The Minimal Insomnia Symptom Scale (MISS)

Broman, Jan‐Erik; Smedje, Hans; Mallon, Lena; Hetta, Jerker

doi:10.3109/2000-1967-221

Cited by 85 publications

(61 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…According to the International Classification of Sleep Disorders, second edition (ISCD-2), the diagnosis of insomnia is based on a subjective report of difficulties initiating sleep, maintaining sleep due to night time or early morning waking or non-restorative sleep, despite ideal sleep conditions, leading to daytime impairments [1-3]. Secondary insomnia is the most common form and can be related to an underlying somatic or psychic disease or pharmaceutical use [4].…”

Section: Introductionmentioning

confidence: 99%

Measurement properties of the Minimal Insomnia Symptom Scale (MISS) in an elderly population in Sweden

et al. 2010

View full text Add to dashboard Cite

BackgroundInsomnia is common among elderly people and associated with poor health. The Minimal Insomnia Symptom Scale (MISS) is a three item screening instrument that has been found to be psychometrically sound and capable of identifying insomnia in the general population (20-64 years). However, its measurement properties have not been studied in an elderly population. Our aim was to test the measurement properties of the MISS among people aged 65 + in Sweden, by replicating the original study in an elderly sample.MethodsData from a cross-sectional survey of 548 elderly individuals were analysed in terms of assumptions of summation of items, floor/ceiling effects, reliability and optimal cut-off score by means of ROC-curve analysis and compared with self-reported insomnia criteria.ResultsCorrected item-total correlations ranged between 0.64-0.70, floor/ceiling effects were 6.6/0.6% and reliability was 0.81. ROC analysis identified the optimal cut-off score as ≥7 (sensitivity, 0.93; specificity, 0.84; positive/negative predictive values, 0.256/0.995). Using this cut-off score, the prevalence of insomnia in the study sample was 21.7% and most frequent among women and the oldest old.ConclusionsData support the measurement properties of the MISS as a possible insomnia screening instrument for elderly persons. This study make evident that the MISS is useful for identifying elderly people with insomnia-like sleep problems. Further studies are needed to assess its usefulness in identifying clinically defined insomnia.

show abstract

Section: Introductionmentioning

confidence: 99%

Measurement properties of the Minimal Insomnia Symptom Scale (MISS) in an elderly population in Sweden

et al. 2010

View full text Add to dashboard Cite

show abstract

“…Information on sleep function and vitality was self-reported and not based on direct measurements; however, these questions have been used and validated in other studies with reliable findings. Thus, non-restorative sleep was explored in the Minimal Insomnia Symptom Scale (MISS) [34], and our question on vitality was included in a validation of the SF-36 questionnaire [35]. The question on self-experienced lack of sleep in this study is a general perception on the sleep quality covering both sleep duration and sleep quality as compared to instruments that evaluate more specific domains of sleep quality like the Pittsburg Slep Quality Index [36].…”

Section: Discussionmentioning

confidence: 99%

“…The question on self-experienced lack of sleep in this study is a general perception on the sleep quality covering both sleep duration and sleep quality as compared to instruments that evaluate more specific domains of sleep quality like the Pittsburg Slep Quality Index [36]. It still correlates well with other characteristics of sleep function [34]. Finally, the protocol did not comprise any measurements on OSA and HbA1c was not measured in the complete sample, and thus these important factors could not be accounted for.…”

Section: Discussionmentioning

confidence: 99%

The association between self-reported lack of sleep, low vitality and impaired glucose tolerance: a Swedish cross-sectional study

et al. 2013

View full text Add to dashboard Cite

BackgroundThe increased incidence of impaired glucose tolerance (IGT), are serious public health issues, and several studies link sleeping disorders with increased risk of developing type 2 diabetes, impaired glucose tolerance and insulin resistance (IR). This study explore how self-reported lack of sleep and low vitality, are associated with IGT in a representative Swedish population.MethodsA cross-sectional survey conducted in two municipalities in South-western Sweden. Participants aged 30–75 were randomly selected from the population in strata by sex and age. Altogether, 2,816 participants were surveyed with a participation rates at 76%. Participants with normal glucose tolerance (n=2,314), and those with IGT (n=213) were retained for analyses. The participants answered a questionnaire before the oral glucose tolerance test (OGTT). Associations for questions concerning sleeping disorders, vitality and IGT were analysed using logistic regression and were expressed as odds ratios (OR) with 95% CI.ResultsIn men a statistically significant age-adjusted association was found between self-reported lack of sleep and IGT: OR 2.4 (95% CI: 1.1-5.4). It did not weaken after further adjustment for body mass index (BMI), smoking, education, and leisure time physical activity 2.3 (1.0-5.5, p=0.044). No such associations were found in females. Corresponding age-adjusted associations between low vitality and IGT in both men 2.8 (1.3-5.8), and women 2.0 (1.2-3.4) were successively lost with increasing adjustment.ConclusionsInsufficient sleep seems independently associated with IGT in men, while low vitality was not independently associated with IGT neither in men nor women, when multiple confounders are considered. IGT should be considered in patients presenting these symptoms, and underlying mechanisms further explored.

show abstract

“…Furthermore, we found that more than 50% of those with severe OSA (i.e., AHI ≥ 30) scored <10 on the ESS, thus indicating a lack of excessive daytime sleepiness. We used validated questionnaires [9][10][11][12][13], but did not evaluate patients who had sought medical attention for OSA, which might explain the lower amount of sleeping difficulties, daytime sleepiness and depressive symptoms found compared to samples from sleep clinics [23][24][25][26][27][28]. This finding sheds light on the difficulties that nurses may have in identifying patients with OSA in primary care [29].…”

Section: Discussionmentioning

confidence: 99%

“…If two of the three parts are showing an "occurrence" of symptoms/characteristics the patient is supposed to have a high risk of suffering from OSA. The 3 items of the Minimal insomnia symptoms scale (MISS) were used to measure difficulties initiating sleep, difficulties maintaining sleep and difficulties with non-restorative sleep [10]. The patients grade their difficulties on a scale ranging from no problems (0), to very great problems (4).…”

Section: Self-rating Scalesmentioning

confidence: 99%

Undiagnosed obstructive sleep apnea in hypertensive outpatients in primary care—Associations with sleep complaints, depressive symptoms and global perceived health

Broström¹,

Sunnergren²,

Årestedt³

et al. 2013

OJN

View full text Add to dashboard Cite

Objective: 1) To describe the prevalence of undiagnosed obstructive sleep apnea (OSA) and depressive symptoms in hypertensive men and women below 65 years of age, and 2) to describe the association of OSA to subjective sleep complaints, depressive symptoms and global perceived health. Design: Cross-sectional design focusing on nursing care outcomes of obstructtive sleep apnea. Setting: Four primary care health centres in Sweden. PATIENTS: 411 consecutive patients (52% women), mean age 57.9 years (SD 5.9 years), with diagnosed hypertension (BP > 140/90). Main Outcome Measures: Prevalence of OSA and depressive symptoms, and association of OSA to sleep complaints, depressive symptoms and global perceived health. RESULTS: Mild, moderate and severe OSA was seen among 29%, 16% and 14% of patients, respectively. Depressive symptoms were seen in 16% of the total group, with a higher prevalence among men, compared to women, 21% vs. 12%. No differences were found regarding blood pressure, estimated sleep need, sleep sufficiency index, insomnia symptoms, daytime sleepiness or depressive symptoms with respect to different degrees of OSA. Apnea-hypopnea index was significantly associated to perceived health after adjustment for gender and comorbidities, but when depressive symptoms and non-restorative sleep were added to the model, 33% of the variance in global perceived health was explained. Conclusion: OSA is highly prevalent among patients with hypertension in primary care and does together with sleep complaints and depressive symptoms have a negative impact on global perceived health. Hypertensive patients without subjective sleep complaints or depressive symptoms may still have OSA.

show abstract

The Minimal Insomnia Symptom Scale (MISS)

Cited by 85 publications

References 17 publications

Measurement properties of the Minimal Insomnia Symptom Scale (MISS) in an elderly population in Sweden

Measurement properties of the Minimal Insomnia Symptom Scale (MISS) in an elderly population in Sweden

The association between self-reported lack of sleep, low vitality and impaired glucose tolerance: a Swedish cross-sectional study

Undiagnosed obstructive sleep apnea in hypertensive outpatients in primary care—Associations with sleep complaints, depressive symptoms and global perceived health

Contact Info

Product

Resources

About