{"title":"Post-Infection Insomnia, Dysfunctional Beliefs About Sleep, and Depression in the COVID-19-Infected General Population.","authors":"Jaeeun Song, Seockhoon Chung","doi":"10.30773/pi.2024.0342","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore the feasibility of the cognitive-behavioral model of COVID-19-related hypochondriasis among participants infected with the virus, with specific consideration of insomnia severity. Additionally, factors predicting post-infection insomnia were examined in participants without pre-existing sleep disturbances pre-COVID-19 infection.</p><p><strong>Methods: </strong>An online study was conducted involving the general population infected with COVID-19. Data were collected on COVID-19 and participants' psychiatric and sleep disorder histories. Self-rating scales utilized included the Insomnia Severity Index (ISI), Obsession with COVID-19 Scale (OCS), Coronavirus Reassurance-Seeking Behaviors Scale (CRBS), Stress and Anxiety to Viral Epidemic-6 items (SAVE-6), Patient Health Questionnaire-2 items (PHQ-2), and Dysfunctional Beliefs about Sleep-2 items (DBS-2).</p><p><strong>Results: </strong>Among the 260 participants infected with COVID-19, mediation analysis revealed that SAVE-6 had a direct influence on OCS, while CRBS mediated this effect. Furthermore, a separate mediation model demonstrated that the impact of ISI on OCS was mediated by CRBS, PHQ-2, and SAVE-6. Logistic regression analysis conducted on 211 participants without prior sleep disturbances indicated that past psychiatric history, DBS-2, and PHQ-2 served as predictive factors for post-COVID sleep disorders.</p><p><strong>Conclusion: </strong>This study established a feasible hypochondriasis model, demonstrating the influence of insomnia on preoccupation with COVID-19, mediated by reassurance-seeking behavior, depression, and viral anxiety. Moreover, a history of psychiatric disorders, depression, and dysfunctional beliefs about sleep significantly contributed to the emergence of post-COVID sleep disorders.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"22 6","pages":"641-649"},"PeriodicalIF":1.8000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychiatry Investigation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.30773/pi.2024.0342","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/16 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: This study aimed to explore the feasibility of the cognitive-behavioral model of COVID-19-related hypochondriasis among participants infected with the virus, with specific consideration of insomnia severity. Additionally, factors predicting post-infection insomnia were examined in participants without pre-existing sleep disturbances pre-COVID-19 infection.
Methods: An online study was conducted involving the general population infected with COVID-19. Data were collected on COVID-19 and participants' psychiatric and sleep disorder histories. Self-rating scales utilized included the Insomnia Severity Index (ISI), Obsession with COVID-19 Scale (OCS), Coronavirus Reassurance-Seeking Behaviors Scale (CRBS), Stress and Anxiety to Viral Epidemic-6 items (SAVE-6), Patient Health Questionnaire-2 items (PHQ-2), and Dysfunctional Beliefs about Sleep-2 items (DBS-2).
Results: Among the 260 participants infected with COVID-19, mediation analysis revealed that SAVE-6 had a direct influence on OCS, while CRBS mediated this effect. Furthermore, a separate mediation model demonstrated that the impact of ISI on OCS was mediated by CRBS, PHQ-2, and SAVE-6. Logistic regression analysis conducted on 211 participants without prior sleep disturbances indicated that past psychiatric history, DBS-2, and PHQ-2 served as predictive factors for post-COVID sleep disorders.
Conclusion: This study established a feasible hypochondriasis model, demonstrating the influence of insomnia on preoccupation with COVID-19, mediated by reassurance-seeking behavior, depression, and viral anxiety. Moreover, a history of psychiatric disorders, depression, and dysfunctional beliefs about sleep significantly contributed to the emergence of post-COVID sleep disorders.
期刊介绍：
The Psychiatry Investigation is published on the 25th day of every month in English by the Korean Neuropsychiatric Association (KNPA). The Journal covers the whole range of psychiatry and neuroscience. Both basic and clinical contributions are encouraged from all disciplines and research areas relevant to the pathophysiology and management of neuropsychiatric disorders and symptoms, as well as researches related to cross cultural psychiatry and ethnic issues in psychiatry. The Journal publishes editorials, review articles, original articles, brief reports, viewpoints and correspondences. All research articles are peer reviewed. Contributions are accepted for publication on the condition that their substance has not been published or submitted for publication elsewhere. Authors submitting papers to the Journal (serially or otherwise) with a common theme or using data derived from the same sample (or a subset thereof) must send details of all relevant previous publications and simultaneous submissions. The Journal is not responsible for statements made by contributors. Material in the Journal does not necessarily reflect the views of the Editor or of the KNPA. Manuscripts accepted for publication are copy-edited to improve readability and to ensure conformity with house style.
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