Sleep

Psychometric Properties of an Arabic Translation of the Dysfunctional Beliefs and Attitudes About Sleep Scale (DBAS-16) in a Sample of University Students.

TL;DR

The Arabic translation of the DBAS-16 demonstrated a factor structure similar to the original scale, with acceptable internal consistency, reliability, and measurement invariance across genders, suggesting it may be useful in both research and clinical settings for assessing dysfunctional sleep beliefs in Arabic-speaking populations.

Key Findings

The Arabic DBAS-16 demonstrated acceptable internal consistency and composite reliability across its subscales.

  • Composite reliability was assessed using McDonald's omega and Cronbach's alpha, with values greater than 0.70 reflecting adequate composite reliability
  • The sample consisted of 670 university students with a mean age of 20.38 ± 1.97 years
  • 59.1% of participants were female
  • The study used a cross-sectional design

Both the four-factor and second-order structural models of the Arabic DBAS-16 demonstrated acceptable model fit.

  • The four-factor model replicates the structure of the original English DBAS-16
  • A second-order model was also tested and showed acceptable fit
  • The factor structure of the Arabic translation was found to be similar to the original scale
  • These findings were derived from confirmatory factor analysis conducted on the 670-student sample

Measurement invariance of the Arabic DBAS-16 was supported at all levels across genders.

  • Measurement invariance was tested and confirmed across male and female participants
  • No significant difference in DBAS-16 total scores was found between males and females
  • Invariance was supported at all levels, indicating the scale measures the same construct equivalently across genders

Higher Arabic DBAS-16 total scores were significantly, albeit modestly, associated with higher psychological distress, providing evidence of concurrent validity.

  • Concurrent validity was examined via correlations with psychological distress measured by the PHQ-4
  • The association between DBAS-16 scores and PHQ-4 scores was described as significant but modest
  • The PHQ-4 (Patient Health Questionnaire-4) was used as the external criterion measure for concurrent validity

The translation process involved careful balancing of literal and cultural distinctions to ensure semantic equivalency between the original English and Arabic versions.

  • The translation team made sure to carefully balance the literal and cultural distinctions between the two languages
  • The original and translated English versions were thoroughly compared to identify and correct any discrepancies
  • The scale was adapted for use specifically in an Arab cultural context
  • The study notes a paucity of validated and culturally appropriate sleep assessment instruments in Arab environments

What This Means

This research suggests that an Arabic version of a well-known sleep beliefs questionnaire called the Dysfunctional Beliefs and Attitudes About Sleep Scale (DBAS-16) can be reliably used to measure unhelpful thoughts and attitudes about sleep in Arabic-speaking populations. The study tested this translated questionnaire on 670 university students in an Arab country, examining whether it was consistent, accurate, and worked equally well for both male and female students. The researchers found that the Arabic version maintained the same structure as the original English scale and showed adequate reliability, suggesting it captures the same concepts it was designed to measure. The study also found that students who held more dysfunctional beliefs about sleep tended to report higher levels of psychological distress, which supports the idea that the scale is measuring something real and clinically meaningful. Importantly, the scale performed equally well for male and female students, meaning results can be fairly compared across genders. This is significant because previously there were very few validated tools available to researchers and clinicians working in Arabic-speaking contexts to assess sleep-related beliefs. This research matters because dysfunctional beliefs about sleep — such as catastrophizing about poor sleep or holding unrealistic expectations — are known to play a role in the development and persistence of insomnia and other sleep problems. Having a validated Arabic tool means that clinicians and researchers in Arab-speaking regions can now more accurately identify and study these beliefs, potentially improving access to evidence-based treatments like Cognitive Behavioral Therapy for Insomnia (CBT-I) in these populations. The findings are based on university students, so further research would be needed to confirm the scale's usefulness in other age groups and clinical settings.

Check Your Own Numbers

Upload your bloodwork. We'll cross-reference your results against this study and 4,700 others.

Upload Your Labs

Have a question about this study?

Citation

Eweida R, Abou Tayeh S, Fekih-Romdhane F, Obeid S, Hamed A, Sorour D, et al.. (2026). Psychometric Properties of an Arabic Translation of the Dysfunctional Beliefs and Attitudes About Sleep Scale (DBAS-16) in a Sample of University Students.. International journal of methods in psychiatric research. https://doi.org/10.1002/mpr.70103