Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ASCO Annual Meeting 2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

2024 ASCO Annual Meeting

Keep up to date with all the top stories and latest evidence with our hub page, including official congress videos and expert takeaways.
ADVANCED SEARCH
Log in
Top
BMC Psychiatry
Published in: BMC Psychiatry 1/2024

Open Access 01-12-2024 | Insomnia | Research

Reliability and validity of the cancer-related dysfunctional beliefs and attitudes about sleep scale in cancer patients

Authors: Ziyun Gao, Zihan Gao, Chen Zheng, Jianing Ma, Ying Zhao, Lin Zhang, Leilei Guo

Published in: BMC Psychiatry | Issue 1/2024

Login to get access

Background

Insomnia is a common health problem among cancer patients, which is not only a physical problem but also a psychological problem. Sleep plays an important role in the mental and somatic rehabilitation of cancer patients, and the sleep beliefs and attitudes of cancer patients are key factors in improving their sleep situation and quality of life. The aim of this study was to translate the Cancer-Related Dysfunctional Beliefs and Attitudes about Sleep (C-DBAS-14) scale into Chinese and to validate its reliability and validity in cancer patients.

Method

The C-DBAS-14 scale was translated into Chinese using the backward and forward translation procedure. The reliability of the scale was measured by internal consistency, split-half reliability and retest reliability. The validity of the scale was assessed through the content validity indicators, exploratory factor analysis and validation factor analysis.

Result

The Cronbach's ɑ coefficient of the Chinese version of the C-DBAS-14 was 0.932 while the McDonald’s omega coefficient (ω t) was 0.934. The split-half reliability coefficient was 0.908, and the test-retest reliability was 0.857. The four-factor model was obtained using exploratory factor analysis, explaining 72.7% of the variance, with each item loading greater than 0.4 on the common factor. The results of the confirmatory factor analysis revealed that all indicators of model fit were within an acceptable range, indicating a well-fitting model.

Conclusion

The Chinese version of the C-DBAS-14 has good reliability and validity among cancer patients. It can be used to measure the sleep beliefs and attitudes of Chinese cancer patients.
Appendix
Available only for authorised users
Literature
1.
Wang J, Fu H, Zhong Z, Jiang Y, Pan H, Sun X, Xu W, Tang X, Zhou W, Wang S. Local and systemic therapy may be safely de-escalated in elderly breast cancer patients in China: a retrospective cohort study. Front Oncol. 2022;12:958116.PubMedPubMedCentralCrossRef
2.
Zhang H, Fu Y, Chen M, Si L. Socioeconomic inequality in health care use among cancer patients in China: Evidence from the China health and retirement longitudinal study. Front Pub Health. 2022;10:942911.CrossRef
3.
Graci G. Pathogenesis and management of cancer-related insomnia. J Support Oncol. 2005;3(5):349–59.PubMed
4.
Simpson NS, Diolombi M, Scott-Sutherland J, Yang H, Bhatt V, Gautam S, Mullington J, Haack M. Repeating patterns of sleep restriction and recovery: do we get used to it? Brain Behav Immun. 2016;58:142–51.PubMedPubMedCentralCrossRef
5.
Lv Z, Liu R, Su K, Gu Y, Fang L, Fan Y, Gao J, Ruan X, Feng X. Acupuncture ameliorates breast cancer-related fatigue by regulating the gut microbiota-gut-brain axis. Front Endocrinol (Lausanne). 2022;13:921119.PubMedCrossRef
6.
Seghers P, Kregting JA, van Huis-Tanja LH, Soubeyran P, O’Hanlon S, Rostoft S, Hamaker ME, Portielje JEA. What defines quality of life for older patients diagnosed with cancer? A qualitative study. Cancers (Basel). 2022;14(5):1123.PubMedCrossRef
7.
Wang YC, Lin CH, Huang SP, Chen M, Lee TS. Risk factors for female breast cancer: a population cohort study. Cancers (Basel). 2022;14(3):788.PubMedCrossRef
8.
Yennurajalingam S, Balachandran D, Pedraza Cardozo SL, Berg EA, Chisholm GB, Reddy A, DeLa CV, Williams JL, Bruera E. Patient-reported sleep disturbance in advanced cancer: frequency, predictors and screening performance of the Edmonton Symptom Assessment System sleep item. BMJ Support Palliat Care. 2017;7(3):274–80.PubMed
9.
Savard J, Simard S, Ivers H, Morin CM. Randomized study on the efficacy of cognitive-behavioral therapy for insomnia secondary to breast cancer, part I: Sleep and psychological effects. J Clin Oncol. 2005;23(25):6083–96.PubMedCrossRef
10.
Berger AM. Update on the state of the science: sleep-wake disturbances in adult patients with cancer. Oncol Nurs Forum. 2009;36(4):E165-177.PubMedCrossRef
11.
Dean GE, Redeker NS, Wang YJ, Rogers AE, Dickerson SS, Steinbrenner LM, Gooneratne NS. Sleep, mood, and quality of life in patients receiving treatment for lung cancer. Oncol Nurs Forum. 2013;40(5):441–51.PubMedPubMedCentralCrossRef
12.
Palesh OG, Roscoe JA, Mustian KM, Roth T, Savard J, Ancoli-Israel S, Heckler C, Purnell JQ, Janelsins MC, Morrow GR. Prevalence, demographics, and psychological associations of sleep disruption in patients with cancer: University of rochester cancer center-community clinical oncology program. J Clin Oncol. 2010;28(2):292–8.PubMedCrossRef
13.
Nishiura M, Tamura A, Nagai H, Matsushima E. Assessment of sleep disturbance in lung cancer patients: relationship between sleep disturbance and pain, fatigue, quality of life, and psychological distress. Palliat Support Care. 2015;13(3):575–81.PubMedCrossRef
14.
Collins KP, Geller DA, Antoni M, Donnell DM, Tsung A, Marsh JW, Burke L, Penedo F, Terhorst L, Kamarck TW, et al. Sleep duration is associated with survival in advanced cancer patients. Sleep Med. 2017;32:208–12.PubMedPubMedCentralCrossRef
15.
Zeitlhofer J, Schmeiser-Rieder A, Tribl G, Rosenberger A, Bolitschek J, Kapfhammer G, Saletu B, Katschnig H, Holzinger B, Popovic R, et al. Sleep and quality of life in the Austrian population. Acta Neurol Scand. 2000;102(4):249–57.PubMedCrossRef
16.
Dozeman E, Verdonck-de Leeuw IM, Savard J, van Straten A. Guided web-based intervention for insomnia targeting breast cancer patients: feasibility and effect. Internet Interv. 2017;9:1–6.PubMedPubMedCentralCrossRef
17.
Savard J, Morin CM. Insomnia in the context of cancer: a review of a neglected problem. J Clin Oncol. 2001;19(3):895–908.PubMedCrossRef
18.
Tang NK, Harvey AG. Effects of cognitive arousal and physiological arousal on sleep perception. Sleep. 2004;27(1):69–78.PubMedCrossRef
19.
Morin CM, Vallières A, Ivers H. Dysfunctional beliefs and attitudes about sleep (DBAS): validation of a brief version (DBAS-16). Sleep. 2007;30(11):1547–54.PubMedPubMedCentralCrossRef
20.
Passos GS, Tufik S, Santana MG, Poyares D, Mello MT. Nonpharmacologic treatment of chronic insomnia. Braz J Psychiatry. 2007;29(3):279–82.PubMedCrossRef
21.
Cheung JMY, Jarrin DC, Beaulieu-Bonneau S, Ivers H, Morin G, Morin CM. Patterns of concomitant prescription, over-the-counter and natural sleep aid use over a 12-month period: a population based study. Sleep. 2021;44(11):zsab141.PubMedPubMedCentralCrossRef
22.
Woodward E, Sachschal J, Beierl ET, Ehlers A. Night-time rumination in PTSD: development and validation of a brief measure. Eur J Psychotraumatol. 2019;10(1):1651476.PubMedPubMedCentralCrossRef
23.
24.
Alanazi MT, Alanazi NT, Alfadeel MA, Bugis BA. Sleep deprivation and quality of life among uterine cancer survivors: systematic review. Support Care Cancer. 2022;30(3):2891–900.PubMedCrossRef
25.
Edinger JD, Arnedt JT, Bertisch SM, Carney CE, Harrington JJ, Lichstein KL, Sateia MJ, Troxel WM, Zhou ES, Kazmi U, et al. Behavioral and psychological treatments for chronic insomnia disorder in adults: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessment. J Clin Sleep Med. 2021;17(2):263–98.PubMedPubMedCentralCrossRef
26.
Medysky ME, Temesi J, Culos-Reed SN, Millet GY. Exercise, sleep and cancer-related fatigue: Are they related? Neurophysiol Clin. 2017;47(2):111–22.PubMedCrossRef
27.
Ebede CC, Jang Y, Escalante CP. Cancer-related fatigue in cancer survivorship. Med Clin North Am. 2017;101(6):1085–97.PubMedCrossRef
28.
Miaskowski C, Lee KA. Pain, fatigue, and sleep disturbances in oncology outpatients receiving radiation therapy for bone metastasis: a pilot study. J Pain Symptom Manage. 1999;17(5):320–32.PubMedCrossRef
29.
Thakral M, Von Korff M, McCurry SM, Morin CM, Vitiello MV. Changes in dysfunctional beliefs about sleep after cognitive behavioral therapy for insomnia: a systematic literature review and meta-analysis. Sleep Med Rev. 2020;49:101230.PubMedCrossRef
30.
Xiao S, Liu S, Zhang P, Yu JAH, Wu H, Zhang F, Xiao Y, Ma N, Zhang X, et al. The association between depressive symptoms and insomnia in college students in qinghai province: the mediating effect of rumination. Front Psychiatry. 2021;12:751411.PubMedPubMedCentralCrossRef
31.
Kim H, Cho IK, Lee D, Kim K, Lee J, Cho E, Park CHK, Chung S. Effect of cancer-related dysfunctional beliefs about sleep on fear of cancer progression in the coronavirus pandemic. J Korean Med Sci. 2022;37(36):e272.PubMedPubMedCentralCrossRef
32.
Palagini L, Moretto U, Dell’Osso L, Carney C. Sleep-related cognitive processes, arousal, and emotion dysregulation in insomnia disorder: the role of insomnia-specific rumination. Sleep Med. 2017;30:97–104.PubMedCrossRef
33.
Jin L, Zhou J, Peng H, Ding S, Yuan H. Investigation on dysfunctional beliefs and attitudes about sleep in Chinese college students. Neuropsychiatr Dis Treat. 2018;14:1425–32.PubMedPubMedCentralCrossRef
34.
Morin CM, Stone J, Trinkle D, Mercer J, Remsberg S. Dysfunctional beliefs and attitudes about sleep among older adults with and without insomnia complaints. Psychol Aging. 1993;8(3):463–7.PubMedCrossRef
35.
Youn S, Kim C, Lee J, Yeo S, Suh S, Chung S. Development of dysfunctional beliefs and attitude about sleep scale for cancer patients. Behav Sleep Med. 2020;18(3):287–97.PubMedCrossRef
36.
Wolf EJ, Harrington KM, Clark SL, Miller MW. Sample size requirements for structural equation models: an evaluation of power, bias, and solution propriety. Educ Psychol Meas. 2013;76(6):913–34.PubMedCrossRef
37.
Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213.PubMedCrossRef
38.
39.
Yang Z, Chen F, Liu S, Dai M, Zhang H. Psychometric properties of the chinese version of the brief-mindful self-care scale: a translation and validation study. Front Psychol. 2021;12:715507.PubMedPubMedCentralCrossRef
40.
Zheng C, Yang Z, Kong L, Gao Z, Lu T, Zhang H. Psychometric evaluation of the Chinese version of the Elderly-Constipation Impact Scale: a translation and validation study. BMC Public Health. 2023;23(1):1345.PubMedPubMedCentralCrossRef
41.
Gao Z, Zhang L, Ma J, Sun H, Hu M, Wang M, Liu H, Guo L. Reliability and validity of the Chinese version of the self-directed learning instrument in Chinese nursing students. BMC Nurs. 2023;22(1):51.PubMedPubMedCentralCrossRef
42.
43.
Polit DF, Beck CT. The content validity index: are you sure you know what’s being reported? Critique and recommendations. Res Nurs Health. 2006;29(5):489–97.PubMedCrossRef
44.
Sharma S: Applied Multivariate Techniques: Applied multivariate techniques.
45.
Lt Hu. Bentler PM: cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model. 1999;6(1):1–55.CrossRef
46.
Schmitt TA. Current methodological considerations in exploratory and confirmatory factor analysis. SAGE Publ. 2011;4:304–21.
47.
Cronbach L: Coefficient alpha and the internal structure of tests. Psychometrika 1951(16–3).
48.
Qiu H, Cao S, Xu R. Cancer incidence, mortality, and burden in China: a time-trend analysis and comparison with the United States and United Kingdom based on the global epidemiological data released in 2020. Cancer Commun (Lond). 2021;41(10):1037–48.PubMedCrossRef
49.
Slade AN, Waters MR, Serrano NA. Long-term sleep disturbance and prescription sleep aid use among cancer survivors in the United States. Support Care Cancer. 2020;28(2):551–60.PubMedCrossRef
50.
Clevenger L, Schrepf A, Degeest K, Bender D, Goodheart M, Ahmed A, Dahmoush L, Penedo F, Lucci J 3rd, Thaker PH, et al. Sleep disturbance, distress, and quality of life in ovarian cancer patients during the first year after diagnosis. Cancer. 2013;119(17):3234–41.PubMedCrossRef
51.
Lagergren P, Johar A, Rosenlund H, Arnberg L, Haglund L, Ness-Jensen E, Schandl A. Severe reflux, sleep disturbances, and health-related quality of life after esophageal cancer surgery. J Cancer Surviv. 2021;15(6):818–24.PubMedPubMedCentralCrossRef
52.
Mullington JM, Haack M, Toth M, Serrador JM, Meier-Ewert HK. Cardiovascular, inflammatory, and metabolic consequences of sleep deprivation. Prog Cardiovasc Dis. 2009;51(4):294–302.PubMedPubMedCentralCrossRef
53.
Kamdar BB, Needham DM, Collop NA. Sleep deprivation in critical illness: its role in physical and psychological recovery. J Intensive Care Med. 2012;27(2):97–111.PubMedCrossRef
54.
Stone KL, Ensrud KE, Ancoli-Israel S. Sleep, insomnia and falls in elderly patients. Sleep Med. 2008;9(Suppl 1):S18-22.PubMedCrossRef
55.
56.
57.
Hayton JC, Allen DG, Scarpello V. Factor retention decisions in exploratory factor analysis: a tutorial on parallel analysis. Organ Res Methods. 2016;7(2):191–205.CrossRef
Metadata
Title
Reliability and validity of the cancer-related dysfunctional beliefs and attitudes about sleep scale in cancer patients
Authors
Ziyun Gao
Zihan Gao
Chen Zheng
Jianing Ma
Ying Zhao
Lin Zhang
Leilei Guo
Publication date
01-12-2024
Publisher
BioMed Central
Keyword
Insomnia
Published in
BMC Psychiatry / Issue 1/2024
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-024-05580-y

Other articles of this Issue 1/2024

BMC Psychiatry 1/2024 Go to the issue

Research

Prevalence of symptoms of anxiety and depression one year after intensive care unit admission for COVID-19

Research

Effectiveness of substance use disorder treatment as an alternative to imprisonment

Research

Potential of niacin skin flush response in adolescent depression identification and severity assessment: a case-control study

Research

Immune dysregulation is associated with symptom dimensions and cognitive deficits in schizophrenia: accessible evidence from complete blood count

Research

The effect of drug holidays on sexual dysfunction in men treated with selective serotonin reuptake inhibitors (SSRIs) other than fluoxetine: an 8-week open-label randomized clinical trial

Research

Systemic therapy in children and adolescents with mental disorders: a systematic review and meta-analysis