Article

OBJECTIVE: To investigate self-report measures of sleep disturbances and
sleep-related impairments in samples of individuals with multiple sclerosis (MS)
or spinal cord injury (SCI).
DESIGN: Cross-sectional survey.
SETTING: Community based. PARTICIPANTS: Adults (age >/=18y) (N=700) with either MS (n=461) or SCI
(n=239) who were enrolled in a longitudinal survey of self-reported health
outcomes and who completed self-report sleep measures at 1 time point.
INTERVENTIONS: None. MAIN OUTCOME MEASURES: Medical Outcomes Study Sleep Scale
(MOS-S), Patient Reported Outcomes Measurement Information System (PROMIS) sleep
disturbance short form, and PROMIS sleep-related impairments short form. RESULTS:
Mean scores on the MOS-S sleep index II were significantly worse for both the MS
and SCI samples than those of previously reported samples representative of the
U.S. general population (P<.0001 for each group).
The PROMIS sleep disturbance
short form and PROMIS sleep-related impairments short form scores of the MS
sample were also significantly different from those reported for the calibration
cohort (P<.0001 on each scale). However, although the scores of the SCI sample
were significantly different from those of the comparison cohort for the PROMIS
sleep-related impairments short form (P=.045), the differences on the PROMIS
sleep disturbance short form were not significant (P=.069). CONCLUSIONS: Although
the MOS-S scores for the MS and SCI cohorts clearly indicated significantly high
levels of sleep-related problems and were consistent with existing literature,
the more ambiguous findings from the PROMIS sleep disturbance short form and
PROMIS sleep-related impairments short form suggest that not enough is currently
known about how these instruments function when applied to those with chronic
neurologic dysfunction.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS