Evidence map›Paper›PMID 39990956›Full record

ArticleResuscitation plus2025

Measurement properties of the Minimal Insomnia Symptom Scale (MISS) among cardiac arrest survivors - A Rasch evaluation study.

Patrik Hellström, Johan Israelsson, Erik Blennow Nordström, Carina Hjelm, Anders Broström, Peter Hagell, Kristofer Årestedt

Abstract read
In one paragraph

Article in Resuscitation plus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Patrik HellströmFaculty of Health and Life Sciences Linnaeus University Kalmar Sweden.
Johan IsraelssonFaculty of Health and Life Sciences Linnaeus University Kalmar Sweden.
Erik Blennow NordströmNeurology Department of Clinical Sciences Lund Lund University Lund Sweden.
Carina HjelmDepartment of Health, Medicine and Caring Sciences Division of Nursing Science, and Reproductive Health Linköping University Linköping Sweden.
Anders BroströmDepartment of Clinical Neurophysiology Linköping University Hospital Linköping Sweden.
Peter HagellFaculty of Health Science Kristianstad University Kristianstad Sweden.
Kristofer ÅrestedtFaculty of Health and Life Sciences Linnaeus University Kalmar Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Cardiac arrest (CA) survivors often face significant health challenges, including insomnia, which can adversely affect their health-related quality of life. The Minimal Insomnia Symptom Scale (MISS) is a brief, self-reported instrument designed to screen for insomnia. This study aimed to identify the measurement properties of the MISS in CA survivors and to explore a relevant cut-off score. Methods: Data were collected from two studies: a health survey of CA survivors and a sub-study of a randomized controlled trial (RCT) on targeted temperature management (TTM2). A total of 269 CA survivors participated, with 212 from the survey and 57 from the RCT, the data was collected 6-7 months after CA. The MISS was evaluated using the polytomous Rasch model, focusing on model fit, local independence, response category functioning, targeting, reliability, and differential item functioning (DIF). Results: In total, 212 participants were males and 57 females, with a mean age of 66 years. Overall, 51% had survived in-hospital CA and 49% out-of-hospital CA. The MISS exhibited acceptable model fit and targeting, with no disordered thresholds or DIF for age, sex, or place of arrest. The reliability was acceptable. The suggested optimal cut-off score for identifying insomnia was ≥6 points. Conclusions: The findings indicate that MISS is a valid and reliable screening instrument for insomnia in CA survivors. These results support the use of MISS for screening insomnia in CA survivors.

Indexed as

Heart arrestInsomniaPsychometricsRasch modelSleepValidation study

Identifiers

PMID39990956
PMCPMC11847459

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.