Neuroticism affects nightmare distress through rumination.

IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY Sleep and Breathing Pub Date : 2024-08-16 DOI:10.1007/s11325-024-03135-9
Xiang Wang, Tamini Soondrum, Lisha Dai
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Abstract

Background/aims: The role of neuroticism in predicting nightmare distress have been highlighted, and negative coping style may contribute to this relationship, but how these variables interact is limited. The present study aimed to explore how neuroticism and ruminative response contribute to producing nightmare distress, and to explore whether sex influences this relationship.

Methods: We recruited 758 university students, aged an average of 19.07. A moderated mediation model was built to examine the relationships among neuroticism, rumination, and nightmare distress (measured by dream anxiety scale), and explore whether sex could affect this relationship, using the SPSS PROCESS 3.5 macro.

Results: The moderated mediation analyses results showed that ruminative response-depression related can significantly partially mediate the relationship between neuroticism and dream anxiety (β = 0.32), dream anxiety-sleep-related disturbances (β = 0.11) and dream anxiety-daytime dysfunctions (β = 0.21). However, the moderating effects of sex were not significant in all path from neuroticism to dream anxiety.

Conclusion: The study provides a novel architecture on the underlying psychological mechanisms of neuroticism and nightmare distress. This interplay is assumed to be facilitated by ruminations, suggesting that interventions for individuals who suffer from nightmares may focus on their repetitive negative response strategies, especially in people with high neuroticism, irrespective of sex differences.

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神经质通过反刍影响噩梦痛苦。
背景/目的:神经质在预测噩梦痛苦中的作用已得到强调,消极应对方式也可能有助于这种关系,但这些变量如何相互作用却很有限。本研究旨在探讨神经质和反刍反应如何导致噩梦困扰的产生,并探讨性别是否会影响这种关系:我们招募了 758 名大学生,平均年龄为 19.07 岁。使用 SPSS PROCESS 3.5 宏程序建立了一个调节中介模型,以检验神经质、反刍和噩梦困扰(通过梦境焦虑量表测量)之间的关系,并探讨性别是否会影响这种关系:调节中介分析结果显示,反刍反应-抑郁相关能显著地部分中介神经质与梦境焦虑(β = 0.32)、梦境焦虑-睡眠相关障碍(β = 0.11)和梦境焦虑-白天功能障碍(β = 0.21)之间的关系。然而,在从神经质到梦境焦虑的所有路径中,性别的调节作用都不显著:本研究为神经质和梦魇困扰的潜在心理机制提供了一个新的架构。这种相互作用被认为是由反思促成的,这表明对噩梦患者的干预可以集中在他们的重复性消极反应策略上,尤其是对高神经质人群,而与性别差异无关。
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来源期刊
Sleep and Breathing
Sleep and Breathing 医学-呼吸系统
CiteScore
5.20
自引率
4.00%
发文量
222
审稿时长
3-8 weeks
期刊介绍: The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep. Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.
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