Resilience and the Role of Depressed and Anxious Mood in the Relationship Between Perceived Social Isolation and Perceived Sleep Quality During the COVID-19 Pandemic.
Resilience and the Role of Depressed and Anxious Mood in the Relationship Between Perceived Social Isolation and Perceived Sleep Quality During the COVID-19 Pandemic.
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DOI：
10.1007/s12529-020-09945-x
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发表时间：
2021-06
影响因子：
2.7
通讯作者：
al'Absi M
中科院分区：
文献类型：
--
作者：
Ben Salah A;DeAngelis BN;al'Absi M
该研究的目的是研究在COVID-19大流行期间，抑郁和焦虑情绪在感知社交孤立和感知睡眠质量之间的关系中的中介作用。我们还旨在研究心理弹性在此中介中的调节作用。成人（18岁以上）的横断面研究是在2020年3月31日至5月15日期间使用在线，多语言，国际调查进行的。使用SPSS的PROCESS宏进行了简单和适度的中介分析，将感知的社会隔离作为自变量，感知的睡眠质量变化（COVID-19大流行期间与之前）作为因变量，抑郁和焦虑情绪（患者健康问卷-4，PHQ-4）作为中介，弹性（简明弹性量表，BRS）作为调节剂。来自94个国家（47.4%美国）的3816名参与者（2692 =女性）的便利样本符合纳入分析的标准。结果表明，抑郁和焦虑情绪介导的社会孤立感和感知睡眠质量的变化之间的关系。这种中介作用受到弹性的调节;随着弹性水平的增加，感知的社会隔离对通过抑郁和焦虑情绪感知的睡眠质量变化的间接影响降低（调节中介指数= 0.008，SE = 0.003，95%CI [0.001; 0.014]）。研究结果表明，心理弹性在缓冲感知孤立的负面影响方面有好处，这表明在重大危机时期制定有针对性的战略以提高弹性的潜在好处。
The aim of the study was to examine the mediating role of depressed and anxious mood in the relationship between perceived social isolation and perceived sleep quality during the COVID-19 pandemic. We also aimed to investigate the moderating role of psychological resilience in this mediation. A cross-sectional study of adults (18+ years old) was conducted using an online, multi-language, international survey between March 31 and May 15, 2020. Simple and moderated mediation analyses were performed using the PROCESS macro for SPSS, with perceived social isolation as an independent variable, change in perceived sleep quality (during vs. before the COVID-19 pandemic) as a dependent variable, depressed and anxious mood (Patient Health Questionnaire-4, PHQ-4) as a mediator, and resilience (Brief Resilience Scale, BRS) as a moderator. A convenience sample of 3816 participants (2692 = female) from 94 countries (47.4% USA) met criteria for inclusion in the analyses. Results showed that depressed and anxious mood mediated the relationship between perceived social isolation and change in perceived sleep quality. This mediation was moderated by resilience; the indirect effect of perceived social isolation on change in perceived sleep quality through depressed and anxious mood decreased as the level of resilience increased (index of moderated mediation = 0.008, SE = 0.003, 95%CI [0.001; 0.014]). The study findings indicate benefits of psychological resilience in buffering negative effects of perceived isolation, suggesting potential benefits of developing targeted strategies to enhance resilience during times of significant crises.
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