Authors:

Lillian A. Borbas

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About Paper:

Dysfunctional beliefs and attitudes about sleep (DBAS) contribute to sleep disturbance. African American pregnant women (AAPW) experience disproportionate sleep disturbances and pregnancy complications, yet the role of maladaptive sleep beliefs in this population remains underexplored. This study examined whether DBAS predicts global sleep quality. Baseline data from 108 AAPW enrolled in the BETTER lifestyle counseling study (NCT05234125) were analyzed. Global sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), with higher scores indicating poorer sleep. Dysfunctional sleep beliefs were measured using the DBAS-28 total score (score 0-100). Linear regression evaluated whether DBAS predicted PSQI scores, adjusting for age, body mass index (BMI), education, and income. Robust HC3 standard errors accounted for heteroskedasticity. Participants had a mean age of 28.8 years (SD = 5.59) and mean BMI of 33.2 kg/m? (SD = 5.79). Higher DBAS scores were significantly associated with poorer sleep quality (8 = 0.12 per DBAS point, 95% Cl: 0.08-0.16, p < 0.001). Age, BMI, education, and income were not significant predictors. The model explained 39% of the variance in PSQI scores (R? = 0.39, F(12,95) = 4.03, p < 0.001). Maladaptive sleep beliefs are a strong, independent predictor of poorer sleep quality among African American pregnant women. These findings highlight maladaptive beliefs and attitudes about sleep as a potential target for culturally tailored cognitive-behavioral sleep interventions during pregnancy. OWOSSO OOS SOE ECR ESC SOHOSESS OOOOH OOST SOHC OOOO ECOOSOCCO O©FDDDOH SO HOHDFDDFIFIIFIDOHDIDDFHDIVDIIDHDDIDHHIIISIDDD

Source:

University of Illinois Chicago

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Co-authors:

Lillian A. Borbas