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Network analysis of insomnia in chinese mental health professionals during the covid-19 pandemic: A cross-sectional study
Bai, Wei1,2,3; Zhao, Yanjie1,2,3; An, Fengrong4; Zhang, Qinge4; Sha, Sha4; Cheung, Teris5; Cheng, Calvin Pak Wing6; Ng, Chee H.7; Xiang, Yu Tao1,2,3
2021
Source PublicationNature and Science of Sleep
ISSN1179-1608
Volume13Pages:1921-1930
Abstract

Purpose: The coronavirus disease 2019 (COVID-19) pandemic is associated with increased risk of insomnia symptoms (insomnia hereafter) in health-care professionals. Network analysis is a novel approach in linking mechanisms at the symptom level. The aim of this study was to characterize the insomnia network structure in mental health professionals during the COVID-19 pandemic. Patients and Methods: A total of 10,516 mental health professionals were recruited from psychiatric hospitals or psychiatric units of general hospitals nationwide between March 15 and March 20, 2020. Insomnia was assessed with the insomnia severity index (ISI). Centrality index (ie, strength) was used to identify symptoms central to the network. The stability of network was examined using a case-dropping bootstrap procedure. The network structures between different genders were also compared. Results: The overall network model showed that the item ISI7 (interference with daytime functioning) was the most central symptom in mental health professionals with the highest strength. The network was robust in stability and accuracy tests. The item ISI4 (sleep dissatisfaction) was connected to the two main clusters of insomnia symptoms (ie, the cluster of nocturnal and daytime symptoms). No significant gender network difference was found. Conclusion: Interference with daytime functioning was the most central symptom, suggest-ing that it may be an important treatment outcome measure for insomnia. Appropriate treatments, such as stimulus control techniques, cognitive behavioral therapy and relaxation training, could be developed. Moreover, addressing sleep satisfaction in treatment could simultaneously ameliorate daytime and nocturnal symptoms.

KeywordCovid-19 Insomnia Physicians Sars-cov-2 Sleep
DOI10.2147/NSS.S326880
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaNeurosciences & Neurology
WOS SubjectClinical Neurology ; Neurosciences
WOS IDWOS:000712861900001
Scopus ID2-s2.0-85118327378
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Document TypeJournal article
CollectionFaculty of Health Sciences
INSTITUTE OF COLLABORATIVE INNOVATION
INSTITUTE OF ADVANCED STUDIES IN HUMANITIES AND SOCIAL SCIENCES
Institute of Translational Medicine
DEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Co-First AuthorBai, Wei; Zhao, Yanjie; An, Fengrong; Zhang, Qinge
Corresponding AuthorXiang, Yu Tao
Affiliation1.Unit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China
2.Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China
3.Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao SAR, China
4.The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, School of Mental Health, Beijing, China
5.School of Nursing, Hong Kong Polytechnic University, Hong Kong
6.Department of Psychiatry, University of Hong Kong, Hong Kong
7.Department of Psychiatry, The Melbourne Clinic and St Vincent’s Hospital, University of Melbourne, Richmond, Australia
First Author AffilicationFaculty of Health Sciences;  University of Macau
Corresponding Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Bai, Wei,Zhao, Yanjie,An, Fengrong,et al. Network analysis of insomnia in chinese mental health professionals during the covid-19 pandemic: A cross-sectional study[J]. Nature and Science of Sleep, 2021, 13, 1921-1930.
APA Bai, Wei., Zhao, Yanjie., An, Fengrong., Zhang, Qinge., Sha, Sha., Cheung, Teris., Cheng, Calvin Pak Wing., Ng, Chee H.., & Xiang, Yu Tao (2021). Network analysis of insomnia in chinese mental health professionals during the covid-19 pandemic: A cross-sectional study. Nature and Science of Sleep, 13, 1921-1930.
MLA Bai, Wei,et al."Network analysis of insomnia in chinese mental health professionals during the covid-19 pandemic: A cross-sectional study".Nature and Science of Sleep 13(2021):1921-1930.
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