Evidence map›Paper›PMID 39402811›Full record

ArticleBrain and behavior2024

Parallel Mediating Effects of Sleep Quality, Psychological Distress, and Self-Stigma in the Associations Between Long COVID Symptoms and Quality of Life Among Taiwanese Individuals With Mental Health Illness.

Kun-Chia Chang, Daniel Kwasi Ahorsu, Hsin-Chi Tsai, Carol Strong, Nai-Ying Ko, Jung-Sheng Chen, Cheng-Fang Yen, Servet Üztemur, Mark D Griffiths, Chung-Ying Lin

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Article in Brain and behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Kun-Chia ChangDepartment of General Psychiatry, Jianan Psychiatric Center, Ministry of Health and Welfare, Tainan, Taiwan.
Daniel Kwasi AhorsuDepartment of Special Education and Counselling, The Education University of Hong Kong, Tai Po, New Territories, Hong Kong.
Hsin-Chi TsaiDepartment of Psychiatry, School of Medicine, Tzu Chi University, Hualien, Taiwan.
Carol StrongDepartment of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Nai-Ying KoDepartment of Nursing, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Jung-Sheng ChenDepartment of Medical Research, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan.
Cheng-Fang YenDepartment of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Servet ÜztemurDepartment of Turkish and Social Sciences Education, Faculty of Education, Anadolu University, Eskişehir, Türkiye.ORCID https://orcid.org/0000-0002-1580-9123
Mark D GriffithsPsychology Department, Nottingham Trent University, Nottingham, UK.
Chung-Ying LinDepartment of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan.ORCID https://orcid.org/0000-0002-2129-4242

Funding

National Science and Technology Council, Taiwan NSTC112-2314-B-695-001National Science and Technology Council, Taiwan NSTC112-2321-B-006-008Türkiye Bilimsel ve Teknolojik Araştırma Kurumu (TÜBİTAK)Tzu-Chi General Hospital TCRD111A069
6 · The paper itself

Abstract

backgroundLong COVID symptoms (i.e., experiencing symptoms of COVID-19 for 3 months post-COVID-19) affect individuals' health and their quality of life (QoL). However, the pathways through which it does so are not fully known.

aimThe present study examined the mediating roles of sleep quality, psychological distress, and self-stigma in the associations between long COVID symptoms and QoL among individuals with mental illness.

methodIndividuals with mental illness (n = 333) were recruited from a psychiatric center in southern Taiwan to participate in the study. Data were collected regarding sleep quality, psychological distress, self-stigma, and QoL. Independent t-tests, Pearson correlations, and regression with Hayes' Process Macro were used to compare groups, examine relationships, and parallel mediation models, respectively.

resultsParticipants with long COVID symptoms had significantly worse sleep quality, psychological distress, physical QoL, and psychological QoL compared to those without symptoms. There were significant relationships between sleep quality, psychological distress, self-stigma, and QoL. Sleep quality significantly mediated the associations between long COVID symptoms and physical and social QoL. Psychological distress significantly mediated the associations between long COVID symptoms and all domains of QoL, but not self-stigma.

conclusionThere are alternative pathways (e.g., sleep quality and psychological distress) through which long COVID symptoms may affect the QoL of individuals with mental illness. The findings suggest that individuals with long COVID symptoms have a higher chance of having poor QoL. Therefore, there may be the need for counseling and possible therapy for those who contract COVID-19, especially among individuals who already have mental illness.

Indexed as

COVID-19Mental DisordersPsychological DistressQuality of LifeSleep QualitySocial StigmaAdultAgedFemaleHumansMaleMiddle AgedPost-Acute COVID-19 SyndromeSARS-CoV-2Self ConceptStress, PsychologicalCOVID‐19mental illnesspsychological distressquality of lifesleepstigma

Identifiers

PMID39402811
PMCPMC11473576

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.