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The association between sleep dysfunction and psychosis-like experiences among college students.

Nicole D Andorko, Vijay A Mittal, Elizabeth Thompson, Danielle Denenny, Gregory Epstein, Caroline Demro, Camille Wilson, Shuyan Sun, Elizabeth A Klingaman, Jordan DeVylder, Hans Y. Oh, Teodor T Postolache, Gloria M Reeves, Jason Schiffman

Psychiatry Research December 11, 2016 DOI: 10.1016/j.psychres.2016.12.009 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cross-sectional study Peer reviewed
Sample size 420
Population College students
Measures Prodromal Questionnaire-Brief (PQ-B), Iowa Sleep Disturbances Inventory - extended version (ISDI-E)
Keywords Humans Hallucinations Parasomnias Psychotic disorders Comorbidity Students Universities Adolescent Female Young adult Schizophrenia Insomnia Sleep dysfunction Psychosis-like experience
Key findings Among 420 college students, fragmented sleep, sleep hallucinations, and night anxiety significantly correlated with psychosis-like experiences, and several sleep domains were significantly associated with distress related to those experiences. The authors frame this as evidence that specific sleep disturbance subtypes, not just general poor sleep, relate to psychosis-like phenomena and to clinically significant distress.

Abstract

Sleep problems are prominent and pervasive clinical issues experienced by many people with psychotic disorders, often causing distress and functional impairment. Sleep problems are also related to psychosis-like experiences (PLE; non-diagnosable phenomenon such as transient perceptual disturbances, unusual thoughts, periodic suspiciousness) in epidemiological studies. Prior studies in this field have used brief measures that precluded the ability to test (1) whether risk for psychosis-like experiences are related to specific sub-types of sleep disturbance, and (2) whether sleep disturbance is specifically related to clinically significant (i.e., distressing) psychosis-like experiences. The current project examined the relation between specific sleep issues, and PLEs and distress associated with PLEs, in a college sample. Participants (N=420) completed the Prodromal Questionnaire-Brief (PQ-B), which assesses PLEs and associated distress, and the Iowa Sleep Disturbances Inventory - extended version (ISDI-E), which assesses thirteen separate disturbed sleep domains. Symptoms of fragmented sleep, sleep hallucinations, and night anxiety significantly correlated with PLEs, and several sleep domains were significantly associated with PLE-related distress.

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