دورية أكاديمية
أعرض في EDS

Insomnia and anxiety among COVID-19 patients in China: the chain mediating effect of psychological capital and self-esteem.

التفاصيل البيبلوغرافية
العنوان: Insomnia and anxiety among COVID-19 patients in China: the chain mediating effect of psychological capital and self-esteem.
المؤلفون: Du J; School of Nursing, the Fourth Military Medical University, Xi'an, 710032, China., Wu C; School of Nursing, the Fourth Military Medical University, Xi'an, 710032, China., Zheng WK; School of Basic Medicine, Inner Mongolia Medical University, Hohhot, 010110, China., Cui SN; School of Nursing, the Fourth Military Medical University, Xi'an, 710032, China., Li L; Department of endocrinology, Tangdu Hospital, Fourth Military Medical University, Xian, Shaanxi, 710038, China., Liu Z; School of Nursing, the Fourth Military Medical University, Xi'an, 710032, China., Gao L; School of Nursing, the Fourth Military Medical University, Xi'an, 710032, China. gaoli0529@163.com., Heng CN; Department of endocrinology, Tangdu Hospital, Fourth Military Medical University, Xian, Shaanxi, 710038, China. Lvchenyeye@126.com., Lang HJ; School of Nursing, the Fourth Military Medical University, Xi'an, 710032, China. langhj@fmmu.edu.cn.
المصدر: BMC nursing [BMC Nurs] 2024 Apr 01; Vol. 23 (1), pp. 221. Date of Electronic Publication: 2024 Apr 01.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088683 Publication Model: Electronic Cited Medium: Print ISSN: 1472-6955 (Print) Linking ISSN: 14726955 NLM ISO Abbreviation: BMC Nurs Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2002]-
مستخلص: Background: The outbreak of Corona Virus Disease (COVID-19) in 2019 has continued until now, posing a huge threat to the public's physical and mental health, resulting in different degrees of mental health problems. As a vulnerable segment of the public, anxiety is one of the most common mental health problems among COVID-19 patients. Excessive anxiety aggravates the physical and psychological symptoms of COVID-19 patients, which is detrimental to their treatment and recovery, increases financial expenditure, affects family relations, and adds to the medical burden.
Objective: This study aimed to explore the role of psychological capital and self-esteem in the relationship between insomnia and anxiety, thereby shedding light on the mechanism of the effect of insomnia on anxiety in COVID-19 patients.
Methods: A cross-sectional study was conducted from April to May 2022 in Fangcang hospital in Shanghai, China. The self-administered questionnaires were distributed to 718 COVID-19 patients via cell phone using the Internet platform "Questionnaire Star", which included Athens Insomnia Scale, Psychological Capital Questionnaire, Self-esteem Scale, Self-Rating Anxiety Scale, gender, age, marital status, education. Data analysis was performed using descriptive analysis, independent-samples t-test, one-way analysis of variance, Pearson correlation analysis, ordinary least-squares regression, and bootstrap method.
Results: Education background had significant impact on anxiety in COVID-19 patients (F = 7.70, P < 0.001). Insomnia, psychological capital, self-esteem and anxiety were significantly correlated, respectively (P < 0.001). And Regression analysis showed that insomnia had a direct negative predictive effect on psychological capital (β = -0.70, P < 0.001) and self-esteem (β = -0.13, P < 0.001). Psychological capital had a direct positive predictive effect on self-esteem (β = 0.12, P < 0.001). Insomnia had a direct positive predictive effect on anxiety (β = 0.61, P < 0.001). Both psychological capital and self-esteem had significant negative predictive effects on anxiety (β = -0.06, P < 0.05; β = -0.72, P < 0.001). The results showed that the mediating effect of psychological capital and self-esteem was significant, and the mediating effect value was 0.21. First, the indirect effect consisting of insomnia - psychological capital - anxiety was 0.04, showing that psychological capital had a significant mediating effect. Second, the indirect effect consisting of insomnia-self-esteem-anxiety had a value of 0.10, indicating that self-esteem had a significant mediating effect. Third, the indirect effect consisting of insomnia-psychological capital-self-esteem-anxiety had a value of 0.06, suggesting that psychological capital and self-esteem had a significant chain mediating effect between insomnia and anxiety.
Conclusions: Insomnia had a significant positive predictive effect on anxiety. Insomnia was first associated with a decrease in psychological capital, followed by a sequential decrease in self-esteem, which in turn was associated with increased anxiety symptoms in COVID-19 patients. Therefore, focusing on improving the psychological capital and self-esteem of patients can help alleviate the anxiety caused by insomnia in COVID-19 patients. It is recommended that patients and health care professionals increase the psychological capital and Self-esteem of COVID-19 patients through various methods to counter the effects of insomnia on anxiety.
(© 2024. The Author(s).)
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معلومات مُعتمدة: 22KYBJ01 the Health Care Special Research Project of Air Force Medical University; 22KYBJ01 the Health Care Special Research Project of Air Force Medical University; 22KYBJ01 the Health Care Special Research Project of Air Force Medical University; 22KYBJ01 the Health Care Special Research Project of Air Force Medical University; 22KYBJ01 the Health Care Special Research Project of Air Force Medical University; 22KYBJ01 the Health Care Special Research Project of Air Force Medical University; 22KYBJ01 the Health Care Special Research Project of Air Force Medical University; 22KYBJ01 the Health Care Special Research Project of Air Force Medical University; 22KYBJ01 the Health Care Special Research Project of Air Force Medical University
فهرسة مساهمة: Keywords: Anxiety; COVID-19; Chain mediating effect; Insomnia; Psychological capital; Self-esteem
تواريخ الأحداث: Date Created: 20240402 Latest Revision: 20240404
رمز التحديث: 20240404
مُعرف محوري في PubMed: PMC10983642
DOI: 10.1186/s12912-023-01563-8
PMID: 38561710
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6955
DOI:10.1186/s12912-023-01563-8