政大機構典藏-National Chengchi University Institutional Repository(NCCUR):Item 140.119/111271
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    题名: Are the Insomnia Severity Index and Pittsburgh Sleep Quality Index valid outcome measures for Cognitive Behavioral Therapy for Insomnia? Inquiry from the perspective of response shifts and longitudinal measurement invariance in their Chinese versions
    作者: Yang, Chien-Ming
    楊建銘
    Jan, Ya-Wen
    Chen, Po-Yi
    贡献者: 心理系
    关键词: Cognitive Behavioral Therapy for Insomnia;CBT-I;Insomnia Severity Index;Pittsburgh Sleep Quality Index;Measurement invariance;Response shift
    日期: 2017-07
    上传时间: 2017-07-20 16:46:47 (UTC+8)
    摘要: Objective The purpose of this study was to examine whether the Insomnia Severity Index (ISI) and Pittsburgh Sleep Quality Index (PSQI) are valid outcome measures for Cognitive Behavioral Therapy for Insomnia (CBT-I). Specifically, we tested whether the factorial parameters of the ISI and the PSQI could remain invariant against CBT-I, which is a prerequisite to using their change scores as an unbiased measure of the treatment outcome of CBT-I. Methods A clinical data set including scores on the Chinese versions of the ISI and the PSQI obtained from 114 insomnia patients prior to and after a 6-week CBT-I program in Taiwan was analyzed. A series of measurement invariance (MI) tests were conducted to compare the factorial parameters of the ISI and the PSQI before and after the CBT-I treatment program. Results Most factorial parameters of the ISI remained invariant after CBT-I. However, the factorial model of the PSQI changed after CBT-I treatment. An extra loading with three residual correlations was added into the factorial model after treatment. Conclusions The partial strong invariance of the ISI supports that it is a valid outcome measure for CBT-I. In contrast, various changes in the factor model of the PSQI indicate that it may not be an appropriate outcome measure for CBT-I. Some possible causes for the changes of the constructs of the PSQI following CBT-I are discussed.
    關聯: Sleep Medicine, 35, 35-40
    数据类型: article
    DOI 連結: http://dx.doi.org/10.1016/j.sleep.2017.04.003
    DOI: 10.1016/j.sleep.2017.04.003
    显示于类别:[心理學系] 期刊論文

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