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Dataset name: psqi_v2.1

D000000 ZZZZZ
Participant ID pid Acrostic acrostic
YYY
Interviewer compby V.C. vc

Date of Visit vis_dat (mm/dd/yyyy)

PITTSBURGH SLEEP QUALITY INDEX

(PSQI)
CRF 2.1
Pre-Interview Instructions to Participant:
“The following questions relate to your usual sleep habits during the
past month only. Your answers should indicate the most accurate
reply for the majority of the days and nights in the past month. Please
answer all questions.”
During the past month……….
1. At what hour have you usually
gone to bed? tobedhr_psqi (24 hour clock)
2. How long (in minutes) has it
taken you to fall asleep each fallasleep_psqi (minutes)
night?
3. At what hour have you usually
gotten up in the morning? arisehr_psqi (24 hour clock)
4. How many hours of actual
sleep did you get last night? sleephrs_psqi (hours)
(This may be different than
the hours you spend in bed.)
During the past month, how
often have you had trouble
sleeping because you………
5. Cannot get to sleep with 30 insomnia_psqi
minutes? -9 -
1 Not during the past month
2 LT once a week
3 Once or twice a week
4 3 or more times a week
-6 Permanently Missing
-

6. Wake up in the middle of the wakeful_psqi

night or early morning? -9 -
1 Not during the past month
2 LT once a week
3 Once or twice a week
4 3 or more times a week
-6 Permanently Missing
-

7. Have to get up to use the bathroom_psqi

bathroom? -9 -
1 Not during the past month
2 LT once a week
3 Once or twice a week
 4 3 or more times a week
-6 Permanently Missing
-

8. Cannot breathe comfortably? breathing_psqi

-9 -
1 Not during the past month
2 LT once a week
3 Once or twice a week
4 3 or more times a week
-6 Permanently Missing
-

9. Cough or snore loudly? snoring_psqi

-9 -
1 Not during the past month
2 LT once a week
3 Once or twice a week
4 3 or more times a week
-6 Permanently Missing
-

10. Feel too cold? cold_psqi

-9 -
1 Not during the past month
2 LT once a week
3 Once or twice a week
4 3 or more times a week
-6 Permanently Missing
-

11. Feel too hot? hot_psqi

-9 -
1 Not during the past month
2 LT once a week
3 Once or twice a week
4 3 or more times a week
-6 Permanently Missing
-

12. Have bad dreams? nightmares_psqi

-9 -
1 Not during the past month
2 LT once a week
3 Once or twice a week
4 3 or more times a week
-6 Permanently Missing
-

13. Have pain? pain_psqi

-9 -
1 Not during the past month
2 LT once a week
3 Once or twice a week
4 3 or more times a week
-6 Permanently Missing
-

14. Other reasons(s), please other_psqi

describe, including how often -9 -
1 Not during the past month
you have had trouble sleeping 2 LT once a week
because of this reason(s): 3 Once or twice a week
4 3 or more times a week
-6 Permanently Missing
-

otherspc_psqi
15. During the past month, how medsleep_psqi
-9 -
 often have you taken 1 Not during the past month
2 LT once a week
medicine (prescribed or “over 3 Once or twice a week
the counter”) to help you 4 3 or more times a week
sleep? -6 Permanently Missing
-

16. During the past month, how drowsy_psqi

often have you had trouble -9 -
1 Not during the past month
staying awake while driving, 2 LT once a week
eating meals, or engaging in 3 Once or twice a week
social activities? 4 3 or more times a week
-6 Permanently Missing
-

17. During the past month, how enthused_psqi

much of a problem has it been -9 -
1 Not during the past month
for you to keep enthusiasm to 2 LT once a week
get things done? 3 Once or twice a week
4 3 or more times a week
-6 Permanently Missing
-

18. During the past month, how sleepqual_psqi

would you rate your sleep -9 -
1 Very good
quality overall? 2 Fairly good
3 Fairly bad
4 Very bad
-6 Permanently Missing
-

Source Form Language: lang

-9 -
1 English
2 Spanish
-
 LIFE Acrostic
Participant ID Visit
Interviewer Code
(affix ID label here)
Date of
Visit
month day year

PITTSBURGH SLEEP QUALITY INDEX (PSQI)

Pre-Interview Instructions to Participant:

“The following questions relate to your usual sleep habits during the past month only.
Your answers should indicate the most accurate reply for the majority of the days and
nights in the past month. Please answer all questions.”

During the past month……….

1. At what hour have you usually gone to bed?

2. How long (in minutes) has it taken you to fall asleep each Minutes
night?

3. At what hour have you usually gotten up in the morning?

4. How many hours of actual sleep did you get last night? (This
may be different than the hours you spend in bed.)
Not Less than Once or Three or
During the past month, how often have during once a twice a more
you had trouble sleeping because the past week (1) week (2) times a
you……… month(0) week (3)

5. Cannot get to sleep with 30 minutes?

6. Wake up in the middle of the night or

early morning?

7. Have to get up to use the bathroom?

8. Cannot breathe comfortably?

9. Cough or snore loudly?

10. Feel too cold?

11. Feel too hot?

12. Have bad dreams?

13. Have pain?

14. Other reasons(s), please describe,

including how often you have had trouble
sleeping because of this reason(s):

LIFE-57-psqi v2.1 Page 1 of 2 02/11/2010

 LIFE Acrostic
Participant ID Visit
Code
(affix ID label here)

Not Less than Once or Three or

during once a twice a more
the past week (1) week (2) times a
month(0) week (3)
15. During the past month, how often have
you taken medicine (prescribed or “over
the counter”) to help you sleep?
16. During the past month, how often have
you had trouble staying awake while
driving, eating meals, or engaging in
social activities?
17. During the past month, how much of a
problem has it been for you to keep
enthusiasm to get things done?

Very Fairly Fairly Very

good (0) good (1) bad (2) bad (3)

18. During the past month, how would you

rate your sleep quality overall?

LIFE-57-psqi v2.1 Page 2 of 2 02/11/2010

 Pittsburgh Sleep Quality Index (PSQI)

Form Administration Instructions, References, and Scoring

Form Administration Instructions

The range of values for questions 5 through 10 are all 0 to 3.

Questions 1 through 9 are not allowed to be missing except as noted below. If these questions are
missing then any scores calculated using missing questions are also missing. Thus it is important to
make sure that all questions 1 through 9 have been answered.

In the event that a range is given for an answer (for example, ‘30 to 60’ is written as the answer to Q2,
minutes to fall asleep), split the difference and enter 45.

Reference

Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ: The Pittsburgh Sleep Quality Index: A new
instrument for psychiatric practice and research. Psychiatry Research 28:193-213, 1989.

Scores – reportable in publications

On May 20, 2005, on the instruction of Dr. Daniel J. Buysse, the scoring of the PSQI was changed to set
the score for Q5J to 0 if either the comment or the value was missing. This may reduce the DISTB score
by 1 point and the PSQI Total Score by 1 point.

PSQIDURAT DURATION OF SLEEP

IF Q4 > 7, THEN set value to 0
IF Q4 < 7 and > 6, THEN set value to 1
IF Q4 < 6 and > 5, THEN set value to 2
IF Q4 < 5, THEN set value to 3
Minimum Score = 0 (better); Maximum Score = 3 (worse)

PSQIDISTB SLEEP DISTURBANCE

IF Q5b + Q5c + Q5d + Q5e + Q5f + Q5g + Q5h + Q5i + Q5j (IF Q5JCOM is null
or Q5j is null, set the value of Q5j to 0) = 0, THEN set value to 0

IF Q5b + Q5c + Q5d + Q5e + Q5f + Q5g + Q5h + Q5i + Q5j (IF Q5JCOM is null
or Q5j is null, set the value of Q5j to 0) > 1 and < 9, THEN set value to 1

IF Q5b + Q5c + Q5d + Q5e + Q5f + Q5g + Q5h + Q5i + Q5j (IF Q5JCOM is null
or Q5j is null, set the value of Q5j to 0) > 9 and < 18, THEN set value to 2

IF Q5b + Q5c + Q5d + Q5e + Q5f + Q5g + Q5h + Q5i + Q5j (IF Q5JCOM is null
or Q5j is null, set the value of Q5j to 0) > 18, THEN set value to 3

Minimum Score = 0 (better); Maximum Score = 3 (worse)

PSQILATEN SLEEP LATENCY

First, recode Q2 into Q2new thusly:
IF Q2 > 0 and < 15, THEN set value of Q2new to 0
IF Q2 > 15 and < 30, THEN set value of Q2new to 1
IF Q2 > 30 and < 60, THEN set value of Q2new to 2
IF Q2 > 60, THEN set value of Q2new to 3
 Next
IF Q5a + Q2new = 0, THEN set value to 0
IF Q5a + Q2new > 1 and < 2, THEN set value to 1
IF Q5a + Q2new > 3 and < 4, THEN set value to 2
IF Q5a + Q2new > 5 and < 6, THEN set value to 3

Minimum Score = 0 (better); Maximum Score = 3 (worse)

PSQIDAYDYS DAY DYSFUNCTION DUE TO SLEEPINESS

IF Q8 + Q9 = 0, THEN set value to 0
IF Q8 + Q9 > 1 and < 2, THEN set value to 1
IF Q8 + Q9 > 3 and < 4, THEN set value to 2
IF Q8 + Q9 > 5 and < 6, THEN set value to 3
Minimum Score = 0 (better); Maximum Score = 3 (worse)

PSQIHSE SLEEP EFFICIENCY

Diffsec = Difference in seconds between day and time of day Q1 and day Q3
Diffhour = Absolute value of diffsec / 3600
newtib =IF diffhour > 24, then newtib = diffhour – 24
IF diffhour < 24, THEN newtib = diffhour
(NOTE, THE ABOVE JUST CALCULATES THE HOURS BETWEEN GNT (Q1)
AND GMT (Q3))
tmphse = (Q4 / newtib) * 100

IF tmphse > 85, THEN set value to 0

IF tmphse < 85 and > 75, THEN set value to 1
IF tmphse < 75 and > 65, THEN set value to 2
IF tmphse < 65, THEN set value to 3
Minimum Score = 0 (better); Maximum Score = 3 (worse)

PSQISLPQUAL OVERALL SLEEP QUALITY

Q6
Minimum Score = 0 (better); Maximum Score = 3 (worse)

PSQIMEDS NEED MEDS TO SLEEP

Q7
Minimum Score = 0 (better); Maximum Score = 3 (worse)

PSQI TOTAL
DURAT + DISTB + LATEN + DAYDYS + HSE + SLPQUAL + MEDS
Minimum Score = 0 (better); Maximum Score = 21 (worse)
Interpretation: TOTAL < 5 associated with good sleep quality
TOTAL > 5 associated with poor sleep quality