Understanding Fatigue, Insomnia, and COVID-19 PTSS Among Mainland Chinese During Initial Post-Zero-COVID Infection Wave: A Multi-Group Analysis.

Shuo Wang, Yuanyuan Xu, Simon Theodor Jülich, Linman Weng, Qiao Jin, Yuxian Wei, Xu Lei

Abstract read

In one paragraph

Article in Behavioral sciences (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Shuo WangSleep and NeuroImaging Center, Faculty of Psychology, Southwest University, Chongqing 400715, China.ORCID 0000-0002-4488-5694

Yuanyuan XuDepartment of Military Psychology, Army Medical University, Chongqing 400038, China.ORCID 0000-0001-6793-3778

Simon Theodor JülichSleep and NeuroImaging Center, Faculty of Psychology, Southwest University, Chongqing 400715, China.ORCID 0009-0005-8498-5293

Linman WengSleep and NeuroImaging Center, Faculty of Psychology, Southwest University, Chongqing 400715, China.ORCID 0000-0003-0671-3872

Qiao JinSleep and NeuroImaging Center, Faculty of Psychology, Southwest University, Chongqing 400715, China.

Yuxian WeiSleep and NeuroImaging Center, Faculty of Psychology, Southwest University, Chongqing 400715, China.ORCID 0009-0009-2284-9316

Xu LeiSleep and NeuroImaging Center, Faculty of Psychology, Southwest University, Chongqing 400715, China.ORCID 0000-0003-2271-1287

Funding

the Chongqing Postgraduate Research and Innovation Project CYB23096the National Key Research and Development Program of China 2021YFC2501500the National Natural Science Foundation of China 32471095

6 · The paper itself

Abstract

In early 2023, China experienced its first widespread COVID-19 outbreak after a policy shift. This study examines the relationship between fatigue and COVID-19-related post-traumatic stress symptoms (PTSS) in infected and uninfected individuals, exploring the potential mediating role of insomnia symptoms. An online survey of 5953 Chinese participants was conducted from 10 to 16 January 2023. Participants reported their COVID-19 infection status, fatigue, insomnia symptoms, and PTSS. Multi-group structural equation modeling (SEM) was used to test whether the mediation paths differed between infected and uninfected groups. The prevalence of fatigue, insomnia symptoms, and COVID-19 PTSS were 30.0%, 36.4%, and 5.8%. The SEM based on the bootstrapping showed that after controlling for demographics, chronic fatigue positively associated with COVID-19 PTSS in a significant way, with insomnia symptoms playing a mediating role. The multi-group analyses further revealed a partial mediation effect of insomnia symptoms on the relationship between fatigue and COVID-19 PTSS in the uninfected group (UG). However, for the infected group (IG), insomnia symptoms fully mediated the relationship between fatigue and COVID-19 PTSS. Infected individuals were more subject to the aforementioned mechanism than uninfected individuals. Addressing chronic fatigue, insomnia, and developing targeted interventions are crucial for supporting mental health across different infection statuses.

Indexed as

COVID-19 PTSSfatigueinfected and uninfected comparisoninsomnia symptoms

Identifiers

PMID39594333

DOI10.3390/bs14111033

PMCPMC11590877

What Socratic holds

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LicenceCC BY

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.