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Persecutory ideation and insomnia Findings from the second British National Survey Of Psychiatric Morbidity

Freeman, D; Brugha, T; Meltzer, H; Jenkins, R; Stahl, D; Bebbington, P; (2010) Persecutory ideation and insomnia Findings from the second British National Survey Of Psychiatric Morbidity. Journal of Psychiatric Research , 44 (15) 1021 - 1026. 10.1016/j.jpsychires.2010.03.018. Green open access

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Abstract

It is clinically and theoretically plausible that insomnia contributes to the development and maintenance of paranoid fears The primary aim of the study was to establish in a large sample whether insomnia and paranoia are associated more strongly than by chance Cross-sectional data on paranoia insomnia anxiety worry depression irritability and cannabis use were obtained from the second British National Survey of Psychiatric Morbidity a general population survey of adults aged 16-74 years living in Great Britain (N = 8580) It was found that insomnia was associated with an approximately two to threefold increase in paranoid thinking Paranoia and insomnia were both strongly associated with the presence of anxiety worry depression irritability and cannabis use In a path analysis the association of paranoia and insomnia was partially explained by the affective symptoms and to a much lesser degree cannabis use The results are consistent with recent developments in the cognitive understanding of persecutory delusions in which insomnia negative affect, and substance use are identified as key factors Longitudinal studies of insomnia and paranoia and tests of the effects of sleep interventions on levels of paranoia are now required to examine causality (C) 2010 Elsevier Ltd All rights reserved

Type: Article
Title: Persecutory ideation and insomnia Findings from the second British National Survey Of Psychiatric Morbidity
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.jpsychires.2010.03.018
Publisher version: http://dx.doi.org/10.1016/j.jpsychires.2010.03.018
Language: English
Additional information: © Elsevier 2015. This articleis made available under the CC-BY 3.0 license http://creativecommons.org/licenses/by/3.0/
Keywords: Delusions, Paranoia, Insomnia, Anxiety, Worry, Sleep-deprivation, Population, Epidemiology, Comobridity, disorders, psychosis, prevalence, delusions, community.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > IoN RLW Inst of Neurological Sci
URI: https://discovery.ucl.ac.uk/id/eprint/166727
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