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August 3, 2026Behavioral Sleep Medicine3 citationsOpen Access

The Network of Dysfunctional Beliefs About Sleep: A Structural Re-Analysis of the DBAS-16

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MCMarwin CarmoCMCharles M. MorinRHRosa Hasan

Key Points

  • This study aims to evaluate the psychometric properties of the DBAS-16 in a Brazilian-Portuguese population and explore its dimensional structure.
  • Developed a Brazilian-Portuguese version of the DBAS-16
  • Conducted Confirmatory Factor Analysis (CFA) on a sample of 1,386 participants
  • Performed Exploratory Graph Analysis (EGA) to identify underlying dimensions.
  • Replication of the original DBAS-16 structure with moderate fit quality in CFA.
  • Identification of two stable dimensions through EGA, suggesting alternative DBAS dimensionality.
  • Exclusion of three redundant items, enhancing the scale's clarity.

Abstract

Insomnia is a common problem that affects a significant portion of the population. Dysfunctional beliefs and attitudes about sleep have been identified as important factors contributing to developing and maintaining insomnia. In this study, we developed a Brazilian-Portuguese version of the dysfunctional beliefs and attitudes about sleep scale (DBAS-16) and conducted a comprehensive psychometric evaluation using latent variable and psychometric network frameworks. Participants (N = 1,386) were between 18 and 59 years old, with and without insomnia complaints. Using Confirmatory Factor Analysis (CFA) with dynamic fit indices, we found that the original DBAS-16 structure was replicated in our sample with moderate fit quality. We also found support for configural, metric, and scalar longitudinal invariance (14 days) but not for metric invariance across groups of good and bad sleepers. Unique Variable Analysis applied to half of our sample data (n = 693) identified three redundant items suitable for exclusion (1. Need 8 hours of sleep, 3. Consequences of insomnia on health, and 15. Medication as a solution). Additionally, Exploratory Graph Analysis (EGA) identified two dimensions with excellent structural stability, replicated when EGA was applied to the other half of the sample. Using CFA, we found that the EGA model fit significantly better than the proposed theoretical model, endorsing an alternative DBAS dimensionality. Our findings support the use of the DBAS-16 with a Brazilian-Portuguese-speaking population. Further, we found that after excluding locally dependent variables, two dimensions may better represent dysfunctional beliefs and attitudes about sleep.

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Cite This Study

Carmo et al. (2026) studied this question.

synapsesocial.com/papers/6a703fe175942ff7265e4844https://doi.org/10.1080/15402002.2026.2711286
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