[{"data":1,"prerenderedAt":967},["ShallowReactive",2],{"assessment-isi":3,"all-assessments-nav":148,"related-assessments-query":813},{"id":4,"title":5,"body":6,"category":135,"categoryTitle":136,"clinicalCitations":135,"copyright":135,"description":12,"disclaimer":135,"downloadLink":135,"extension":137,"faqs":135,"i18nReady":138,"icon":135,"lastReviewed":135,"meta":139,"navigation":140,"path":141,"permissionsNote":135,"recommendedFrequency":135,"relatedConditions":135,"reviewedBy":135,"seo":142,"slug":143,"stem":144,"summary":145,"takeaways":135,"type":146,"usedToDiagnose":135,"__hash__":147},"assessments\u002Fhelp\u002Fassessment-library\u002Fisi.md","ISI: Insomnia Severity Index",{"type":7,"value":8,"toc":123},"minimark",[9,13,16,19,22,25,28,33,36,40,43,47,50,54,57,61,64,69,72,75,78,81,84,87,90,93,96,99,102,105,108,111,114,117,120],[10,11,12],"p",{},"HiBoop automates ISI delivery, scoring, and longitudinal sleep tracking. Monitor insomnia severity alongside depression (PHQ-9) and anxiety (GAD-7) in a single session.",[10,14,15],{},"The ISI (Insomnia Severity Index) is a validated 7-item self-report questionnaire for\nassessing the severity of insomnia symptoms. Developed by Morin (1993) and psychometrically\nsleep-maintenance difficulty, early morning awakenings, sleep dissatisfaction, functional\nimpairment, noticeability to others, and distress about sleep. Each item is rated on a\n0–4 Likert scale; total scores range from 0 to 28. It classifies insomnia into four categories: 0–7 (no clinically significant insomnia), 8–14 (subthreshold\ninsomnia), 15–21 (clinical insomnia, moderate severity), and 22–28 (clinical insomnia,\nsevere). The ISI is widely used as an outcome measure in CBT-I trials and routine insomnia\nscreening. A high ISI score warrants clinical evaluation, it does not constitute a\ndiagnosis. For related tools, see our assessment\nlibrary and measurement-based care resources.",[10,17,18],{},"HiBoop supports automated ISI delivery with integrated scoring and longitudinal sleep\nquality tracking for insomnia monitoring in mental health and primary care practices.",[10,20,21],{},"The Insomnia Severity Index (ISI) is the most widely used brief\nself-report measure for evaluating insomnia severity in both clinical practice and\nresearch. It assesses the current severity of insomnia symptoms over the past two weeks\nacross seven dimensions, producing a total score that maps to four clinical severity bands.",[10,23,24],{},"Instructions: Rate each of the following over the past 2 weeks.",[10,26,27],{},"All items use a 0–4 scale where 0 = None \u002F Not at all and 4 = Very Severe \u002F Very Much.",[29,30,32],"h3",{"id":31},"severity-of-insomnia-problems","Severity of Insomnia Problems",[10,34,35],{},"How severe have your insomnia symptoms been in the past 2 weeks?",[29,37,39],{"id":38},"sleep-satisfaction","Sleep Satisfaction",[10,41,42],{},"How satisfied \u002F dissatisfied are you with your current sleep pattern?",[29,44,46],{"id":45},"daily-functioning","Daily Functioning",[10,48,49],{},"To what extent do you consider your sleep problem to interfere with your daily functioning (e.g., daytime fatigue, concentration, work performance, mood)?",[29,51,53],{"id":52},"impact-on-quality-of-life","Impact on Quality of Life",[10,55,56],{},"How noticeable to others do you think your sleeping problem is in terms of impairing the quality of your life?",[29,58,60],{"id":59},"worry-distress","Worry \u002F Distress",[10,62,63],{},"How worried \u002F distressed are you about your current sleep problem?",[65,66,68],"h2",{"id":67},"isi-scoring-and-interpretation","ISI Scoring and Interpretation",[29,70],{"id":71},"",[10,73,74],{},"ISI Item Structure",[10,76,77],{},"Rates difficulty falling asleep, staying asleep, and waking too early (0=None to 4=Very Severe each)",[10,79,80],{},"Rates satisfaction with current sleep pattern (0=Very Satisfied to 4=Very Dissatisfied)",[10,82,83],{},"Rates extent that sleep problem interferes with daily functioning (0=Not at all to 4=Very Much)",[10,85,86],{},"How noticeable is the sleep problem to others in terms of quality of life impairment",[10,88,89],{},"Degree of worry or distress about the sleep problem (0=Not at all to 4=Very Much)",[10,91,92],{},"ISI Psychometric Properties",[10,94,95],{},"Excellent Cronbach's alpha across clinical and community samples (Morin et al., 2011)",[10,97,98],{},"Widely used as a primary outcome measure in CBT-I randomized controlled trials (Edinger et al., Morin et al.)",[10,100,101],{},"Validated in primary insomnia, cancer, chronic pain, depression, PTSD, and general community samples; translated into 40+ languages",[10,103,104],{},"Insomnia and Comorbid Mental Health Conditions",[10,106,107],{},"Insomnia is highly comorbid with depression, anxiety, and PTSD. In major depressive disorder, insomnia occurs in 60–80% of patients; in PTSD, sleep disturbance is a diagnostic criterion. CBT-I is effective even when insomnia is comorbid with these conditions.",[10,109,110],{},"When administering the ISI alongside mood or anxiety measures, document whether sleep difficulties are primary or secondary to determine treatment sequencing.",[10,112,113],{},"Documenting ISI results in clinical notes?",[10,115,116],{},"ISI total score and severity band belong in the Objective section of your clinical note. See our\nSOAP notes guide\nfor templates and documentation examples.",[10,118,119],{},"Original development: Morin, C. M. (1993). Insomnia: Psychological assessment and management. Guilford Press.",[10,121,122],{},"Copyright: The ISI is available for free use in clinical practice and research. Please cite Morin et al. 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