Resources for the Comprehensive Geriatric Assessment based
Proactive and Personalised Primary Care of the Elderly
Insomnia Severity Index
Purpose : Quantitative measure of perception of insomnia severity, and its impact on daytime functioning
Admin time : 5 min.
User Friendly : High
Administered by : self or GP
Content : The ISI is a 7-item self-report questionnaire assessing the nature, severity, and impact of insomnia.
The dimensions evaluated are: severity of sleep onset, sleep maintenance, and early morning awakening problems, sleep dissatisfaction, interference of sleep difficulties with daytime functioning, noticeability of sleep problems by others, and distress caused by the sleep difficulties.
A 5-point Likert scale is used to rate each item (e.g., 0 = no problem; 4 = very severe problem), yielding a total
score ranging from 0 to 28.
The total score is interpreted as follows: absence of insomnia (0-7); sub-threshold insomnia (8-14); moderate insomnia (15-21); and severe insomnia (22-28).
Three versions are available—patient (2 week period), patient (1 month period), and clinician.
Author : Morin, C.M. 1985
ISI : © Morin, C.M. (1993 and 1996)
ISI-Clinian version: © Morin, C.M. (1993, 1996, 2000, 2006)
Permission to use may be obtained from the distributors : Mapi Research Trust
ISI - patient 2 week
ISI - patient 1 month
ISI - clinician
Insomnia Severity Index
reliable and valid instrument to detect cases of insomnia in the population and is sensitive to treatment response in clinical patients
- face and content validity; correlated with sleep diaries, polysomnography, and interviews
Limited ability to differentiate primary insomnia from insomnia with comorbid psychiatric or other medical disease
Accuracy : (Morin CM, 2011) access
ISI ≥ 8 : Sensitivity 99.4 % and specificity 91.8 %
ISI ≥ 11 : Sensitivity 97.2 % and specificity 100 %
ISI ≥ 15 : Sensitivity 78.1 % and specificity 100 %
Temporal Reference Period
The standard recommended time interval for completing the ISI is the “last month”; this interval corresponds to the standard period used (in DSM-IV) to make a diagnosis of insomnia.
It is also acceptable to use a shorter interval (i.e., two weeks), particularly in clinical studies assessing the impact of treatment over a shorter period of time than one month. This practice is acceptable but the time frame should be the same at each assessment period (i.e., baseline, post treatment, follow-ups).
This Tool is used in Sleep Disorders
Back To : Sleep Disorders
Sleep Disorders is one of 4 Geriatric Syndromes
Back To : Geriatric Syndromes