教育生物学杂志2025，Vol.13Issue(4)：264-268,5.DOI:10.3969/j.issn.2095-4301.2025.04.005
失眠严重指数量表在中国青少年中的信效度研究
Reliability and validity of insomnia severity index in Chinese adolescents
摘要
Abstract
Objective To translate and revise the insomnia severity index(ISI)into Chinese,and assess its reliability and validity among Chinese adolescents.Methods Using a cluster sampling method,middle and high school students were selected as participants.The Chinese version of ISI was administered to the first subjects group(Subjects 1),with 590 valid questionnaires for item analysis and exploratory factor analysis(EFA).Based on these results,a revised Chinese version of ISI was developed.The revised Chinese version of ISI,general anxiety disorder scale,depression scale,and Pittsburgh sleep quality index(PSQI)were then administered to the second subjects group(Subjects 2).A total of 1 958 valid questionnaires were obtained for confirmatory factor analysis(CFA)and criterion validity and reliability analysis,to estimate the prevalence of insomnia among adolescents.A subset of participants from Subjects 2(Subjects 3,n=98)underwent retesting after a 4-week interval to assess the retest reliability of the revised Chinese version of ISI.Results The items of ISI demonstrated good discriminative validity.Both EFA(KMO=0.89,significant Bartlett's sphericity test)and confirmatory factor analysis(χ2/df=9.27,RMSEA=0.06,CFI=0.99,TLI=0.98)supported a one-dimensional structure of the ISI.After removing one item with low communality,the revised 6-item ISI showed satisfactory psychometric properties,with all item communalities exceeding 0.4,accounting for 60.16%of the total variance.The internal consistency reliability,split-half reliability,and retest reliability of the revised Chinese version of ISI were 0.87,0.82 and 0.67,respectively.The ISI was positively correlated with the general anxiety disorder scale(r=0.50,P<0.01),depression scale(r=0.54,P<0.01)and PSQI(r=0.77,P<0.01).Prevalence data indicated that insomnia affected approximately 1/4 of high school students and 1/10 of middle school students.Conclusion The revised Chinese version of ISI demonstrates strong reliability and validity,making it a suitable tool for assessing insomnia severity and sleep quality in adolescents.关键词
失眠/睡眠质量/信度/效度/青少年Key words
insomnia/sleep quality/reliability/validity/adolescents引用本文复制引用
张亚利,刘劲原,赵利曼..失眠严重指数量表在中国青少年中的信效度研究[J].教育生物学杂志,2025,13(4):264-268,5.基金项目
河北省高等学校科学研究项目(BJ2025238) （BJ2025238）
