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Inter-relationships of insomnia and psychiatric symptoms with suicidal ideation among patients with chronic schizophrenia: A network perspective | |
Peng, Pu1,2; Wang, Qianjin1,2; Zhou, Yanan3; Hao, Yuzhu1,2; Chen, Shubao1,2; Wu, Qiuxia1,2; Li, Manyun1,2; Wang, Yunfei1,2; Yang, Qian1,2; Wang, Xin1,2; Liu, Yueheng1,2; Ma, Yuejiao1,2; He, Li1,2; Liu, Tieqiao1,2; Zhang, Xiangyang4,5 | |
第一作者 | Pu Peng |
通讯作者邮箱 | zhangxy@psych.nc.cn (x. zhang) |
心理所单位排序 | 3 |
摘要 | Background: Insomnia is common in patients with schizophrenia, which contributes to worsening psychiatric symptoms and suicidality. We aimed to assess the inter-relationships of insomnia and psychopathology with suicidal ideation (SI) among 1407 Chinese patients with chronic schizophrenia via the network approach.Method: We used Positive and Negative Syndrome Scale, Insomnia Severity Index, and Beck Scale for Suicidal Ideation to assess psychiatric symptoms, insomnia, and SI, respectively. Lifetime suicidal attempts (SA) were collected.Results: (1) The incidence of insomnia, lifetime SI, lifetime SA, and current SI was 13.5% (n = 190), 22.8% (n = 321), 13.5% (n = 190), and 9.7% (n = 136), respectively. (2) Patients with insomnia had worse clinical symptoms and higher suicidal risk. (3) Daytime dysfunction, sleep-related distress, conceptual disorganization, delusions, anxiety, and poor rapport were the core symptoms, while late sleep onset and sleep dissatisfaction emerged as bridge symptoms connecting insomnia and psychopathology. (4) Depressive mood, hallucinations, poor impulse control, guilty feelings, insomnia-related impaired quality of life, and sleep dissatisfaction were directly associated with SI.Conclusion: Our findings called for formal assessment of insomnia in patients with schizophrenia, which should cover both nocturnal and daytime insomnia symptoms. Targeted interventions for key symptoms may help reduce insomnia, psychiatric symptoms, and SI in patients with schizophrenia. |
关键词 | Insomnia Schizophrenia Network analysis Suicidal ideation Suicidal attempt |
2024-02-08 | |
DOI | 10.1016/j.pnpbp.2023.110899 |
发表期刊 | PROGRESS IN NEURO-PSYCHOPHARMACOLOGY & BIOLOGICAL PSYCHIATRY |
ISSN | 0278-5846 |
卷号 | 129页码:10 |
期刊论文类型 | 实证研究 |
收录类别 | SCI |
资助项目 | CAS Pioneer Hundred Talents Program ; National Natural Science Foundation of China[81371477] |
出版者 | PERGAMON-ELSEVIER SCIENCE LTD |
WOS关键词 | QUALITY-OF-LIFE ; POSITIVE SYMPTOMS ; MENTAL-HEALTH ; ASSOCIATIONS ; BEHAVIOR ; PREVALENCE ; SCALE ; RISK |
WOS研究方向 | Neurosciences & Neurology ; Pharmacology & Pharmacy ; Psychiatry |
WOS类目 | Clinical Neurology ; Neurosciences ; Pharmacology & Pharmacy ; Psychiatry |
WOS记录号 | WOS:001127033800001 |
WOS分区 | Q1 |
资助机构 | CAS Pioneer Hundred Talents Program ; National Natural Science Foundation of China |
引用统计 | |
文献类型 | 期刊论文 |
条目标识符 | http://ir.psych.ac.cn/handle/311026/46751 |
专题 | 中国科学院心理健康重点实验室 |
通讯作者 | Zhang, Xiangyang |
作者单位 | 1.Cent South Univ, Xiangya Hosp 2, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Changsha 410011, Hunan, Peoples R China 2.Cent South Univ, Xiangya Hosp 2, Natl Ctr Mental Disorders, Changsha 410011, Hunan, Peoples R China 3.Hunan Brain Hosp, Hunan Peoples Hosp 2, Dept Psychiat, Changsha, Peoples R China 4.Chinese Acad Sci, Inst Psychol, CAS Key Lab Mental Hlth, Beijing, Peoples R China 5.Univ Chinese Acad Sci, Dept Psychol, Beijing, Peoples R China |
通讯作者单位 | 中国科学院心理健康重点实验室 |
推荐引用方式 GB/T 7714 | Peng, Pu,Wang, Qianjin,Zhou, Yanan,et al. Inter-relationships of insomnia and psychiatric symptoms with suicidal ideation among patients with chronic schizophrenia: A network perspective[J]. PROGRESS IN NEURO-PSYCHOPHARMACOLOGY & BIOLOGICAL PSYCHIATRY,2024,129:10. |
APA | Peng, Pu.,Wang, Qianjin.,Zhou, Yanan.,Hao, Yuzhu.,Chen, Shubao.,...&Zhang, Xiangyang.(2024).Inter-relationships of insomnia and psychiatric symptoms with suicidal ideation among patients with chronic schizophrenia: A network perspective.PROGRESS IN NEURO-PSYCHOPHARMACOLOGY & BIOLOGICAL PSYCHIATRY,129,10. |
MLA | Peng, Pu,et al."Inter-relationships of insomnia and psychiatric symptoms with suicidal ideation among patients with chronic schizophrenia: A network perspective".PROGRESS IN NEURO-PSYCHOPHARMACOLOGY & BIOLOGICAL PSYCHIATRY 129(2024):10. |
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