ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2015
Identifying Insomnia in Early Pregnancy: Validation of the Insomnia Symptoms Questionnaire (ISQ) in Pregnant Women.
Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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13 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.
- Insomnia evaluation and treatment during peripartum: a joint position paper from the European Insomnia Network task force "Sleep and Women," the Italian Marcè Society and international experts task force for perinatal mental health.Archives of women's mental health · 2022Pooled it
- Psychometric Properties of the Chinese Version of the Ford Insomnia Response to Stress Test (FIRST-C) Among Pregnant Women in Qinghai Province, China: A Cross-Sectional Validation Study with Measurement Invariance Testing.International journal of women's health · 2026Article
- Maternal Sleep Disorders and Maternal and Birth Outcomes: A Retrospective US Claims-Based Study.Brain and behavior · 2025Article
- Effects of Using a Smart Bassinet on the Mental Health of Military-Affiliated Pregnant Women: Protocol for a Randomized Controlled Sleep Health and Mood in Newly Expectant Military Mothers (SHINE) Trial.JMIR research protocols · 2025Article
- Prevalence and determinants of sleep disturbances among pregnant women: an Indian community-based cross-sectional study.Sleep and biological rhythms · 2025Article
- Postpartum Depression and Health: Role of Perceived Social Support among Pakistani Women.Diseases (Basel, Switzerland) · 2023Article
- Sleep disorders in pregnancy.Breathe (Sheffield, England) · 2022Review
- Symptoms of Daytime Sleepiness and Sleep Apnea among Pregnant Women.Oman medical journal · 2020Article
- Review
- Sleep Disturbances and Modulations in Inflammation: Implications for Pregnancy Health.Social and personality psychology compass · 2019Article
- The Impact of Self-Reported Sleep on Caesarean Delivery in Women Undergoing Induction of Labour: A Prospective Study.Scientific reports · 2017Article
- Insomnia and sleep deficiency in pregnancy.Obstetric medicine · 2015Review
- Sleeping for Two: The Great Paradox of Sleep in Pregnancy.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2015Article
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3 authors at 1 institution in 1 country.
Funding
Abstract
STUDY
objectivesAlthough a substantial number of pregnant women report symptoms of insomnia, few studies have used a validated instrument to determine the prevalence in early gestation. Identification of insomnia in pregnancy is vital given the strong connection between insomnia and the incidence of depression, cardiovascular disease, or immune dysregulation. The goal of this paper is to provide additional psychometric evaluation and validation of the Insomnia Symptom Questionnaire (ISQ) and to establish prevalence rates of insomnia among a cohort of pregnant women during early gestation.
methodsThe ISQ was evaluated in 143 pregnant women at 12 weeks gestation. The internal consistency and criterion validity of the dichotomized ISQ were compared to traditional measures of sleep from sleep diaries, actigraphy, and the Pittsburgh Sleep Quality Index using indices of sensitivity, specificity, positive and negative predictive value (PPV, NPV), and likelihood ratio (LR) tests.
resultsThe ISQ identified 12.6% of the sample as meeting a case definition of insomnia, consistent with established diagnostic criteria. Good reliability was established with Cronbach α = 0.86. The ISQ had high specificity (most > 85%), but sensitivity, PPV, NPV, and LRs varied according to which sleep measure was used as the validating criterion.
conclusionsInsomnia is a health problem for many pregnant women at all stages in pregnancy. These data support the validity and reliability of the ISQ to identify insomnia in pregnant women. The ISQ is a short and cost-effective tool that can be quickly employed in large observational studies or in clinical practice where perinatal women are seen. COMMENTARY: A commentary on this article appears in this issue on page 593.
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