Reliability and validity of the Japanese version of the Biological Rhythms Interview of assessment in neuropsychiatry-self report for delayed sleep-wake phase disorder

Yuta Kanda; Yoshikazu Takaesu; Mina Kobayashi; Yoko Komada; Kunihiro Futenma; Isa Okajima; Koichiro Watanabe; Yuichi Inoue

doi:10.1016/j.sleep.2021.02.009

Reliability and validity of the Japanese version of the Biological Rhythms Interview of assessment in neuropsychiatry-self report for delayed sleep-wake phase disorder

Sleep Med. 2021 May:81:288-293. doi: 10.1016/j.sleep.2021.02.009. Epub 2021 Feb 18.

Authors

Yuta Kanda¹, Yoshikazu Takaesu², Mina Kobayashi³, Yoko Komada⁴, Kunihiro Futenma⁵, Isa Okajima⁶, Koichiro Watanabe⁷, Yuichi Inoue⁸

Affiliations

¹ Department of Neuropsychiatry, Kyorin University School of Medicine, Tokyo, Japan; Japan Somnology Center, Institute of Neuropsychiatry, Tokyo, Japan.
² Department of Neuropsychiatry, Kyorin University School of Medicine, Tokyo, Japan; University of Ryukyus, Department of Neuropsychiatry, Okinawa, Japan. Electronic address: takaesuy@med.u-ryukyu.ac.jp.
³ Japan Somnology Center, Institute of Neuropsychiatry, Tokyo, Japan.
⁴ Liberal Arts, Meiji Pharmaceutical University, Tokyo, Japan.
⁵ University of Ryukyus, Department of Neuropsychiatry, Okinawa, Japan; Uresinogaoka Samariya Bito Hospital, Okinawa, Japan.
⁶ Department of Psychological Counseling, Faculty of Humanities, Tokyo Kasei University, Tokyo, Japan.
⁷ Department of Neuropsychiatry, Kyorin University School of Medicine, Tokyo, Japan.
⁸ Japan Somnology Center, Institute of Neuropsychiatry, Tokyo, Japan; Department of Psychiatry Tokyo Medical University, Tokyo, Japan; Department of Somnology Tokyo Medical University, Tokyo, Japan.

PMID: 33743475
DOI: 10.1016/j.sleep.2021.02.009

Abstract

Objective: The Biological Rhythms Interview of Assessment in Neuropsychiatry (BRIAN) might be applicable for assessing delayed sleep-wake phase disorder (DSWPD). We aimed to investigate the reliability and validity of the Japanese version of the BRIAN self-report (J-BRIAN-SR) in DSWPD patients and determine a cutoff score to identify the presence of the disorder.

Methods: We enrolled 60 newly diagnosed DSWPD outpatients and 64 age-matched healthy controls. We used Cronbach's alpha for internal reliability to evaluate J-BRIAN-SR. We confirmed the reliability of the A test and re-test using Pearson's correlation coefficient in the controls. We used confirmatory factor analysis to evaluate the factor structure of J-BRIAN-SR and referenced the Morningness-Eveningness Questionnaire (MEQ) to check concurrent validity. We analyzed the receiver operating characteristic curve (ROC) to determine the J-BRIAN-SR cutoff point for the presence of DSWPD.

Results: The 18-component scores of the J-BRIAN-SR had an overall reliability coefficient (Cronbach's alpha) of 0.82. We confirmed a high test-retest reliability using an intraclass correlation coefficient (r = 0.84). The correlation between J-BRIAN-SR and MEQ was 0.38 (p = 0.003). The J-BRIAN-SR that we extracted by exploratory factor analysis consisted of three factors. A score of 40 points provided a sensitivity of 80.0% and a specificity of 75.6% for the positivity of DSWPD.

Conclusions: The results of the present study revealed that J-BRIAN-SR is a valid and reliable instrument for screening and evaluating the severity of DSWPD. Our findings will be useful to physicians and patients in Japan and those in clinical settings.

Keywords: Biological rhythms interview of assessment in neuropsychiatry; Circadian rhythm sleep-wake disorder; Delayed sleep-wake phase disorder; Self-rated questionnaire; Sleep disorders.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Circadian Rhythm
Humans
Japan
Neuropsychiatry*
Reproducibility of Results
Self Report
Sleep