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- Validation of the Portuguese version of the Pittsburgh Sleep Quality Index (PSQI-PT)Publication . João, Karine; Brandolim Becker, Nathália; Jesus, Saúl; Santos Martins, Rute IsabelThe present study was realised to validate the Portuguese version of the PSQI. The instrument PSQI-PT was applied to 347 Portuguese community -dwelling adults aged 18-69 years old. The resulting data was used to perform the psychometric analysis to validate the instrument. No structural modifications to the questionnaire were necessary during the adaptation process. The scores for the PSQI-PT showed an adequate internal consistency. The principal component analysis (PCA) produced good factor loading for all items. Finally, the analysis of demographic variables showed that age and literacy influence the values for the "Global Sleep Quality" (GSQ) in this Portuguese sample. In conclusion, this study demonstrated that the PSQI-PT is a valid and reliable instrument for the assessment of sleep quality with the advantage of allowing community -dwelling adults differentiation between good and poor sleepers.
- Adaptation of a 3-factor model for the Pittsburgh Sleep Quality Index in Portuguese older adultsPublication . Brandolim Becker, Nathália; De jesus, SaúlThe present study examined the factor structure of the Pittsburgh Sleep Quality Index (PSQI) in a sample of older Portuguese adults using a cross-validation approach. Design is a cross-sectional. A convenience sample of 204 community-dwelling older adults (M=70.05, SD=7.15) were included. The global sleep quality (GSQ) score ranged from 0 to 18 with a mean of 5.98 (SD +/- 3.45). The distribution showed that gender and perception of oneself as healthy influences GSQ in this sample. Cronbach's alpha was 0.69, but increased to 0.70 if the "use of sleep medication" component was deleted. Exploratory factor analysis (EPA) demonstrated two factor model is better than one factor, and a model fit with good indices (chi-square=8.649, df=8, p=0.373). Confirmatory factor analysis (CFA) was performed on the single factor, two factor, and three factor models, with and without the "use of sleep medications" component. The best model was the 3-factor model without the "use of sleep medications" component (chi-square=1.214, df=6, GFI=0.997, AGFI=0.918, CFI=0.986, RMSEA=0.046). The adaptation of the model is similar to the original model, with the only change being the exclusion of the "use of medications to sleep" component. We suggest using that component as a complementary qualitative assessment of health.
- Depression and quality of life in older adults: Mediation effect of steep qualityPublication . Brandolim Becker, Nathália; de Jesus, Saul Neves; Viseu, João; Stobaus, Claus Dieter; Guerreiro, Mariana; Domingues, Rita B.Background/Objective: Sleep insufficiency, which affects more than 45% of the world's population, has a great importance when considering older adults. Thus, this research tested a mediation hypothesis, through a path analysis, which explains how depression relates to the quality of life considering the effect's of sleep quality in older adults. Method: A sample of 187 community-dwelling Portuguese older adults answered questionnaires about sociodemographic status (age, gender, highest level of education completed, family status, sports activities, health, and retirement status), quality of life, sleep quality, and depression. Descriptive and path analysis statistics were performed considering the results of the normality test. Results: The sample has health characteristics and presents adequate sleep duration. Sleep quality acted as a mediator between depression and the quality of life in older adults, considering the variation of gender and health. This suggests that it is important to establish self-care practices, namely sleep quality, to intervene in the ageing process. Conclusions: It is important to consider sleep quality associated with depression for older adults and to test interventions to minimize health impacts. Also, more researches are needed about the primary prevention in steep quality relating to depression. (c) 2017 Asociacion Espanola de Psicologia Conductual. Published by Elsevier Espana, S.L.U.