Impaired Sleep Mediates the Relationship Between Interpersonal Trauma and Subtypes of Delusional Ideation.
Impaired Sleep Mediates the Relationship Between Interpersonal Trauma and Subtypes of Delusional Ideation.
复制标题
睡眠受损介导人际创伤与妄想观念亚型之间的关系。
DOI：
10.1093/schbul/sbad081
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发表时间：
2023
影响因子：
6.6
通讯作者：
Wisner,KristaM
中科院分区：
文献类型：
--
作者：
Herms,EmmaN;Bolbecker,AmandaR;Wisner,KristaM
背景和假设创伤是妄想性意念的一个强有力的危险因素。然而，这种关系背后的特殊性和过程尚不清楚。质量，人际创伤（即，另一个人造成的创伤）似乎与妄想性意念，特别是偏执狂有特定的关系，因为社会威胁具有共性。然而，这还没有得到经验的检验，人际创伤导致妄想性意念的过程仍然知之甚少。鉴于睡眠受损在创伤和妄想意念中的作用，它可能是这些变量之间的关键中介。我们假设，人际创伤，但不是非人际创伤，将呈正相关的妄想意念，特别是偏执的亚型，睡眠受损将介导这些relationships.Study DesignIn一个大的，transdiagnosis社区样本（N= 478），探索性因素分析的彼得的Delaware库存确定了三个亚型的妄想意念，即神奇的思维，宏伟，偏执。 三个路径模型，每个子类型的妄想性意念，测试是否人际创伤和非人际创伤的妄想性意念的亚型，和受损的睡眠作为中介变量的人际traumatic.Study ResultsParanoia和宏伟的人际创伤呈正相关，无关的非人际创伤。此外，这些关系显著介导的睡眠受损，这似乎最强的偏执狂。与此相反，神奇的思维是无关的创伤experiences.ConclusionsThese研究结果支持人际创伤和偏执以及宏伟之间的特定关系，与受损的睡眠出现作为一个重要的过程，人际创伤有助于两者。
Background and HypothesisTrauma is a robust risk factor for delusional ideation. However, the specificity and processes underlying this relationship are unclear. Qualitatively, interpersonal traumas (i.e., trauma caused by another person) appear to have a specific relationship with delusional ideation, particularly paranoia, given the commonality of social threat. However, this has not been empirically tested and the processes by which interpersonal trauma contributes to delusional ideation remain poorly understood. Given the role of impaired sleep in both trauma and delusional ideation, it may be a critical mediator between these variables. We hypothesized that interpersonal trauma, but not non-interpersonal trauma, would be positively related to subtypes of delusional ideation, especially paranoia, and that impaired sleep would mediate these relationships.Study DesignIn a large, transdiagnostic community sample (N= 478), an exploratory factor analysis of the Peter’s Delusion Inventory identified three subtypes of delusional ideation, namely magical thinking, grandiosity, and paranoia. Three path models, one for each subtype of delusional ideation, tested whether interpersonal trauma and non-interpersonal trauma were related to subtypes of delusional ideation, and impaired sleep as a mediating variable of interpersonal trauma.Study ResultsParanoia and grandiosity were positively related to interpersonal trauma and unrelated to non-interpersonal trauma. Furthermore, these relationships were significantly mediated by impaired sleep, which appeared strongest for paranoia. In contrast, magical thinking was unrelated to traumatic experiences.ConclusionsThese findings support a specific relationship between interpersonal trauma and paranoia as well as grandiosity, with impaired sleep appearing as an important process by which interpersonal trauma contributes to both.
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影响因子：
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影响因子：
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作者：
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