Mental Health Literacy Buffers the Association Between Nightmare Distress and Psychotic-Like Experiences Among College Students.

IF 2.1 4区医学 Q3 PSYCHIATRY Early Intervention in Psychiatry Pub Date : 2025-01-01 Epub Date: 2024-12-09 DOI:10.1111/eip.13634

Xingyu Chen, Bingna Xu, Dongfang Wang

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Abstract

Background: Nightmares may lead to psychotic-like experiences (PLEs). The present study aimed to examine the potential moderating and mediating effects of mental health literacy (MHL) on the association between nightmare distress (ND) and PLEs among Chinese college students.

Methods: A total of 4000 college students who have had nightmares in the past year were assessed using the Chinese version of the nightmare distress questionnaire (NDQ-CV), mental health knowledge questionnaire (MHKQ), 15-item positive subscale of the community assessment of psychic experiences (CAPE-P15), 2-item insomnia questionnaire, 2-item patient health questionnaire (PHQ-2), and a self-compiled sample characteristics questionnaire.

Results: Greater ND and lower MHL were associated with an elevated risk of PLEs among college students when adjusting for sample characteristics, insomnia and depressive symptoms. Moderation analysis indicated that MHL buffers the association between ND and PLEs, such that a higher level of MHL attenuates the positive effect of ND on PLEs to a greater extent.

Conclusions: These findings strongly stressed the urgent need for early intervention in college students with ND. Strategies should prioritise treating ND and enhancing MHL, as these may be effective approaches to preventing and reducing PLEs.

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心理健康素养缓冲大学生噩梦困扰与类精神病经历之间的关联。

背景：噩梦可能导致类似精神病的经历（ple）。本研究旨在探讨心理健康素养（MHL）对中国大学生噩梦困扰（ND）与幸福之间关系的调节和中介作用。方法：采用中文版噩梦困扰问卷（NDQ-CV）、心理健康知识问卷（MHKQ）、社区心理体验评估正向分量表（CAPE-P15）、2项失眠症问卷、2项患者健康问卷（PHQ-2）和自编样本特征问卷，对近一年来做过噩梦的4000名大学生进行评估。结果：在调整样本特征、失眠和抑郁症状后，高ND和低MHL与大学生ple风险升高相关。适度分析表明，MHL缓冲了ND与ple之间的关联，较高水平的MHL在更大程度上减弱了ND对ple的积极作用。结论：这些发现强烈强调了对ND大学生进行早期干预的紧迫性。战略应优先考虑治疗ND和加强MHL，因为这些可能是预防和减少ple的有效方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Early Intervention in Psychiatry 医学-精神病学

CiteScore

4.80

自引率

5.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.