Insomnia Impact Scale As the name implies, the Insomnia Impact Scale (IIS) assesses the
impact of poor sleep on wakeful functioning. The IIS was developed
by Hoelscher, Ware, and Bond in the early 1990s. The scale is based
on a self-report questionnaire that measures the level of agreement,
one through five, to a series of 40 statements. These statements cover
physical, cognitive, emotional, social, and occupational aspects of
poor sleep. Based on the overall scores (ranging between 40 and 200)
and scores within subject areas, IIS administrators were able to discriminate
people with insomnia that presented at a sleep disorder center, those
in college, and self-reported normal sleepers. Based on a review of
PubMed, the IIS does not appear to be widely used in published research
studies since the phrase “Insomnia Impact Scale” does not return any
exact results. Upon further investigation, the IIS appears to have
been used in less than ten studies since its initial publication and
validation. One limitation of the IIS is that the scale does not have
published norms which to compare. Researchers have used a score of
125 and above as indicative of significant disruption in daytime functioning.
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Sleep Disorders
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