Elsevier

Psychiatry Research

Volume 28, Issue 2, May 1989, Pages 193-213
Psychiatry Research

The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research

https://doi.org/10.1016/0165-1781(89)90047-4Get rights and content

Abstract

Despite the prevalence of sleep complaints among psychiatric patients, few questionnaires have been specifically designed to measure sleep quality in clinical populations. The Pittsburgh Sleep Quality Index (PSQI) is a self-rated questionnaire which assesses sleep quality and disturbances over a 1-month time interval. Nineteen individual items generate seven “component” scores: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, and daytime dysfunction. The sum of scores for these seven components yields one global score. Clinical and clinimetric properties of the PSQI were assessed over an 18-month period with “good” sleepers (healthy subjects, n = 52) and “poor” sleepers (depressed patients, n = 54; sleep-disorder patients, n = 62). Acceptable measures of internal homogeneity, consistency (test-retest reliability), and validity were obtained. A global PSQI score > 5 yielded a diagnostic sensitivity of 89.6% and specificity of 86.5% (kappa = 0.75, p ⩽ 0.001) in distinguishing good and poor sleepers. The clinemetric and clinical properties of the PSQI suggest its utility both in psychiatric clinical practice and research activities.

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  • Daniel J. Buysse, M.D., is Assistant Professor; Charles F. Reynolds III, M.D., is Professor; Timothy H. Monk, Ph.D., is Associate Professor; Susan R. Berman is Research Associate; and David J. Kupfer, M.D., is Professor and Chairman, Department of Psychiatry, University of Pittsburgh School of Medicine.

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