新冠康复心理健康专业人员的抑郁、失眠和自杀倾向的患病率和网络结构:中国的一项全国性调查。
Prevalence and network structure of depression, insomnia and suicidality among mental health professionals who recovered from COVID-19: a national survey in China.
机构信息
Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China.
Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China.
出版信息
Transl Psychiatry. 2024 May 30;14(1):227. doi: 10.1038/s41398-024-02918-8.
Psychiatric syndromes are common following recovery from Coronavirus Disease 2019 (COVID-19) infection. This study investigated the prevalence and the network structure of depression, insomnia, and suicidality among mental health professionals (MHPs) who recovered from COVID-19. Depression and insomnia were assessed with the Patient Health Questionnaire (PHQ-9) and Insomnia Severity Index questionnaire (ISI7) respectively. Suicidality items comprising suicidal ideation, suicidal plan and suicidal attempt were evaluated with binary response (no/yes) items. Network analyses with Ising model were conducted to identify the central symptoms of the network and their links to suicidality. A total of 9858 COVID-19 survivors were enrolled in a survey of MHPs. The prevalence of depression and insomnia were 47.10% (95% confidence interval (CI) = 46.09-48.06%) and 36.2% (95%CI = 35.35-37.21%), respectively, while the overall prevalence of suicidality was 7.8% (95%CI = 7.31-8.37%). The key central nodes included "Distress caused by the sleep difficulties" (ISI7) (EI = 1.34), "Interference with daytime functioning" (ISI5) (EI = 1.08), and "Sleep dissatisfaction" (ISI4) (EI = 0.74). "Fatigue" (PHQ4) (Bridge EI = 1.98), "Distress caused by sleep difficulties" (ISI7) (Bridge EI = 1.71), and "Motor Disturbances" (PHQ8) (Bridge EI = 1.67) were important bridge symptoms. The flow network indicated that the edge between the nodes of "Suicidality" (SU) and "Guilt" (PHQ6) showed the strongest connection (Edge Weight= 1.17, followed by "Suicidality" (SU) - "Sad mood" (PHQ2) (Edge Weight = 0.68)). The network analysis results suggest that insomnia symptoms play a critical role in the activation of the insomnia-depression-suicidality network model of COVID-19 survivors, while suicidality is more susceptible to the influence of depressive symptoms. These findings may have implications for developing prevention and intervention strategies for mental health conditions following recovery from COVID-19.
精神障碍综合征在新冠肺炎(COVID-19)感染康复后很常见。本研究调查了新冠肺炎康复后心理健康专业人员(MHPs)中抑郁、失眠和自杀倾向的患病率和网络结构。使用患者健康问卷(PHQ-9)和失眠严重程度指数问卷(ISI7)分别评估抑郁和失眠。使用二元反应(否/是)项目评估包括自杀意念、自杀计划和自杀企图的自杀倾向项目。使用伊辛模型进行网络分析,以确定网络的核心症状及其与自杀倾向的联系。共有 9858 名 COVID-19 幸存者参与了一项对 MHPs 的调查。抑郁和失眠的患病率分别为 47.10%(95%置信区间(CI)=46.09-48.06%)和 36.2%(95%CI=35.35-37.21%),而自杀倾向的总体患病率为 7.8%(95%CI=7.31-8.37%)。关键中心节点包括“睡眠困难引起的痛苦”(ISI7)(EI=1.34)、“日间功能障碍”(ISI5)(EI=1.08)和“睡眠不满”(ISI4)(EI=0.74)。“疲劳”(PHQ4)(桥 EI=1.98)、“睡眠困难引起的痛苦”(ISI7)(桥 EI=1.71)和“运动障碍”(PHQ8)(桥 EI=1.67)是重要的桥接症状。流网络表明,节点“自杀倾向”(SU)和“内疚”(PHQ6)之间的边缘显示出最强的连接(边缘权重=1.17,其次是“自杀倾向”(SU)-“悲伤情绪”(PHQ2)(边缘权重=0.68))。网络分析结果表明,失眠症状在 COVID-19 幸存者的失眠-抑郁-自杀倾向网络模型的激活中起着关键作用,而自杀倾向更容易受到抑郁症状的影响。这些发现可能对制定 COVID-19 康复后心理健康状况的预防和干预策略具有重要意义。