Sleep Insomnia Severity Index (SISI) Pittsburgh Sleep Quality Inventory. POMS Vigor subscale

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1 Physical GLOBAL HEALTH PROMIS completed already Sleep PROMIS-Sleep Sleep Insomnia Severity Index () Pittsburgh Sleep Quality Inventory 8 items 7 items 18 items Vigor Vigor subscale 6 items 1

2 Sleep- PROMIS Sleep In the past 7 days poor Poor Fair Good good Sleep1 My sleep quality was In the past 7 days. Not at all A little bit Somewhat Quite a bit much Sleep2 My sleep was refreshing Sleep3 I had a problem with sleep. Sleep4 I had difficulty falling asleep Sleep5 My sleep was restless Sleep6 I tried hard to get to sleep Sleep7 I worried about not being able to fall asleep Sleep8 I was satisfied with my sleep Scoring PROMIS SLEEP: Raw score= sum of individual items, noting that some are reverse scored Note that higher scores are associated with worse sleep. 2

3 PROMIS SLEEP My RAW SCORE Normalized Score Notes on PROMIS SLEEP SCALE: Yu, L., Buysse, D. J., Germain, A., Moul, D. E., Stover, A., Dodds, N. E., & Pilkonis, P. A. (2012). Development of short forms from the PROMIS sleep disturbance and sleep-related impairment item banks. Behavioral sleep medicine, 10(1),

4 Sleep- Sleep Insomnia Severity Index () Please rate the current (i.e. last two s) SEVERITY of your insomnia problems: Difficulty falling asleep Difficulty staying asleep Problem waking up too early None Mild Moderate Severe Severe Satisfied Dissatisfied How satisfied/dissatisfied are you with your current sleep patterns? 4 5 To what extent do you consider your sleep problem to interfere with your daily functioning (e.g. daytime fatigue, ability to function at work, daily chores, concentration, memory, mood, etc) Not at all interfering A Little Somewhat Much Much Interfering 4 6 How noticeable to other do you think your sleeping problem is in terms of impairing the quality of your life? Not at all noticeable Barely Somewhat Much much noticeable 4 How worried/distressed are you about your current sleep problem? 4 Scoring: These are simply added up for the raw score. 7 SLEEP My SCORE Interpreting scores: 0 7 = No clinically significant insomnia 8 14 = Sub threshold insomnia = Clinical insomnia (moderate severity) = Clinical insomnia (severe) Notes on : Not at all A little Somewhat Much much Bastien, C. H., Vallières, A., & Morin, C. M. (2001). Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep medicine, 2(4),

5 Sleep- The Pittsburgh Sleep Quality Index (PSQI) 1. When have you usually gone to bed? 2. How long (in minutes) has it taken you to fall asleep each night? 3. When have you usually gotten up in the morning? 4. How many hours of actual sleep do you get at night? (This may be different than the number of hours you spend in bed) 5 During the past month, how often have you had trouble sleeping because you a. Cannot get to sleep within 30 minutes b. Wake up in the middle of the night or early morning c. Have to get up to use the bathroom d. Cannot breathe comfortably e. Cough or snore loudly f. Feel too cold g. Feel too hot h. Have bad dreams i. Have pain j. Other reason(s), please describe, including how often you have had trouble sleeping because of this reason. Not during the past month Less than once a Once or twice a Three or more times a During the past month, how often have you taken medicine (prescribed or over the counter ) to help you sleep? During the past month, how often have you had trouble staying awake while driving, eating meals, or engaging in social activity? During the past month, how much of a problem has it been for you to keep up enthusiasm to get things done? Not during the past month Less than once a Once or twice a Three or more times a good Fairly good Fairly bad bad During the past month, how would you rate your sleep quality overall? 5

6 Scoring the PSQI: Component 1 #9 Score C1 Component 2 #2 Score ( 15min=0; min=1; min=2, >60 min=3) + #5a Score (If sum is equal 0=0; 1-2=1; 3-4=2; 5-6=3) C2 Component 3 #4 Score (>7=0; 6-7=1; 5-6=2; <5=3) C3 Component 4 (total # of hours asleep)/ (total # of hours in bed) x 100 >85%=0, 75%-84%=1, 65%-74%=2, <65%=3 C4 Component 5 Sum of Scores #5b to #5j (0=0; 1-9=1; 10-18=2; 19-27=3) C5 Component 6 #6 Score C6 Component 7 #7 Score + #8 Score (0=0; 1-2=1; 3-4=2; 5-6=3) C7 Add the seven component scores together Global PSQI Score SLEEP Global PSQI Score Component 1 Component 2 Component 3 Component 4 Component 5 Component 6 Component 7 My SCORES Notes on PSQI: Buysse, D. J., Reynolds III, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research, 28(2),

7 Vigor- Profile of Moods States-SF (): Vigor Subscale How have you been feeling during the past including today? 5 Lively 9 Active 13 Energetic 24 Cheerful 32 Full of pep 35 Vigorous Not at all A little Moderately Quite a bit Extremely Scoring vigor subscales; of 65 item instrument: Total all items: : Vigor Notes on : My Vigor score Mean item score Shacham S., A shortened version of the Profile of Mood States. J Pers Assess Jun; 47(3):

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This copyright in this form is owned by the University of Pittsburgh and may be reprinted without charge only for non-commercial research and educational purposes. You may not make changes or modifications