COVID-related psychological distress fully mediates the association from social impact to sleep disturbance among patients with chronic schizophrenia
Abstract The aims of the current study were to identify factors associated with sleep disturbance and Coronavirus disease-19 related psychological distress (CPD), and to develop a conceptual model to verify the mediating effect of CPD on the association between social impact and sleep disturbance. T...
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2021
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oai:doaj.org-article:f4a74267eddd48dc9cabe6acbc8055de2021-12-02T16:46:35ZCOVID-related psychological distress fully mediates the association from social impact to sleep disturbance among patients with chronic schizophrenia10.1038/s41598-021-96022-22045-2322https://doaj.org/article/f4a74267eddd48dc9cabe6acbc8055de2021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-96022-2https://doaj.org/toc/2045-2322Abstract The aims of the current study were to identify factors associated with sleep disturbance and Coronavirus disease-19 related psychological distress (CPD), and to develop a conceptual model to verify the mediating effect of CPD on the association between social impact and sleep disturbance. This study recruited patients with schizophrenia. Factors associated with the level of sleep disturbance and CPD were identified using univariate linear regression, and further selected into a stepwise multivariate linear regression model. Using structural equation modeling, a mediation model was developed to test the mediating effect of CPD on the association between social impact and sleep disturbance. After estimating with the stepwise and bootstrap regression, higher levels of CPD were associated with higher levels of social anxiety and subjects without a regular diet. Sleep disturbance was associated with a higher level of social anxiety, a history of psychological trauma, chronic disease, and those who did not smoke. The final model confirmed the mediating effects of CPD; whereas, the direct effect from social impact to sleep disturbance did not reach statistical significance. The current study manifests the crucial role of CPD on the association between social impact and sleep disturbance, and timely intervention for CPD is warranted.Dian-Jeng LiLi-Shiu ChouFrank Huang-Chih ChouSu-Ting HsuKuan-Ying HsiehHui-Ching WuWei-Tsung KaoGuei-Ging LinWei-Jen ChenJoh-Jong HuangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021) |
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Medicine R Science Q Dian-Jeng Li Li-Shiu Chou Frank Huang-Chih Chou Su-Ting Hsu Kuan-Ying Hsieh Hui-Ching Wu Wei-Tsung Kao Guei-Ging Lin Wei-Jen Chen Joh-Jong Huang COVID-related psychological distress fully mediates the association from social impact to sleep disturbance among patients with chronic schizophrenia |
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Abstract The aims of the current study were to identify factors associated with sleep disturbance and Coronavirus disease-19 related psychological distress (CPD), and to develop a conceptual model to verify the mediating effect of CPD on the association between social impact and sleep disturbance. This study recruited patients with schizophrenia. Factors associated with the level of sleep disturbance and CPD were identified using univariate linear regression, and further selected into a stepwise multivariate linear regression model. Using structural equation modeling, a mediation model was developed to test the mediating effect of CPD on the association between social impact and sleep disturbance. After estimating with the stepwise and bootstrap regression, higher levels of CPD were associated with higher levels of social anxiety and subjects without a regular diet. Sleep disturbance was associated with a higher level of social anxiety, a history of psychological trauma, chronic disease, and those who did not smoke. The final model confirmed the mediating effects of CPD; whereas, the direct effect from social impact to sleep disturbance did not reach statistical significance. The current study manifests the crucial role of CPD on the association between social impact and sleep disturbance, and timely intervention for CPD is warranted. |
format |
article |
author |
Dian-Jeng Li Li-Shiu Chou Frank Huang-Chih Chou Su-Ting Hsu Kuan-Ying Hsieh Hui-Ching Wu Wei-Tsung Kao Guei-Ging Lin Wei-Jen Chen Joh-Jong Huang |
author_facet |
Dian-Jeng Li Li-Shiu Chou Frank Huang-Chih Chou Su-Ting Hsu Kuan-Ying Hsieh Hui-Ching Wu Wei-Tsung Kao Guei-Ging Lin Wei-Jen Chen Joh-Jong Huang |
author_sort |
Dian-Jeng Li |
title |
COVID-related psychological distress fully mediates the association from social impact to sleep disturbance among patients with chronic schizophrenia |
title_short |
COVID-related psychological distress fully mediates the association from social impact to sleep disturbance among patients with chronic schizophrenia |
title_full |
COVID-related psychological distress fully mediates the association from social impact to sleep disturbance among patients with chronic schizophrenia |
title_fullStr |
COVID-related psychological distress fully mediates the association from social impact to sleep disturbance among patients with chronic schizophrenia |
title_full_unstemmed |
COVID-related psychological distress fully mediates the association from social impact to sleep disturbance among patients with chronic schizophrenia |
title_sort |
covid-related psychological distress fully mediates the association from social impact to sleep disturbance among patients with chronic schizophrenia |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/f4a74267eddd48dc9cabe6acbc8055de |
work_keys_str_mv |
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