Dysfunctional Beliefs and Attitudes about Sleep (DBAS): Validation of a Brief Version (DBAS-16)

Morin, Charles M.; Vallières, Annie; Ivers, Hans

doi:10.1093/sleep/30.11.1547

Cited by 615 publications

(466 citation statements)

References 38 publications

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“…Brosschot, Gerin, & Thayer, 2006;Pieper, Brosschot, van der Leeden, & Thayer, 2010;Zoccola, Dickerson, & Lam, 2009). Similarly, perseverative cognition has also been found to contribute to sleep disorders, particularly in insomnia (Morin, Vallières, & Ivers, 2007). Compared to healthy controls, insomniacs have more excessive worrying and longer pre-sleep cognitive activity, which increases physiological arousal and exacerbates a vicious cycle, preventing the initiation and maintenance of restorative sleep (Harvey, 2000;Watts, Coyle, & East, 1994).…”

Section: Discussionmentioning

confidence: 99%

Objective and Subjective Socioeconomic Gradients Exist for Sleep Quality, Sleep Latency, Sleep Duration, Weekend Oversleep, and Daytime Sleepiness in Adults

Jarrin

McGrath

Silverstein

et al. 2013

Behavioral Sleep Medicine

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Socioeconomic gradients exist for multiple health outcomes. Lower objective socioeconomic position (SEP), whether measured by income, education, or occupation, is associated with inadequate sleep. Less is known about whether one's perceived ranking of their social status, or subjective SEP, affects sleep. This study examined whether a subjective socioeconomic gradient exists for sleep while controlling for objective SEP. Participants (N = 177; age, M = 45.3 years, SD = 6.3 years) completed the Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, MacArthur Ladder, and other self-report measures to assess sleep and objective SEP. Subjective SEP trumped objective SEP as a better predictor of sleep duration, daytime sleepiness, and weekend oversleep. These findings highlight the need to expand our framework to better understand the mechanisms underlying socioeconomic gradients and sleep.It is well established that a socioeconomic gradient exists for multiple health outcomes, even after adjusting for known risk factors. Adults of lower socioeconomic position (SEP) report more frequent acute and chronic physical (e.g., insomnia) and mental problems (e.g., depression), as well as poorer quality of life, compared to adults of higher SEP (Adler et al

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Section: Discussionmentioning

confidence: 99%

Objective and Subjective Socioeconomic Gradients Exist for Sleep Quality, Sleep Latency, Sleep Duration, Weekend Oversleep, and Daytime Sleepiness in Adults

Jarrin

McGrath

Silverstein

et al. 2013

Behavioral Sleep Medicine

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show abstract

“…We opted for the original SRT method, 49,50 because it is most commonly used in CBTI studies and is more likely to yield rapid results than subsequently developed alter-assessment questionnaires. These include the Dysfunctional Beliefs About Sleep Scale 67 to assess sleep-interfering beliefs and cognitions; the Morning/Eveningness Questionnaire 68 to discern the patient's circadian tendency so that if there is a mismatch between a patient's circadian tendency and sleep/ wake schedules, it can be recognized; the brief STOP screening questionnaire 29 to assess the likelihood of severe OSA; and the Restless Legs Syndrome Rating Scale 30 to help determine the severity of RLS, when it is suspected. The workgroup thought it is safe to assume that mental health providers would be able to assess comorbid mental conditions without additional instruction or special assessment instruments.…”

Section: Which Version Of Srt To Use and How To Adapt It When Needed?mentioning

confidence: 99%

Dissemination of CBTI to the Non-Sleep Specialist: Protocol Development and Training Issues

Manber

Carney

Edinger

et al. 2012

Journal of Clinical Sleep Medicine

173

120

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Strong evidence supports the effi cacy of cognitive behavioral therapy for insomnia (CBTI). A signifi cant barrier to wide dissemination of CBTI is the lack of qualifi ed practitioners. We describe challenges and decisions made when developing a CBTI dissemination program in the Veterans Health Administration (VHA). The program targets mental health clinicians from different disciplines (psychiatry, psychology, social work, and nursing) with varying familiarity and experience with general principles of cognitive behavioral therapies (CBT). We explain the scope of training (how much to teach about the science of sleep, comorbid sleep disorders, other medical and mental health comorbidities, and hypnotic-dependent insomnia), discuss adaptation of CBTI to address the unique challenges posed by comorbid insomnia, and describe decisions made about the strategy of training (principles, structure and materials developed/recommended). Among these decisions is the question of how to balance the structure and fl exibility of the treatment protocol. We developed a case conceptualizationdriven approach and provide a general session-by-session outline. Training licensed therapists who already have many professional obligations required that the training be completed in a relatively short time with minimal disruptions to training participants' routine work responsibilities. These "real-life" constraints shaped the development of this competency-based, yet pragmatic training program. We conclude with a description of preliminary lessons learned from the initial wave of training and propose future directions for research and dissemination.

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“…This is a limitation of virtually all studies that have examined race in relation to health. Additionally, we did not incorporate previously used measures of sleep-related beliefs (eg 42–44 ). While this is true, those questionnaires do not assess most of the issues evaluated in the current study.…”

Section: Study Limitationsmentioning

confidence: 99%

Sleep-Related Behaviors and Beliefs Associated With Race/Ethnicity in Women

Grandner

Patel

Jean‐Louis

et al. 2013

Journal of the National Medical Association

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Explore how social factors influence sleep, especially sleep-related beliefs and behaviors. Sleep complaints, sleep hygiene behaviors, and beliefs about sleep were studied in 65 black/African American and white/European American women. Differences were found for snoring and discrepancy between sleep duration and need. Sleep behaviors differed across groups for napping, methods for coping with sleep difficulties, and nonsleep behaviors in bed. Beliefs also distinguished groups, with differences in motivation for sleep and beliefs about sleep being important for health and functioning. These findings have important public health implications in terms of developing effective sleep education interventions that include consideration of cultural aspects.

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Dysfunctional Beliefs and Attitudes about Sleep (DBAS): Validation of a Brief Version (DBAS-16)

Cited by 615 publications

References 38 publications

Objective and Subjective Socioeconomic Gradients Exist for Sleep Quality, Sleep Latency, Sleep Duration, Weekend Oversleep, and Daytime Sleepiness in Adults

Objective and Subjective Socioeconomic Gradients Exist for Sleep Quality, Sleep Latency, Sleep Duration, Weekend Oversleep, and Daytime Sleepiness in Adults

Dissemination of CBTI to the Non-Sleep Specialist: Protocol Development and Training Issues

Sleep-Related Behaviors and Beliefs Associated With Race/Ethnicity in Women

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