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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 PublicationJournal of Clinical Sleep Medicine
ISSN1550-9389
Volume19Issue: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.

KeywordCovid-19 Depression Epidemiology Insomnia Network Analysis
DOI10.5664/jcsm.10586
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaNeurosciences & Neurology
WOS SubjectClinical Neurology
WOS IDWOS:001047443400013
Scopus ID2-s2.0-85166432883
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Citation statistics
Document TypeJournal article
CollectionDEPARTMENT OF PSYCHOLOGY
Faculty of Health Sciences
DEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Co-First AuthorZhao, Na; Zhao, Yan Jie; An, Fengrong; Zhang, Qinge
Corresponding AuthorZang, Yu Feng; Xiang, Yu Tao
Affiliation1.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 AffilicationFaculty of Health Sciences
Corresponding Author AffilicationFaculty 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.
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