Trial reportAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2022
Change in Dysfunctional Sleep-Related Beliefs is Associated with Changes in Sleep and Other Health Outcomes Among Older Veterans With Insomnia: Findings From a Randomized Controlled Trial.
Trial report in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00781963 (Implementing Sleep Interventions for Older Veterans), which is not on this map. Cited by 14 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Implementing Sleep Interventions for Older Veterans
Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- What you believe is what you get? A systematic review examining how beliefs and attitudes about sleep are associated with sleep duration in non-clinical samples.Sleep medicine reviews · 2025Pooled it
- Challenging beliefs for quality sleep: A systematic review of maladaptive sleep beliefs and treatment outcomes following cognitive behavioral therapy for insomnia.Sleep medicine reviews · 2023Pooled it
- The Effectiveness of Cognitive Behavioural Therapy for Insomnia: Impact of Comorbidities and Dysfunctional Beliefs on Insomnia Severity in a Real-World Clinical Setting.Journal of sleep research · 2026Article
- Cross-modal conditional associations between psychometric and polysomnographic indicators in sleep center patients: a Gaussian graphical model.Frontiers in psychiatry · 2026Article
- Dysfunctional sleep beliefs and sleep quality among Chinese university students: the mediating roles of depression, anxiety, and stress.BMC psychology · 2025Article
- Targeted dream incubation and dream self-efficacy.Sleep advances : a journal of the Sleep Research Society · 2025Article
- Comorbidity Network of Self-Stigma, Insomnia, and Mental Health in Chronic Disease Patients: A Network Analysis.Psychology research and behavior management · 2025Article
- The relationships between physical function, nutrition, cognitive function, depression, and sleep quality for facility-dwelling older adults with dynapenia.BMC geriatrics · 2023Article
- Group-delivered cognitive behavioural therapy versus waiting list in the treatment of insomnia in primary care: study protocol for a pragmatic, multicentre randomized controlled trial.BMC primary care · 2023Article
- Subjective versus objective sleep outcomes in older adults with and without uncoupled sleep following online cognitive behavioural therapy for insomnia.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2023Article
- Marital status and living apart affect sleep quality in male military personnel: a study of the China's Navy during COVID-19.Frontiers in psychiatry · 2023Article
- Pain-related beliefs about sleep as a predictor of insomnia symptoms and treatment acceptability.Sleep medicine · 2022Article
- Multi-Scale Permutation Entropy: A Potential Measure for the Impact of Sleep Medication on Brain Dynamics of Patients with Insomnia.Entropy (Basel, Switzerland) · 2021Article
- Race as a Potential Moderator of the Association between Dysfunctional Beliefs about Sleep and Global Sleep Health.Behavioral sleep medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundCognitive behavioral therapy for insomnia (CBTI) targets changing dysfunctional sleep-related beliefs. The impact of these changes on daytime functioning in older adults is unknown. PURPOSE: We examined whether changes in sleep-related beliefs from pre- to post-CBTI predicted changes in sleep and other outcomes in older adults.
methodData included 144 older veterans with insomnia from a randomized controlled trial testing CBTI. Sleep-related beliefs were assessed with the Dysfunctional Beliefs and Attitudes about Sleep-16 (DBAS-16, subscales: Consequences, Worry/Helplessness, Sleep Expectations, Medication). Outcomes included sleep diary variables, actigraphy-measured sleep efficiency, Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), Epworth Sleepiness Scale (ESS), Flinders Fatigue Scale (FFS), Patient Health Questionnaire-9, and health-related quality of life. Analyses compared slope of change in DBAS subscales from baseline to posttreatment between CBTI and control, and assessed the relationship between DBAS change and the slope of change in outcomes from baseline to 6 months.
resultsCompared to controls, the CBTI group demonstrated stronger associations between improvement in DBAS-Consequences and subsequent improvement in PSQI, ISI, ESS, and FFS. The CBTI group also demonstrated stronger associations between improvement in DBAS-Worry/Helplessness and subsequent improvements in PSQI, ISI, and FFS; improvements in DBAS-Medication and PSQI; and improvements in DBAS-Sleep Expectations and wake after sleep onset (sleep diary) and FFS (all p < .05).
conclusionsSignificant reduction in dysfunctional sleep-related beliefs following CBTI in older adults predicted improvement in several outcomes of sleep and daytime functioning. This suggests the importance of addressing sleep-related beliefs for sustained improvement with CBTI in older veterans.
trial registrationClinicalTrials.gov Identifier: NCT00781963.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.