Resilience buffers the association between sleep disturbance and psychotic-like experiences in adolescents

Dongfang Wang, Huilin Chen, Zihao Chen, Zheng Yang, Xiuzhu Zhou, Nanping Tu, Huamei Dai, Meng Sun, Fang Fan

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10 Citations (SciVal)


Background: Sleep disturbance may cause psychotic-like experiences (PLEs). The present study aimed to exam their rate of co-occurrence and investigate whether resilience buffers the association. Methods: A total of 50,625 junior high school students were assessed using the self-compiled socio-demographics and sleep questionnaires, 8-item Positive Subscale of the Community Assessment of Psychic Experiences, 10-item Connor-Davidson Resilience Scale, Patient Health Questionnaire and Generalized Anxiety Disorder Questionnaire. Results: In this sample, 15.8% participants had frequent PLEs in the past month, where 40.1% exhibited comorbid sleep disturbance. Sleep disturbance positively associated with the onset of frequent PLEs, after adjusting for socio-demographics, depression and anxiety. Moderation analysis showed resilience buffers the association between sleep disturbance and PLEs, with a higher level of resilience, the positive effect of sleep disturbance on PLEs would be diminished to a greater extent. Conclusions: These findings suggested that early attention should be drawn to adolescents with sleep disturbance. Intervention strategies should be enhancing resilience, increasing sleep duration and improving sleep quality.

Original languageEnglish
Pages (from-to)118-125
Number of pages8
JournalSchizophrenia Research
Early online date2 Jun 2022
Publication statusPublished - 30 Jun 2022

Bibliographical note

Funding Information:
This study was funded by National Natural Science Foundation of China (Grant No. 31871129 ; No. 8210053414 ); Research on the Processes and Repair of Psychological Trauma in Youth, Project of Key Institute of Humanities and Social Sciences , MOE (Grant No. 16JJD190001 ); Guangdong Province Universities and Colleges Pearl River Scholar Funded Scheme, GDUPS (2016); and Graduate Research and Innovation Project of School of Psychology, South China Normal University ( PSY-SCNU202017 ).


  • Adolescents
  • Buffering effect
  • Psychotic-like experiences
  • Resilience
  • Sleep disturbance

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry


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