Interaction of Insomnia and Somatization with Post-Traumatic Stress Disorder in Pregnant Women During the COVID-19 Pandemic

Shu Zhang,1,&ast; Yongjie Zhou,2,3,&ast; Li-kun Ge,1,4 Lingyun Zeng,2 Zhengkui Liu,1 Wei Qian,1 Jiezhi Yang,5 Xin Zhou,6 Gao-Xia Wei,1,4 Xiangyang Zhang1 1CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, People’s Republic of China; 2Departme...

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Autores principales:	Zhang S, Zhou Y, Ge LK, Zeng L, Liu Z, Qian W, Yang J, Zhou X, Wei GX, Zhang X
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	emotion covid-19 insomnia somatization pregnant Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/8e8e7b32fd75472da72e6f10631abefd
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spelling	oai:doaj.org-article:8e8e7b32fd75472da72e6f10631abefd2021-12-02T16:16:08ZInteraction of Insomnia and Somatization with Post-Traumatic Stress Disorder in Pregnant Women During the COVID-19 Pandemic1178-2021https://doaj.org/article/8e8e7b32fd75472da72e6f10631abefd2021-08-01T00:00:00Zhttps://www.dovepress.com/interaction-of-insomnia-and-somatization-with-post-traumatic-stress-di-peer-reviewed-fulltext-article-NDThttps://doaj.org/toc/1178-2021Shu Zhang,1,&ast; Yongjie Zhou,2,3,&ast; Li-kun Ge,1,4 Lingyun Zeng,2 Zhengkui Liu,1 Wei Qian,1 Jiezhi Yang,5 Xin Zhou,6 Gao-Xia Wei,1,4 Xiangyang Zhang1 1CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, People’s Republic of China; 2Department of Psychiatric Rehabilitation, Shenzhen Kangning Hospital, Shenzhen, Guangdong, People’s Republic of China; 3Shenzhen Kangning Hospital, Shenzhen, Guangdong, People’s Republic of China; 4Department of Psychology, University of Chinese Academy of Sciences, Beijing, 100049, People’s Republic of China; 5Shenzhen Health Development Research Center, Shenzhen, People’s Republic of China; 6Research Center for Psychological and Health Sciences, China University of Geosciences, Wuhan, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Gao-Xia Wei; Xiangyang ZhangCAS Key Laboratory of Mental Health, Institute of Psychology, No. 16 Lincui Road, Chaoyang District, Beijing, 100101, People’s Republic of ChinaTel +8610-64850898; +8610-64879520Fax +8610-64850898Email weigx@psych.ac.cn; zhangxy@psych.ac.cnIntroduction: Post-traumatic stress disorder (PTSD) has an adverse impact on the emotional health of prenatal maternal women and their offspring. During the Coronavirus Disease 2019 (COVID-19) pandemic, pregnant women are vulnerable to traumatic events and are prone to PTSD symptoms. The aim of the study was to explore the predictive effects of insomnia and somatization on PTSD in pregnant women by utilizing generalized additive model (GAM).Materials and Methods: A total of 1638 pregnant women from three local cities in China underwent online survey on sleep quality, somatization, and PTSD symptoms tested by the Insomnia Severity Index (ISI), the subscale somatization of Symptom Checklist-90 (SCL-90-S) and the Checklist for DSM-5 (PCL-5), respectively.Results: Insomnia was positively correlated with PTSD symptoms in pregnant women (p = 1.79× 10− 5). Interestingly, insomnia and somatization showed a complex non-primary linear interaction in predicting PTSD (p = 2.00× 10− 16).Conclusion: Our results suggest that insomnia is a prominent predictor of PTSD symptoms in pregnant women in the context of public emergencies. In addition, the effects of insomnia and somatization on PTSD symptoms are characterized by complex non-primary linear relationships.Keywords: emotion, COVID-19, insomnia, somatization, pregnantZhang SZhou YGe LKZeng LLiu ZQian WYang JZhou XWei GXZhang XDove Medical Pressarticleemotioncovid-19insomniasomatizationpregnantNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 17, Pp 2539-2547 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	emotion covid-19 insomnia somatization pregnant Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	emotion covid-19 insomnia somatization pregnant Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Zhang S Zhou Y Ge LK Zeng L Liu Z Qian W Yang J Zhou X Wei GX Zhang X Interaction of Insomnia and Somatization with Post-Traumatic Stress Disorder in Pregnant Women During the COVID-19 Pandemic
description	Shu Zhang,1,&ast; Yongjie Zhou,2,3,&ast; Li-kun Ge,1,4 Lingyun Zeng,2 Zhengkui Liu,1 Wei Qian,1 Jiezhi Yang,5 Xin Zhou,6 Gao-Xia Wei,1,4 Xiangyang Zhang1 1CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, People’s Republic of China; 2Department of Psychiatric Rehabilitation, Shenzhen Kangning Hospital, Shenzhen, Guangdong, People’s Republic of China; 3Shenzhen Kangning Hospital, Shenzhen, Guangdong, People’s Republic of China; 4Department of Psychology, University of Chinese Academy of Sciences, Beijing, 100049, People’s Republic of China; 5Shenzhen Health Development Research Center, Shenzhen, People’s Republic of China; 6Research Center for Psychological and Health Sciences, China University of Geosciences, Wuhan, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Gao-Xia Wei; Xiangyang ZhangCAS Key Laboratory of Mental Health, Institute of Psychology, No. 16 Lincui Road, Chaoyang District, Beijing, 100101, People’s Republic of ChinaTel +8610-64850898; +8610-64879520Fax +8610-64850898Email weigx@psych.ac.cn; zhangxy@psych.ac.cnIntroduction: Post-traumatic stress disorder (PTSD) has an adverse impact on the emotional health of prenatal maternal women and their offspring. During the Coronavirus Disease 2019 (COVID-19) pandemic, pregnant women are vulnerable to traumatic events and are prone to PTSD symptoms. The aim of the study was to explore the predictive effects of insomnia and somatization on PTSD in pregnant women by utilizing generalized additive model (GAM).Materials and Methods: A total of 1638 pregnant women from three local cities in China underwent online survey on sleep quality, somatization, and PTSD symptoms tested by the Insomnia Severity Index (ISI), the subscale somatization of Symptom Checklist-90 (SCL-90-S) and the Checklist for DSM-5 (PCL-5), respectively.Results: Insomnia was positively correlated with PTSD symptoms in pregnant women (p = 1.79× 10− 5). Interestingly, insomnia and somatization showed a complex non-primary linear interaction in predicting PTSD (p = 2.00× 10− 16).Conclusion: Our results suggest that insomnia is a prominent predictor of PTSD symptoms in pregnant women in the context of public emergencies. In addition, the effects of insomnia and somatization on PTSD symptoms are characterized by complex non-primary linear relationships.Keywords: emotion, COVID-19, insomnia, somatization, pregnant
format	article
author	Zhang S Zhou Y Ge LK Zeng L Liu Z Qian W Yang J Zhou X Wei GX Zhang X
author_facet	Zhang S Zhou Y Ge LK Zeng L Liu Z Qian W Yang J Zhou X Wei GX Zhang X
author_sort	Zhang S
title	Interaction of Insomnia and Somatization with Post-Traumatic Stress Disorder in Pregnant Women During the COVID-19 Pandemic
title_short	Interaction of Insomnia and Somatization with Post-Traumatic Stress Disorder in Pregnant Women During the COVID-19 Pandemic
title_full	Interaction of Insomnia and Somatization with Post-Traumatic Stress Disorder in Pregnant Women During the COVID-19 Pandemic
title_fullStr	Interaction of Insomnia and Somatization with Post-Traumatic Stress Disorder in Pregnant Women During the COVID-19 Pandemic
title_full_unstemmed	Interaction of Insomnia and Somatization with Post-Traumatic Stress Disorder in Pregnant Women During the COVID-19 Pandemic
title_sort	interaction of insomnia and somatization with post-traumatic stress disorder in pregnant women during the covid-19 pandemic
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/8e8e7b32fd75472da72e6f10631abefd
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Interaction of Insomnia and Somatization with Post-Traumatic Stress Disorder in Pregnant Women During the COVID-19 Pandemic

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