Department of Cognitive Science, Faculty of Natural Sciences, Budapest University of Technology and Economics, Hungary.
Department of Cognitive Science, Faculty of Natural Sciences, Budapest University of Technology and Economics, Hungary; Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.
Schizophr Res. 2022 Aug;246:17-25. doi: 10.1016/j.schres.2022.05.020. Epub 2022 Jun 10.
Symptoms of insomnia and frequent nightmares are prevalent in psychotic disorders, and are associated with psychotic-like experiences (PLEs) in the non-clinical population. Whereas the role of impaired sleep in psychosis was extensively examined by longitudinal and interventional approaches, studies on the association between psychosis and dream quality are scarce, and mainly cross-sectional. We conducted a three-week long prospective study in a group of healthy adults (N = 55), assessed schizotypal traits, daily PLEs, and the emotional quality of dreams recalled in the morning (N = 490). We extracted the latent factors of schizotypal traits and dream emotions, and examined the predictive value of trait-and state-like variables on day-to-day reports of PLEs and dream quality. PLEs reported in the evening predicted emotionally more negative and salient dream reports the following morning. On the other hand, the quality of dreams were not predictive of PLEs reported later during the day. Schizotypal personality traits were differentially associated with dream quality: Introvertive Anhedonia, Cognitive Disorganization, and General-Disorganized schizotypy were linked to more negative dream valence, whereas Unusual Experiences were associated with more salient dreams. Our findings highlight the relevance of the multidimensional nature of schizotypal traits, the role of different facets of schizotypy in daytime and nocturnal mental experiences, and the day-to-day associations between PLEs and dream affect. GENERAL SCIENTIFIC SUMMARIES (GSS): The aim of the study was to examine the temporal associations between psychotic-like experiences and dream emotions, taking into account the trait factors of schizotypy. Psychotic-like experiences during the evening hours predicted reporting more negative and salient dreams the following morning, and schizotypal personality traits were differentially associated with the dimensions of dream emotions.
失眠和频繁做噩梦是精神病性障碍的常见症状,并且与非临床人群中的类精神病体验(PLE)有关。虽然睡眠障碍在精神病中的作用已经通过纵向和干预方法得到了广泛的研究,但关于精神病与梦境质量之间关联的研究很少,而且主要是横断面研究。我们在一组健康成年人中进行了为期三周的前瞻性研究(N=55),评估了精神分裂症特质、每日 PLE 和早晨回忆的梦境的情绪质量(N=490)。我们提取了精神分裂症特质和梦境情绪的潜在因素,并检查了特质和状态变量对每日 PLE 和梦境质量报告的预测价值。晚上报告的 PLE 预测了第二天早晨情绪更消极和明显的梦境报告。另一方面,梦境质量并不能预测当天晚些时候报告的 PLE。精神分裂症人格特质与梦境质量有不同的关联:内向快感缺失、认知紊乱和一般紊乱型精神分裂症与更消极的梦境效价有关,而异常体验与更明显的梦境有关。我们的研究结果强调了精神分裂症特质多维性质的相关性、不同方面的精神分裂症在日间和夜间心理体验中的作用,以及 PLE 和梦境情感之间的日常关联。