Zusammenfassung
Ziel dieser Studie war die Entwicklung und Validierung eines Screeninginstrumentes zur Erfassung der Lebenszeitprävalenz und Häufigkeit von Parasomnien und nächtlichen Verhaltensweisen (Münchner Parasomnie-Screening – MUPS). Bei diesem Fragebogen handelt es sich um ein Selbstbeurteilungsinventar für Erwachsene, das 21 Merkmale umfasst. Die Entwicklung des MUPS wurde an Patienten mit psychiatrischen Störungen (Gesamtanzahl: n = 74) durchgeführt. Die Validierung erfolgte bei drei Gruppen: Patienten mit psychiatrischen Störungen (n = 65), Patienten mit Schlafstörungen (n = 50) sowie gesunden Personen (n = 65). In einer zufällig ausgewählten Stichprobe von 20 % aller Befragten wurde der MUPS mit den Ergebnissen eines ausführlichen klinischen Interviews, das von einem schlafmedizinischen Experten durchgeführt wurde, verglichen. Die Validität wurde für jede der 21 erfassten nächtlichen Verhaltensweisen hinsichtlich der Lebenszeitprävalenz bestimmt. Die Sensitivität war bei 19 von 21 Merkmalen größer oder gleich 90 %, die Spezifität war für alle Items größer als 80 % bzw. für 19 von 21 Items größer als 90 %. Von noch größerer Bedeutung im Hinblick auf die Verwendung des MUPS in der schlafmedizinischen Praxis ist es, dass der positive und negative prädiktive Wert für die Mehrzahl der Items hoch war. Zusammenfassend ist der MUPS ein valides und einfach anwendbares Screeninginstrument zur Erfassung von Parasomnien und nächtlichen Verhaltensweisen.
Summary
We have developed and validated the Munich Parasomnia Screening (MUPS) questionnaire, a self-rating instrument with 21 items assessing the lifetime prevalence and current frequency of parasomnias and nocturnal behaviors in adult persons. The MUPS was developed with psychiatric patients (total n = 74). For the validation study the MUPS was given to three large groups, i.e. psychiatric patients (n = 65), sleep-disordered patients (n = 50), and healthy controls (n = 65). In a randomly chosen subset of 20 % of these subjects the MUPS was compared to the information obtained in a detailed clinical interview with a sleep medicine expert. Validity was assessed for lifetime prevalence of any frequency for each of the 21 nocturnal behaviors. For the individual items of the MUPS sensitivity was equal to or above 90 % for all but two of 21 items and specificity was above 80 % for all items and above 90 % for 19 of 21 items. More importantly, concerning the use of the MUPS in clinical practice, positive and negative predictive values of the single items were high for the majority of items. The MUPS appears to be an easy to use and valid instrument in the recognition of nocturnal behaviors and parasomnias.
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Fulda, S., Hornyak, M., Müller, K. et al. Development and validation of the Munich Parasomnia Screening (MUPS). Somnologie 12, 56–65 (2008). https://doi.org/10.1007/s11818-008-0336-x
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DOI: https://doi.org/10.1007/s11818-008-0336-x