Heng Chun-Ni, Du Juan, Li Ling, Zhang Na, Jiang Wei
Department of Endocrinology, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, Shaanxi, China.
Department of Nursing, The Fourth Military Medical University, Xi'an, 710032, Shaanxi, China.
BMC Psychiatry. 2025 Apr 14;25(1):377. doi: 10.1186/s12888-025-06767-7.
The outbreak of Corona Virus Disease (COVID- 19) in 2019 has continued until now, posing a huge threat to the public's physical and mental health, resulting in different degrees of mental health problems. Previous studies have shown that insomnia is one of the main influences on anxiety. However, due to the specificity of the disease and the situation of centralized treatment of COVID- 19 patients in mobile cabin hospitals, insomnia interventions are limited. Therefore, it is necessary to find the complex mediating variables between insomnia and anxiety to provide new ideas for the prevention and intervention of anxiety caused by insomnia in COVID- 19 patients.
The measurement tools were the Athens Insomnia Scale, Psychological Capital Questionna-ire, and Self-Rating Anxiety Scale. Statistical analysis was performed using SPSS 25.0 software, and a mediator model was established and corrected using Amos software.
More than one in five patients in this study had anxiety, and the total score was significantly higher than the Chinese standard total score. Insomnia was positively correlated with anxiety, but negatively correlated with psychological capital; and psychological capital was negatively correlated with anxiety. Psychological capital can act as a mediating factor in the relationship between insomnia and anxiety. Psychological capital played a mediating role in the relationship between insomnia and anxiety among COVID- 19 patients, that is, insomnia not only directly affected anxiety, but also indirectly affected anxiety through the mediating role of psychological capital.
It is recommended that patients and health care professionals increase the psychological capital of COVID- 19 patients through various methods to counter the effects of insomnia on anxiety.
2019年冠状病毒病(COVID-19)疫情持续至今,对公众身心健康构成巨大威胁,导致不同程度的心理健康问题。既往研究表明,失眠是影响焦虑的主要因素之一。然而,由于该疾病的特殊性以及COVID-19患者在方舱医院集中治疗的情况,失眠干预措施有限。因此,有必要寻找失眠与焦虑之间复杂的中介变量,为COVID-19患者失眠所致焦虑的预防和干预提供新思路。
测量工具为雅典失眠量表、心理资本问卷和焦虑自评量表。使用SPSS 25.0软件进行统计分析,并使用Amos软件建立和校正中介模型。
本研究中超过五分之一的患者存在焦虑,总分显著高于中国常模总分。失眠与焦虑呈正相关,但与心理资本呈负相关;心理资本与焦虑呈负相关。心理资本可作为失眠与焦虑关系的中介因素。心理资本在COVID-19患者失眠与焦虑的关系中起中介作用,即失眠不仅直接影响焦虑,还通过心理资本的中介作用间接影响焦虑。
建议患者及医护人员通过多种方式提高COVID-19患者的心理资本,以应对失眠对焦虑的影响。