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Network analysis of depression, anxiety, insomnia and quality of life among Macau residents during the COVID-19 pandemic
Bai, Wei1,2,3; Zhao, Yan Jie1,2,3; Cai, Hong1,2,3; Sha, Sha4; Zhang, Qinge4; Lei, Si Man5; Lok, Grace K.I.6; Chow, Ines H.I.1,2,3; Cheung, Teris7; Su, Zhaohui8; Jackson, Todd9; Xiang, Yu Tao1,2,3
2022-08-15
Source PublicationJournal of Affective Disorders
ISSN0165-0327
Volume311Pages:181-188
Abstract

Background: Although the Coronavirus Disease 2019 (COVID-19) has greatly impacted individuals' mental health and quality of life, network analysis studies of associations between symptoms of common syndromes during the pandemic are lacking, particularly among Macau residents. This study investigated the network structure of insomnia, anxiety, and depression and explored their associations with quality of life in this population. Method: This online survey was conducted in Macau between August 18 and November 9, 2020. Insomnia, anxiety, depressive symptoms, and quality of life were assessed with the Insomnia Severity Index, Generalized Anxiety Disorder Scale, Patient Health Questionnaire, and World Health Organization Quality of Life-brief version, respectively. Analyses were performed to identify central symptoms and bridge symptoms of this network and their links to quality of life. Results: 975 participants enrolled in this survey. The prevalence of depressive, anxiety and insomnia symptoms were 38.5% (95% confidence interval (CI): 35.5%–41.5%), 28.8% (95%CI: 26.0%–31.7%), and 27.6% (95% CI: 24.8%–30.4%), respectively. “Sleep maintenance” had the highest expected influence centrality, followed by “Trouble relaxing”, “Interference with daytime functioning”, “Irritability”, and “Fatigue”. Five bridge symptoms were identified: “Sleep problems”, “Restlessness”, “Irritability”, “Severity of sleep onset”, and “Motor activity”. The insomnia symptom, “Sleep dissatisfaction”, had the strongest direct relation to quality of life. Conclusion: Insomnia symptoms played a critical role in the distress symptom network regarding node and bridge centrality as well as associations with quality of life among Macau residents. Close attention to these symptoms may be critical to reducing risk and preventing exacerbations in common forms of distress in this population.

KeywordAnxiety Covid-19 Depression Insomnia Network Analysis Quality Of Life
DOI10.1016/j.jad.2022.05.061
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaNeurosciences & Neurology ; Psychiatry
WOS SubjectClinical Neurology ; Psychiatry
WOS IDWOS:000812359100008
Scopus ID2-s2.0-85130265305
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Cited Times [WOS]:2   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionDEPARTMENT OF PSYCHOLOGY
Faculty of Education
Faculty of Health Sciences
Corresponding AuthorXiang, Yu Tao
Affiliation1.Unit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China
2.Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China
3.Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao SAR, China
4.The National Clinical Research Center for Mental Disorders, Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital, the Advanced Innovation Center for Human Brain Protection, Capital Medical University, School of Mental Health, Beijing, China
5.Faculty of Education, University of Macau, Macao SAR, China
6.Kiang Wu Nursing College of Macau, Macao SAR, China
7.School of Nursing, Hong Kong Polytechnic University, Hong Kong
8.School of Public Health, Southeast University, Nanjing, China
9.Department of Psychology, University of Macau, Macao SAR, China
First Author AffilicationFaculty of Health Sciences;  University of Macau
Corresponding Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Bai, Wei,Zhao, Yan Jie,Cai, Hong,et al. Network analysis of depression, anxiety, insomnia and quality of life among Macau residents during the COVID-19 pandemic[J]. Journal of Affective Disorders,2022,311:181-188.
APA Bai, Wei,Zhao, Yan Jie,Cai, Hong,Sha, Sha,Zhang, Qinge,Lei, Si Man,Lok, Grace K.I.,Chow, Ines H.I.,Cheung, Teris,Su, Zhaohui,Jackson, Todd,&Xiang, Yu Tao.(2022).Network analysis of depression, anxiety, insomnia and quality of life among Macau residents during the COVID-19 pandemic.Journal of Affective Disorders,311,181-188.
MLA Bai, Wei,et al."Network analysis of depression, anxiety, insomnia and quality of life among Macau residents during the COVID-19 pandemic".Journal of Affective Disorders 311(2022):181-188.
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