Effect of the decreased frequency of going out on the association between anxiety and sleep disorder during the COVID-19 pandemic: a mediation analysis

Annals of General Psychiatry

Research

Yutaka Yabe¹  Yoshihiro Hagiwara¹  Yumi Sugawara²  Ichiro Tsuji² 

[1] Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan;Division of Epidemiology, Department of Health Informatics and Public Health, Graduate School of Medicine, Tohoku University School of Public Health, 2-1, Seiryo-Machi, Aoba-Ku, 980-8575, Sendai, Miyagi, Japan;

关键词: COVID-19 pandemic;    Anxiety;    Sleep disorder;    Frequency of going out;    Mediation analysis;   

DOI  :  10.1186/s12991-023-00456-z

 received in 2023-01-14, accepted in 2023-07-16,  发布年份 2023

来源: Springer

【 摘 要 】

PurposeThe objective of the present study was to examine the relationship between anxiety and sleep disorder during the COVID-19 pandemic and to evaluate whether sleep disorder is mediated by the decreased frequency of going out.MethodsThe data of a total of 1976 residents aged 18 years and over who had responded to a self-reported questionnaires at a health survey in 2020 were analyzed. The subjects were divided into four groups based on their response to the questionnaire on anxiety about the COVID-19 pandemic. Sleep disorder was measured using the Athens Insomnia Scale (AIS). A cross-sectional analysis was performed to examine the association between anxiety about the COVID-19 pandemic and AIS scores. Mediation analysis was used to calculate the association between anxiety and AIS scores during the COVID-19 pandemic, with decreased frequency of going out as a potential mediating variable.ResultsIn the cross-sectional study, the level of anxiety about the COVID-19 pandemic was significantly associated with the AIS score (p < 0.001). On mediation analysis, the direct effect of the relationship showed that anxiety positively influenced AIS scores (β = 0.283, p < 0.01). The indirect effect of the relationship showed that the decreased frequency of going out positively mediated the relationship between anxiety and AIS scores (β = 0.342, p < 0.05). The decreased frequency of going out accounted for almost 10% of the AIS score.ConclusionThe present study found that anxiety about the COVID-19 pandemic was significantly associated with sleep disorder, with the decreased frequency of going out mediating this association.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 2

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