Hennig Timo, Lincoln Tania M
Faculty of Psychology and Human Movement Science, Clinical Psychology and Psychotherapy, Institute of Psychology, Universität Hamburg, Von-Melle-Park 5, 20146, Hamburg, Germany.
Child Psychiatry Hum Dev. 2018 Feb;49(1):63-72. doi: 10.1007/s10578-017-0729-9.
Paranoid symptoms co-occur with distress and poor functioning and constitute a risk for psychosis and other mental disorders. Poor sleep is known to be associated with paranoid symptoms, but the direction of the effect and the mediating factors have not been studied thoroughly. In an experience-sampling study, 61 adolescents wore an actigraph over eight nights and also rated their sleep, symptoms of paranoia, and potentially mediating factors. Shorter sleep time and more dreaming predicted paranoid symptoms in multilevel regression models. Paranoid symptoms did not significantly predict sleep parameters. Positive and negative affect partially mediated the effect of sleep time on paranoid symptoms. The effects were small, but encourage further research that might then be used to improve the prevention of paranoid symptoms.
偏执症状与痛苦和功能不良同时出现，并构成患精神病和其他精神障碍的风险。众所周知，睡眠质量差与偏执症状有关，但这种影响的方向和中介因素尚未得到充分研究。在一项经验抽样研究中，61名青少年在八个晚上佩戴了活动记录仪，并对他们的睡眠、偏执症状和潜在的中介因素进行了评分。在多层次回归模型中，睡眠时间较短和多梦预示着偏执症状。偏执症状并未显著预测睡眠参数。积极和消极情绪部分介导了睡眠时间对偏执症状的影响。这些影响虽小，但鼓励进一步研究，这些研究随后可能用于改善偏执症状的预防。
