Exploring the mediation of distress and depressive symptoms in the relationship between nightmares and suicidal ideation in adults
Resumen
Introducción: Las pesadillas constituyen una parasomnia frecuente en adultos de la población general y se han asociado de manera consistente con diversos indicadores de malestar psicológico. La evidencia sugiere una relación significativa entre las pesadillas y la ideación suicida; sin embargo, los mecanismos psicológicos subyacentes a esta asociación no están plenamente esclarecidos. Objetivo: Analizar el papel mediador del malestar psicológico y los síntomas depresivos en la relación entre las pesadillas y la ideación suicida en adultos de la población general. Metodología: Participaron 507 adultos peruanos (66,7 % mujeres), que completaron un cuestionario sociodemográfico e instrumentos de evaluación psicológica. El análisis de mediación se realizó mediante modelado de ecuaciones estructurales. Resultados: Las pesadillas mostraron asociaciones indirectas significativas con la ideación suicida a través del malestar psicológico (? = 0,170; p = 0,007) y los síntomas depresivos (? = 0,234; p = 0,002). El efecto indirecto conjunto fue significativo (? = 0,404; p < 0,001), mientras que el efecto directo de las pesadillas sobre la ideación suicida no fue significativo (? = 0,057; p = 0,515). El efecto total también fue significativo (? = 0,460; p < 0,001), lo que respalda un patrón de mediación exclusivamente indirecta. Conclusiones: La asociación entre las pesadillas y la ideación suicida en adultos se explica principalmente por vías indirectas que involucran el malestar psicológico y los síntomas depresivos, lo que respalda un patrón de mediación exclusivamente indirecta. Dado el diseño transversal, los hallazgos deben interpretarse como asociaciones estadísticas y no como relaciones causales.
Palabras clave:
trastornos del sueño, conducta suicida, salud mental, adultos, salud públicaDescargas
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Derechos de autor 2026 Jonatan Baños-Chaparro, Tomás Caycho-Rodríguez, Diego Valencia-Pecho, Esteban Sarmiento-Suarez, Dulce Bernabel-Tarazona, Gabriela Rivera-Álvarez
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
