Child Psychiatry & Human Development

, Volume 49, Issue 1, pp 63–72 | Cite as

Sleeping Paranoia Away? An Actigraphy and Experience-Sampling Study with Adolescents

Original Article

Abstract

Paranoid symptoms co-occur with distress and poor functioning and constitute a risk for psychosis and other mental disorders. Poor sleep is known to be associated with paranoid symptoms, but the direction of the effect and the mediating factors have not been studied thoroughly. In an experience-sampling study, 61 adolescents wore an actigraph over eight nights and also rated their sleep, symptoms of paranoia, and potentially mediating factors. Shorter sleep time and more dreaming predicted paranoid symptoms in multilevel regression models. Paranoid symptoms did not significantly predict sleep parameters. Positive and negative affect partially mediated the effect of sleep time on paranoid symptoms. The effects were small, but encourage further research that might then be used to improve the prevention of paranoid symptoms.

Keywords

Psychosis Schizophrenia Persecutory delusions Daily diary Ambulatory assessment 

Notes

Acknowledgements

We like to thank the participating adolescents, the psychology students who helped with the data collection, and Dr. Jürgen Kempkensteffen for technical support. We declare that no potential conflict of interest is associated with the manuscript.

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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.Faculty of Psychology and Human Movement Science, Clinical Psychology and Psychotherapy, Institute of PsychologyUniversität HamburgHamburgGermany

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