Yokuşoğlu Çağdaş, Atasoy Mücahit, Tekeli Nurgül, Ural Ahmet, Ulus Çağla, Taylan Yunus, Aydin Gülser, Gültekin Gözde, Emül Murat
Department of Psychiatry, İstanbul University İstanbul School of Medicine, İstanbul, Turkey.
Department of Psychiatry, İstanbul University Cerrahpaşa School of Medicine, İstanbul, Turkey.
Noro Psikiyatr Ars. 2017 Sep;54(3):255-259. doi: 10.5152/npa.2017.12606. Epub 2016 Sep 1.
The aim of this study was to examine the level of lucidity and its relation with metacognitive beliefs and dream anxiety in medical students.
Nine hundred sixteen medical students were enrolled in the study. The participants were assessed with the Lucidity and Consciousness in Dreams Scale (LuCiD), the Metacognition Questionnaire-30 (MCQ-30), and the Van Dream Anxiety Scale (VDAS).
There was no significant difference in mean total lucidity score between females and males, but there were some significant sex differences in subscales of lucidity, and control was significantly higher in male students, while realism, thought, and dissociation were significantly higher in female students. In addition, females had more dream anxiety levels, higher total MCQ-30 scores, and higher cognitive confidence and uncontrollability scores according to Metacognition Questionnaire-30 than males. We also found that the mean lucidity level was positively correlated with the mean total metacognition score and the mean total dream anxiety level.
Our results suggest that female medical students tend to have more realistic dreams (p=0.018), have more logical thoughts during dreaming (p=0.011), and have a more dissociative experience during dreaming (p=0.028), while male medical students have more controlled dream events (p=0.002). There seem to be differences according to lucidity features between sexes, and the relationship between subdomains of lucidity and metacognition might lead to new therapeutic approaches to several psychiatric disorders such as anxiety disorders.
本研究旨在探讨医学生的清醒程度及其与元认知信念和梦焦虑的关系。
916名医学生参与了本研究。参与者通过梦的清醒与意识量表（LuCiD）、元认知问卷-30（MCQ-30）和范氏梦焦虑量表（VDAS）进行评估。
男女之间的平均总清醒得分无显著差异，但在清醒度的子量表上存在一些显著的性别差异，男生的控制感显著更高，而女生的现实感、思维和分离感显著更高。此外，根据元认知问卷-30，女性的梦焦虑水平更高，MCQ-30总得分更高，认知信心和不可控性得分也更高。我们还发现平均清醒水平与平均总元认知得分和平均总梦焦虑水平呈正相关。
我们的结果表明，女医学生往往有更现实的梦（p=0.018），在做梦时有更多逻辑思维（p=0.011），且在做梦时有更解离的体验（p=0.028），而男医学生有更多可控的梦境事件（p=0.002）。根据清醒特征，男女之间似乎存在差异，清醒度子领域与元认知之间的关系可能会为焦虑症等几种精神疾病带来新的治疗方法。
