Persecutory ideation and insomnia: findings from the second British National Survey of Psychiatric Morbidity.
Persecutory ideation and insomnia: findings from the second British National Survey of Psychiatric Morbidity.
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DOI：
10.1016/j.jpsychires.2010.03.018
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发表时间：
2010-11
影响因子：
4.8
通讯作者：
Bebbington P
中科院分区：
文献类型：
--
作者：
Freeman D;Brugha T;Meltzer H;Jenkins R;Stahl D;Bebbington P
失眠会导致偏执恐惧的形成和维持，这在临床和理论上都是合理的。该研究的主要目的是在大样本中确定失眠和偏执狂之间的关联是否比偶然更紧密。关于偏执、失眠、焦虑、忧虑、抑郁、易怒和大麻使用的横断面数据来自第二次英国国家精神疾病发病率调查，这是对居住在英国 16-74 岁成年人的一般人口调查（N = 8580）。研究发现，失眠与偏执思维增加大约两到三倍有关。偏执和失眠都与焦虑、担心、抑郁、烦躁和吸食大麻密切相关。在路径分析中，偏执狂和失眠的关联部分可以通过情感症状来解释，在较小程度上可以通过大麻的使用来解释。研究结果与对被害妄想的认知理解的最新发展是一致的，其中失眠、负面情绪和物质使用被认为是关键因素。现在需要对失眠和偏执进行纵向研究，并测试睡眠干预对偏执水平的影响，以检查因果关系。
It is clinically and theoretically plausible that insomnia contributes to the development and maintenance of paranoid fears. The primary aim of the study was to establish in a large sample whether insomnia and paranoia are associated more strongly than by chance. Cross-sectional data on paranoia, insomnia, anxiety, worry, depression, irritability, and cannabis use were obtained from the second British National Survey of Psychiatric Morbidity, a general population survey of adults aged 16–74 years living in Great Britain (N = 8580). It was found that insomnia was associated with an approximately two to threefold increase in paranoid thinking. Paranoia and insomnia were both strongly associated with the presence of anxiety, worry, depression, irritability and cannabis use. In a path analysis the association of paranoia and insomnia was partially explained by the affective symptoms, and, to a much lesser degree, cannabis use. The results are consistent with recent developments in the cognitive understanding of persecutory delusions, in which insomnia, negative affect, and substance use are identified as key factors. Longitudinal studies of insomnia and paranoia, and tests of the effects of sleep interventions on levels of paranoia, are now required to examine causality.
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