Chen Xingyu, Xu Bingna, Wang Dongfang
School of Public Administration, South China University of Technology, Guangzhou, China.
School of Marxism, Zhejiang University, Hangzhou, China.
Early Interv Psychiatry. 2025 Jan;19(1):e13634. doi: 10.1111/eip.13634. Epub 2024 Dec 9.
Nightmares may lead to psychotic-like experiences (PLEs). The present study aimed to examine the potential moderating and mediating effects of mental health literacy (MHL) on the association between nightmare distress (ND) and PLEs among Chinese college students.
A total of 4000 college students who have had nightmares in the past year were assessed using the Chinese version of the nightmare distress questionnaire (NDQ-CV), mental health knowledge questionnaire (MHKQ), 15-item positive subscale of the community assessment of psychic experiences (CAPE-P15), 2-item insomnia questionnaire, 2-item patient health questionnaire (PHQ-2), and a self-compiled sample characteristics questionnaire.
Greater ND and lower MHL were associated with an elevated risk of PLEs among college students when adjusting for sample characteristics, insomnia and depressive symptoms. Moderation analysis indicated that MHL buffers the association between ND and PLEs, such that a higher level of MHL attenuates the positive effect of ND on PLEs to a greater extent.
These findings strongly stressed the urgent need for early intervention in college students with ND. Strategies should prioritise treating ND and enhancing MHL, as these may be effective approaches to preventing and reducing PLEs.
噩梦可能导致类精神病体验（PLEs）。本研究旨在探讨心理健康素养（MHL）对中国大学生噩梦困扰（ND）与PLEs之间关联的潜在调节和中介作用。
使用中文版噩梦困扰问卷（NDQ-CV）、心理健康知识问卷（MHKQ）、精神体验社区评估15项阳性分量表（CAPE-P15）、2项失眠问卷、2项患者健康问卷（PHQ-2）以及自编的样本特征问卷，对过去一年中有过噩梦的4000名大学生进行评估。
在调整样本特征、失眠和抑郁症状后，ND程度越高且MHL越低，大学生出现PLEs的风险越高。调节分析表明，MHL缓冲了ND与PLEs之间的关联，即较高水平的MHL在更大程度上减弱了ND对PLEs的正向影响。
这些发现强烈强调了对有ND的大学生进行早期干预的迫切需求。策略应优先治疗ND并提高MHL，因为这些可能是预防和减少PLEs的有效方法。
