Salud Mental

Psychometric properties of the Diurnal Insomnia Symptoms Response Scale (DISRS) in a Mexican population sample APPENDIX

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Yarmila Elena Valencia Carlo
Guillermina Natera Rey
Alejandro Jiménez Genchi

Resumen

Introducción. Los pensamientos rumiativos se asocian con mayor latencia del sueño, peor calidad y eficiencia de sueño en personas con insomnio.

Objetivo. Realizar la validación de la escala de respuestas a los síntomas diurnos del insomnio (DISRS) en una muestra de población general en México.

Método. Se evaluaron a 102 participantes (mujeres = 67 y hombres = 35) que acudieron a consulta externa de un centro de salud de la Ciudad de México. Se utilizó el sistema de traducción inglés-español-inglés, un experto bilingüe independiente tradujo al inglés la nueva versión de la escala y se verificó con el original. Para evaluar la validez convergente y discriminante del DISRS, se aplicó la Escala de Respuestas Rumiativas (RRS), el Índice de Severidad del Insomnio (ISI) y el Cuestionario de Preocupaciones de Pensilvania (PSWQ).

Resultados. La consistencia interna de los ítems fue α = .93. El análisis factorial de componentes principales determinó tres factores con valor propio superior a uno, que explican 59.5% de la varianza. Las correlaciones del puntaje del DISRS con las dimensiones cognitivo-motivacional (r = .938, p < .01), estado negativo (r = .898, p < .01) y cansancio (r = .853, p < .01) resultaron significativas. Los síntomas de insomnio (CCE =.89) tuvieron más peso que las preocupaciones (CCE = .33) y las respuestas rumiativas (CCE = .33) al discriminar a los casos con bajos y altos niveles de rumiación asociada al insomnio.

Discusión y conclusión. La escala DISRS en español tiene adecuadas propiedades psicométricas que la hacen válida y confiable para ser utilizada en población mexicana.
Palabras clave:
Rumiación, insomnio, validez, confiabilidad

Referencias

American Academy of Sleep Medicine. (2014). International classification of sleep disorders (ICSD-3). Darien, IL: Author.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Bagby, R. M., Rector, N. A., Bacchiochi, J. R., & McBride, C. (2004). The stability of the response styles questionnaire rumination scale in a sample of patients with major depression. Cognitive Therapy and Research, 28(4), 527-538. doi: 10.1023/b: cotr.0000045562.17228.29

Bastien, C. H., Morin, C. M., Ouellet, M. C., Blais, F.C., & Bouchard, S. (2004). Cognitive–Behavioral Therapy for Insomnia: Comparison of Individual Therapy, Group Therapy, and Telephone Consultations. Journal of Consulting and Clinical Psychology, 72(4), 653-659. doi: 10.1037/0022-006X.72.4.653

Brinker, J. K., & Dozois, D. J. A. (2009). Ruminative thought style and depressed mood. Journal of Clinical Psychology, 65(1), 1-19. doi: 10.1002/jclp.20542

Carney, C. E., Harris, A. L., Falco, A., & Edinger, J. D. (2013). The relation between insomnia symptoms, mood, and rumination about insomnia symptoms. Journal of Clinical Sleep Medicine, 9(6), 567-575. doi: 10.5664/jcsm.2752

Carney, C. E., Harris, A. L., Moss, T. G., & Edinger, J. D. (2010). Distinguishing rumination from worry in clinical insomnia. Behaviour Research and Therapy, 48(6), 540-546. doi: 10.1016/j.brat.2010.03.004

Du, J., Huang, J., An, Y., & Xu, W. (2018). The Relationship between stress and negative emotion: The Mediating role of rumination. Clinical Research and Trials, 4(1). doi: 10.15761/crt.1000208

Fernandez-Mendoza, J., Rodriguez-Muñoz, A., Vela-Bueno, A., Olavarrieta-Bernardino, S., Calhoun, S. L., Bixler, E. O., & Vgontzas, A. N. (2012). The Spanish version of the Insomnia Severity Index: a confirmatory factor analysis. Sleep Medicine, 13(2), 207-210. doi: 10.1016/j.sleep.2011.06.019

Gagnon, C., Bélanger, L., Ivers, H., & Morin, C. M. (2013). Validation of the Insomnia Severity Index in Primary Care. Journal of the American Board of Family Medicine, 26(6), 701-710. doi: 10.3122/jabfm.2013.06.130064

Galbiati, A., Giora, E., Sarasso, S., Zucconi, M., & Ferini-Strambi, L. (2018). Repetitive thought is associated with both subjectively and objectively recorded polysomnographic indices of disrupted sleep in insomnia disorder. Sleep Medicine, 45, 55-61. doi: 10.1016/j.sleep.2017.10.002

Gregory, A. M., Buysse, D. J., Willis, T. A., Rijsdijk, F. V., Maughan, B., Rowe, R., … Eley, T. C. (2011). Associations between sleep quality and anxiety and depression symptoms in a sample of young adult twins and siblings. Journal of Psychosomatic Research, 71(4), 250-255. doi: 10.1016/j.jpsychores.2011.03.011

Gruber, J., Eidelman, P., & Harvey, A. G. (2008). Transdiagnostic emotion regulation processes in bipolar disorder and insomnia. Behaviour Research and Therapy, 46(9), 1096-1100. doi: 10.1016/j.brat.2008.05.004

Harvey, A. G. (2002). A cognitive model of insomnia. Behaviour Research and Therapy, 40(8), 869-893. doi: 10.1016/s0005-7967(01)00061-4

Hernández-Martínez, A., García Cruz, R., Valencia Ortiz, A. I., & Ortega Andrade, N. A. (2016). Validación de la Escala de Respuestas Rumiativas para población mexicana. Latin American Journal of Behavioral Medicine, 6(2), 66-74.

Hervás, G., & Vázquez, C. (2006). Explorando el origen emocional de las respuestas rumiativas: El papel de la complejidad emocional y la inteligencia emocional. Ansiedad y Estrés, 12(2-3), 279-292.

Isaacs, D. S., Tehee, M., & Gray, J. (2021). Rumination and quality of life among Northern Plains Indians. Psychological Services. Advance online publication. doi: 10.1037/ser0000547

Johnson, D. P., & Whisman, M. A. (2013). Gender differences in rumination: A meta-analysis. Personality and Individual Differences, 55(4), 367-374. doi: 10.1016/j.paid.2013.03.019

Kalmbach, D. A., Cheng, P., & Drake, C. L. (2021). A pathogenic cycle between insomnia and cognitive arousal fuels perinatal depression: exploring the roles of nocturnal cognitive arousal and perinatal-focused rumination. Sleep, 44(6), zsab028. doi: 10.1093/sleep/zsab028

Krystal, A, D. (2003). Insomnia in women. Clinical Cornerstone, 5(3), 41-50. doi: 10.1016/s1098-3597(03)90034-2

Lancee, J., Eisma, M., van Zanten, K., & Topper, M. (2017). When Thinking Impairs Sleep: Trait, Daytime and Nighttime Repetitive Thinking in Insomnia. Behavioral Sleep Medicine, 15 (1), 53-69. doi: 10.1080/15402002.2015.1083022

Lo, C. S. L., Ho, S. M. Y., & Hollon, S. D. (2010). The Effects of Rumination and Depressive Symptoms on the Prediction of Negative Attributional Style Among College Students. Cognitive Therapy and Research, 34(2), 116-123. doi: 10.1007/s10608-009-9233-2

Mai, E., & Buysse, D. J. (2008). Insomnia: Prevalence, Impact, Pathogenesis, Differential Diagnosis, and Evaluation. Sleep Medicine Clinics, 3(2), 167-174. doi: 10.1016/j.jsmc.2008.02.001

Mazzanti, M. A. (2011). Declaración de Helsinki, principios y valores bioéticos en juego en la investigación médica con seres humanos. Revista Colombiana de Bioética, 6(1), 125-144.

Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validationof the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28(6), 487-495. doi: 10.1016/0005-7967(90)90135-6

Moberly, N. J., & Watkins, E. R. (2008). Ruminative self-focus and negative affect: an experience sampling study. Journal of Abnormal Psychology, 117(2), 314-323. doi: 10.1037/0021-843x.117.2.314

Nami, M. T. (2014). Chronic insomnia, pharmacotherapy and the cognitive behavioural approaches. Journal of Sleep Disorders & Therapy, 3(1), 1-4. doi: 10.4172/2167-0277.1000151

Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Loma Prieta Earthquake. Journal of Personality and Social Psychology, 61(1), 115-121. doi: 10.1037//0022-3514.61.1.115

Nolen-Hoeksema, S., & Watkins, E. R. (2011). A Heuristic for developing transdiagnostic models of psychopathology: explaining multifinality and divergent trajectories. Perspectives on Psychological Science, 6(6), 589-609. doi: 10.1177/1745691611419672

Norwegian Association for Cognitive Therapy. (s.f). Cognitive behavioral therapy for insomnia. Retrieved from http://kognitiv.no/ (Dated access March 2, 2022)

Ong, J. C., & Tu, A. Y. (2020). Nocturnal cognitive arousal: evidence for 24-h hyperarousal? Sleep Medicine, 71, 149-150. doi: 10.1016/j.sleep.2020.01.001

Padros, F., González, F., Martínez, M. P., & Wagner, F. (2018). Propiedades psicométricas del cuestionario de Preocupación Pensilvania (PSWQ) de las versiones original y reducida en muestras mexicanas. Actas Españolas de Psiquiatría, 46(4), 117-124.

Palagini, L., Mauri, M., Banfi, T., Mazzei, I., Gronchi, A., Bonanni, E., & Dell’Osso, L. (2015). Daytime rumination as a feature of Insomnia Disorder: sleep related cognition is not merely a problem of the night. Archives Italiennes de Biologie, 153(2-3), 239-247. doi: 10.12871/0003982920152349

Pearson, K. A., Watkins, E. R., Kuyken, W., & Mullan, E. G. (2010). The psychosocial context of depressive rumination: ruminative brooding predicts diminished relationship satisfaction in individuals with a history of past major depression. British Journal of Clinical Psychology, 49(Pt 2), 275-280. doi: 10.1348/014466509X480553

Pillai, V., Steenburg, L. A., Ciesla, J. A., Roth, T., & Drake, C. L. (2014). A seven day actigraphy-based study of rumination and sleep disturbance among young adults with depressive symptoms. Journal of Psychosomatic Research, 77(1), 70-75. doi: 10.1016/j.jpsychores.2014.05.004

Streiner, D. L. (2003). Starting at the beginning: an introduction to coefficient alpha and internal consistency. Journal of Personality Assessment, 80(1), 99-103. doi: 10.1207/S15327752JPA8001_18

Takano, K., Iijima, Y., & Tanno, Y. (2012). Repetitive thought and self-reported sleep disturbance. Behavior Therapy, 43(4), 779-789. doi: 10.1016/j.beth.2012.04.002

Tousignant, O., Taylor, N., Suvak, M., & Fireman, G. (2019). Effects of rumination and worry on sleep. Behavior Therapy, 50(3), 558-570. doi: 10.1016/j.beth.2018.09.005

Trapnell, P. D., & Campbell, J. D. (1999). Private self-consciousness and the five-factor model of personality: distinguishing rumination from reflection. Journal of Personality and Social Psychology, 76(2), 284 304. doi: 10.1037/0022-3514.76.2.284

Tutek, J., Gunn, H. E., & Lichstein, K. L. (2021). Worry and rumination have distinct associations with nighttime versus daytime sleep symptomology. Behavioral Sleep Medicine, 19(2), 192-207. doi: 10.1080/15402002.2020.1725012

Van Laethem, M., Beckers, D. G., van Hooff, M. L., Dijksterhuis, A., & Geurts, S. A. (2016). Day-to-day relations between stress and sleep and the mediating role of perseverative cognition. Sleep Medicine, 24, 71-79. doi: 10.1016/j.sleep.2016.06.020

Watkins, E., Moberly, N. J., & Moulds, M. L. (2008). Processing mode causally influences emotional reactivity: distinct effects of abstract versus concrete construal on emotional response. Emotion, 8(3), 364-378. doi: 10.1037/1528-3542.8.3.364

Weiner, L., Martz, E., Kilic-Huck, Ü., Siegel, N., Bertschy, G., Geoffroy, P. A., … Bourgin, P. (2021). Investigating racing thoughts in insomnia: A neglected piece of the mood-sleep puzzle?. Comprehensive Psychiatry, 111, 152271. doi: 10.1016/j.comppsych.2021.152271