Prague Med. Rep. 2024, 125, 289-301

https://doi.org/10.14712/23362936.2024.26

Validation of the Idiopathic Hypersomnia Severity Scale in the Czech Republic

Jitka Bušková1,2, Eva Miletínová1,2, Tereza Dvořáková1,2, Radana Měrková1,2, Jana Krpešová2, Soňa Nevšímalová3, Martin Milata3, Karolína Galušková3, Simona Dostálová3, Karel Šonka3

1Department of Sleep Medicine, National Institute of Mental Health, Klecany, Czech Republic
2Third Faculty of Medicine, Charles University, Prague, Czech Republic
3Department of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital in Prague, Prague, Czech Republic

Received February 23, 2024
Accepted October 29, 2024

We have verified the eligibility of the Idiopathic Hypersomnia Severity Scale (IHSS) as a basic clinical tool for determining the subjective severity of illness in patients with idiopathic hypersomnia (IH) in the Czech Republic. Total of 37 patients with a diagnosis of IH (9 men, 28 women, mean age 40.2 ± 12.8) completed the IHSS scale. At the same time, they were instructed to complete the Epworth Sleepiness Scale (ESS), the Fatigue Severity Scale (FSS), the Hospital Anxiety and Depression Scales (HADS-A and HADS-D), and a short version of the Quality of Life Questionnaire (SF-36). The control group consisted of 88 age- and sex-matched healthy volunteers. The IHSS scale showed good internal consistency of the questionnaire using Cronbach’s α, which was 0.88. The KMO (Keiser-Meyer-Olkin index) was 0.72, confirming sufficient structural validity of the questionnaire. The correlation of the total IHSS score with the ESS (ρ = 0.59, p=0.0001) and FSS (ρ = 0.84, p<0.0001) as well as with the HADS-A scales (ρ = 0.64, p<0.0001), HADS-D (ρ = 0.79, p<0.0001) and SF-36 in both the mental (ρ = –0.85, p<0.0001) and physical health (ρ = –0.66, p<0.0001) components. The IHSS is a convenient and easy-to-apply clinical tool to assess subjective severity of illness, which describes well the symptoms of idiopathic hypersomnia and assesses their impact on health and daily activities.

Funding

This study was supported by the program project of the Ministry of Health of the Czech Republic with reg. no. NU20-04-00088 and the program Cooperatio Neuroscience Charles University.

References

24 live references