, 269, 425-429. https://doi.org/10.1016/j.psychres.2018.08.071 Cheung, G. W., Cooper-Thomas, H. D., Lau, R. S. & Wang, L. C. (2023). Reporting reliability, convergent and discriminant validity with structural equation modeling: A review and best-practice recommendations. Asia Pacific Journal of Management, 41, 1-39.

https://doi.org/10.1007/s10490-023-09871-y

Cronbach, J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16(3), 297-334. https://doi.org/10.1007/bf02310555

De Biase, S., Milioli, G., Grassi, A., Lorenzut, S., Parrino, L. & Gigli, G. L. (2014). Sleep hygiene (pp. 289-295). In S. Garbarino, L. Nobili & G. Costa. Sleepiness and Human Impact Assessment. Springer.

Demyttenaere, K. & Heirman, E. (2023). Assessment tools in psychiatry. In Tasman’s Psychiatry (pp. 1-32) Springer International Publishing.

De Souza, A. C., Costa, N. M. & De Brito, E. (2017). Psychometric properties in instruments evaluation of reliability and validity. Epidemiologia e Servicos de Saude, 26, 649-659. https://pubmed.ncbi.nlm.nih.gov/28977189/

Fava, G. A. (2022). Forty years of clinimetrics. Psychotherapy and Psychosomatics, 91(1), 1-7. https://doi.org/10.1159/000520251

Flores-Flores, D., Boettcher-Sáez, B., Quijada-Espinoza, J., Ojeda-Barrientos, R., Matamala-Anacona, I. & González-Burboa, A. (2021). Calidad del sueño en estudiantes de medicina de la Universidad Andrés Bello, 2019, Chile. Medicas UIS, 34(3), 29-38. https://doi.org/10.18273/revmed.v34n3-2021003

Ghrouz, A. K., Noohu, M. M., Manzar, M. D., Spence, D. W., BaHammam, A. S. & Pandi-Perumal, S. R. (2019). Physical activity and sleep quality in relation to mental health among college students. Sleep Breath, 23(2), 627-634. https://doi.org/10.1007/s11325-019-01780-z

González, J. & Aspeé, J. (2021). Propuesta de estimador de la fiabilidad mediante Alfa-Game [Proposal for a reliability estimator using Alfa-Game]. Revista Iberoamericana de Psicología, 14(1), 1-10. https://doi.org/10.33881/2027-1786.rip.14101

Hahs-Vaughn, D. L. (2016). Applied multivariate statistical concepts. Routledge.

Hayes, A. F. & Coutts, J. J. (2020). Use omega rather than Cronbach’s alpha for estimating reliability. But…. Communication Methods and Measures, 14(1), 1-24. https://doi.org/10.1080/19312458.2020.1718629

Hershner, S. D. & Chervin, R. D. (2014). Causes and consequences of sleepiness among college students. Nature and Science of Sleep, 6, 73-84. https://doi.org/10.2147/NSS.S62907

Hudson, A. N., Van Dongen, H. P. & Honn, K. A. (2020). Sleep deprivation, vigilant attention, and brain function: A review. Neuropsychopharmacology, 45(1), 21-30. https://doi.org/10.1038/s41386-019-0432-6

International Test Commission. (2017). ITC guidelines for translating and adapting tests (2nd edition). http://www.InTestCom.org

Irish, L. A., Kline, C. E., Gunn, H. E., Buysse, D. J. & Hall, M. H. (2015). The role of sleep hygiene in promoting public health: A review of empirical evidence. Sleep Medicine Reviews, 22, 23-36. https://doi.org/10.1016/j.smrv.2014.10.001

Johns, M. W. (1994). Sleepiness in different situations measured by the Epworth Sleepiness Scale. Sleep, 17(8), 703-710. https://doi.org/10.1093/sleep/17.8.703

Kaur, G. & Singh, A. (2017). Sleep hygiene, sleep quality and excessive daytime sleepiness among Indian college students. Journal of Sleep Medicine & Disorders, 4(1), 1076. https://doi.org/10.47739/2379-0822/1076 Kroenke, K., Spitzer, R. L. & Williams, J. B. (2001). The PHQ‐9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606-613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x

Lu, J., Fang, G. E., Shen, S. J., Wang, Y. & Sun, Q. (2011). A questionnaire survey on sleeping in class phenomenon among Chinese medical undergraduates. Medical Teacher, 33(6), 508.

Manzar, M. D., Bekele, B. B., Noohu, M. M., Salahuddin, C., Albougami, A., Spence, D. W., Pandi-Perumal, S. R. & Bahammam, A. S. (2019). Prevalence of poor sleep quality in the Ethiopian population: A systematic review and meta-analysis. Sleep Breathing, 10, 709-716. https://doi.org/10.1007/s11325-019-01871-x

Manzar, M. D., Noohu, M. M., Salahuddin, M., Nureye, D., Albougami, A., Spence, D. W., Pandi-Perumal, S. R. & Bahammam, A. S. (2020). Insomnia symptoms and their association with anxiety and poor sleep hygiene practices among Ethiopian university students. Nature and Science of Sleep, 12, 575-582. https://doi.org/10.2147/NSS.S246994

Mastin, D. F., Bryson, J. & Corwyn, R. (2006). Assessment of sleep hygiene using the Sleep Hygiene Index. Journal of Behavioral Medicine, 29(3), 223-227. https://doi.org/10.1007/s10865-006-9047-6

McDonald, R. P. (1970). The theoretical foundations of principal factor analysis, canonical factor analysis, and alpha factor analysis. British Journal of Mathematical and Statistical Psychology, 23(1), 1-21. https://doi.org/10.1111/j.2044-8317.1970.tb00432.x

Menon, B., Karishma, H. P. & Mamatha, I. V. (2015). Sleep quality and health complaints among nursing students. Annals of Indian Academy of Neurology, 18(3), 363-364. https://doi.org/10.4103/0972-2327.157252

Mehta, K. J. (2022). Effect of sleep and mood on academic performance—at interface of physiology, psychology, and education. Humanities and Social Sciences Communications, 9(1), 1-13. https://doi.org/10.1057/s41599-021-01031-1

Monterrosa-Blanco, A., Cassiani-Miranda, C. A., Scoppetta, O. & Monterrosa-Castro, A. (2021). Generalized anxiety disorder scale (GAD-7) has adequate psychometric properties in Colombian general practitioners during COVID-19 pandemic. General Hospital Psychiatry, 70, 147-148. https://doi.org/10.1016/j.genhosppsych.2021.03.013

Nye, C. D. (2023). Reviewer resources: Confirmatory factor analysis. Organizational Research Methods, 26(4), 608-628. https://doi.org/10.1177/10944281221120541

Pearson, K. (1909). Determination of the coefficient of correlation. Science, 30(757), 23-25. https://doi.org/10.1126/science.30.757.23

Pedrozo-Pupo, J. C., Caballero-Domínguez, C. C. & Campo-Arias, A. (2022). Prevalence and variables associated with insomnia among COVID-19 survivors in Colombia. Acta Bio Medica, 93(1), e2022019. https://doi.org/10.23750/abm.v93i1.12132

Pedrozo-Pupo, J. C., Córdoba, A. P. & Campo-Arias, A. (2020). Estructura factorial y consistencia interna de la escala de somnolencia de Epworth [Factor structure and internal consistency of the Epworth Sleepiness Scale]. Revista de la Facultad de Medicina, 68(2), 183-187.

https://doi.org/10.15446/revfacmed.v68n2.73025

Perotta, B., Arantes-Costa, F. M., Enns, S. C., Figueiro-Filho, E. A., Paro, H., Santos, I. S., Lorenzi-Filho, G., Martins, M. A. & Tempski, P. Z. (2021). Sleepiness, sleep deprivation, quality of life, mental symptoms and perception of academic environment in medical students. BMC Medical Education, 21, 111. https://doi.org/10.1186/s12909-021-02544-8

Prados, G., Chouchou, F., Carrión-Pantoja, S., Fernández-Puerta, L. & Pérez-Mármol, J. M. (2021). Psychometric properties of the Spanish version of the Sleep Hygiene Index. Research in Nursing & Health, 44(2), 393-402. https://doi.org/10.1002/nur.22111 Seoane, H. A., Moschetto, L., Orliacq, F., Orliacq, J., Serrano, E., Cazenave, M. I., Vigo, D. E. & Perez-Lloret, S. (2020). Sleep disruption in medicine students and its relationship with impaired academic performance: A systematic review and meta-analysis. Sleep Medicine Reviews, 53, 101333. https://doi.org/10.1016/j.smrv.2020.101333

Seun-Fadipe, C. T., Aloba, O. O., Oginni, O. A. & Mosaku, K. S. (2018). Sleep hygiene index: Psychometric characteristics and usefulness as a screening tool in a sample of Nigerian undergraduate students. Journal of Clinical Sleep Medicine, 14(8), 1285-1292. https://doi.org/10.5664/jcsm.7256

Soldatos, C., Dikeos, D. & Paparrigopoulos, T. (2000). Athens Insomnia Scale: validation of an instrument based on ICD-10 criteria. Journal of Psychosomatic Research, 48(6), 555-560. https://doi.org/10.1016/S0022-3999(00)00095-7

Spitzer, R. L., Kroenke, K., Williams, J. B. & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092-1097. https://doi.org/10.1001/archinte.166.10.1092

Streiner, D., Norman, G. & Cairney, J. (2014). Health measurement scales: A practical guide to their development and use (5th edition). Oxford University Press.

Tang, Z., Li, X., Zhang, Y., Li, X., Zhang, X., Hu, M. & Wang, J. (2021). Psychometric analysis of a Chinese version of the Sleep Hygiene Index in nursing students in China: A cross-sectional study. Sleep Medicine, 81, 253-260. https://doi.org/10.1016/j.sleep.2021.02.050

Trizano-Hermosilla, I., & Alvarado, J. M. (2016). Best alternatives to Cronbach’s alpha reliability in realistic conditions: Congeneric and asymmetrical measurements. Frontiers in Psychology, 7, 769. https://doi.org/10.3389/fpsyg.2016.00769

Vanderlind, W. M., Beevers, C. G., Sherman, S. M., Trujillo, L. T., McGeary, J. E., Matthews, M. D., Maddox, W. T. & Schnyer, D. M. (2014). Sleep and sadness: Exploring the relation among sleep, cognitive control, and depressive symptoms in young adults. Sleep Medicine, 15(1), 144-149. https://doi.org/10.1016/j.sleep.2013.10.006

Wang, F. & Bíró, É. (2021). Determinants of sleep quality in college students: A literature review. Explore, 17(2), 170-177. https://doi.org/10.1016/j.explore.2020.11.003

World Medical Association. (2018). WMA Declaration of Helsinki – Ethical principles for medical research involving human subjects. WMA. https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/

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