Parallel Mediating Effects of Sleep Quality, Psychological Distress, and Self-Stigma in the Associations Between Long COVID Symptoms and Quality of Life Among Taiwanese Individuals With Mental Health Illness

IF 2.6 3区心理学 Q2 BEHAVIORAL SCIENCES Brain and Behavior Pub Date : 2024-10-14 DOI:10.1002/brb3.70094

Kun-Chia Chang, Daniel Kwasi Ahorsu, Hsin-Chi Tsai, Carol Strong, Nai-Ying Ko, Jung-Sheng Chen, Cheng-Fang Yen, Servet Üztemur, Mark D. Griffiths, Chung-Ying Lin

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Abstract

Background

Long COVID symptoms (i.e., experiencing symptoms of COVID-19 for 3 months post-COVID-19) affect individuals’ health and their quality of life (QoL). However, the pathways through which it does so are not fully known.

Aim

The present study examined the mediating roles of sleep quality, psychological distress, and self-stigma in the associations between long COVID symptoms and QoL among individuals with mental illness.

Method

Individuals with mental illness (n = 333) were recruited from a psychiatric center in southern Taiwan to participate in the study. Data were collected regarding sleep quality, psychological distress, self-stigma, and QoL. Independent t-tests, Pearson correlations, and regression with Hayes’ Process Macro were used to compare groups, examine relationships, and parallel mediation models, respectively.

Results

Participants with long COVID symptoms had significantly worse sleep quality, psychological distress, physical QoL, and psychological QoL compared to those without symptoms. There were significant relationships between sleep quality, psychological distress, self-stigma, and QoL. Sleep quality significantly mediated the associations between long COVID symptoms and physical and social QoL. Psychological distress significantly mediated the associations between long COVID symptoms and all domains of QoL, but not self-stigma.

Conclusion

There are alternative pathways (e.g., sleep quality and psychological distress) through which long COVID symptoms may affect the QoL of individuals with mental illness. The findings suggest that individuals with long COVID symptoms have a higher chance of having poor QoL. Therefore, there may be the need for counseling and possible therapy for those who contract COVID-19, especially among individuals who already have mental illness.

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睡眠质量、心理困扰和自我污名在台湾精神疾病患者的长期 COVID 症状与生活质量之间的平行中介效应

背景长期 COVID 症状（即在 COVID-19 后 3 个月内出现 COVID-19 症状）会影响个人的健康和生活质量（QoL）。然而，其影响途径尚不完全清楚。研究目的本研究探讨了睡眠质量、心理困扰和自我污名在精神疾病患者长期 COVID 症状与 QoL 之间关系中的中介作用。方法从台湾南部的一家精神病治疗中心招募精神病患者（n = 333）参与研究。研究收集了有关睡眠质量、心理困扰、自我污名和 QoL 的数据。分别采用独立 t 检验、皮尔逊相关检验和海斯过程宏回归检验来比较组别、检验关系和平行中介模型。结果与无症状者相比，有长期 COVID 症状的参与者的睡眠质量、心理困扰、身体 QoL 和心理 QoL 明显较差。睡眠质量、心理困扰、自我污名和 QoL 之间存在重要关系。睡眠质量对 COVID 长期症状与身体和社交 QoL 之间的关系有明显的中介作用。心理困扰对长期 COVID 症状与所有 QoL 领域之间的关联有明显的中介作用，但对自我污名没有中介作用。结论长期 COVID 症状可能会通过其他途径（如睡眠质量和心理困扰）影响精神疾病患者的 QoL。研究结果表明，有长期 COVID 症状的患者有较高的机会出现 QoL 差异。因此，有必要为感染 COVID-19 的患者（尤其是已患有精神疾病的患者）提供咨询和可能的治疗。

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来源期刊

Brain and Behavior BEHAVIORAL SCIENCES-NEUROSCIENCES

CiteScore

5.30

自引率

0.00%

发文量

352

审稿时长

14 weeks

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