Mapping post-traumatic stress disorder symptoms and quality of life among residents of Wuhan, China after the COVID-19 outbreak: A network perspective

Li, Wen; Zhao, Yanjie; Zhang, Shufang; Yang, Bingxiang; Cheung, Teris; Jackson, Todd; Sha, Sha; Xiang, Yu‐Tao

doi:10.1016/j.jad.2022.08.074

Cited by 8 publications

(4 citation statements)

References 63 publications

(95 reference statements)

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“…Compared to the physical QOL, the higher predictability of the mental QOL suggested that depressive and anxiety symptoms had a greater impact on the mental QOL (MCS: 0.456 vs. PCS: 0.015). Notably, "Irritability" had the strongest correlation with the mental QOL, which was veri ed in previous ndings during the COVID-19 pandemic [59,60]. Moreover, it was considered to be a mediator of various mental health symptoms, including "Uncertainty" and "Worry", and showed signi cant effects on pharmacological interventions [61,62].…”

Section: Discussionmentioning

confidence: 55%

A network analysis of depressive and anxiety symptoms and their associations with quality of life among patients with adolescent idiopathic scoliosis

Dong,

Ru,

Zhu

et al. 2023

Preprint

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Background Depressive and anxiety symptoms are mental disorders common in patients with adolescent idiopathic scoliosis (AIS). Severe mental disorders result in a diminished quality of life (QOL). This study investigated the network structure of depressive and anxiety symptoms and explored how these symptoms are connected with QOL among patients with AIS. Methods A cross-sectional study was conducted from April 2021 to February 2023. Patients aged 10 to 16 years who had been diagnosed with AIS (Cobb angle ≥ 10°) at the Spine Health Centre of Shenzhen Second People’s Hospital were included. The 9-item Patient Health Questionnaire (PHQ-9), the 7-item Generalized Anxiety Disorder Scale (GAD-7), and the 12-item Short-Form Health Survey (SF-12) were used to assess depressive and anxiety symptoms, and QOL, respectively. A network analysis was performed to explore central symptoms, bridge symptoms and their associations with QOL. Sex differences in the structure and connectivity were identified by the network comparison test (NCT). Results A total of 811 patients with AIS (205 males [25.3%]) and 606 females ([74.7%]) aged 10 to 16 years (mean [SD], 13.51 [1.7] years) participated. The prevalence of depressive and anxiety symptoms among patients diagnosed with AIS was 36.3% and 34.6%, respectively, while a comorbidity rate of 26.8% was observed. Network analysis revealed that “Sad mood”, “Excessive worry” and “Fatigue” were identified as the central symptoms in the whole depressive and anxiety symptoms network, while “Sad mood” and “Irritability” served as bridge symptoms. “Uncontrollable worry” exhibited the most robust direct association with physical QOL, while “Irritability”, “Anhedonia” and “Sad mood” were directly associated with mental QOL. Gender did not exert a discernible influence on the global strength and network structure of the depressive and anxiety symptoms network. Conclusions The central and bridge symptoms identified within the network may serve as potential targets for intervention in depressive and anxiety symptoms and the comorbidity among patients with AIS. Interventions that target specific symptoms directly related to QOL are necessary to mitigate depressive and anxiety symptoms and improve the QOL of patients with AIS.

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Section: Discussionmentioning

confidence: 55%

A network analysis of depressive and anxiety symptoms and their associations with quality of life among patients with adolescent idiopathic scoliosis

Dong,

Ru,

Zhu

et al. 2023

Preprint

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“…Post-COVID-19 studies have also indicated that post-traumatic stress and stress-induced sleep problems may persist into the post-pandemic era, especially among individuals who perceive COVID-19 as a highly threatening event. 87,88…”

Section: Infection Anxiety Post-traumatic Stress and Sleepmentioning

confidence: 99%

Unveiling Coronasomnia: Pandemic Stress and Sleep Problems During the COVID-19 Outbreak

Chen,

Cheng

2024

NSS

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The COVID-19 pandemic posed an unprecedented challenge to public well-being, necessitating an examination of its health impact. This review discusses the relationship between pandemic-induced stressors and individual sleep patterns and quality. The pandemic stressors include lockdown or physical distancing measures, direct virus exposure, and the dissemination of misinformation and disinformation. The pandemic led to delayed sleep-wake cycles, except for healthcare professionals, and worsened sleep quality. The prevalence of insomnia was higher for women due to pre-existing conditions and susceptibility stressors such as lockdown stress and family responsibilities. Healthcare professionals, who experienced worsened work conditions during the pandemic, reported higher rates of insomnia and sleep difficulties due to infection anxiety and post-traumatic stress from direct virus exposure. For the general population, stress stemmed from social isolation under lockdown and overwhelming false information available online, resulting in sleep problems. Taken together, the findings highlight the importance of promoting social interactions, providing psychological support services, and caution in navigating health information. In summary, this review underscores the need for individual-and group-centered approaches in ongoing research and interventions to address pandemic-related stress and sleep issues during COVID-19.

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“…The predictability was calculated using the "mgm" package [41], reflecting the variance of a node that could be explained by its neighbor nodes in the model. To compare the original network model with the one after controlling for age, Spearman's rank correlation coefficient was calculated to test the correlation of EI between both networks [42].…”

Section: Network Structurementioning

confidence: 99%

Prevalence of insomnia and its association with quality of life in caregivers of psychiatric inpatients during the COVID-19 pandemic: a network analysis

Chen,

Zhao,

et al. 2023

BMC Psychiatry

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Background Studies on sleep problems among caregivers of psychiatric patients, especially during the COVID-19 pandemic, are limited. This study examined the prevalence and correlates of insomnia symptoms (insomnia hereafter) among caregivers of psychiatric inpatients during the COVID-19 pandemic as well as the association with quality of life (QoL) from a network analysis perspective. Methods A multi-center cross-sectional study was conducted on caregivers of inpatients across seven tertiary psychiatric hospitals and psychiatric units of general hospitals. Network analysis explored the structure of insomnia using the R program. The centrality index of “Expected influence” was used to identify central symptoms in the network, and the “flow” function was adopted to identify specific symptoms that were directly associated with QoL. Results A total of 1,101 caregivers were included. The overall prevalence of insomnia was 18.9% (n = 208; 95% CI = 16.7–21.3%). Severe depressive (OR = 1.185; P < 0.001) and anxiety symptoms (OR = 1.099; P = 0.003), and severe fatigue (OR = 1.320; P < 0.001) were associated with more severe insomnia. The most central nodes included ISI2 (“Sleep maintenance”), ISI7 (“Distress caused by the sleep difficulties”) and ISI1 (“Severity of sleep onset”), while “Sleep dissatisfaction” (ISI4), “Distress caused by the sleep difficulties” (ISI7) and “Interference with daytime functioning” (ISI5) had the strongest negative associations with QoL. Conclusion The insomnia prevalence was high among caregivers of psychiatric inpatients during the COVID-19 pandemic, particularly in those with depression, anxiety and fatigue. Considering the negative impact of insomnia on QoL, effective interventions that address insomnia and alteration of sleep dissatisfaction should be developed.

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Mapping post-traumatic stress disorder symptoms and quality of life among residents of Wuhan, China after the COVID-19 outbreak: A network perspective

Cited by 8 publications

References 63 publications

A network analysis of depressive and anxiety symptoms and their associations with quality of life among patients with adolescent idiopathic scoliosis

A network analysis of depressive and anxiety symptoms and their associations with quality of life among patients with adolescent idiopathic scoliosis

Unveiling Coronasomnia: Pandemic Stress and Sleep Problems During the COVID-19 Outbreak

Prevalence of insomnia and its association with quality of life in caregivers of psychiatric inpatients during the COVID-19 pandemic: a network analysis

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