Effect of the decreased frequency of going out on the association between anxiety and sleep disorder during the COVID-19 pandemic: a mediation analysis.

IF 3.6 3区 医学 Q1 PSYCHIATRY Annals of General Psychiatry Pub Date : 2023-07-23 DOI:10.1186/s12991-023-00456-z
Yumi Sugawara, Yutaka Yabe, Yoshihiro Hagiwara, Ichiro Tsuji
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Abstract

Purpose: The objective of the present study was to examine the relationship between anxiety and sleep disorder during the COVID-19 pandemic and to evaluate whether sleep disorder is mediated by the decreased frequency of going out.

Methods: The data of a total of 1976 residents aged 18 years and over who had responded to a self-reported questionnaires at a health survey in 2020 were analyzed. The subjects were divided into four groups based on their response to the questionnaire on anxiety about the COVID-19 pandemic. Sleep disorder was measured using the Athens Insomnia Scale (AIS). A cross-sectional analysis was performed to examine the association between anxiety about the COVID-19 pandemic and AIS scores. Mediation analysis was used to calculate the association between anxiety and AIS scores during the COVID-19 pandemic, with decreased frequency of going out as a potential mediating variable.

Results: In the cross-sectional study, the level of anxiety about the COVID-19 pandemic was significantly associated with the AIS score (p < 0.001). On mediation analysis, the direct effect of the relationship showed that anxiety positively influenced AIS scores (β = 0.283, p < 0.01). The indirect effect of the relationship showed that the decreased frequency of going out positively mediated the relationship between anxiety and AIS scores (β = 0.342, p < 0.05). The decreased frequency of going out accounted for almost 10% of the AIS score.

Conclusion: The present study found that anxiety about the COVID-19 pandemic was significantly associated with sleep disorder, with the decreased frequency of going out mediating this association.

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新冠肺炎大流行期间外出频率降低对焦虑和睡眠障碍之间关系的影响:一项中介分析。
目的:本研究的目的是研究新冠肺炎大流行期间焦虑与睡眠障碍之间的关系,并评估睡眠障碍是否是由外出频率降低介导的。方法:对1976名18岁及以上的居民的数据进行分析,他们在2020年的一次健康调查中对自我报告问卷做出了回应。受试者根据对新冠肺炎大流行焦虑问卷的回答被分为四组。使用雅典失眠量表(AIS)测量睡眠障碍。进行了横断面分析,以检查对新冠肺炎大流行的焦虑与AIS评分之间的关系。中介分析用于计算新冠肺炎大流行期间焦虑与AIS评分之间的关联,外出频率降低是一个潜在的中介变量。结果:在横断面研究中,对新冠肺炎大流行的焦虑水平与AIS评分显著相关(p 结论:本研究发现,对新冠肺炎大流行的焦虑与睡眠障碍显著相关,外出频率的降低介导了这种关联。
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来源期刊
CiteScore
6.60
自引率
2.70%
发文量
43
审稿时长
>12 weeks
期刊介绍: Annals of General Psychiatry considers manuscripts on all aspects of psychiatry, including neuroscience and psychological medicine. Both basic and clinical neuroscience contributions are encouraged. Annals of General Psychiatry emphasizes a biopsychosocial approach to illness and health and strongly supports and follows the principles of evidence-based medicine. As an open access journal, Annals of General Psychiatry facilitates the worldwide distribution of high quality psychiatry and mental health research. The journal considers submissions on a wide range of topics including, but not limited to, psychopharmacology, forensic psychiatry, psychotic disorders, psychiatric genetics, and mood and anxiety disorders.
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