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A higher score means better sleep. Each item is scored on a 5-point scale (04), with lower scores, in the 02 range, reflecting DSM-5 threshold criteria for insomnia disorder. Possible total scores range from 08, with higher values indicative of better sleep.
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 (07); sub-threshold insomnia (814); moderate insomnia (1521); and severe insomnia (2228).
Though developers point out that their chosen cutoff scores have not been validated, they offer a few guidelines for interpreting scale results: a total score of 07 indicates no clinically sig- nificant insomnia, 814 means subthreshold insomnia, 1521 is clinical insomnia (moder- ate severity), and 2228 means
The ISI demonstrated good testretest reliability (ICC = . 87). CFA revealed a three-factor model for two study samples and GRM indicated better ability of the ISI to assess moderate (Sample III) and moderate to high (Sample I) levels of insomnia severity.
The ISI comprises 7 items assessing the perceived severity of difficulties initiating sleep, staying asleep, early morning awakenings, satisfaction with current sleep pattern, interference with daily functioning, noticeability of impairment attributed to the sleep problem, and degree of distress or concern caused by
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The Insomnia Severity Index (ISI) is a seven item scale measuring insomnia symptoms with scores ranging between 0 and 28 points. The scale has previously been shown reliable and sensitive to change [7,16]. All samples included the ISI as a screening and/or outcome measurement.

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