Post-Infection Insomnia, Dysfunctional Beliefs About Sleep, and Depression in the COVID-19-Infected General Population

• 발행기관: 대한신경정신의학회
• 저자명: Jaeeun Song Seockhoon Chung
• 간행물 정보: 『Psychiatry Investigation』제22권 제6호, 641~649쪽, 전체 9쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2025.06.17

국문 초록

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.

목차

INTRODUCTION

METHODS

RESULTS

DISCUSSION

REFERENCES

키워드

COVID-19 Hypochondriasis Anxiety Depression Insomnia