Abdallah Abu Khait, Austin Menger, Mohammed Munther Al-Hammouri, Ayat ALhamdan, Esra'a Issa, Harshita Rayapureddy, Shaher H Hamaideh
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引用次数: 0
Abstract
Introduction: Depressive symptoms, bidirectionally associated with insomnia, are common comorbidity among patients with schizophrenia. The current literature lacks conclusive evidence about the mediating role of either positive or negative symptoms in the relationship between insomnia and depressive symptoms.
Aim/question: This study aimed to examine the mediating role of psychotic symptoms on the relationship between insomnia and depression in a sample of patients with schizophrenia.
Methods: A cross-sectional, mediational design was used in this cross-sectional study, using a convenience sampling method to recruit 279 patients with schizophrenia.
Results: Insomnia total score ( = 0.351, p < 0.001), work status ( = 3.053, p < 0.001), living arrangement ( = -2.071, p = 0.019), number of previous suicide attempts ( = 1.087, p < 0.001) and medication adherence ( = -1.456, p = 0.031) explained 41.9% of the variability in depression total score (F = 41.14, p < 0.001). Negative psychotic symptoms positively (partially) mediated the relationship between insomnia and depression (p < 0.001).
Discussion: The indirect effect for the negative psychotic symptom total score was significant and positive. This finding implies that, on average, higher insomnia total scores increase negative psychotic symptom total scores, which then increase depression scores.
Implications for practice: The study highlights the significance of early detection and management of insomnia by integrating sleep assessments into standard mental health care to mitigate the negative impact of insomnia on both psychotic and depressive symptoms. Furthermore, this proactive approach may help mental health nurses improve patients' long-term outcomes by addressing these comorbidities before they escalate.
抑郁症状与失眠双向相关，是精神分裂症患者常见的合并症。目前的文献缺乏确凿的证据来证明阳性或阴性症状在失眠和抑郁症状之间的中介作用。目的/问题：本研究旨在探讨精神病症状在精神分裂症患者失眠和抑郁之间关系中的中介作用。方法：本横断面研究采用横断面、中介设计，采用方便抽样方法，共招募279例精神分裂症患者。结果：失眠总分（β $$ \beta $$ = 0.351, p β $$ \beta $$ = 3.053, p β $$ \beta $$ = -2.071, p = 0.019）、自杀未遂次数（β $$ \beta $$ = 1.087, p β $$ \beta $$ = -1.456, p = 0.031）解释率为41.9% of the variability in depression total score (F = 41.14, p Discussion: The indirect effect for the negative psychotic symptom total score was significant and positive. This finding implies that, on average, higher insomnia total scores increase negative psychotic symptom total scores, which then increase depression scores.Implications for practice: The study highlights the significance of early detection and management of insomnia by integrating sleep assessments into standard mental health care to mitigate the negative impact of insomnia on both psychotic and depressive symptoms. Furthermore, this proactive approach may help mental health nurses improve patients' long-term outcomes by addressing these comorbidities before they escalate.
期刊介绍：
The Journal of Psychiatric and Mental Health Nursing is an international journal which publishes research and scholarly papers that advance the development of policy, practice, research and education in all aspects of mental health nursing. We publish rigorously conducted research, literature reviews, essays and debates, and consumer practitioner narratives; all of which add new knowledge and advance practice globally.
All papers must have clear implications for mental health nursing either solely or part of multidisciplinary practice. Papers are welcomed which draw on single or multiple research and academic disciplines. We give space to practitioner and consumer perspectives and ensure research published in the journal can be understood by a wide audience. We encourage critical debate and exchange of ideas and therefore welcome letters to the editor and essays and debates in mental health.
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