Skip to main content
SpringerLink
Log in

Insomnia Mediates the Relationship Between Aggression Indicators and Positive Psychotic Experiences in a Large Community-Based Adult Sample

  • Original Article
  • Published:
International Journal of Mental Health and Addiction Aims and scope Submit manuscript

Abstract

Background

Although internalized (i.e., anger, hostility) and externalized (i.e., physical/verbal aggression, bullying) aggressive behaviors have been found to predict later psychotic experiences (PEs) onset in vulnerable young people, the mediating pathways are unclear. We aimed to test the hypothesis that insomnia has a significant indirect mediating effect on the relationship between aggression variables and PEs.

Method

We performed a cross-sectional study among Lebanese young adults from the general population (N = 4158, mean age of 21.91 ± 3.79, 64.4% females).

Results

A total of 22.1% of participants reported at least one positive PE ‘nearly always’. After adjusting for demographics (age and gender), substance use, and psychological distress, mediation analyses showed that insomnia severity mediated the association between the four aggression variables and positive PEs. Higher aggression, anger, hostility, and bullying were significantly associated with more insomnia severity and directly associated with increased positive PEs. Finally, higher insomnia severity was significantly associated with more frequent positive PEs.

Conclusion

Improving insomnia severity may decrease the effect of aggression on PEs. This finding is clinically relevant, especially since insomnia is a modifiable factor which could easily and efficiently be targeted for interventions aimed at preventing or delaying psychosis in vulnerable populations.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References  

  • Ahmed, R. (2004). A critical review of Arab research studies on violence/aggression and extreme behavior. International perspectives on violence, 1–25.

  • Ali, A. M., Alkhamees, A. A., Hori, H., Kim, Y., & Kunugi, H. (2021). The depression anxiety stress scale 21: Development and validation of the depression anxiety stress scale 8-item in psychiatric patients and the general public for easier mental health measurement in a post COVID-19 world. Int J Environ Res Public Health, 18(19), 10142. https://doi.org/10.3390/ijerph181910142

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ali, A. M., Hori, H., Kim, Y., & Kunugi, H. (2022). The depression anxiety stress scale 8-items expresses robust psychometric properties as an ideal shorter version of the depression anxiety stress scale 21 among healthy respondents from three continents. Frontiers in Psychology, 13, 799769. https://doi.org/10.3389/fpsyg.2022.799769

    Article  PubMed  PubMed Central  Google Scholar 

  • Arseneault, L., Cannon, M., Murray, R., Poulton, R., Caspi, A., & Moffitt, T. E. (2003). Childhood origins of violent behaviour in adults with schizophreniform disorder. British Journal of Psychiatry, 183(6), 520–525. https://doi.org/10.1192/02-485

    Article  Google Scholar 

  • Barragan, M., Laurens, K. R., Navarro, J. B., & Obiols, J. E. (2011). Psychotic-like experiences and depressive symptoms in a community sample of adolescents. European Psychiatry, 26(6), 396–401. https://doi.org/10.1016/j.eurpsy.2010.12.007

    Article  CAS  PubMed  Google Scholar 

  • Bastien, C. H., Vallières, A., & Morin, C. M. (2001). Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Medicine, 2(4), 297–307.

    Article  PubMed  Google Scholar 

  • Bauer, M., Grof, P., Rasgon, N., Bschor, T., Glenn, T., & Whybrow, P. C. (2006). Temporal relation between sleep and mood in patients with bipolar disorder. Bipolar Disorders, 8(2), 160–167. https://doi.org/10.1111/j.1399-5618.2006.00294.x

    Article  PubMed  Google Scholar 

  • Bell, C. J., Foulds, J. A., Horwood, L. J., Mulder, R. T., & Boden, J. M. (2019). Childhood abuse and psychotic experiences in adulthood: Findings from a 35-year longitudinal study. The British Journal of Psychiatry, 214(3), 153–158.

    Article  PubMed  Google Scholar 

  • Bhavsar, V., McGuire, P., MacCabe, J., Oliver, D., & Fusar-Poli, P. (2018). A systematic review and meta-analysis of mental health service use in people who report psychotic experiences. Early Intervention in Psychiatry, 12(3), 275–285.

    Article  PubMed  Google Scholar 

  • Bird, J. C., Waite, F., Rowsell, E., Fergusson, E. C., & Freeman, D. (2017). Cognitive, affective, and social factors maintaining paranoia in adolescents with mental health problems: A longitudinal study. Psychiatry Research, 257, 34–39. https://doi.org/10.1016/j.psychres.2017.07.023

    Article  PubMed  Google Scholar 

  • Brissette, I., & Cohen, S. (2002). The contribution of individual differences in hostility to the associations between daily interpersonal conflict, affect, and sleep. Personality and Social Psychology Bulletin, 28(9), 1265–1274. https://doi.org/10.1177/01461672022812011

    Article  Google Scholar 

  • Brucato, G., Appelbaum, P. S., Lieberman, J. A., Wall, M. M., Feng, T., Masucci, M. D., Altschuler, R., & Girgis, R. R. (2018). A longitudinal study of violent behavior in a psychosis-risk cohort. Neuropsychopharmacology, 43(2), 264–271.

    Article  PubMed  Google Scholar 

  • Bryant, F. B., & Smith, B. D. (2001). Refining the architecture of aggression: A measurement model for the Buss-Perry Aggression Questionnaire. Journal of Research in Personality, 35(2), 138–167.

    Article  Google Scholar 

  • Carey, E., Healy, C., Perry, Y., Gillan, D., Whitehouse, A. J., Cannon, M., & Lin, A. (2021). Evidence that infant and early childhood developmental impairments are associated with hallucinatory experiences: results from a large, population-based cohort study. Psychological medicine, 1–9.

  • Cederlöf, M., Kuja-Halkola, R., Larsson, H., Sjölander, A., Östberg, P., Lundström, S., Kelleher, I., & Lichtenstein, P. (2017). A longitudinal study of adolescent psychotic experiences and later development of substance use disorder and suicidal behavior. Schizophrenia Research, 181, 13–16.

    Article  PubMed  Google Scholar 

  • Chaaban, J., & El Khoury, A. (2016). Spotlight on youth in Lebanon. Beirut, Lebanon: United Nations Development Programme.

    Google Scholar 

  • Chan, C. T., Abdin, E., Subramaniam, M., Tay, S. A., Lim, L. K., & Verma, S. (2018). Two-year clinical and functional outcomes of an asian cohort at ultra-high risk of psychosis. Frontiers in Psychiatry, 9, 758. https://doi.org/10.3389/fpsyt.2018.00758

    Article  PubMed  Google Scholar 

  • Chervin, R. D., Dillon, J. E., Archbold, K. H., & Ruzicka, D. L. (2003). Conduct problems and symptoms of sleep disorders in children. Journal of the American Academy of Child & Adolescent Psychiatry, 42(2), 201–208. https://doi.org/10.1097/00004583-200302000-00014

    Article  Google Scholar 

  • Del Pozzo, J., Walsh-Messinger, J., & Antonius, D. (2021). The influence of childhood trauma on aggression and violent behavior in first episode psychosis: A critical review. Aggression and Violent Behavior, 61, 101677. Record #3466 is using a reference type undefined in this output style.

    Article  Google Scholar 

  • Espelage, D. L., & Holt, M. K. (2001). Bullying and victimization during early adolescence: Peer influences and psychosocial correlates. Journal of Emotional Abuse, 2(2–3), 123–142.

    Article  Google Scholar 

  • Farran, N. (2021). Mental health in Lebanon: Tomorrow’s silent epidemic. Mental Health & Prevention, 24, 200218.

    Article  Google Scholar 

  • Fekih-Romdhane, F., Tira, S., & Cheour, M. (2019). Childhood sexual abuse as a potential predictor of psychotic like experiences in Tunisian college students. Psychiatry Research, 275, 181–188.

    Article  PubMed  Google Scholar 

  • Fekih-Romdhane, F., Cherif, W., & Cheour, M. (2020). Violence dans les états mentaux à ultra haut risque de psychose. La Presse Médicale Formation, 1(4), 347–353.

    Article  Google Scholar 

  • Fekih-Romdhane, F., Sassi, H., Ennaifer, S., Tira, S., & Cheour, M. (2020). Prevalence and correlates of psychotic like experiences in a large community sample of young adults in Tunisia. Community Mental Health Journal, 56(6), 991–1003.

    Article  PubMed  Google Scholar 

  • Fekih-Romdhane, F., Sassi, H., & Cheour, M. (2021a). The relationship between social media addiction and psychotic-like experiences in a large nonclinical student sample. Psychosis, 13(4), 349–360.

  • Fekih-Romdhane, F., Nefzi, H., Sassi, H., Cherif, W., & Cheour, M. (2021b). Sleep in first-episode schizophrenia patients, their unaffected siblings and healthy controls: A comparison. Early Intervention in Psychiatry, 15(5), 1167–1178.

  • Fekih-Romdhane, F., Hallit, S., Cheour, M., & Jahrami, H. (2022a). The nature, consequences, mechanisms, and management of sleep disturbances in individuals at-risk for psychosis. Frontiers in psychiatry, 13, 1011963. https://doi.org/10.3389/fpsyt.2022.1011963

  • Fekih‐Romdhane, F., Maktouf, H., & Cheour, M. (2022b). Aggressive behaviour in antipsychotic‐naive first‐episode schizophrenia patients, their unaffected siblings and healthy controls. Early Intervention in Psychiatry, 17(3):299–310. https://doi.org/10.1111/eip.13329

  • Fekih-Romdhane, F., Pandi-Perumal, S. R., Conus, P., Krebs, M. O., Cheour, M., Seeman, M. V., & Jahrami, H. A. (2022c). Prevalence and risk factors of self-reported psychotic experiences among high school and college students: A systematic review, meta-analysis, and meta-regression. Acta Psychiatrica Scandinavica, 146(6), 492–514.

    Article  PubMed  Google Scholar 

  • Fekih-Romdhane, F., Malaeb, D., Loch, A. A., Farah, N., Stambouli, M., Cheour, M., Obeid, S., & Hallit, S. (2023a). Problematic smartphone use mediates the pathway from suicidal ideation to positive psychotic experiences: A large cross-sectional, population-based study. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-023-01028-8

    Article  PubMed  PubMed Central  Google Scholar 

  • Fekih-Romdhane, F., Farah, N., Malaeb, D., Cheour, M., Obeid, S., & Hallit, S. (2023b). Validation of the Arabic Version of the Community Assessment of Psychic Experiences (CAPE-42) in a Large Sample of Young Adults from the General Population. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-023-01011-3

  • Fekih-Romdhane, F., Malaeb, D., Sarray El Dine, A., Yakın, E., Hallit, S., & Obeid, S. (2023c). Association between bullying victimization and aggression in Lebanese adolescents: The indirect effect of Repetitive Negative Thinking- A path analysis approach and scales validation. Children, 10(3):598.

  • Fite, P. J., Wimsatt, A. R., Vitulano, M. L., Rathert, J. L., & Schwartz, S. (2012). Examination of peer rejection and depressive symptoms as mediators of the link between rule-breaking behavior and poor academic performance. Journal of Psychopathology and Behavioral Assessment, 34(2), 164–171.

    Article  Google Scholar 

  • Fite, P. J., Hendrickson, M., Rubens, S. L., Gabrielli, J., & Evans, S. (2013). The role of peer rejection in the link between reactive aggression and academic performance. Child & Youth Care Forum,

  • Fraser, R., Purcell, R., & Sullivan, D. (2014). Early intervention to reduce violence and offending outcomes in young people with mental disorders. Early Intervention in Psychiatry: EI of Nearly Everything for Better Mental Health, 305–317.

  • Freeman, D., Pugh, K., Vorontsova, N., & Southgate, L. (2009). Insomnia and paranoia. Schizophrenia Research, 108(1–3), 280–284.

    Article  PubMed  Google Scholar 

  • Freeman, D., Waite, F., Startup, H., Myers, E., Lister, R., McInerney, J., Harvey, A. G., Geddes, J., Zaiwalla, Z., & Luengo-Fernandez, R. (2015). Efficacy of cognitive behavioural therapy for sleep improvement in patients with persistent delusions and hallucinations (BEST): A prospective, assessor-blind, randomised controlled pilot trial. The Lancet Psychiatry, 2(11), 975–983.

    Article  PubMed  PubMed Central  Google Scholar 

  • Freeman, D., Sheaves, B., Goodwin, G. M., Yu, L.-M., Nickless, A., Harrison, P. J., Emsley, R., Luik, A. I., Foster, R. G., & Wadekar, V. (2017). The effects of improving sleep on mental health (OASIS): A randomised controlled trial with mediation analysis. The Lancet Psychiatry, 4(10), 749–758.

    Article  PubMed  PubMed Central  Google Scholar 

  • Fry, D. P. (2017). Cross-cultural differences in aggression (pp. 1–12). The Wiley handbook of violence and aggression.

    Google Scholar 

  • George, D. (2011). SPSS for windows step by step: A simple study guide and reference, 17.0 update, 10/e. Pearson Education India.

  • Gin, K., Stewart, C., & Jolley, S. (2021). A systematic literature review of childhood externalizing psychopathology and later psychotic symptoms. Clinical Psychology & Psychotherapy, 28(1), 56–78.

    Article  Google Scholar 

  • Government of Lebanon and United Nations. (2017). Lebanon Crisis Response Plan 2017–2020

  • Granö, N., Vahtera, J., Virtanen, M., Keltikangas-Järvinen, L., & Kivimäki, M. (2008). Association of hostility with sleep duration and sleep disturbances in an employee population. International Journal of Behavioral Medicine, 15(2), 73–80. https://doi.org/10.1080/10705500801929510

    Article  PubMed  Google Scholar 

  • Gregory, A. M., Van der Ende, J., Willis, T. A., & Verhulst, F. C. (2008). Parent-reported sleep problems during development and self-reported anxiety/depression, attention problems, and aggressive behavior later in life. Archives of Pediatrics & Adolescent Medicine, 162(4), 330–335.

    Article  Google Scholar 

  • Hallit, S., Haddad, C., Hallit, R., Al Karaki, G., Malaeb, D., Sacre, H., Kheir, N., Hajj, A., & Salameh, P. (2019). Validation of selected sleeping disorders related scales in Arabic among the Lebanese population. Sleep and Biological Rhythms, 17(2), 183–189.

    Article  Google Scholar 

  • Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford publications.

    Google Scholar 

  • Health, N. I. F., & Excellence, C. (2014). Psychosis and schizophrenia in adults: Treatment and management. National Institute for Health and Clinical Excellence (NICE).

    Google Scholar 

  • Healy, C., Campbell, D., Coughlan, H., Clarke, M., Kelleher, I., & Cannon, M. (2018). Childhood psychotic experiences are associated with poorer global functioning throughout adolescence and into early adulthood. Acta Psychiatrica Scandinavica, 138(1), 26–34.

    Article  CAS  PubMed  Google Scholar 

  • Healy, C., Brannigan, R., Dooley, N., Coughlan, H., Clarke, M., Kelleher, I., & Cannon, M. (2019). Childhood and adolescent psychotic experiences and risk of mental disorder: A systematic review and meta-analysis. Psychological Medicine, 49(10), 1589–1599.

    Article  PubMed  Google Scholar 

  • Hertenstein, E., Feige, B., Gmeiner, T., Kienzler, C., Spiegelhalder, K., Johann, A., Jansson-Fröjmark, M., Palagini, L., Rücker, G., & Riemann, D. (2019). Insomnia as a predictor of mental disorders: A systematic review and meta-analysis. Sleep Medicine Reviews, 43, 96–105.

    Article  PubMed  Google Scholar 

  • Horwood, J., Salvi, G., Thomas, K., Duffy, L., Gunnell, D., Hollis, C., Lewis, G., Menezes, P., Thompson, A., Wolke, D., Zammit, S., & Harrison, G. (2008). IQ and non-clinical psychotic symptoms in 12-year-olds: Results from the ALSPAC birth cohort. British Journal of Psychiatry, 193(3), 185–191. https://doi.org/10.1192/bjp.bp.108.051904

    Article  Google Scholar 

  • Jiang, X.-L., Zheng, X.-Y., Yang, J., Ye, C.-P., Chen, Y.-Y., Zhang, Z.-G., & Xiao, Z.-J. (2015). A systematic review of studies on the prevalence of insomnia in university students. Public Health, 129(12), 1579–1584.

    Article  PubMed  Google Scholar 

  • Kamphuis, J., Meerlo, P., Koolhaas, J. M., & Lancel, M. (2012). Poor sleep as a potential causal factor in aggression and violence. Sleep Medicine, 13(4), 327–334. https://doi.org/10.1016/j.sleep.2011.12.006

    Article  PubMed  Google Scholar 

  • Kamphuis, J., Karsten, J., de Weerd, A., & Lancel, M. (2013). Sleep disturbances in a clinical forensic psychiatric population. Sleep Medicine, 14(11), 1164–1169. https://doi.org/10.1016/j.sleep.2013.03.008

    Article  PubMed  Google Scholar 

  • Kamphuis, J., & Lancel, M. (2015). The interrelations between sleep, anger, and loss of aggression control. In Sleep and affect, pp 247–271. Academic Press.

  • Kazarian, S. S. (2013). School bullying in the Arab world: A review. Arab Journal of Psychiatry, 24(1), 37–45.

    Article  Google Scholar 

  • Kelleher, I., Harley, M., Lynch, F., Arseneault, L., Fitzpatrick, C., & Cannon, M. (2008). Associations between childhood trauma, bullying and psychotic symptoms among a school-based adolescent sample. British Journal of Psychiatry, 193(5), 378–382. https://doi.org/10.1192/bjp.bp.108.049536

    Article  Google Scholar 

  • Khaled, S. M., Wilkins, S. S., & Woodruff, P. (2020). Lifetime prevalence and potential determinants of psychotic experiences in the general population of Qatar. Psychological Medicine, 50(7), 1110–1120.

  • Knight, C., Russo, D., Stochl, J., Croudace, T., Fowler, D., Grey, N., Reeve, N., Jones, P. B., & Perez, J. (2020). Prevalence of and recovery from common mental disorder including psychotic experiences in the UK primary care improving access to psychological therapies (IAPT) programme. Journal of Affective Disorders, 272, 84–90.

    Article  PubMed  Google Scholar 

  • Konings, M., Bak, M., Hanssen, M., Van Os, J., & Krabbendam, L. (2006). Validity and reliability of the CAPE: A self-report instrument for the measurement of psychotic experiences in the general population. Acta Psychiatrica Scandinavica, 114(1), 55–61.

    Article  CAS  PubMed  Google Scholar 

  • Krizan, Z., & Herlache, A. D. (2016). Sleep disruption and aggression: Implications for violence and its prevention. Psychology of Violence, 6, 542–552. https://doi.org/10.1037/vio0000018

    Article  Google Scholar 

  • Krizan, Z., Hisler, G., Krueger, R. F., & McGue, M. (2021). Why is personality tied to sleep quality? A biometric analysis of twins. Journal of research in personality, 90, 104048. https://doi.org/10.1016/j.jrp.2020.104048

    Article  Google Scholar 

  • Leaune, E., Dealberto, M.-J., Luck, D., Grot, S., Zeroug-Vial, H., Poulet, E., & Brunelin, J. (2019). Ethnic minority position and migrant status as risk factors for psychotic symptoms in the general population: A meta-analysis. Psychological Medicine, 49(4), 545–558.

    Article  PubMed  Google Scholar 

  • Linscott, R. J., & van Os, J. (2013). An updated and conservative systematic review and meta-analysis of epidemiological evidence on psychotic experiences in children and adults: On the pathway from proneness to persistence to dimensional expression across mental disorders. Psychological Medicine, 43(6), 1133–1149. https://doi.org/10.1017/S0033291712001626

    Article  CAS  PubMed  Google Scholar 

  • Liu, J., Wong, K.K.-Y., Dong, F., Raine, A., & Tuvblad, C. (2019). The Schizotypal Personality Questionnaire – Child (SPQ-C): Psychometric properties and relations to behavioral problems with multi-informant ratings. Psychiatry Research, 275, 204–211. https://doi.org/10.1016/j.psychres.2019.03.006

    Article  PubMed  PubMed Central  Google Scholar 

  • Lunsford-Avery, J. R., LeBourgeois, M. K., Gupta, T., & Mittal, V. A. (2015). Actigraphic-measured sleep disturbance predicts increased positive symptoms in adolescents at ultra high-risk for psychosis: A longitudinal study. Schizophrenia Research, 164(1–3), 15–20.

    Article  PubMed  Google Scholar 

  • Lunsford-Avery, J. R., Gonçalves, B. D. S. B., Brietzke, E., Bressan, R. A., Gadelha, A., Auerbach, R. P., & Mittal, V. A. (2017). Adolescents at clinical-high risk for psychosis: Circadian rhythm disturbances predict worsened prognosis at 1-year follow-up. Schizophrenia Research, 189, 37–42.

    Article  PubMed  Google Scholar 

  • Madrid-Valero, J. J., Ordoñana, J. R., Klump, K. L., & Burt, S. A. (2019). Children sleep and antisocial behavior: Differential association of sleep with aggression and rule-breaking. Journal of Abnormal Child Psychology, 47(5), 791–799. https://doi.org/10.1007/s10802-018-0480-0

    Article  PubMed  PubMed Central  Google Scholar 

  • Malaeb, D., Awad, E., Haddad, C., Salameh, P., Sacre, H., Akel, M., Soufia, M., Hallit, R., Obeid, S., & Hallit, S. (2020). Bullying victimization among Lebanese adolescents: The role of child abuse, internet addiction, social phobia and depression and validation of the Illinois bully scale. BMC Pediatrics, 20(1), 1–11.

    Article  Google Scholar 

  • Matheson, S. L., Vijayan, H., Dickson, H., Shepherd, A. M., Carr, V. J., & Laurens, K. R. (2013). Systematic meta-analysis of childhood social withdrawal in schizophrenia, and comparison with data from at-risk children aged 9–14 years. Journal of Psychiatric Research, 47(8), 1061–1068. https://doi.org/10.1016/j.jpsychires.2013.03.013

    Article  PubMed  Google Scholar 

  • McLean, D., Thara, R., John, S., Barrett, R., Loa, P., McGrath, J., & Mowry, B. (2014). DSM-IV “criterion A” schizophrenia symptoms across ethnically different populations: Evidence for differing psychotic symptom content or structural organization? Culture, Medicine, and Psychiatry, 38(3), 408–426.

    Article  PubMed  Google Scholar 

  • O’Brien, L. M., Lucas, N. H., Felt, B. T., Hoban, T. F., Ruzicka, D. L., Jordan, R., Guire, K., & Chervin, R. D. (2011). Aggressive behavior, bullying, snoring, and sleepiness in schoolchildren. Sleep Medicine, 12(7), 652–658. https://doi.org/10.1016/j.sleep.2010.11.012

    Article  PubMed  PubMed Central  Google Scholar 

  • Obermeyer, C. M., Bott, S., & Sassine, A. J. (2015). Arab adolescents: Health, gender, and social context. Journal of Adolescent Health, 57(3), 252–262. https://doi.org/10.1016/j.jadohealth.2015.01.002

    Article  Google Scholar 

  • Pastore, A., de Girolamo, G., Tafuri, S., Tomasicchio, A., & Margari, F. (2020). Traumatic experiences in childhood and adolescence: a meta-analysis of prospective studies assessing risk for psychosis (pp. 1–14). European Child & Adolescent Psychiatry.

    Google Scholar 

  • Pilcher, J. J., Ginter, D. R., & Sadowsky, B. (1997). Sleep quality versus sleep quantity: Relationships between sleep and measures of health, well-being and sleepiness in college students. Journal of Psychosomatic Research, 42(6), 583–596. https://doi.org/10.1016/S0022-3999(97)00004-4

    Article  CAS  PubMed  Google Scholar 

  • Polanczyk, G., Moffitt, T. E., Arseneault, L., Cannon, M., Ambler, A., Keefe, R. S., Houts, R., Odgers, C. L., & Caspi, A. (2010). Etiological and clinical features of childhood psychotic symptoms: Results from a birth cohort. Archives of General Psychiatry, 67(4), 328–338.

    Article  PubMed  PubMed Central  Google Scholar 

  • Reeve, S., & Bell, V. (2022). Sleep disorders predict the 1-year onset, persistence, but not remission of psychotic experiences in preadolescence: A longitudinal analysis of the ABCD cohort data (pp. 1–11). European Child & Adolescent Psychiatry.

    Google Scholar 

  • Reeve, S., Sheaves, B., & Freeman, D. (2015). The role of sleep dysfunction in the occurrence of delusions and hallucinations: A systematic review. Clinical Psychology Review, 42, 96–115. https://doi.org/10.1016/j.cpr.2015.09.001

    Article  PubMed  PubMed Central  Google Scholar 

  • Reeve, S., Nickless, A., Sheaves, B., & Freeman, D. (2018). Insomnia, negative affect, and psychotic experiences: Modelling pathways over time in a clinical observational study. Psychiatry Research, 269, 673–680.

    Article  PubMed  PubMed Central  Google Scholar 

  • Reeve, S., Nickless, A., Sheaves, B., Hodgekins, J., Stewart, S., Gumley, A., Fowler, D., Morrison, A., & Freeman, D. (2019). Sleep duration and psychotic experiences in patients at risk of psychosis: A secondary analysis of the EDIE-2 trial. Schizophrenia Research, 204, 326–333.

    Article  CAS  PubMed  Google Scholar 

  • Rimvall, M. K., van Os, J., Verhulst, F., Wolf, R. T., Larsen, J. T., Clemmensen, L., Skovgaard, A. M., Rask, C. U., & Jeppesen, P. (2020). Mental health service use and psychopharmacological treatment following psychotic experiences in preadolescence. American Journal of Psychiatry, 177(4), 318–326.

    Article  PubMed  Google Scholar 

  • Roberts, R. E., Roberts, C. R., & Duong, H. T. (2008). Chronic insomnia and its negative consequences for health and functioning of adolescents: A 12-month prospective study. Journal of Adolescent Health, 42(3), 294–302.

    Article  Google Scholar 

  • Robins, L. (1993). Childhood conduct problems, adult psychopathology, and crime. In S. Hodgins (Eds.), Mental Disorder and Crime (pp 173–193). Sage Publication, Inc.

  • Scott, P. D. (1967). Deviant children grown up: Lee N. Robins: Williams & Wilkins, Baltimore , p 351 (Paperback) 68s.

  • Semiz, U. B., Algul, A., Basoglu, C., Ateş, M. A., Ebrinc, S., Cetin, M., ... & Günay, H. (2008). The relationship between subjective sleep quality and aggression in male subjects with antisocial personality disorder. Turkish Journal of Psychiatry, 19(4), 373–381.

  • Sheaves, B., Bebbington, P. E., Goodwin, G. M., Harrison, P. J., Espie, C. A., Foster, R. G., & Freeman, D. (2016). Insomnia and hallucinations in the general population: Findings from the 2000 and 2007 British Psychiatric Morbidity Surveys. Psychiatry Research, 241, 141–146.

    Article  PubMed  PubMed Central  Google Scholar 

  • Soneson, E., Russo, D., Stochl, J., Heslin, M., Galante, J., Knight, C., Grey, N., Hodgekins, J., French, P., & Fowler, D. (2020). Psychological interventions for people with psychotic experiences: A systematic review and meta-analysis of controlled and uncontrolled effectiveness and economic studies. Australian & New Zealand Journal of Psychiatry, 54(7), 673–695.

    Article  Google Scholar 

  • Step, S. (2013). Skills for Social and Academic Success. 2013. Illinois Bully Scale Student Version.

    Google Scholar 

  • Strauss, G. P., Raugh, I. M., Mittal, V. A., Gibb, B. E., & Coles, M. E. (2018). Bullying victimization and perpetration in a community sample of youth with psychotic like experiences. Schizophrenia Research, 195, 534–536. https://doi.org/10.1016/j.schres.2017.08.056

    Article  PubMed  Google Scholar 

  • Sukhodolsky, D. G., Kassinove, H., & Gorman, B. S. (2004). Cognitive-behavioral therapy for anger in children and adolescents: A meta-analysis. Aggression and Violent Behavior, 9(3), 247–269.

    Article  Google Scholar 

  • Sukhodolsky, D. G., Smith, S. D., McCauley, S. A., Ibrahim, K., & Piasecka, J. B. (2016). Behavioral interventions for anger, irritability, and aggression in children and adolescents. Journal of Child and Adolescent Psychopharmacology, 26(1), 58–64.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sun, M., Hu, X., Zhang, W., Guo, R., Hu, A., Mwansisya, T. E., Zhou, L., Liu, C., Chen, X., Huang, X., Shi, J., Chiu, H. F. K., & Liu, Z. (2015). Psychotic-like experiences and associated socio-demographic factors among adolescents in China. Schizophrenia Research, 166(1), 49–54. https://doi.org/10.1016/j.schres.2015.05.031

    Article  PubMed  Google Scholar 

  • Taylor, N. D., Fireman, G. D., & Levin, R. (2013). Trait hostility, perceived stress, and sleep quality in a sample of normal sleepers (p. 2013). Sleep disorders.

    Google Scholar 

  • Tsuchiyama, K., Terao, T., Wang, Y., Hoaki, N., & Goto, S. (2013). Relationship between hostility and subjective sleep quality. Psychiatry Research, 209(3), 545–548. https://doi.org/10.1016/j.psychres.2013.03.019

    Article  PubMed  Google Scholar 

  • Van Os, J., & Linscott, R. J. (2012). Introduction: The extended psychosis phenotype—Relationship with schizophrenia and with ultrahigh risk status for psychosis. Schizophrenia Bulletin, 38(2), 227–230.

    Article  PubMed  PubMed Central  Google Scholar 

  • Van Os, J., Linscott, R. J., Myin-Germeys, I., Delespaul, P., & Krabbendam, L. (2009). A systematic review and meta-analysis of the psychosis continuum: Evidence for a psychosis proneness–persistence–impairment model of psychotic disorder. Psychological Medicine, 39(2), 179–195.

    Article  PubMed  Google Scholar 

  • Van Veen, M. M., Lancel, M., Beijer, E., Remmelzwaal, S., & Rutters, F. (2021). The association of sleep quality and aggression: A systematic review and meta-analysis of observational studies. Sleep medicine reviews, 59, 101500. https://doi.org/10.1016/j.smrv.2021.101500

    Article  PubMed  Google Scholar 

  • Velten-Schurian, K., Hautzinger, M., Poets, C. F., & Schlarb, A. A. (2010). Association between sleep patterns and daytime functioning in children with insomnia: The contribution of parent-reported frequency of night waking and wake time after sleep onset. Sleep Medicine, 11(3), 281–288. https://doi.org/10.1016/j.sleep.2009.03.012

    Article  PubMed  Google Scholar 

  • Vermeiden, M., Janssens, M., Thewissen, V., Akinsola, E., Peeters, S., Reijnders, J., Jacobs, N., van Os, J., & Lataster, J. (2019). Cultural differences in positive psychotic experiences assessed with the Community Assessment of Psychic Experiences-42 (CAPE-42): A comparison of student populations in the Netherlands. Nigeria and Norway. BMC Psychiatry, 19(1), 244. https://doi.org/10.1186/s12888-019-2210-8

    Article  PubMed  Google Scholar 

  • Vermeiden, M., Janssens, M., Thewissen, V., Akinsola, E., Peeters, S., Reijnders, J., Jacobs, N., van Os, J., & Lataster, J. (2019). Cultural differences in positive psychotic experiences assessed with the Community Assessment of Psychic Experiences-42 (CAPE-42): A comparison of student populations in the Netherlands. Nigeria and Norway. BMC Psychiatry, 19(1), 1–15.

    Google Scholar 

  • Waite, F., Sheaves, B., Isham, L., Reeve, S., & Freeman, D. (2020). Sleep and schizophrenia: From epiphenomenon to treatable causal target. Schizophrenia Research, 221, 44–56. https://doi.org/10.1016/j.schres.2019.11.014

    Article  PubMed  Google Scholar 

  • Waters, F., Chiu, V., Atkinson, A., & Blom, J. D. (2018). Severe sleep deprivation causes hallucinations and a gradual progression toward psychosis with increasing time awake. Front Psychiatry, 9, 303. https://doi.org/10.3389/fpsyt.2018.00303

    Article  PubMed  PubMed Central  Google Scholar 

  • Wong, K.K.-Y., & Raine, A. (2019). Peer problems and low self-esteem mediate the suspicious and non-suspicious schizotypy–reactive aggression relationship in children and adolescents. Journal of Youth and Adolescence, 48(11), 2241–2254. https://doi.org/10.1007/s10964-019-01125-9

    Article  PubMed  PubMed Central  Google Scholar 

  • Wong, K.K.-Y., Raine, A., & Venables, P. (2018). The effect of being left home alone at age 3 years on schizotypy and antisocial behavior at ages 17 and 23 years. Journal of Psychiatric Research, 105, 103–112. https://doi.org/10.1016/j.jpsychires.2018.08.024

    Article  PubMed  Google Scholar 

  • Wong, K.K.-Y., Francesconi, M., & Flouri, E. (2021). Internalizing and externalizing problems across childhood and psychotic-like experiences in young-adulthood: The role of developmental period. Schizophrenia Research, 231, 108–114.

    Article  PubMed  Google Scholar 

  • Wüsten, C., Schlier, B., Jaya, E. S., Fonseca-Pedrero, E., Peters, E., Verdoux, H., Woodward, T. S., Ziermans, T. B., & Lincoln, T. M. (2018). Psychotic experiences and related distress: A cross-national comparison and network analysis based on 7141 participants from 13 countries. Schizophrenia bulletin, 44(6), 1185–1194. Record #3467 is using a reference type undefined in this output style.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. The Tunisian Center of Early Intervention in Psychosis, Department of Psychiatry “Ibn Omrane”, Razi Hospital, 2010, Manouba, Tunisia

    Feten Fekih-Romdhane

  2. Tunis El Manar University, Faculty of Medicine of Tunis, Tunis, Tunisia

    Feten Fekih-Romdhane

  3. College of Pharmacy, Gulf Medical University, Ajman, United Arab Emirates

    Diana Malaeb

  4. School of Pharmacy, Lebanese International University, Beirut, Lebanon

    Diana Malaeb

  5. Laboratorio de Neurociencias (LIM 27), Instituto de Psiquiatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil

    Alexandre Andrade Loch

  6. Instituto Nacional de Biomarcadores Em Neuropsiquiatria (INBION), Conselho Nacional de Desenvolvimento Cientifico E Tecnológico, Sao Paulo, Brazil

    Alexandre Andrade Loch

  7. Faculty of Science, Lebanese University, Fanar, Lebanon

    Nour Farah

  8. School of Arts and Sciences, Social and Education Sciences Department, Lebanese American University, Jbeil, Lebanon

    Sahar Obeid

  9. School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon

    Souheil Hallit

  10. Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon

    Souheil Hallit

  11. Applied Science Research Center, Applied Science Private University, Amman, Jordan

    Souheil Hallit

Authors
  1. Feten Fekih-Romdhane
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Diana Malaeb
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Alexandre Andrade Loch
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Nour Farah
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Sahar Obeid
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Souheil Hallit
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Souheil Hallit.

Ethics declarations

Competing Interests

The authors declare no competing interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Sahar Obeid and Souheil Hallit are last coauthors.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Fekih-Romdhane, F., Malaeb, D., Loch, A.A. et al. Insomnia Mediates the Relationship Between Aggression Indicators and Positive Psychotic Experiences in a Large Community-Based Adult Sample. Int J Ment Health Addiction (2023). https://doi.org/10.1007/s11469-023-01044-8

Download citation

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s11469-023-01044-8

Keywords

Search

Navigation