Abstract

Objective Sleep problems are nonmotor symptoms in Parkinson's disease that should be carefully evaluated for better management and treatment. Parkinson's Disease Sleep Scale (PDSS-2) is one of the most reliable tools for measuring sleep difficulties in people with Parkinson's disease. This study investigated the psychometric properties of the Persian version of PDSS-2. Methods Four hundred and fifty-six people with Parkinson's disease with a mean age ±standard deviation of 60.7 ± 11.3 years were engaged in this study. Acceptability was assessed by floor and ceiling effects. Dimensionality was measured by exploratory factor analysis. The convergent validity of PDSS-2 with the Hospital Anxiety and Depression Scale (HADS) was assessed. Internal consistency and test-retest reliability were assessed with Cronbach's alpha and intraclass correlation coefficient (ICC), respectively. Results No noticeable ceiling and floor effect was detected. The dimensionality analysis showed three factors. A high correlation was obtained between PDSS-2 and HADS (anxiety subscale). Excellent internal consistency with α = 0.94, and good test-retest reliability with ICC = 0.89 were obtained. Conclusion This study showed that the Persian version of Parkinson's Disease Sleep Scale has acceptable validity and reliability for measuring sleep disturbances in people with Parkinson's disease.

Highlights

  • Symptoms of Parkinson’s disease (PD) falls into two categories: motor and nonmotor [1, 2]

  • Because of high prevalence of sleep disorders and nocturnal problems in patients with Parkinson’s disease, Parkinson’s Disease which may occur in both early and advanced stages of PD [7], there is a need for accurate tools to precisely measure sleep disorders in these patients. e primary test for assessing sleep problems is video-polysomnography (PSG), which requires special equipment and expertise to use, and cannot always be accessible [8]

  • Our analysis showed that the total score of the Persian version of Parkinson’s Disease Sleep Scale (PDSS)-2 did not have a noticeable ceiling and floor effect, which was consistent with the previous studies

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Summary

Objective

Sleep problems are nonmotor symptoms in Parkinson’s disease that should be carefully evaluated for better management and treatment. Parkinson’s Disease Sleep Scale (PDSS-2) is one of the most reliable tools for measuring sleep difficulties in people with Parkinson’s disease. Is study investigated the psychometric properties of the Persian version of PDSS-2. Four hundred and fifty-six people with Parkinson’s disease with a mean age ±standard deviation of 60.7 ± 11.3 years were engaged in this study. Acceptability was assessed by floor and ceiling effects. E convergent validity of PDSS-2 with the Hospital Anxiety and Depression Scale (HADS) was assessed. Internal consistency and test-retest reliability were assessed with Cronbach’s alpha and intraclass correlation coefficient (ICC), respectively. Excellent internal consistency with α 0.94, and good test-retest reliability with ICC 0.89 were obtained. Is study showed that the Persian version of Parkinson’s Disease Sleep Scale has acceptable validity and reliability for measuring sleep disturbances in people with Parkinson’s disease Conclusion. is study showed that the Persian version of Parkinson’s Disease Sleep Scale has acceptable validity and reliability for measuring sleep disturbances in people with Parkinson’s disease

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Methods
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