Validation and reliability of the Athens Insomnia Scale-8 in Chinese psychiatric inpatients
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By
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Wei Li
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Yi-Yuan Qiao
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Jie Zhong
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May 8, 2026
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Clinical Scorecard: Assessment of the Validity and Reliability of the Athens Insomnia Scale-8 in a Sample of Chinese Psychiatric Inpatients
At a Glance
| Category | Detail |
|---|
| Condition | Insomnia |
| Key Mechanisms | Assessment of insomnia severity through the Athens Insomnia Scale-8 (AIS-8) |
| Target Population | Chinese psychiatric inpatients |
| Care Setting | Psychiatric inpatient facilities |
Key Highlights
- AIS-8 demonstrated acceptable reliability with a Cronbach’s alpha of 0.84.
- Two-factor model identified: 'nighttime sleep problems' and 'daytime dysfunction'.
- Significant positive correlations with GAD-7 and PHQ-9 support convergent validity.
- Strict measurement invariance established for gender; weak invariance for age, marital status, and occupation.
- Study fills a critical gap in cross-cultural insomnia assessment among psychiatric populations.
Guideline-Based Recommendations
Diagnosis
- Utilize the AIS-8 for assessing insomnia severity in psychiatric inpatients.
Management
- Integrate AIS-8 results with comprehensive clinical assessments for accurate diagnosis.
Monitoring & Follow-up
- Regularly monitor insomnia symptoms using the AIS-8 in psychiatric settings.
Risks
- Consider potential limitations in generalizability due to sample characteristics.
Patient & Prescribing Data
Chinese psychiatric inpatients
AIS-8 can be a reliable instrument for clinical insomnia assessment.
Clinical Best Practices
- Combine AIS-8 with other clinical evaluations for a holistic approach to insomnia management.
- Ensure cultural context is considered when interpreting AIS-8 results.
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