Effects of sleep quality on suicide risk in COVID-19 patients: The chain mediating of anxiety and depressive symptoms
Background: Although current studies have identified sleep disorders as an independent risk factor for suicide, the relationship between sleep disorders and suicide risk has not been well established. This study explored whether anxiety and depressive symptoms are used as mediators to participate in...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-04-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844023022582 |
| _version_ | 1797837056407240704 |
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| author | Yang Yiyue Gu Kaiqi Wang Rujie Liu Honghong Ming Xu Feng Yingxue Peng Yijing Chen Yu Ji Yuanyuan Ma Jing Li Dongxiao Lu Yue Li Jing |
| author_facet | Yang Yiyue Gu Kaiqi Wang Rujie Liu Honghong Ming Xu Feng Yingxue Peng Yijing Chen Yu Ji Yuanyuan Ma Jing Li Dongxiao Lu Yue Li Jing |
| author_sort | Yang Yiyue |
| collection | DOAJ |
| description | Background: Although current studies have identified sleep disorders as an independent risk factor for suicide, the relationship between sleep disorders and suicide risk has not been well established. This study explored whether anxiety and depressive symptoms are used as mediators to participate in the impact of sleep quality on suicide risk. Methods: This is a cross-sectional study. We administered a psychological questionnaire to the participants, using a combination of self-assessment and psychiatrist assessment.Sleep quality, suicide risk, level of anxiety and depressive symptoms were assessed by PSQI, NGASR, SAS and SDS.The study subjects were 391 hospitalized COVID-19 patients from Wuhan hospitals. We used model 6 in the PROCESS (version 3.5) plug-in of SPSS software to conduct mediation test with sleep quality as the independent variable, suicide risk as the dependent variable, level of anxiety and depressive symptoms as intermediate variables. Results: The severity of anxiety and depressive symptoms and the risk of suicide in the sleep disorder group (63.15 ± 13.71, 59.85 ± 13.38, 6.52 ± 3.67) were higher than those in the non-sleep disorder group (49.83 ± 13.14, 44.87 ± 10.19, 2.87 ± 3.26) (P < 0.001). The mediation model works well, The total indirect effect was 0.22 (95%CI = [0.17, 0.28]), and the direct effect was 0.16 (95%CI = [0.08, 0.24]). Limitations: This study used a self-assessment scale. Conclusions: Anxiety and depressive symptoms played a chain mediating role between sleep quality and suicide risk. |
| first_indexed | 2024-04-09T15:18:41Z |
| format | Article |
| id | doaj.art-cd4d01aa137b44ddbfc5001559913d58 |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-04-09T15:18:41Z |
| publishDate | 2023-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-cd4d01aa137b44ddbfc5001559913d582023-04-29T14:54:45ZengElsevierHeliyon2405-84402023-04-0194e15051Effects of sleep quality on suicide risk in COVID-19 patients: The chain mediating of anxiety and depressive symptomsYang Yiyue0Gu Kaiqi1Wang Rujie2Liu Honghong3Ming Xu4Feng Yingxue5Peng Yijing6Chen Yu7Ji Yuanyuan8Ma Jing9Li Dongxiao10Lu Yue11Li Jing12Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, ChinaDepartment of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, ChinaDepartment of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, ChinaDepartment of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, ChinaDepartment of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, ChinaDepartment of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, ChinaDepartment of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, ChinaDepartment of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, ChinaDepartment of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, ChinaSleeping and Psychosomatic Center, Dazu District People’s Hospital, Chongqing, 402360, ChinaSleeping and Psychosomatic Center, Dazu District People’s Hospital, Chongqing, 402360, ChinaSleeping and Psychosomatic Center, Dazu District People’s Hospital, Chongqing, 402360, ChinaDepartment of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China; Sleeping and Psychosomatic Center, Dazu District People’s Hospital, Chongqing, 402360, China; Corresponding author. Department of Psychiatry, the First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.Background: Although current studies have identified sleep disorders as an independent risk factor for suicide, the relationship between sleep disorders and suicide risk has not been well established. This study explored whether anxiety and depressive symptoms are used as mediators to participate in the impact of sleep quality on suicide risk. Methods: This is a cross-sectional study. We administered a psychological questionnaire to the participants, using a combination of self-assessment and psychiatrist assessment.Sleep quality, suicide risk, level of anxiety and depressive symptoms were assessed by PSQI, NGASR, SAS and SDS.The study subjects were 391 hospitalized COVID-19 patients from Wuhan hospitals. We used model 6 in the PROCESS (version 3.5) plug-in of SPSS software to conduct mediation test with sleep quality as the independent variable, suicide risk as the dependent variable, level of anxiety and depressive symptoms as intermediate variables. Results: The severity of anxiety and depressive symptoms and the risk of suicide in the sleep disorder group (63.15 ± 13.71, 59.85 ± 13.38, 6.52 ± 3.67) were higher than those in the non-sleep disorder group (49.83 ± 13.14, 44.87 ± 10.19, 2.87 ± 3.26) (P < 0.001). The mediation model works well, The total indirect effect was 0.22 (95%CI = [0.17, 0.28]), and the direct effect was 0.16 (95%CI = [0.08, 0.24]). Limitations: This study used a self-assessment scale. Conclusions: Anxiety and depressive symptoms played a chain mediating role between sleep quality and suicide risk.http://www.sciencedirect.com/science/article/pii/S2405844023022582COVID-19Sleep qualitySuicide riskDepressive symptomAnxiety symptomMediation |
| spellingShingle | Yang Yiyue Gu Kaiqi Wang Rujie Liu Honghong Ming Xu Feng Yingxue Peng Yijing Chen Yu Ji Yuanyuan Ma Jing Li Dongxiao Lu Yue Li Jing Effects of sleep quality on suicide risk in COVID-19 patients: The chain mediating of anxiety and depressive symptoms Heliyon COVID-19 Sleep quality Suicide risk Depressive symptom Anxiety symptom Mediation |
| title | Effects of sleep quality on suicide risk in COVID-19 patients: The chain mediating of anxiety and depressive symptoms |
| title_full | Effects of sleep quality on suicide risk in COVID-19 patients: The chain mediating of anxiety and depressive symptoms |
| title_fullStr | Effects of sleep quality on suicide risk in COVID-19 patients: The chain mediating of anxiety and depressive symptoms |
| title_full_unstemmed | Effects of sleep quality on suicide risk in COVID-19 patients: The chain mediating of anxiety and depressive symptoms |
| title_short | Effects of sleep quality on suicide risk in COVID-19 patients: The chain mediating of anxiety and depressive symptoms |
| title_sort | effects of sleep quality on suicide risk in covid 19 patients the chain mediating of anxiety and depressive symptoms |
| topic | COVID-19 Sleep quality Suicide risk Depressive symptom Anxiety symptom Mediation |
| url | http://www.sciencedirect.com/science/article/pii/S2405844023022582 |
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