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08 02, 2024;14 (1): 17969.

Mediating effects of insomnia and resilience on COVID-19-related post-traumatic stress disorder and quality of life in adolescents.

Xing-Jie Yang, Xue-Xue Meng, Li-Bin Zhang, Lei-Lei Wang, Hu Deng, Yu-Chun Yang, Shuang-Jiang Zhou
Author Information
  1. Xing-Jie Yang: Beijing HuiLongGuan Hospital, Peking University HuiLongGuan Clinical Medical School, Beijing, 100096, China.
  2. Xue-Xue Meng: School of Psychology and Mental Health, North China University of Science and Technology, Hebei, China.
  3. Li-Bin Zhang: Collaborative Innovation Center of Assessment for Basic Education Quality, Beijing Normal University, Beijing, China.
  4. Lei-Lei Wang: Beijing HuiLongGuan Hospital, Peking University HuiLongGuan Clinical Medical School, Beijing, 100096, China.
  5. Hu Deng: Beijing HuiLongGuan Hospital, Peking University HuiLongGuan Clinical Medical School, Beijing, 100096, China.
  6. Yu-Chun Yang: Faculty of Education, Beijing Normal University, Beijing, 100875, China. yangyuchun@bnu.edu.cn.
  7. Shuang-Jiang Zhou: Beijing HuiLongGuan Hospital, Peking University HuiLongGuan Clinical Medical School, Beijing, 100096, China. zhoushuangjiang@126.com.
PMID: 39095413 DOI: 10.1038/s41598-024-69093-0

Abstract

The coronavirus disease-2019 (COVID-19) pandemic has impaired the quality of life (QoL) for many due to its extensive impacts. However, few studies have addressed the specific impact of COVID-19 on the mental health of adolescents, particularly post-traumatic stress disorder (PTSD). This study considered the impact of COVID-19-related PTSD on the QoL of adolescents in China, the mediating effects of insomnia, and the moderating effects of resilience. Participants included 50,666 adolescents aged 12-18 years selected using a comprehensive sampling method. We performed data collection from January 8th to January 18th, 2023, using the Children's Revised Impact of Event Scale, Pittsburgh Sleep Quality Index, Ten-item Connor-Davidson Resilience Scale, and Screening for and Promotion of Health-related QoL in Children and Adolescents Questionnaire for data collection. Male adolescents exhibited significantly lower levels of PTSD and insomnia compared to females and scored significantly higher in psychological resilience and overall QoL. Insomnia played a mediating role between PTSD and QoL. Psychological resilience moderated the impact of COVID-19-related stress on adolescents' QoL through its influence on insomnia. PTSD resulting from the COVID-19 pandemic affects the QoL of adolescents through the presence of insomnia. Psychological resilience plays a moderating role in this process. Cultivating psychological resilience in adolescents can effectively enhance their ability to cope with the impacts of sudden public events.

Keywords

Adolescents Coronavirus disease-2019 Insomnia Post-traumatic stress disorder Quality of life Resilience

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Grants

  1. 2018XKTD003/Central Budget Unit Interdisciplinary Team Construction Project

MeSH Term

Humans
Adolescent
COVID-19
Quality of Life
Stress Disorders, Post-Traumatic
Sleep Initiation and Maintenance Disorders
Male
Female
Resilience, Psychological
Child
China
Surveys and Questionnaires
SARS-CoV-2
Pandemics
Journal Article

Word Cloud

Created with Highcharts 10.0.0QoLadolescentsresiliencePTSDinsomniastressCOVID-19lifeimpactdisorderCOVID-19-relatedeffectsdisease-2019pandemicqualityimpactspost-traumaticmediatingmoderatingusingdatacollectionJanuaryScaleQualityResilienceAdolescentssignificantlypsychologicalInsomniarolePsychologicalcoronavirusimpairedmanydueextensiveHoweverstudiesaddressedspecificmentalhealthparticularlystudyconsideredChinaParticipantsincluded50666aged12-18 yearsselectedcomprehensivesamplingmethodperformed8th18th2023Children'sRevisedImpactEventPittsburghSleepIndexTen-itemConnor-DavidsonScreeningPromotionHealth-relatedChildrenQuestionnaireMaleexhibitedlowerlevelscomparedfemalesscoredhigheroverallplayedmoderatedadolescents'influenceresultingaffectspresenceplaysprocessCultivatingcaneffectivelyenhanceabilitycopesuddenpubliceventsMediatingCoronavirusPost-traumatic

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