Interobserver reliability of ICSD-3 diagnostic criteria for disorders of arousal in adults

Giuseppe Loddo, Luca Vignatelli, Corrado Zenesini, Francesco Lusa, Luisa Sambati, Luca Baldelli, Valentina Favoni, Laura Rosa Pisani, Giulia Pierangeli, Sabina Cevoli, Federica Provini

Research output: Contribution to journalArticle

Abstract

Purpose: Disorders of arousal include confusional arousals, sleepwalking and sleep terrors. The diagnosis of disorders of arousal is based on the clinical criteria established in the International Classification of Sleep Disorders, third edition, although the interobserver reliability of these criteria has never been investigated. The aim of this study was to estimate the inter-rater reliability of the diagnostic criteria for disorders of arousal throughout the whole life in order to understand their feasibility in clinical daily activity and in multicenter observational studies. Methods: Three raters interviewed 126 subjects (patients complaining of sleep disorders, headache, and healthy subjects), aged 18–80 years, with a standardized questionnaire created by applying the International Diagnostic Criteria for Disorders of Arousal. Results: An “almost perfect” inter-rater reliability for disorders of arousal criteria and the final diagnosis was found among the raters (kappa 0.89 for confusional arousals, 0.87 for sleepwalking, and 0.87 for sleep terrors). Conclusions: The International Classification of Sleep Disorders, Third Edition criteria are adequate for a reliable diagnosis of disorders of arousal. Further validation studies, confirming DOA diagnosis with video polysomnography, are needed to investigate the predictive value of ICSD-3 criteria.

Original languageEnglish
Pages (from-to)1309-1314
Number of pages6
JournalSleep and Breathing
Volume23
Issue number4
DOIs
Publication statusPublished - Dec 1 2019

Fingerprint

Arousal
Sleep Arousal Disorders
Night Terrors
Somnambulism
Polysomnography
Validation Studies
Multicenter Studies
Observational Studies
Headache
Healthy Volunteers
Sleep Wake Disorders

Keywords

  • Confusional arousal
  • Movement disorders
  • NREM parasomnias
  • Questionnaires
  • Sleep terror
  • Sleepwalking

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Clinical Neurology

Cite this

Interobserver reliability of ICSD-3 diagnostic criteria for disorders of arousal in adults. / Loddo, Giuseppe; Vignatelli, Luca; Zenesini, Corrado; Lusa, Francesco; Sambati, Luisa; Baldelli, Luca; Favoni, Valentina; Pisani, Laura Rosa; Pierangeli, Giulia; Cevoli, Sabina; Provini, Federica.

In: Sleep and Breathing, Vol. 23, No. 4, 01.12.2019, p. 1309-1314.

Research output: Contribution to journalArticle

@article{e0c3b52cf6e4419aa5706bdd3ca63de9,
title = "Interobserver reliability of ICSD-3 diagnostic criteria for disorders of arousal in adults",
abstract = "Purpose: Disorders of arousal include confusional arousals, sleepwalking and sleep terrors. The diagnosis of disorders of arousal is based on the clinical criteria established in the International Classification of Sleep Disorders, third edition, although the interobserver reliability of these criteria has never been investigated. The aim of this study was to estimate the inter-rater reliability of the diagnostic criteria for disorders of arousal throughout the whole life in order to understand their feasibility in clinical daily activity and in multicenter observational studies. Methods: Three raters interviewed 126 subjects (patients complaining of sleep disorders, headache, and healthy subjects), aged 18–80 years, with a standardized questionnaire created by applying the International Diagnostic Criteria for Disorders of Arousal. Results: An “almost perfect” inter-rater reliability for disorders of arousal criteria and the final diagnosis was found among the raters (kappa 0.89 for confusional arousals, 0.87 for sleepwalking, and 0.87 for sleep terrors). Conclusions: The International Classification of Sleep Disorders, Third Edition criteria are adequate for a reliable diagnosis of disorders of arousal. Further validation studies, confirming DOA diagnosis with video polysomnography, are needed to investigate the predictive value of ICSD-3 criteria.",
keywords = "Confusional arousal, Movement disorders, NREM parasomnias, Questionnaires, Sleep terror, Sleepwalking",
author = "Giuseppe Loddo and Luca Vignatelli and Corrado Zenesini and Francesco Lusa and Luisa Sambati and Luca Baldelli and Valentina Favoni and Pisani, {Laura Rosa} and Giulia Pierangeli and Sabina Cevoli and Federica Provini",
note = "Ricercatori distaccati presso IRCCS a seguito Convenzione esclusiva con Universit{\`a} di Bologna (Sambati Luisa, Favoni Valentina, Pierangeli Giulia, Provini Federica).",
year = "2019",
month = "12",
day = "1",
doi = "10.1007/s11325-019-01937-w",
language = "English",
volume = "23",
pages = "1309--1314",
journal = "Sleep and Breathing",
issn = "1520-9512",
publisher = "Springer Verlag",
number = "4",

}

TY - JOUR

T1 - Interobserver reliability of ICSD-3 diagnostic criteria for disorders of arousal in adults

AU - Loddo, Giuseppe

AU - Vignatelli, Luca

AU - Zenesini, Corrado

AU - Lusa, Francesco

AU - Sambati, Luisa

AU - Baldelli, Luca

AU - Favoni, Valentina

AU - Pisani, Laura Rosa

AU - Pierangeli, Giulia

AU - Cevoli, Sabina

AU - Provini, Federica

N1 - Ricercatori distaccati presso IRCCS a seguito Convenzione esclusiva con Università di Bologna (Sambati Luisa, Favoni Valentina, Pierangeli Giulia, Provini Federica).

PY - 2019/12/1

Y1 - 2019/12/1

N2 - Purpose: Disorders of arousal include confusional arousals, sleepwalking and sleep terrors. The diagnosis of disorders of arousal is based on the clinical criteria established in the International Classification of Sleep Disorders, third edition, although the interobserver reliability of these criteria has never been investigated. The aim of this study was to estimate the inter-rater reliability of the diagnostic criteria for disorders of arousal throughout the whole life in order to understand their feasibility in clinical daily activity and in multicenter observational studies. Methods: Three raters interviewed 126 subjects (patients complaining of sleep disorders, headache, and healthy subjects), aged 18–80 years, with a standardized questionnaire created by applying the International Diagnostic Criteria for Disorders of Arousal. Results: An “almost perfect” inter-rater reliability for disorders of arousal criteria and the final diagnosis was found among the raters (kappa 0.89 for confusional arousals, 0.87 for sleepwalking, and 0.87 for sleep terrors). Conclusions: The International Classification of Sleep Disorders, Third Edition criteria are adequate for a reliable diagnosis of disorders of arousal. Further validation studies, confirming DOA diagnosis with video polysomnography, are needed to investigate the predictive value of ICSD-3 criteria.

AB - Purpose: Disorders of arousal include confusional arousals, sleepwalking and sleep terrors. The diagnosis of disorders of arousal is based on the clinical criteria established in the International Classification of Sleep Disorders, third edition, although the interobserver reliability of these criteria has never been investigated. The aim of this study was to estimate the inter-rater reliability of the diagnostic criteria for disorders of arousal throughout the whole life in order to understand their feasibility in clinical daily activity and in multicenter observational studies. Methods: Three raters interviewed 126 subjects (patients complaining of sleep disorders, headache, and healthy subjects), aged 18–80 years, with a standardized questionnaire created by applying the International Diagnostic Criteria for Disorders of Arousal. Results: An “almost perfect” inter-rater reliability for disorders of arousal criteria and the final diagnosis was found among the raters (kappa 0.89 for confusional arousals, 0.87 for sleepwalking, and 0.87 for sleep terrors). Conclusions: The International Classification of Sleep Disorders, Third Edition criteria are adequate for a reliable diagnosis of disorders of arousal. Further validation studies, confirming DOA diagnosis with video polysomnography, are needed to investigate the predictive value of ICSD-3 criteria.

KW - Confusional arousal

KW - Movement disorders

KW - NREM parasomnias

KW - Questionnaires

KW - Sleep terror

KW - Sleepwalking

UR - http://www.scopus.com/inward/record.url?scp=85073976186&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85073976186&partnerID=8YFLogxK

U2 - 10.1007/s11325-019-01937-w

DO - 10.1007/s11325-019-01937-w

M3 - Article

C2 - 31522407

AN - SCOPUS:85073976186

VL - 23

SP - 1309

EP - 1314

JO - Sleep and Breathing

JF - Sleep and Breathing

SN - 1520-9512

IS - 4

ER -