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神经质通过沉思影响噩梦困扰。

Neuroticism affects nightmare distress through rumination.

作者信息

Wang Xiang, Soondrum Tamini, Dai Lisha

机构信息

Medical Psychological Center, the Second Xiangya Hospital of Central South University, Changsha, China.

Department of Psychiatry, Faculty of Medicine and Health Sciences, McGill University, Montréal, Canada.

出版信息

Sleep Breath. 2024 Dec;28(6):2629-2637. doi: 10.1007/s11325-024-03135-9. Epub 2024 Aug 16.

Abstract

BACKGROUND/AIMS: The role of neuroticism in predicting nightmare distress have been highlighted, and negative coping style may contribute to this relationship, but how these variables interact is limited. The present study aimed to explore how neuroticism and ruminative response contribute to producing nightmare distress, and to explore whether sex influences this relationship.

METHODS

We recruited 758 university students, aged an average of 19.07. A moderated mediation model was built to examine the relationships among neuroticism, rumination, and nightmare distress (measured by dream anxiety scale), and explore whether sex could affect this relationship, using the SPSS PROCESS 3.5 macro.

RESULTS

The moderated mediation analyses results showed that ruminative response-depression related can significantly partially mediate the relationship between neuroticism and dream anxiety (β = 0.32), dream anxiety-sleep-related disturbances (β = 0.11) and dream anxiety-daytime dysfunctions (β = 0.21). However, the moderating effects of sex were not significant in all path from neuroticism to dream anxiety.

CONCLUSION

The study provides a novel architecture on the underlying psychological mechanisms of neuroticism and nightmare distress. This interplay is assumed to be facilitated by ruminations, suggesting that interventions for individuals who suffer from nightmares may focus on their repetitive negative response strategies, especially in people with high neuroticism, irrespective of sex differences.

摘要

背景/目的:神经质在预测噩梦困扰方面的作用已得到强调,消极应对方式可能促成这种关系,但这些变量如何相互作用的研究有限。本研究旨在探讨神经质和反刍反应如何导致噩梦困扰,并探讨性别是否会影响这种关系。

方法

我们招募了758名平均年龄为19.07岁的大学生。使用SPSS PROCESS 3.5宏构建一个有调节的中介模型,以检验神经质、反刍和噩梦困扰(通过梦焦虑量表测量)之间的关系,并探讨性别是否会影响这种关系。

结果

有调节的中介分析结果表明,与反刍反应相关的抑郁能显著部分中介神经质与梦焦虑(β = 0.32)、梦焦虑与睡眠相关干扰(β = 0.11)以及梦焦虑与日间功能障碍(β = 0.21)之间的关系。然而,在从神经质到梦焦虑的所有路径中,性别的调节作用均不显著。

结论

本研究为神经质与噩梦困扰的潜在心理机制提供了一种新的架构。这种相互作用被认为是由反刍促成的,这表明针对患有噩梦的个体的干预措施可能应侧重于他们重复的消极反应策略,尤其是对于神经质水平高的人,而不考虑性别差异。

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