Sleep quality moderates the association between psychotic-like experiences and suicidal ideation among help-seeking university students.
Sleep quality moderates the association between psychotic-like experiences and suicidal ideation among help-seeking university students.
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DOI：
10.1016/j.psychres.2020.113668
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发表时间：
2021-03
影响因子：
11.3
通讯作者：
Schiffman J
中科院分区：
文献类型：
--
作者：
Thompson EC;Jay SY;Andorko ND;Millman ZB;Rouhakhtar PR;Sagun K;Han SC;Herman B;Schiffman J
自杀是年轻人死亡的主要原因，而大学生的自杀风险明显很高。精神病样经历（PLE）和睡眠困难在大学生中普遍存在，并且与自杀意念（SI）的增加有关。这项横断面研究以大学咨询中心的 442 名学生为样本，考察了 PLE 和 SI 之间的关系（以睡眠质量为调节因素）。行为健康测量 43 (BHM-43) 用于评估心理健康症状，包括睡眠质量和 SI。 PRIME Screen-Revised 用于测量 PLE。回归结果表明，较高的 PRIME 分数在统计上预示着较高的 SI。 PRIME 和睡眠质量在预测 SI 方面存在显着的交互作用。在睡眠困难较严重的个体中，PLE 与 SI 呈显着正相关。在较低水平的睡眠困难（即更好的睡眠质量）下，PRIME 并不是 SI 的显着预测因子。当控制年龄和 BHM-43 抑郁症和双相情感障碍分量表时，这种交互作用仍然显着。研究结果表明，对于 PLE 患者来说，睡眠困难可能与 SI 增加有关，而更好的睡眠可能具有保护作用。需要进一步研究探索针对 PLE 和/或睡眠的治疗方法，以降低大学生的自杀风险。
Suicide is a leading cause of death for young adults, and college-enrolled students are at markedly high risk for suicide. Psychotic-like experiences (PLEs) and sleep difficulties are prevalent among college students and have been linked to increased suicidal ideation (SI). This cross-sectional study examined the relation between PLEs and SI, moderated by sleep quality, in a sample of 442 students at a university counseling center. The Behavioral Health Measure-43 (BHM-43) was used to evaluate mental health symptoms, including sleep quality and SI. The PRIME Screen-Revised was used to measure PLEs. Regression results indicated that higher PRIME scores statistically predicted greater SI. There was a significant interaction between PRIME and sleep quality in predicting SI. Among individuals with greater sleep difficulties, PLEs were positively, significantly associated with SI. The PRIME was not a significant predictor of SI at lower levels of sleep difficulties (i.e. better sleep quality). This interaction effect remained significant when controlling for age and BHM-43 depression and bipolar subscales. Findings suggest that sleep difficulties may be linked to increased SI for individuals with PLEs, and better sleep may be protective. Further research is needed to explore treatment targeting PLEs and/or sleep to mitigate suicide risk among university students.
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