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EV1260
Nightmare frequency, nightmare distress, and academic outcomes in adolescents: disentangling independent associations, joint effects, and sex-specific patterns
NIGHTMARE FREQUENCY, NIGHTMARE DISTRESS, AND ACADEMIC OUTCOMES IN ADOLESCENTS: UNTANGLING INDEPENDENT ASSOCIATIONS, JOINT EFFECTS, AND SEX-SPECIFIC PATTERNS
Presenter: Yan'e Lu
Country: China
Institution: School of Nursing, Peking University
Nightmare distress, rather than nightmare frequency, is the key factor associated with academic outcomes, and the combined effect of the two dimensions is attenuating rather than synergistic.
The study aimed to examine the independent associations and joint effects of nightmare frequency (NF) and nightmare distress (ND) in relation to academic outcomes in adolescents, as well as sex differences. A total of 31,287 adolescents were assessed in a cross-sectional design; NF was measured using a single item with a 7-point scale, and ND using the Nightmare Distress Questionnaire. Academic outcomes included academic burnout, school refusal behavior, and subjective academic achievement. Multivariable linear regression models were fitted to test the independent associations of NF and ND, their interactions, and two- and three-way interactions involving sex. For academic burnout, the results were NF beta = 0.021 (p < 0.001), ND beta = 0.134 (p < 0.001), NF x ND interaction beta = -0.099 (p < 0.001), and NF x ND x sex interaction beta = -0.019 (p < 0.05). For school refusal behavior, NF was not significant (beta = -0.009), whereas ND beta = 0.282 (p < 0.001) and the NF x ND interaction beta = -0.083 (p < 0.001) were significant; the three-way interaction was not significant (beta = -0.004). For subjective academic achievement, only ND was significant (beta = 0.036, p < 0.001); NF (beta = -0.009), NF x ND (beta = 0.007), and the three-way interaction (beta = 0.002) were not significant. ND was independently associated with all three academic outcomes, whereas NF was significant only for academic burnout. The negative interactions indicated that the association of one nightmare dimension weakened as the other increased, and a sex-specific pattern was observed only for academic burnout.
View the original posterHow to cite this study
APA 7: Lu, Y., et al. (2026, September 23-26). Nightmare frequency, nightmare distress, and academic outcomes in adolescents: untangling independent associations, joint effects, and sex-specific patterns [E-poster]. 26th WPA World Congress of Psychiatry (WCP 2026), Stockholm, Sweden. https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/763
Vancouver: Lu Y, et al. Nightmare frequency, nightmare distress, and academic outcomes in adolescents: untangling independent associations, joint effects, and sex-specific patterns [e-poster]. 26th WPA World Congress of Psychiatry (WCP 2026); 2026 Sep 23-26; Stockholm, Sweden. Available from: https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/763
Author names and title formatting were generated automatically from the congress system; please check them against the original poster before use.
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