Schönthaler Elena M D, Dalkner Nina, von Lewinski Dirk, Reininghaus Eva Z, Baranyi Andreas
Clinical Department of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria.
Clinical Department of Cardiology, Medical University of Graz, Graz, Austria.
Front Psychol. 2023 Sep 14;14:1248931. doi: 10.3389/fpsyg.2023.1248931. eCollection 2023.
Deteriorated sleep quality is a predisposing factor and symptom of affective disorders (AD). It is important to investigate factors driving the relationship between sleep and AD, such as personality traits. Previous research has shown that personality traits such as the Dark Triad personality traits (DT) narcissism, Machiavellianism, and psychopathy are associated with sleep problems and AD. The current study examined the moderating influence of the DT in the relationship between AD [versus healthy controls (HC)] and sleep quality.
Data of 657 individuals (267 HC, 390 AD; 483 female, 166 male, eight diverse; = 34.87, = 13.86) were collected in an online survey, which administered the Pittsburgh Sleep Quality Index and the Short Dark Triad questionnaire.
Moderation analyses controlling for age and gender revealed that Machiavellianism ( = -0.76, < 0.05, = 0.35) and psychopathy ( = -1.15, < 0.05, = 0.35), but not narcissism ( = -0.20, = 0.620, = 0.35), had a negative effect on sleep quality. Specifically, this effect is more pronounced in the HC group, but sleep quality is generally worse in AD.
Our findings indicate that Machiavellianism and psychopathy should be considered in the prevention and treatment of AD-associated sleep problems. Particularly, monitoring these traits could help to implement timely measures for the prevention of sleep problems, such as psychoeducation and sleep hygiene. The results highlight the role of personality in the aetiopathogenesis of AD and require further differentiation to examine the underlying pathways between the DT, sleep, and AD.
睡眠质量下降是情感障碍(AD)的一个诱发因素和症状。研究影响睡眠与AD之间关系的因素,如人格特质,很重要。先前的研究表明,黑暗三性格特质(DT),即自恋、马基雅维利主义和精神病态等人格特质与睡眠问题及AD有关。本研究考察了DT在AD(与健康对照[HC]相比)和睡眠质量关系中的调节作用。
通过在线调查收集了657名个体(267名HC,390名AD;483名女性,166名男性,8名其他;平均年龄=34.87岁,标准差=13.86)的数据,调查中使用了匹兹堡睡眠质量指数和简短黑暗三性格问卷。
控制年龄和性别的调节分析显示,马基雅维利主义(β=-0.76,p<0.05,R²=0.35)和精神病态(β=-1.15,p<0.05,R²=0.35),而非自恋(β=-0.20,p=0.620,R²=0.35),对睡眠质量有负面影响。具体而言,这种影响在HC组中更明显,但AD组的睡眠质量总体上更差。
我们的研究结果表明,在预防和治疗与AD相关的睡眠问题时应考虑马基雅维利主义和精神病态。特别是,监测这些特质有助于及时采取预防睡眠问题的措施,如心理教育和睡眠卫生。结果突出了人格在AD病因发病机制中的作用,需要进一步区分以研究DT、睡眠和AD之间的潜在途径。