Understanding Fatigue, Insomnia, and COVID-19 PTSS Among Mainland Chinese During Initial Post-Zero-COVID Infection Wave: A Multi-Group Analysis
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 sym...
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MDPI AG
2024-11-01
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| Series: | Behavioral Sciences |
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| Online Access: | https://www.mdpi.com/2076-328X/14/11/1033 |
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| author | Shuo Wang Yuanyuan Xu Simon Theodor Jülich Linman Weng Qiao Jin Yuxian Wei Xu Lei |
| author_facet | Shuo Wang Yuanyuan Xu Simon Theodor Jülich Linman Weng Qiao Jin Yuxian Wei Xu Lei |
| author_sort | Shuo Wang |
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| description | 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. |
| format | Article |
| id | doaj-art-cebcb6b2cbac4242b4157a5a1911ae18 |
| institution | OA Journals |
| issn | 2076-328X |
| language | English |
| publishDate | 2024-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Behavioral Sciences |
| spelling | doaj-art-cebcb6b2cbac4242b4157a5a1911ae182025-08-20T02:28:01ZengMDPI AGBehavioral Sciences2076-328X2024-11-011411103310.3390/bs14111033Understanding Fatigue, Insomnia, and COVID-19 PTSS Among Mainland Chinese During Initial Post-Zero-COVID Infection Wave: A Multi-Group AnalysisShuo Wang0Yuanyuan Xu1Simon Theodor Jülich2Linman Weng3Qiao Jin4Yuxian Wei5Xu Lei6Sleep and NeuroImaging Center, Faculty of Psychology, Southwest University, Chongqing 400715, ChinaDepartment of Military Psychology, Army Medical University, Chongqing 400038, ChinaSleep and NeuroImaging Center, Faculty of Psychology, Southwest University, Chongqing 400715, ChinaSleep and NeuroImaging Center, Faculty of Psychology, Southwest University, Chongqing 400715, ChinaSleep and NeuroImaging Center, Faculty of Psychology, Southwest University, Chongqing 400715, ChinaSleep and NeuroImaging Center, Faculty of Psychology, Southwest University, Chongqing 400715, ChinaSleep and NeuroImaging Center, Faculty of Psychology, Southwest University, Chongqing 400715, ChinaIn 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.https://www.mdpi.com/2076-328X/14/11/1033insomnia symptomsfatigueCOVID-19 PTSSinfected and uninfected comparison |
| spellingShingle | Shuo Wang Yuanyuan Xu Simon Theodor Jülich Linman Weng Qiao Jin Yuxian Wei Xu Lei Understanding Fatigue, Insomnia, and COVID-19 PTSS Among Mainland Chinese During Initial Post-Zero-COVID Infection Wave: A Multi-Group Analysis Behavioral Sciences insomnia symptoms fatigue COVID-19 PTSS infected and uninfected comparison |
| title | Understanding Fatigue, Insomnia, and COVID-19 PTSS Among Mainland Chinese During Initial Post-Zero-COVID Infection Wave: A Multi-Group Analysis |
| title_full | Understanding Fatigue, Insomnia, and COVID-19 PTSS Among Mainland Chinese During Initial Post-Zero-COVID Infection Wave: A Multi-Group Analysis |
| title_fullStr | Understanding Fatigue, Insomnia, and COVID-19 PTSS Among Mainland Chinese During Initial Post-Zero-COVID Infection Wave: A Multi-Group Analysis |
| title_full_unstemmed | Understanding Fatigue, Insomnia, and COVID-19 PTSS Among Mainland Chinese During Initial Post-Zero-COVID Infection Wave: A Multi-Group Analysis |
| title_short | Understanding Fatigue, Insomnia, and COVID-19 PTSS Among Mainland Chinese During Initial Post-Zero-COVID Infection Wave: A Multi-Group Analysis |
| title_sort | understanding fatigue insomnia and covid 19 ptss among mainland chinese during initial post zero covid infection wave a multi group analysis |
| topic | insomnia symptoms fatigue COVID-19 PTSS infected and uninfected comparison |
| url | https://www.mdpi.com/2076-328X/14/11/1033 |
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