Sleep beliefs and attitudes and the association with insomnia among psychiatric outpatients

Chang, Sherilyn; Ma, QianHui; Seow, Esmond; Lau, Ying; Satghare, Pratika; Hombali, Aditi; Chong, Siow Ann; Subramaniam, Mythily

doi:10.1080/09638237.2018.1466046

Cited by 17 publications

(18 citation statements)

References 22 publications

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“…Some authors have argued that the presence of cognitions measured on a scale should not define dysfunction, rather it is the strength and flexibility with which the participants endorse these beliefs that reflect their levels of maladaptation. 39 Using the DBAS-16 as the single determinant of dysfunctional beliefs may have led to the inaccurate classification of some participants and caution should be taken clinically while using the DBAS-16 this way. Second, all data were collected through self-report measures and actual sleep behaviors, and quality and quantity of sleep were not observed.…”

Section: Limitationsmentioning

confidence: 99%

“…Despite data showing the prevalence of US adults not meeting the minimum recommended sleep duration, 76% of US adults feel that they do not have a sleep problem and 73% report that their decreased sleep has little or no impact on their daily lives 21. Individuals diagnosed with insomnia can be less realistic about the amount of sleep they require than those who get optimal sleep and have a higher likelihood of attributing poor sleep behaviors to external causes 39. Inaccurate sleep beliefs can also perpetuate insomnia symptoms 40,41.…”

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confidence: 99%

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Relationship Between Attitudes and Beliefs About Sleep, Sleep Disturbance, and Pain Interference in Patients With Spinal Pain

Neilson

Shepherd

Dickerson

et al. 2022

The Clinical Journal of Pain

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Objectives: Sleep impairments are a strong predictor of pain, making sleep a potential interest when treating patients with spine pain. Typical beliefs about the importance of sleep in patients seeking care for spinal pain are unknown. The purpose of this study was to describe the beliefs and attitudes about sleep in patients seeking care for spinal pain and to examine the relationships between dysfunctional beliefs and attitudes about sleep (DBAS), disordered sleep, and pain interference. Materials and Methods: This cross-sectional study included patients presenting to physical therapy with spine pain. Participants completed questionnaires including demographics, medical history, pain interference (pain, enjoyment, and general activity), DBAS-16, and sleep-related impairment (Patient-Reported Outcome Measurement Information System). Correlations were calculated between DBAS-16 scores and measures of sleep quality/quantity, and a generalized linear model was used to investigate the predictive ability of DBAS-16 scores on pain interference. Results: The mean DBAS-16 score was 4.22 (SD=2.03), with 52.5% of participants having DBAS. There was a strong relationship between DBAS-16 and Patient-Reported Outcome Measurement Information System (r s=0.7; P<0.001). For every point higher score on the DBAS-16, pain interference scores increased by approximately half a point (B=0.46; 95% CI 0.33, 0.59, 1.80; P <0.001) Discussion: These results highlight a strong relationship between beliefs and attitudes about sleep and measures of sleep quality/quantity and a linear association with pain interference scores. These findings provide a rationale for targeting beliefs and attitudes about sleep when managing pain-related symptoms in patients seeking care for spine pain.

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Section: Limitationsmentioning

confidence: 99%

mentioning

confidence: 99%

Relationship Between Attitudes and Beliefs About Sleep, Sleep Disturbance, and Pain Interference in Patients With Spinal Pain

Neilson

Shepherd

Dickerson

et al. 2022

The Clinical Journal of Pain

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“…For BD, the Hypomanic and Positive Predictions Inventory (HAPPI) (Mansell, 2006) identifies extreme and multiple appraisals explained in the ICM for those with fluctuating mood. For insomnia, the Dysfunctional Beliefs and Attitudes about Sleep scale (DBAS) (Morin et al, 1993) is commonly used and has been included in BD sleep research (Chang et al, 2018; Harvey et al, 2005). The DBAS does not, however, include maladaptive beliefs that account for the wider range of sleep duration disturbances discussed above.…”

Section: Introductionmentioning

confidence: 99%

The positive and negative sleep appraisal measure: Towards a clinical validation of sleep spectrum cognitions

Pearson

Parker

Mansell

2021

Clin Psychology and Psychoth

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Background Sleep disturbance is considered a transdiagnostic process due to high comorbidity with mental health difficulties. In particular, sleep disturbances are a feature of mood disorders. To advance transdiagnostic psychological interventions targeting sleep, the Positive and Negative Sleep Appraisal Measure (PANSAM) was developed. The PANSAM is a theory‐driven measure based on an Integrative Cognitive Sleep Model and proposes that positive and negative sleep appraisals for excessively long and short sleep durations play a key role in the development of insomnia, hypersomnia, and reduced need for sleep. This study evaluated clinical validity of this new measure. Methods Participants were those who met bipolar at risk criteria and bipolar diagnoses (bipolar spectrum group) (N = 22), major depressive disorder (unipolar depression group) (N = 18), and a nonclinical group (N = 22). To compare against previous insomnia and bipolar disorder relevant research, administered measures included the Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS) and the Hypomanic and Positive Predictions Inventory (HAPPI). Results Analysis of variance (ANOVA) tests revealed that the clinical groups scored significantly higher on the PANSAM. The same was shown for the DBAS and HAPPI. Post hoc analyses showed that the PANSAM scale and subscales had significant correlations with all clinical measures. Effect sizes are reported due to sample size limitations. Conclusion This study has initially validated the PANSAM with clinical populations and highlighted its applicability to a transdiagnostic approach.

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“…"I didn't sleep all night so I will not be able to function today"), even though they do not report any functional effects, such as daytime sleepiness. Several studies have suggested that such dysfunctional beliefs might be important factors in the development and maintenance of insomnia, [6][7][8][9][10][11][12] particularly in older adults. 13 Cognitive behavioural therapy for insomnia (CBT-I) is generally the recommended rst line treatment approach for those experiencing sleep problems.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Providing Unguided Online Cognitive Behavioural Therapy for Insomnia to Community-Dwelling Older Adults in Western Australia: A Non-Randomised Feasibility Study

Kutzer

Whitehead

Quigley

et al. 2021

Preprint

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Background: Approximately 60% of adults over the age of 60 years report that they have trouble sleeping. Online Cognitive Behavioural Therapy for insomnia (CBT-I), an evidence-based form of talk therapy, is considered an effective treatment option. This feasibility study examined the suitability of an online CBT-I programme for older adults aged 60 -80 years in Western Australia.Methods: Participants with and without insomnia completed the first out of four online CBT-I modules and provided feedback via an online questionnaire regarding programme acceptability, utility and accessibility.Results: High approval ratings (91.7%) suggest that study participants believed the online CBT-I programme to be acceptable, useful and accessible, independent of their insomnia status. Potential areas for improvement were noted, including making the online programme more customisable and interactive.Conclusions: Findings from this feasibility study indicate that respondents viewed the online CBT-I programme as appropriate for adults aged 60-80 years. The full-scale study will subsequently be conducted without any protocol alterations.

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Sleep beliefs and attitudes and the association with insomnia among psychiatric outpatients

Abstract: Dysfunctional sleep beliefs were associated with insomnia among psychiatric patients. Addressing these maladaptive cognitions is critical in alleviating sleep problems in psychiatric patients.

Cited by 17 publications

References 22 publications

Relationship Between Attitudes and Beliefs About Sleep, Sleep Disturbance, and Pain Interference in Patients With Spinal Pain

Relationship Between Attitudes and Beliefs About Sleep, Sleep Disturbance, and Pain Interference in Patients With Spinal Pain

The positive and negative sleep appraisal measure: Towards a clinical validation of sleep spectrum cognitions

Feasibility of Providing Unguided Online Cognitive Behavioural Therapy for Insomnia to Community-Dwelling Older Adults in Western Australia: A Non-Randomised Feasibility Study

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