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Nightmare frequency is a risk factor for suicidal ideation during the COVID-19 pandemic
Mississippi State Univ, MS USA; South Texas Vet Hlth Care Syst, TX 78229 USA.
Inst Consciousness & Dream Res, Austria; Med Univ Vienna, Austria.
Univ Rome, Italy.
Univ Rome, Italy; IRCCS Fdn Santa Lucia, Italy.
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2024 (English)In: Journal of Sleep Research, ISSN 0962-1105, E-ISSN 1365-2869, Vol. 33, no 5, article id e14165Article in journal (Refereed) Published
Abstract [en]

The association between nightmare frequency (NMF) and suicidal ideation (SI) is well known, yet the impact of the COVID-19 pandemic on this relation is inconsistent. This study aimed to investigate changes in NMF, SI, and their association during the COVID-19 pandemic. Data were collected in 16 countries using a harmonised questionnaire. The sample included 9328 individuals (4848 women; age M[SD] = 46.85 [17.75] years), and 17.60% reported previous COVID-19. Overall, SI was significantly 2% lower during the pandemic vs. before, and this was consistent across genders and ages. Most countries/regions demonstrated decreases in SI during this pandemic, with Austria (-9.57%), Sweden (-6.18%), and Bulgaria (-5.14%) exhibiting significant declines in SI, but Italy (1.45%) and Portugal (2.45%) demonstrated non-significant increases. Suicidal ideation was more common in participants with long-COVID (21.10%) vs. short-COVID (12.40%), though SI did not vary by COVID-19 history. Nightmare frequency increased by 4.50% during the pandemic and was significantly higher in those with previous COVID-19 (14.50% vs. 10.70%), during infection (23.00% vs. 8.10%), and in those with long-COVID (18.00% vs. 8.50%). The relation between NMF and SI was not significantly stronger during the pandemic than prior (rs = 0.18 vs. 0.14; z = 2.80). Frequent nightmares during the pandemic increased the likelihood of reporting SI (OR = 1.57, 95% CI 1.20-2.05), while frequent dream recall during the pandemic served a protective effect (OR = 0.74, 95% CI 0.59-0.94). These findings have important implications for identifying those at risk of suicide and may offer a potential pathway for suicide prevention.

Place, publisher, year, edition, pages
WILEY , 2024. Vol. 33, no 5, article id e14165
Keywords [en]
anxiety; depression; long-COVID; post-COVID; PTSD; suicidality
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-201313DOI: 10.1111/jsr.14165ISI: 001164496700001PubMedID: 38366677Scopus ID: 2-s2.0-85185656264OAI: oai:DiVA.org:liu-201313DiVA, id: diva2:1842442
Note

Funding Agencies|South Texas Veterans Health Care System in San Antonio, TX, USA

Available from: 2024-03-05 Created: 2024-03-05 Last updated: 2025-03-01

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