Validation of the Chinese version of Morningness-Eveningness Questionnaire for screening delayed sleep-wake phase disorder with bipolar disorder among Han Chinese population - Summary - MDSpire

Validation of the Chinese version of Morningness-Eveningness Questionnaire for screening delayed sleep-wake phase disorder with bipolar disorder among Han Chinese population

  • By

  • Ting Yang

  • Yuchen Lin

  • Tong Li

  • Zhaoyu Gan

  • April 30, 2026

  • 0 min

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Objective:

To explore the validation of the Morningness-Eveningness Questionnaire (MEQ) for screening Delayed Sleep-Wake Phase Disorder (DSWPD) in bipolar disorder patients specifically within the Han Chinese population.

Key Findings:
  • Internal consistency, split-half, and retest reliabilities of MEQ were 0.758, 0.719, and 0.661, respectively.
  • Three factors were obtained for the MEQ scale based on Exploratory factor analysis, with a cumulative factor loading of 37.384%.
  • BD patients with DSWPD had significantly lower MEQ scores compared to those without DSWPD and healthy controls (p<0.001).
  • The area under the ROC curve was 0.867, with a cut-off score of 43 yielding sensitivity of 0.83 and specificity of 0.75.
Interpretation:

The Chinese version of MEQ is a reliable and valid tool for screening DSWPD in bipolar disorder patients.

Limitations:
  • The study's sample size may limit generalizability.
  • Diagnosis was based on clinical interviews rather than objective measures like actigraphy.
Conclusion:

The Chinese version of MEQ is an effective screening tool for DSWPD among bipolar disorder patients in the Han Chinese community.

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