ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2016
Psychometric Evaluation of the Ford Insomnia Response to Stress Test (FIRST) in Early Pregnancy.
Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 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
- Data-driven insights into predictors of stress and sleep health among Pakistani healthcare workers under rotational shifts.Scientific reports · 2025Article
- Adaptation and Validation of the Turkish Version of the Ford Insomnia Response to Stress Test in University Students.Nature and science of sleep · 2023Article
- Cognitive Function Decline in the Third Trimester of Pregnancy Is Associated with Sleep Fragmentation.Journal of clinical medicine · 2022Article
- Association of stress-related sleep disturbance with psychiatric symptoms among pregnant women.Sleep medicine · 2020Article
- The impact of stress on sleep: Pathogenic sleep reactivity as a vulnerability to insomnia and circadian disorders.Journal of sleep research · 2018Review
- Hyperarousal and sleep reactivity in insomnia: current insights.Nature and science of sleep · 2018Review
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
STUDY
objectivesTo evaluate the construct validity and factor structure of the Spanish-language version of the Ford Insomnia Response to Stress Test questionnaire (FIRST-S) when used in early pregnancy.
methodsA cohort of 647 women were interviewed at ≤ 16 weeks of gestation to collect information regarding lifestyle, demographic, and sleep characteristics. The factorial structure of the FIRST-S was tested through exploratory and confirmatory factor analyses (EFA and CFA). Internal consistency and construct validity were also assessed by evaluating the association between the FIRST-S with symptoms of depression, anxiety, and sleep quality. Item response theory (IRT) analyses were conducted to complement classical test theory (CTT) analytic approaches.
resultsThe mean score of the FIRST-S was 13.8 (range: 9-33). The results of the EFA showed that the FIRST-S contained a one-factor solution that accounted for 69.8% of the variance. The FIRST-S items showed good internal consistency (Cronbach α = 0.81). CFA results corroborated the one-factor structure finding from the EFA; and yielded measures indicating goodness of fit (comparative fit index of 0.902) and accuracy (root mean square error of approximation of 0.057). The FIRST-S had good construct validity as demonstrated by statistically significant associations of FIRST-S scores with sleep quality, antepartum depression and anxiety symptoms. Finally, results from IRT analyses suggested excellent item infit and outfit measures.
conclusionsThe FIRST-S was found to have good construct validity and internal consistency for assessing vulnerability to insomnia during early pregnancy.
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