Yang Wen-Jie, Xin Yong-Juan
School of Public Health, Zhengzhou University, Zhengzhou 450001, Henan Province, China.
Department of Child and Adolescent Health, School of Public Health, Zhengzhou University, Zhengzhou 450001, Henan Province, China.
World J Psychiatry. 2025 Jul 19;15(7):105086. doi: 10.5498/wjp.v15.i7.105086.
Insomnia, anxiety, and depression have emerged as significant public mental health concerns, particularly during the coronavirus disease 2019 (COVID-19) pandemic. Early recognition and intervention, addressing COVID-19's health effects before diverse symptoms appear, will expedite recovery and significantly enhance public mental health. Li conducted a cross-sectional online survey to assess neuroticism, cognitive function, insomnia, and emotional disorders in adult participants, examining how these factors correlate with mental health. The study revealed that a substantial number of participants reported experiencing varying degrees of anxiety, depression, and insomnia, most of which were classified as mild. Neuroticism was found closely associated with cognitive failure and poor mental health. Furthermore, moderated mediation analysis indicated that cognitive failure mediated the relationship between insomnia and anxiety and depression, whereas neuroticism moderated the pathway. These findings suggest that improving the subjective cognitive function and emotional stability can significantly improve mental health. However, this study has several limitations, including a limited sample size, cross-sectional design, and a focus on behavioral-level data. Future research should broaden its scope to include multiple hospitals at various levels to enhance the representativeness of the study population, adopt longitudinal designs, and integrate advanced technologies such as neuroimaging to explore the neural mechanisms underlying these conditions.
失眠、焦虑和抑郁已成为重大的公共心理健康问题，尤其是在2019年冠状病毒病（COVID-19）大流行期间。早期识别和干预，即在各种症状出现之前解决COVID-19对健康的影响，将加快康复并显著改善公众心理健康。李进行了一项横断面在线调查，以评估成年参与者的神经质、认知功能、失眠和情绪障碍，研究这些因素与心理健康之间的相关性。研究发现，大量参与者报告经历了不同程度的焦虑、抑郁和失眠，其中大多数被归类为轻度。研究发现神经质与认知失误和心理健康不佳密切相关。此外，调节中介分析表明，认知失误在失眠与焦虑和抑郁之间起中介作用，而神经质调节了这一途径。这些发现表明，改善主观认知功能和情绪稳定性可以显著改善心理健康。然而，本研究存在一些局限性，包括样本量有限、横断面设计以及侧重于行为层面的数据。未来的研究应扩大范围，纳入各级多家医院，以提高研究人群的代表性，采用纵向设计，并整合神经影像学等先进技术，以探索这些情况背后的神经机制。
