COVID-related psychological distress fully mediates the association from social impact to sleep disturbance among patients with chronic schizophrenia

Abstract

The aims of the current study were to identify factors associated with sleep disturbance and Coronavirus disease-19 related psychological distress (CPD), and to develop a conceptual model to verify the mediating effect of CPD on the association between social impact and sleep disturbance. This study recruited patients with schizophrenia. Factors associated with the level of sleep disturbance and CPD were identified using univariate linear regression, and further selected into a stepwise multivariate linear regression model. Using structural equation modeling, a mediation model was developed to test the mediating effect of CPD on the association between social impact and sleep disturbance. After estimating with the stepwise and bootstrap regression, higher levels of CPD were associated with higher levels of social anxiety and subjects without a regular diet. Sleep disturbance was associated with a higher level of social anxiety, a history of psychological trauma, chronic disease, and those who did not smoke. The final model confirmed the mediating effects of CPD; whereas, the direct effect from social impact to sleep disturbance did not reach statistical significance. The current study manifests the crucial role of CPD on the association between social impact and sleep disturbance, and timely intervention for CPD is warranted.

Relationship of Societal Adaptation with Vaccine Worries among Healthcare Workers during the COVID-19 Pandemic: The Mediating Effects of Posttraumatic Stress Disorder

“…This is our second-year follow up study by our group, and the first year outcome has been published elsewhere [ 4 , 52 , 53 , 54 ]. We recruited participants through printed advertisements posted in the public area in the Kaohsiung Municipal Kai-Syuan Psychiatric Hospital in Taiwan, from 30 May 2021 to 30 June 2021.…”

Lessons from the coronavirus disease 2019 pandemic in schizophrenia: a review

“…Among the psychological consequences of the pandemic and the lockdowns, the patients reported increased anxiety, depression, and health risky behaviors [35,36]. A Taiwanese study has shown that COVID-related psychological distress fully mediated the association from social impact to sleep disturbance among patients with chronic schizophrenia [37]. A qualitative Turkish study concluded that most of the patients with schizophrenia shared the same challenges with the general population coping with the pandemic, with sometimes different coping strategies [38].…”

The social and mental impact on healthcare workers: A comparative and cross-sectional study during two waves of the COVID-19 pandemic in Taiwan

“…In Taiwan, people also suffer from massively psychological distress during COVID-19 pandemic. Several studies based on either the general public [9] or patients with mental disorders [10,11] in Taiwan have also reported undesirable psychological impacts during the COVID-19 pandemic, including sleep disturbance,…”

“…In Taiwan, people also suffer from massively psychological distress during COVID-19 pandemic. Several studies based on either the general public [ 9 ] or patients with mental disorders [ 10 , 11 ] in Taiwan have also reported undesirable psychological impacts during the COVID-19 pandemic, including sleep disturbance, depression, and even suicidal ideation. Furthermore, COVID-19 pandemic is also associated with predominantly psychological burden among elderly, [ 12 – 14 ] patients with mental illness, [ 15 ] and students.…”