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Prevalence and network structure of depression, insomnia and suicidality among mental health professionals who recovered from COVID-19: a national survey in China
Sun, He Li1,2; Chen, Pan1,2; Bai, Wei3; Zhang, Ling4; Feng, Yuan4; Su, Zhaohui5; Cheung, Teris6; Ungvari, Gabor S.7,8; Cui, Xi Ling9; Ng, Chee H.10; An, Feng Rong4; Xiang, Yu Tao1,2
2024-05-30
Source PublicationTranslational Psychiatry
ISSN2158-3188
Volume14Issue:1Pages:227
Abstract

Psychiatric syndromes are common following recovery from Coronavirus Disease 2019 (COVID-19) infection. This study investigated the prevalence and the network structure of depression, insomnia, and suicidality among mental health professionals (MHPs) who recovered from COVID-19. Depression and insomnia were assessed with the Patient Health Questionnaire (PHQ-9) and Insomnia Severity Index questionnaire (ISI7) respectively. Suicidality items comprising suicidal ideation, suicidal plan and suicidal attempt were evaluated with binary response (no/yes) items. Network analyses with Ising model were conducted to identify the central symptoms of the network and their links to suicidality. A total of 9858 COVID-19 survivors were enrolled in a survey of MHPs. The prevalence of depression and insomnia were 47.10% (95% confidence interval (CI) = 46.09–48.06%) and 36.2% (95%CI = 35.35–37.21%), respectively, while the overall prevalence of suicidality was 7.8% (95%CI = 7.31–8.37%). The key central nodes included “Distress caused by the sleep difficulties” (ISI7) (EI = 1.34), “Interference with daytime functioning” (ISI5) (EI = 1.08), and “Sleep dissatisfaction” (ISI4) (EI = 0.74). “Fatigue” (PHQ4) (Bridge EI = 1.98), “Distress caused by sleep difficulties” (ISI7) (Bridge EI = 1.71), and “Motor Disturbances” (PHQ8) (Bridge EI = 1.67) were important bridge symptoms. The flow network indicated that the edge between the nodes of “Suicidality” (SU) and “Guilt” (PHQ6) showed the strongest connection (Edge Weight= 1.17, followed by “Suicidality” (SU) - “Sad mood” (PHQ2) (Edge Weight = 0.68)). The network analysis results suggest that insomnia symptoms play a critical role in the activation of the insomnia-depression-suicidality network model of COVID-19 survivors, while suicidality is more susceptible to the influence of depressive symptoms. These findings may have implications for developing prevention and intervention strategies for mental health conditions following recovery from COVID-19.

DOI10.1038/s41398-024-02918-8
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaPsychiatry
WOS SubjectPsychiatry
WOS IDWOS:001235603700003
PublisherSPRINGERNATURE, CAMPUS, 4 CRINAN ST, LONDON N1 9XW, ENGLAND
Scopus ID2-s2.0-85194997919
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionFaculty of Health Sciences
INSTITUTE OF COLLABORATIVE INNOVATION
Institute of Translational Medicine
DEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Corresponding AuthorNg, Chee H.; An, Feng Rong; Xiang, Yu Tao
Affiliation1.Unit of Psychiatry, Department of Public Health and Medicinal Administration, & amp; Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao
2.Centre for Cognitive and Brain Sciences, University of Macau, Macao
3.Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, China
4.Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & amp; National Center for Mental Disorders, Beijing Anding Hospital; Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
5.School of Public Health, Southeast University, Nanjing, China
6.School of Nursing, Hong Kong Polytechnic University, Hong Kong
7.Section of Psychiatry, University of Notre Dame Australia, Fremantle, Australia
8.Division of Psychiatry, School of Medicine, University of Western Australia, Perth, Australia
9.Department of Business Administration, Hong Kong Shue Yan University, Hong Kong
10.Department of Psychiatry, The Melbourne Clinic and St Vincent’s Hospital, University of Melbourne, Richmond, Australia
First Author AffilicationFaculty of Health Sciences;  University of Macau
Corresponding Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Sun, He Li,Chen, Pan,Bai, Wei,et al. Prevalence and network structure of depression, insomnia and suicidality among mental health professionals who recovered from COVID-19: a national survey in China[J]. Translational Psychiatry, 2024, 14(1), 227.
APA Sun, He Li., Chen, Pan., Bai, Wei., Zhang, Ling., Feng, Yuan., Su, Zhaohui., Cheung, Teris., Ungvari, Gabor S.., Cui, Xi Ling., Ng, Chee H.., An, Feng Rong., & Xiang, Yu Tao (2024). Prevalence and network structure of depression, insomnia and suicidality among mental health professionals who recovered from COVID-19: a national survey in China. Translational Psychiatry, 14(1), 227.
MLA Sun, He Li,et al."Prevalence and network structure of depression, insomnia and suicidality among mental health professionals who recovered from COVID-19: a national survey in China".Translational Psychiatry 14.1(2024):227.
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