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Pittsburgh Sleep Quality Index (PSQI) scoring instructions

Pittsburgh Sleep Quality Index (PSQI) scoring instructions
SCORING INSTRUCTIONS FOR THE PITTSBURGH SLEEP QUALITY INDEX:
The Pittsburgh Sleep Quality Index (PSQI) contains 19 self-rated questions and 5 questions rated by the bed partner or roommate (if one is available). Only self-rated questions are included in the scoring. The 19 self-rated items are combined to form seven "component" scores, each of which has a range of 0-3 points. In all cases, a score of "0" indicates no difficulty, while a score of "3" indicates severe difficulty. The seven component scores are then added to yield one "global" score, with a range of 0-21 points, "0" indicating no difficulty and "21" indicating severe difficulties in all areas.
Scoring proceeds as follows:
Component 1: Subjective sleep quality
  1. Examine question #6, and assign scores as follows:
Response Component 1 score
  • "Very good"
0
  • "Fairly good"
1
  • "Fairly bad"
2
  • "Very bad"
3
Component 1 score: _____
Component 2: Sleep latency
  1. Examine question #2, and assign scores as follows:
Response Score
  • ≤15 minutes
0
  • 16-30 minutes
1
  • 31-60 minutes
2
  • >60 minutes
3
Question #2 score: _____
  1. Examine question #5a, and assign scores as follows:
Response Score
  • Not during the past month
0
  • Less than once a week
1
  • Once or twice a week
2
  • Three or more times a week
3
Question #5a score: _____
  1. Add #2 score and #5a score:
Sum of #2 and #5a: _____
  1. Assign component 2 score as follows:
Sum of #2 and #5a Component 2 score
  • 0
0
  • 1-2
1
  • 3-4
2
  • 5-6
3
Component 2 score: _____
Component 3: Sleep duration
  1. Examine question #4, and assign scores as follows:
Response Component 3 score
  • >7 hours
0
  • 6-7 hours
1
  • 5-6 hours
2
  • <5 hours
3
Component 3 score: _____
Component 4: Habitual sleep efficiency
  1. Write the number of hours slept (question #4) here: _____
  1. Calculate the number of hours spent in bed:
  • Getting up time (question #3): _____
  • Bedtime (question #1): _____
  • Number of hours spent in bed: _____
  1. Calculate habitual sleep efficiency as follows:
  • (Number of hours slept/number of hours spent in bed) X 100 = Habitual sleep efficiency (%)

    ( _____ / _____ ) X 100 = _____ %

  1. Assign component 4 score as follows:
Habitual sleep efficiency % Component 4 score
  • >85%
0
  • 75-84%
1
  • 65-74%
2
  • <65%
3
Component 4 score: _____
Component 5: Sleep disturbances
  1. Examine questions #5b-5j, and assign scores for each question as follows:
Response Score
  • Not during the past month
0
  • Less than once a week
1
  • Once or twice a week
2
  • Three or more times a week
3
  • #5b score:
_____
  •   5c score:
_____
  •   5d score:
_____
  •   5e score:
_____
  •   5f score:
_____
  •   5g score:
_____
  •   5h score:
_____
  •   5i score:
_____
  •   5j score:
_____
  1. Add the score for questions #5b-5j:
Sum of #5b-5j: _____
  1. Assign component 5 scores as follows:
Sum of #5b-5j Component 5 score
  • 0
0
  • 1-9
1
  • 10-18
2
  • 19-27
3
Component 5 score: _____
Component 6: Use of sleeping medication
  1. Examine question #7 and assign scores as follows:
Response Component 6 score
  • Not during the past month
0
  • Less than once a week
1
  • Once or twice a week
2
  • Three or more times a week
3
Component 6 score: _____
Component 7: Daytime dysfunction
  1. Examine question #8, and assign scores as follows:
Response Score
  • Never
0
  • Once or twice
1
  • Once or twice each week
2
  • Three or more times each week
3
Question #8 score: _____
  1. Examine question #9, and assign scores as follows:
Response Score
  • No problem at all
0
  • Only a very slight problem
1
  • Somewhat of a problem
2
  • A very big problem
3
Question #9 score: _____
  1. Add the scores for questions #8 and #9:
Sum of #8 and #9: _____
  1. Assign component 7 score as follows:
Sum of #8 and #9 Component 7 score
  • 0
0
  • 1-2
1
  • 3-4
2
  • 5-6
3
Component 7 score: _____
Global PSQI score
Add the seven component scores together:
Global PSQI score: _____
Reproduced from: Buysse DJ, Reynolds CF III, Monk TH, et al. The Pittsburgh Sleep Quality Index: A New Instrument for Psychiatric Practice and Research. Psychiatry Res 1989; 28:193. Illustration used with the permission of Elsevier Inc. All rights reserved.
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