Swedish translation and validation of the Pediatric Insomnia Severity Index

Charlotte Angelhoff1,2, Peter Johansson3, Erland Svensson4

  • 1Crown Princess Victoria's Child and Youth Hospital, and Department of Biomedical and Clinical Sciences, Linköping University, SE-58185, Linköping, Sweden. charlotte.angelhoff@liu.se.

BMC Pediatrics
|May 28, 2020
PubMed

Insights

The Swedish version of the Pediatric Insomnia Screening Instrument (PISI) is a reliable tool for identifying sleep problems in children. This validated screening instrument aids in discussions with families about children's sleep behavior.

Area of Science:

  • Pediatric Sleep Medicine
  • Child Psychology
  • Health Outcomes Research

Background:

  • Childhood sleep behavior is crucial for health and well-being.
  • Validated, brief sleep screening tools for children are lacking.
  • The Pediatric Insomnia Screening Instrument (PISI) is a potential solution.

Purpose of the Study:

  • Translate the PISI into Swedish.
  • Analyze the factor structure of the Swedish PISI.
  • Assess the reliability and validity of the Swedish PISI in healthy Swedish children.

Main Methods:

  • Swedish translation and back-translation of the PISI.
  • Parental completion of the Swedish PISI and KIDSCREEN-27 (twice).
  • Exploratory/confirmatory factor analysis, structural equation modeling, and correlation analyses.

Main Results:

  • The Swedish PISI demonstrated a two-factor structure: sleep onset problems (SOP) and sleep maintenance problems (SMP).
  • The instrument showed substantial construct and test-retest reliability.
  • PISI factors correlated significantly with all KIDSCREEN-27 dimensions.

Conclusions:

  • The Swedish PISI is suitable for screening pediatric sleep problems.
  • It serves as a valuable aid for healthcare providers discussing sleep with families.
  • This tool supports improved child health and well-being through better sleep management.
Abstract

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