Peng Jia-Xi, Huang Tian, Wang Lei, Yu Yang, Zhang Jia-Xi, Wang Jin
Mental Health Education Center, Chengdu University, Chengdu 610106, Sichuan Province, China.
College of Teachers, Chengdu University, Chengdu 610106, Sichuan Province, China.
World J Psychiatry. 2025 May 19;15(5):104565. doi: 10.5498/wjp.v15.i5.104565.
Depression, anxiety, and insomnia were found out that were significant relevance to the mental health impact of the coronavirus disease 2019 (COVID-19) lockdown.
To examine the interrelationships among perceived severity, anxiety, depression, insomnia, and sense of security in Chinese community residents during the COVID-19 lockdown period.
Participants were selected using simple random sampling from four large gated communities in Chengdu, China. All participants were invited to complete a survey that included the Perceived Severity Questionnaire, Security Questionnaire, Patient Health Questionnaire-9, Generalized Anxiety Disorder 7-item, and Insomnia Severity Index-7. In total, 568 valid questionnaires were gathered. Correlation analysis and structural equation models were used to explore the relationship between perceived severity, sense of security, depression, anxiety, and insomnia.
The observed prevalence rates of anxiety, depression, and insomnia among residents during lockdown were 27.5%, 17.6%, and 16.0%, respectively. Correlation analysis showed that both perceived severity and sense of security were positively correlated with anxiety, depression, and insomnia [Pearson's was perceived severity and anxiety = 0.44 ( < 0.01); with depression = 0.48 ( < 0.01); with insomnia = 0.43 ( < 0.01); security with anxiety = -0.65 ( < 0.01); with depression = -0.65 ( < 0.01); with insomnia = -0.53 ( < 0.01)]. Structural equation modeling and bootstrap tests revealed that sense of security acted as a significant mediator in the relationship between perceived severity and emotional and sleep disorders (anxiety, depression, and insomnia).
This study demonstrates that sense of security is a significant predictor of emotional and sleep disorders (namely, depression, anxiety, and insomnia) among residents during the COVID-19 lockdown, with sense of security acting as a mediating factor. These findings suggest that mental health interventions for Chinese community residents during lockdowns may benefit from developing community-based educational programs to reduce perceived severity and ensuring the stable supply of essential resources and promoting social support networks to enhance the sense of security.
研究发现，抑郁症、焦虑症和失眠症与2019冠状病毒病（COVID-19）封锁对心理健康的影响显著相关。
探讨COVID-19封锁期间中国社区居民的感知严重程度、焦虑、抑郁、失眠和安全感之间的相互关系。
采用简单随机抽样的方法从中国成都的四个大型封闭社区中选取参与者。邀请所有参与者完成一项调查，该调查包括感知严重程度问卷、安全感问卷、患者健康问卷-9、广泛性焦虑症7项量表和失眠严重程度指数-7。共收集到568份有效问卷。采用相关分析和结构方程模型探讨感知严重程度、安全感、抑郁、焦虑和失眠之间的关系。
封锁期间居民焦虑、抑郁和失眠的观察患病率分别为27.5%、17.6%和16.0%。相关分析表明，感知严重程度和安全感均与焦虑、抑郁和失眠呈正相关[皮尔逊相关系数：感知严重程度与焦虑r = 0.44（P < 0.01）；与抑郁r = 0.48（P < 0.01）；与失眠r = 0.43（P < 0.01）；安全感与焦虑r = -0.65（P < 0.01）；与抑郁r = -0.65（P < 0.01）；与失眠r = -0.53（P < 0.01）]。结构方程建模和自抽样检验显示，安全感在感知严重程度与情绪和睡眠障碍（焦虑、抑郁和失眠）之间的关系中起显著中介作用。
本研究表明，安全感是COVID-19封锁期间居民情绪和睡眠障碍（即抑郁、焦虑和失眠）的重要预测因素，安全感起中介作用。这些发现表明，针对中国社区居民在封锁期间的心理健康干预措施，可能受益于开展基于社区的教育项目以降低感知严重程度，确保基本资源的稳定供应，并促进社会支持网络以增强安全感。
