Effects of sleep quality on suicide risk in COVID-19 patients: The chain mediating of anxiety and depressive symptoms

作者全名："Yiyue, Yang; Kaiqi, Gu; Rujie, Wang; Honghong, Liu; Xu, Ming; Yingxue, Feng; Yijing, Peng; Yu, Chen; Yuanyuan, Ji; Jing, Ma; Dongxiao, Li; Yue, Lu; Jing, Li"

作者地址："[Yiyue, Yang; Kaiqi, Gu; Rujie, Wang; Honghong, Liu; Xu, Ming; Yingxue, Feng; Yijing, Peng; Yu, Chen; Yuanyuan, Ji; Jing, Li] Chongqing Med Univ, Affiliated Hosp 1, Dept Psychiat, Chongqing 400016, Peoples R China; [Jing, Ma; Dongxiao, Li; Yue, Lu; Jing, Li] Dazu Dist Peoples Hosp, Sleeping & Psychosomat Ctr, Chongqing 402360, Peoples R China"

通信作者："Jing, L (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Dept Psychiat, Chongqing 400016, Peoples R China."

来源：HELIYON

ESI学科分类：　

WOS号：WOS:000997682900001

JCR分区：Q1

影响因子：3.4

年份：2023

卷号：9

期号：4

开始页：　

结束页：　

文献类型：Article

关键词：COVID-19; Sleep quality; Suicide risk; Depressive symptom; Anxiety symptom; Mediation

摘要："Background: Although current studies have identified sleep disorders as an independent risk factor for suicide, the relationship between sleep disorders and suicide risk has not been well established. This study explored whether anxiety and depressive symptoms are used as mediators to participate in the impact of sleep quality on suicide risk. Methods: This is a cross-sectional study. We administered a psychological questionnaire to the participants, using a combination of self-assessment and psychiatrist assessment.Sleep quality, suicide risk, level of anxiety and depressive symptoms were assessed by PSQI, NGASR, SAS and SDS.The study subjects were 391 hospitalized COVID-19 patients from Wuhan hospitals. We used model 6 in the PROCESS (version 3.5) plug-in of SPSS software to conduct mediation test with sleep quality as the independent variable, suicide risk as the dependent variable, level of anxiety and depressive symptoms as intermediate variables. Results: The severity of anxiety and depressive symptoms and the risk of suicide in the sleep disorder group (63.15 +/- 13.71, 59.85 +/- 13.38, 6.52 +/- 3.67) were higher than those in the nonsleep disorder group (49.83 +/- 13.14, 44.87 +/- 10.19, 2.87 +/- 3.26) (P < 0.001). The mediation model works well, The total indirect effect was 0.22 (95%CI = [0.17, 0.28]), and the direct effect was 0.16 (95%CI = [0.08, 0.24]). Limitations: This study used a self-assessment scale. Conclusions: Anxiety and depressive symptoms played a chain mediating role between sleep quality and suicide risk."

基金机构：Joint project of Chongqing Health Commission and Science and Technology Bureau [2020FYYX180]

基金资助正文：Funding statement This work was supported by Joint project of Chongqing Health Commission and Science and Technology Bureau [2020FYYX180] .