Li Yuhang, Duan Xiaorong, Han Le, Liu Ning, Han Xueyang, Su Mingzhu, Yang Tao, He Sha, Liu Rui, Gao Xinyu, Xie Yutong, Jiang Jie, Yang Laiqi, Xie Bin, Zou Xue
Department of Adolescent Mental Health, Xi'an International Medical Center, Xi'an, China.
Bio-X Research Institute, Shanghai Jiao Tong University, Shanghai, China.
Front Psychiatry. 2025 Jan 20;15:1408037. doi: 10.3389/fpsyt.2024.1408037. eCollection 2024.
Nightmares and depression are prevalent issues among adolescents. This study explores the relationship between nightmares and depression, focusing on the mediating role of anxiety and the moderating effect of age.
A total of 210 adolescents aged 13 to 24 were surveyed using the Nightmare Distress Questionnaire (NDQ-CV), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS). They also underwent niacin skin flushing response (NSFR) testing to explore physiological correlations. A moderated mediation model was applied to assess the relationships between nightmares, anxiety, and depression. Spearman correlation analysis was used to analyze the relationship between nightmares and NSFR.
Nightmares did not directly lead to depression, but anxiety served as a full mediator in this relationship. Age had no significant moderating effect. Additionally, a significant negative correlation between nightmares and NSFR was observed.
Nightmares contribute to anxiety, which can lead to depression in adolescents, suggesting that clinicians can identify and intervene with nightmares in adolescents to minimize the onset of psychological disorders. The study also highlights a possible connection between nightmares and NSFR, suggesting further research is needed to understand the physiological mechanisms.
噩梦和抑郁是青少年中普遍存在的问题。本研究探讨噩梦与抑郁之间的关系，重点关注焦虑的中介作用和年龄的调节作用。
使用噩梦困扰问卷（NDQ-CV）、自评焦虑量表（SAS）和自评抑郁量表（SDS）对210名年龄在13至24岁之间的青少年进行了调查。他们还接受了烟酸皮肤潮红反应（NSFR）测试，以探索生理相关性。应用调节中介模型来评估噩梦、焦虑和抑郁之间的关系。采用Spearman相关分析来分析噩梦与NSFR之间的关系。
噩梦并不直接导致抑郁，但焦虑在这种关系中起到了完全中介作用。年龄没有显著的调节作用。此外，观察到噩梦与NSFR之间存在显著的负相关。
噩梦会导致焦虑，进而可能导致青少年抑郁，这表明临床医生可以识别并干预青少年的噩梦，以尽量减少心理障碍的发生。该研究还强调了噩梦与NSFR之间可能存在的联系，表明需要进一步研究以了解其生理机制。
