Department of Encephalopathy, The Traditional Chinese Medicine Hospital of Wuhan, Wuhan, Hubei 430014, China.
Clinical College of Traditional Chinese Medicine, Hubei University of Chinese Medicine, Wuchang, Wuhan, Hubei 430065, China.
Int J Clin Pract. 2023 Apr 7;2023:6746045. doi: 10.1155/2023/6746045. eCollection 2023.
COVID-19 has evolved into a major global public health event. The number of people reporting insomnia is growing exponentially during the pandemic. This study aimed to explore the relationship between aggravated insomnia and COVID-19-induced psychological impact on the public, lifestyle changes, and anxiety about the future.
In this cross-sectional study, we used the questionnaires from 400 subjects who were obtained from the Department of Encephalopathy of the Wuhan Hospital of Traditional Chinese Medicine between July 2020 and July 2021. The data collected for the study included demographic characteristics of the participants and psychological scales consisting of the Spiegel Sleep Questionnaire, the Fear of COVID-19 Scale (FCV-19S), the Zung Self-Rating Anxiety Scale (SAS), and the Zung Self-Rating Depression Scale (SDS). The independent sample -test and one-way ANOVA were used to compare the results. Correlation analysis of variables affecting insomnia was performed using Pearson correlation analysis. The degree of influence of the variables on insomnia was determined using linear regression, and a regression equation was derived.
A total of 400 insomnia patients participated in the survey. The median age was 45.75 ± 15.04 years. The average score of the Spiegel Sleep Questionnaire was 17.29 ± 6.36, that of SAS was 52.47 ± 10.39, that of SDS was 65.89 ± 8.72, and that of FCV-19S was 16.09 ± 6.81. The scores of FCV-19S, SAS, and SDS were closely related to insomnia, and the influencing degree was in the following order: fear, depression, and anxiety (OR = 1.30, 0.709, and 0.63, respectively).
Fear of COVID-19 can be one of the primary contributors to worsening insomnia.
COVID-19 已演变成一场重大的全球公共卫生事件。在疫情期间，报告失眠的人数呈指数级增长。本研究旨在探讨加重的失眠与 COVID-19 对公众的心理影响、生活方式的改变以及对未来的焦虑之间的关系。
在这项横断面研究中，我们使用了 2020 年 7 月至 2021 年 7 月间来自武汉市中医院脑病科的 400 名受试者的问卷。研究收集的数据包括参与者的人口统计学特征以及由 Spiegel 睡眠问卷、COVID-19 恐惧量表（FCV-19S）、Zung 焦虑自评量表（SAS）和 Zung 抑郁自评量表（SDS）组成的心理量表。采用独立样本 t 检验和单因素方差分析比较结果。采用 Pearson 相关分析对影响失眠的变量进行相关性分析。采用线性回归分析确定变量对失眠的影响程度，并得出回归方程。
共有 400 名失眠患者参与了调查。中位年龄为 45.75±15.04 岁。Spiegel 睡眠问卷平均得分为 17.29±6.36，SAS 平均得分为 52.47±10.39，SDS 平均得分为 65.89±8.72，FCV-19S 平均得分为 16.09±6.81。FCV-19S、SAS 和 SDS 的分数与失眠密切相关，影响程度依次为恐惧、抑郁和焦虑（OR=1.30、0.709 和 0.63）。
对 COVID-19 的恐惧可能是加重失眠的主要原因之一。
