Residential College | false |
Status | 已發表Published |
Network analysis of comorbid insomnia and depressive symptoms among psychiatric practitioners during the COVID-19 pandemic | |
Zhao, Na1,2; Zhao, Yan Jie1,3,4; An, Fengrong5; Zhang, Qinge5; Sha, Sha5; Su, Zhaohui6; Cheung, Teris7; Jackson, Todd8; Zang, Yu Feng2; Xiang, Yu Tao1,3,4 | |
2023-07-01 | |
Source Publication | Journal of Clinical Sleep Medicine |
ISSN | 1550-9389 |
Volume | 19Issue:7Pages:1271-1279 |
Abstract | Study Objectives: Insomnia and depression are common mental health problems reported by mental health professionals during the COVID-19 pandemic. Network analysis is a fine-grained approach used to examine associations between psychiatric syndromes at a symptom level. This study was designed to elucidate central symptoms and bridge symptoms of a depression-insomnia network among psychiatric practitioners in China. The identification of particularly important symptoms via network analysis provides an empirical foundation for targeting specific symptoms when developing treatments for comorbid insomnia and depression within this population. Methods: A total of 10,516 psychiatric practitioners were included in this study. The Insomnia Severity Index (ISI) and 9-item Patient Health Questionnaire (PHQ-9) were used to estimate prevalence rates of insomnia and depressive symptoms, respectively. Analyses also generated a network model of insomnia and depression symptoms in the sample. Results: Prevalence rates of insomnia (ISI total score 8), depression (PHQ-9 total score 5) and comorbid insomnia and depression were 22.2% (95% confidence interval: 21.4-22.9%), 28.5% (95% confidence interval: 27.6-29.4%), and 16.0% (95% confidence interval: 15.3-16.7%), respectively. Network analysis revealed that "Distress caused by sleep difficulties" (ISI7) and "Sleep maintenance" (ISI2) had the highest strength centrality, followed by "Motor dysfunction" (PHQ8) and "Sad mood" (PHQ2). Furthermore, the nodes "Sleep dissatisfaction" (ISI4), "Fatigue" (PHQ4), and "Motor dysfunction" (PHQ8) had the highest bridge strengths in linking depression and insomnia communities. Conclusions: Both central and bridge symptoms (ie, Distress caused by sleep difficulties, Sleep maintenance, Motor dysfunction, Sad mood, Sleep dissatisfaction, and Fatigue) should be prioritized when testing preventive measures and specific treatments to address comorbid insomnia and depression among psychiatric practitioners during the COVID-19 pandemic. |
Keyword | Covid-19 Depression Epidemiology Insomnia Network Analysis |
DOI | 10.5664/jcsm.10586 |
URL | View the original |
Indexed By | SCIE |
Language | 英語English |
WOS Research Area | Neurosciences & Neurology |
WOS Subject | Clinical Neurology |
WOS ID | WOS:001047443400013 |
Scopus ID | 2-s2.0-85166432883 |
Fulltext Access | |
Citation statistics | |
Document Type | Journal article |
Collection | DEPARTMENT OF PSYCHOLOGY Faculty of Health Sciences DEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION |
Co-First Author | Zhao, Na; Zhao, Yan Jie; An, Fengrong; Zhang, Qinge |
Corresponding Author | Zang, Yu Feng; Xiang, Yu Tao |
Affiliation | 1.Unit of Psychiatry, Department of Public Health and Medicinal Administration and Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao 2.Center for Cognition and Brain Disorders, Institutes of Psychological Sciences, Hangzhou Normal University, Hangzhou, China 3.Center for Cognition and Brain Sciences, University of Macau, Macao 4.Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao 5.Beijing Key Laboratory of Mental Disorders National Clinical Research Center for Mental Disorders, National Center for Mental Disorders, Beijing Anding Hospital, Cap. Med. Univ. and Adv. Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China 6.School of Public Health, Southeast University, Nanjing, China 7.School of Nursing, Hong Kong Polytechnic University, Hong Kong 8.Department of Psychology, University of Macau, Macao |
First Author Affilication | Faculty of Health Sciences |
Corresponding Author Affilication | Faculty of Health Sciences; University of Macau |
Recommended Citation GB/T 7714 | Zhao, Na,Zhao, Yan Jie,An, Fengrong,et al. Network analysis of comorbid insomnia and depressive symptoms among psychiatric practitioners during the COVID-19 pandemic[J]. Journal of Clinical Sleep Medicine, 2023, 19(7), 1271-1279. |
APA | Zhao, Na., Zhao, Yan Jie., An, Fengrong., Zhang, Qinge., Sha, Sha., Su, Zhaohui., Cheung, Teris., Jackson, Todd., Zang, Yu Feng., & Xiang, Yu Tao (2023). Network analysis of comorbid insomnia and depressive symptoms among psychiatric practitioners during the COVID-19 pandemic. Journal of Clinical Sleep Medicine, 19(7), 1271-1279. |
MLA | Zhao, Na,et al."Network analysis of comorbid insomnia and depressive symptoms among psychiatric practitioners during the COVID-19 pandemic".Journal of Clinical Sleep Medicine 19.7(2023):1271-1279. |
Files in This Item: | There are no files associated with this item. |
Items in the repository are protected by copyright, with all rights reserved, unless otherwise indicated.
Edit Comment