ABSTRACT
Objectives: The aim of the study was to investigate the psychometric properties of the Turkish
version of Anxiety and preoccupation about sleep questionnaire (APSQ) in clinical
and non-clinical samples.
Material and Methods: Two samples (141 university students and 42 patients with major depressive disorders)
completed Turkish APSQ, the Pittsburgh sleep quality index (PSQI), the insomnia severity
index (ISI) and the sociodemographic data form. Content validity analysis was performed
with the Davis technique after the translation process of the original scale. Explanatory
factor analysis and principal component analysis were performed to determine the scales
construct validity, and internal consistency and temporal stability analyses were
conducted to evaluate its reliability. The PSQI and the insomnia severity index (ISI)
were used to assess criterion- related validity. In addition, we divided all the participants
into two groups as good-sleepers and clinical insomnia according to ISI scores. Predictive
validity analyses were also computed via comparing groups.
Results: Confirmatory factor analysis showed that the scale model aligns well with the original
scales 10 items and two-factor structure. The scales and subdimensions Cronbach’s
alpha coefficients were excellent (Factor 1; 0.935, factor 2; 0.906, total scale;
0.952). The test-retest correlations were 0.661 and 0.828 for depression group and
university student group, respectively. Turkish APSQ scores were found to be significantly
higher in both of the clinical groups (depression group vs. university student group,
clinic insomnia group vs. good-sleepers group).
Conclusion: The Turkish APSQ is adequate reliability and validity for assessing anxiety and preoccupation
about sleep in Turkish clinical and non-clinical samples.
Keywords:
Insomnia - anxiety - worry - factor analysis - Anxiety and Preoccupation about Sleep
Questionnaire - reliability