Impact of social support on PTSD : Chain mediating effects of insomnia and anxiety.

Xiaofei Mao, Tianya Hou, Yulin Zhang, Jianguo Zhang, Fan Zhang, Weizhi Liu
Author Information
  1. Xiaofei Mao: Lab for Post-traumatic Stress Disorder, Faculty of Psychology, Naval Medical University, Shanghai, China.
  2. Tianya Hou: Faculty of Psychology, Navy Medical University, Shanghai, China. ORCID
  3. Yulin Zhang: National Key Laboratory of Human Factors Engineering, Beijing, China.
  4. Jianguo Zhang: Faculty of Psychology, Navy Medical University, Shanghai, China.
  5. Fan Zhang: Lab for Post-traumatic Stress Disorder, Faculty of Psychology, Naval Medical University, Shanghai, China.
  6. Weizhi Liu: Lab for Post-traumatic Stress Disorder, Faculty of Psychology, Naval Medical University, Shanghai, China.

Abstract

Objective: To reveal the chain mediating roles of insomnia and anxiety between social support and PTSD in nursing staff under the stage of COVID-19 regular pandemic prevention and control in China.
Methods: A total of 784 nurses were recruited using the convenience sampling method in Jiangsu Province, China. Demographic questionnaire, Perceived Social Support Scale, Impact of Event Scale-Revised, Generalized Anxiety Disorder-7 and Insomnia Severity Index were applied to collect data.
Results: Social support, PTSD, insomnia and anxiety were significantly correlated with each other. Insomnia and anxiety acted as chain mediators between social support and PTSD.
Conclusion: Insufficient social support may trigger PTSD through the chain mediating effects of insomnia and anxiety in nursing staff under the stage of COVID-19 regular pandemic prevention and control. Measures focusing on social support, insomnia and anxiety should be taken to reduce or even prevent PTSD in nursing staff in Chinese hospitals in similar crises in the future.

Keywords

References

  1. Psychiatry Res. 2020 Nov;293:113452 [PMID: 32977047]
  2. J Appl Psychol. 2003 Oct;88(5):879-903 [PMID: 14516251]
  3. Int J Public Health. 2023 Mar 16;68:1605688 [PMID: 37006829]
  4. Int J Clin Pract. 2021 Nov;75(11):e14813 [PMID: 34486780]
  5. Psychol Bull. 2003 Jan;129(1):52-73 [PMID: 12555794]
  6. Int J Emerg Ment Health. 2004 Summer;6(3):121-33 [PMID: 15481474]
  7. Sleep Med. 2017 Oct;38:122-129 [PMID: 29031746]
  8. J Res Med Sci. 2014 Oct;19(10):944-9 [PMID: 25538777]
  9. JMIR Nurs. 2022 Jun 1;5(1):e32647 [PMID: 35648464]
  10. Med Sci Monit. 2020 Mar 05;26:e923549 [PMID: 32132521]
  11. Arch Intern Med. 2006 May 22;166(10):1092-7 [PMID: 16717171]
  12. Front Psychol. 2021 Aug 19;12:563193 [PMID: 34489769]
  13. Glob Ment Health (Camb). 2024 Apr 15;11:e54 [PMID: 38721485]
  14. Behav Res Methods. 2008 Aug;40(3):879-91 [PMID: 18697684]
  15. Br J Sports Med. 2016 Feb;50(3):163-6 [PMID: 26612845]
  16. Int J Environ Res Public Health. 2021 Jan 12;18(2): [PMID: 33445712]
  17. Psychol Health Med. 2022 Oct;27(9):1924-1936 [PMID: 34541987]
  18. Soc Sci Med. 2004 Oct;59(8):1719-30 [PMID: 15279928]
  19. AIDS Behav. 2020 Jan;24(1):55-64 [PMID: 31754966]
  20. Psychol Trauma. 2020 Oct;12(7):812-819 [PMID: 32853011]
  21. Behav Sleep Med. 2003;1(4):227-47 [PMID: 15600216]
  22. Sleep Med. 2020 Nov;75:315-325 [PMID: 32950013]
  23. J Trauma Stress. 2004 Apr;17(2):85-95 [PMID: 15141781]
  24. Front Psychol. 2020 Oct 23;11:569935 [PMID: 33192854]
  25. J Nerv Ment Dis. 2016 Apr;204(4):317-20 [PMID: 27015395]
  26. Psychol Trauma. 2021 Jan;13(1):56-65 [PMID: 32853012]
  27. Front Psychiatry. 2022 Jul 07;13:882385 [PMID: 35873265]
  28. J Trauma Stress. 2006 Jun;19(3):327-38 [PMID: 16788995]
  29. Heliyon. 2022 Oct;8(10):e10892 [PMID: 36211998]
  30. Brain Behav Immun. 2020 Aug;88:60-65 [PMID: 32512134]
  31. J Glob Health. 2023 Aug 25;13:06033 [PMID: 37616126]
  32. BJPsych Open. 2020 Oct 08;6(6):e116 [PMID: 33028449]
  33. J Psychosom Res. 2008 Apr;64(4):443-9 [PMID: 18374745]
  34. Front Psychiatry. 2021 Mar 26;12:652717 [PMID: 33841214]
  35. Front Psychiatry. 2021 Feb 15;12:607612 [PMID: 33658951]
  36. Psychol Health Med. 2019 Jun;24(5):595-604 [PMID: 30451537]
  37. BMC Health Serv Res. 2020 Nov 4;20(1):1007 [PMID: 33148229]
  38. Ann Surg. 2023 Jan 1;277(1):50-56 [PMID: 33491983]
  39. Int J Environ Res Public Health. 2021 Feb 03;18(4): [PMID: 33546513]
  40. BMC Psychiatry. 2023 May 24;23(1):360 [PMID: 37226120]
  41. Chin J Traumatol. 2021 Jul;24(4):187-208 [PMID: 33994278]
  42. Asian J Psychiatr. 2020 Aug;52:102166 [PMID: 32447270]
  43. Front Public Health. 2022 Nov 10;10:1039450 [PMID: 36438233]
  44. Scand J Trauma Resusc Emerg Med. 2016 Apr 27;24:59 [PMID: 27121279]
  45. J Consult Clin Psychol. 2000 Oct;68(5):748-66 [PMID: 11068961]
  46. J Affect Disord. 2014 Oct;168:415-21 [PMID: 25108278]
  47. J Trauma Nurs. 2020 Jan/Feb;27(1):50-57 [PMID: 31895320]
  48. Front Psychiatry. 2021 Jul 12;12:705657 [PMID: 34322044]
  49. Int J Disaster Risk Reduct. 2022 May;74:102928 [PMID: 35368428]
  50. Technol Health Care. 2017;25(1):163-165 [PMID: 27689560]
  51. Int J Ment Health Nurs. 2021 Feb;30(1):102-116 [PMID: 33107677]
  52. Psychol Bull. 1985 Sep;98(2):310-57 [PMID: 3901065]
  53. Int J Nurs Stud. 2022 Feb;126:104136 [PMID: 34856503]
  54. Front Psychiatry. 2021 May 24;12:666789 [PMID: 34108897]
  55. Front Public Health. 2021 May 25;9:589317 [PMID: 34113595]
  56. Psychol Bull. 1959 Mar;56(2):81-105 [PMID: 13634291]
  57. Ann Acad Med Singap. 2020 Jan;49(3):155-160 [PMID: 32200399]
  58. Sleep Med. 2001 Jul;2(4):297-307 [PMID: 11438246]
  59. J Nurs Manag. 2022 Jul;30(5):1096-1104 [PMID: 35403266]
  60. Iran J Nurs Midwifery Res. 2022 Mar 14;27(2):106-111 [PMID: 35419268]
  61. Int J Ment Health Nurs. 2021 Aug;30(4):975-987 [PMID: 33811426]
  62. JAMA Netw Open. 2020 Mar 2;3(3):e203976 [PMID: 32202646]
  63. Sleep. 2005 Nov;28(11):1457-64 [PMID: 16335332]
  64. J Pers Assess. 1990 Winter;55(3-4):610-7 [PMID: 2280326]
  65. Front Public Health. 2023 Jan 06;10:1088246 [PMID: 36684890]
  66. J Nurs Manag. 2022 Mar;30(2):375-383 [PMID: 34845777]
  67. Brain Behav Immun. 2020 Aug;88:559-565 [PMID: 32330593]
  68. J Pediatr Hematol Oncol Nurs. 2022 Jul-Aug;39(4):231-242 [PMID: 35791851]

Word Cloud

Created with Highcharts 10.0.0anxietysupportPTSDinsomniasocialchainmediatingnursingstaffCOVID-19stageregularpandemicpreventioncontrolChinanursesSocialImpactInsomniaeffectsObjective:revealrolesMethods:total784recruitedusingconveniencesamplingmethodJiangsuProvinceDemographicquestionnairePerceivedSupportScaleEventScale-RevisedGeneralizedAnxietyDisorder-7SeverityIndexappliedcollectdataResults:significantlycorrelatedactedmediatorsConclusion:InsufficientmaytriggerMeasuresfocusingtakenreduceevenpreventChinesehospitalssimilarcrisesfuture:Chain

Similar Articles

Cited By