The Pittsburgh Sleep Quality Index (PSQI) is the most widely used questionnaire in research and clinical practice to assess sleep quality. However, a brief version of this measure would improve its efficiency and applicability. This study aimed to develop a brief form of the PSQI and to study measurement invariance across gender and age in a nonclinical population. In total, 609 participants with a mean age of 37.3 years (standard deviation [SD] ϭ 11.9) were recruited, of whom 71.8% (n ϭ 437) were women. Participants completed online versions of the PSQI and the Insomnia Severity Index (ISI). Reliability analyses were performed to reduce the number of items, followed by validity and measurement invariance analyses for the new Brief Version of the PSQI (B-PSQI). Six questions were included in the B-PSQI out of the initial 18; the brief form had adequate internal consistency (␣ ϭ .79 and ϭ 0.91). Confirmatory factor analysis showed optimal fit of the B-PSQI ( 2 (4) ϭ 22.428; p Ͻ .01; comparative fit index (CFI) ϭ 0.99; normed fit index (NFI) ϭ 0.99; Tucker-Lewis index (TLI) ϭ 0.98; root mean squared error of approximation (RMSEA) ϭ 0.06; standardized root mean square residual (SRMR) ϭ 0.04), achieving partial scalar invariance across gender-same factorial structure, loadings, and thresholds in the majority of the items. Invariance across age was only achieved for model structure. Additionally, the B-PSQI yielded favorable sensitivity (75.82%) and specificity (76.99%) for classifying poor sleepers, similar to values for the full PSQI. In conclusion, the B-PSQI is a brief, reliable, and valid measure that can be used as a screening tool, allowing valid score comparisons between men and women of similar age. Public Significance StatementA Brief Version of the Pittsburgh Sleep Quality Index (B-PSQI) was developed to improve its efficiency and applicability. The 6-item B-PSQI is a reliable and valid tool to assess sleep quality and identify poor sleepers. The B-PSQI achieved invariance across gender, allowing valid comparisons of sleep quality between men and women of similar age. The findings highlight the efficiency of the B-PSQI and its wide potential use in assessing sleep quality.

Prevalence of sleep problems has grown globally in recent years and sleep hygiene recommendations have shown inconsistent results. This study aims to analyze the quality of sleep in a non-clinical population and its association with maladaptive sleep hygiene. A total of 465 participants, with median age of 35 years (Interquartile range-IQR = 28-44), completed the Sleep Hygiene Practices Scale (SHPS) and the Pittsburgh Sleep Quality Index (PSQI). Sample was divided into good quality sleepers (GQS; 52.7%, n = 245) and poor quality sleepers (PQS; 47.3%, n = 220). Comparison tests showed PQS had significant higher scores on SHPS (M = 61; IQR = 55-68, p < .01) compared with GQS (M = 68; IQR = 62-74). A logistic regression model indicated that only cognitive-arousal behaviors and inconsistent bedtimes were significant to classify poor sleep (R 2 = .35; p < .01). In conclusion, poor sleep quality is common among healthy individuals and strongly associated with pre-sleep cognitive activity. This suggests that interventions aiming to improve sleep quality should consider strategies that would retract attention from concerns and worries at bedtime.

No abstract

An assessment of the different aspects of tobacco addiction is central to adapting interventions to the profiles and needs of smokers. The Glover–Nilsson Smoking Behavioral Questionnaire (GN-SBQ) is one of the few and most used scales to evaluate the behavioral aspects of tobacco addiction. However, few studies involve the validation of the GN-SBQ in clinical settings. Thus, this study aimed to analyze the psychometric properties of the GN-SBQ in a sample of Spanish smokers. A total of 341 smokers attending clinical services in Spain participated in this cross-sectional study. Measures included the psychological factors related to tobacco addiction, assessed with the GN-SBQ, the physical factors of nicotine addiction, withdrawal symptoms, smoking-related variables, and alcohol use. Data analysis included descriptive statistics, internal consistency coefficients, confirmatory factor analyses, Spearman correlations, and the Kruskal–Wallis test. The GN-SBQ showed adequate reliability (α = 0.76 and ω = 0.76) and a unidimensional structure. GN-SBQ scores also provided evidence of convergent and concurrent validity. GN-SBQ scores significantly correlated with the physical symptoms of addiction, age, number of cigarettes, and withdrawal symptoms. The results of discriminant validity were also adequate, as no correlation was observed between GN-SBQ scores and CO levels or alcohol use. Significant differences were found between all levels of psychological addiction based on the GN-SBQ scores regarding physical nicotine addiction, withdrawal symptoms, and age. Thus, this questionnaire is a reliable and valid instrument to assess the psychological aspects of tobacco addiction in smokers in clinical settings. The short length of the GN-SBQ proves advantageous for its use in time-limited assessments, which are common in public health services.