A mediating role for mental health in associations between COVID-19-related self-stigma, PTSD, quality of life, and insomnia among patients recovered from COVID-19Show others and affiliations
2021 (English)In: Brain and Behavior, E-ISSN 2162-3279, article id e02138Article in journal (Refereed) Published
Abstract [en]
Introduction: Patients with COVID-19 often suffer from psychological problems such as post-traumatic stress disorder (PTSD) and self-stigmatization that may negatively impact their quality of life and sleep. This study examined mental health as a potential mediating factor linking self-stigmatization and PTSD to quality of life and sleep. Methods: Using a cross-sectional design, 844 people who had recovered from COVID-19 were called and interviewed. Data were collected using structured scales. Structural equation modeling was applied to assess fitness of a mediation model including self-stigma and PTSD as independent factors and quality of life and insomnia as dependent variables. Results: Mental health, COVID-19-related self-stigma, and mental quality of life were associated. Insomnia, PTSD, and COVID-19-related self-stigma displayed significant direct associations (r =.334 to 0.454; p <.01). A mediation model indicated satisfactory goodness of fit (CFI = 0.968, TLI = 0.950, SRMR = 0.071, RMSEA = 0.068). Mental health as a mediator had negative relationships with COVID-19-related self-stigma, PTSD, and insomnia and positive associations with quality of life. Conclusion: Mental health may mediate effects of COVID-19-related self-stigma and PTSD on quality of life and insomnia. Designing programs to improve mental health among patients with COVID-19 may include efforts to reduce negative effects of PTSD and COVID-19-related self-stigma on quality of life and insomnia.
Place, publisher, year, edition, pages
John Wiley & Sons, 2021. article id e02138
Keywords [en]
coronavirus, COVID-19, quality of life, sleep disorders, stigmatization, stress
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:hj:diva-52192DOI: 10.1002/brb3.2138ISI: 000636196200001PubMedID: 33811451Scopus ID: 2-s2.0-85103397474Local ID: HOA;intsam;734606OAI: oai:DiVA.org:hj-52192DiVA, id: diva2:1544173
2021-04-142021-04-142024-09-04Bibliographically approved