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Prevalence and Correlation of Anxiety, Insomnia and Somatic Symptoms in a Chinese Population During the COVID-19 Epidemic
Huang, Yuanyuan1; Wang, Yanxia2; Zeng, Lingyun3; Yang, Jiezhi4; Song, Xiuli5; Rao, Wenwang6; Li, Hehua1; Ning, Yuping1,7; He, Hongbo1; Li, Ting1; Wu, Kai8; Chen, Fengjuan9; Wu, Fengchun1,10; Zhang, Xiangyang1,11
First AuthorHuang, Yuanyuan
Correspondent Email13580380071@163.com (fengchun wu ) ; zhangxy@psych.ac.cn (xiangyang zhang)
Abstract

Background Anxiety has been a common mental state during the epidemic of Coronavirus Disease 2019 (COVID-19) and is usually closely related to somatization. However, no study on somatization in anxiety and its relationship with insomnia has been conducted. Therefore, this study aimed to identify the prevalence of anxiety, somatization and insomnia and explore the relationships between different psychological states in the general population during the COVID-19 outbreak. Methods A total of 1,172 respondents were recruited from 125 cities in mainland China by an online questionnaire survey. All subjects were evaluated with the 7-item Generalized Anxiety Disorder (GAD-7) scale, the somatization subscale of the Symptom Checklist 90-Revised (SCL-90-R), and the 7-item Insomnia Severity Index (ISI). Results The percentages of anxiety, somatization, and insomnia were 33.02%, 7.59%, and 24.66%, respectively. The prevalence of somatization was 19.38% in participants with anxiety. Compared to the anxiety without somatization group, the anxiety with somatization group had a significantly higher percentage of patients with a history of physical disease and insomnia, as well as higher GAD-7 scores and SCL-90 somatization subscores (all p < 0.001). The SCL-90 somatization subscores were positively correlated with age, history of physical disease, GAD-7 scores, and ISI scores (all p < 0.001). Furthermore, multivariate logistic regression showed that GAD-7 score, ISI score, and age were risk factors for somatization in the anxious population. Conclusions Somatic and psychological symptoms were common in the general population during the COVID-19 outbreak. Somatic symptoms, anxiety, and insomnia are closely related, and improving anxiety and sleep quality may help relieve somatic symptoms.

Keywordprevalence somatic symptoms anxiety insomnia Coronavirus Disease 2019
2020-08-28
Language英语
DOI10.3389/fpsyt.2020.568329
Source PublicationFRONTIERS IN PSYCHIATRY
ISSN1664-0640
Volume11Pages:9
Subtype实证研究
Indexed BySCI
Funding ProjectNational Natural Science Foundation of China[31771074] ; Science and Technology Plan Project of Guangdong[2019B030316001] ; Science and Technology Project of Liwan District[201804011] ; Science and Technology Program of Guangzhou[201807010064] ; Science and Technology Program of Guangzhou[201704020168] ; Science and Technology Program of Guangzhou[201804010259]
PublisherFRONTIERS MEDIA SA
WOS KeywordRISK-FACTORS ; SOMATOFORM DISORDERS ; GENERAL-POPULATION ; MENTAL-DISORDERS ; DEPRESSION ; HEALTH ; SOMATIZATION ; PAIN ; QUESTIONNAIRE ; ASSOCIATIONS
WOS Research AreaPsychiatry
WOS SubjectPsychiatry
WOS IDWOS:000570559800001
Citation statistics
Cited Times:12[WOS]   [WOS Record]     [Related Records in WOS]
Document Type期刊论文
Identifierhttp://ir.psych.ac.cn/handle/311026/32866
Collection中国科学院心理健康重点实验室
Corresponding AuthorWu, Fengchun; Zhang, Xiangyang
Affiliation1.Guangzhou Med Univ, Guangzhou Huiai Hosp, Affiliated Brain Hosp, Dept Psychiat, Guangzhou, Peoples R China
2.Gansu Prov Matern & Child Care Hosp, Dept Sci Res Ctr, Lanzhou, Peoples R China
3.Shenzhen Kangning Hosp, Dept Psychiat, Shenzhen, Peoples R China
4.Shenzhen Hlth Dev Res Ctr, Dept Psychiat, Shenzhen, Peoples R China
5.Binzhou Med Univ, Yantai Affiliated Hosp, Clin Psychol, Yantai, Peoples R China
6.Univ Macau, Fac Hlth Sci, Unit Psychiat, Macau, Peoples R China
7.Southern Med Univ, Sch Clin Med 1, Guangzhou, Peoples R China
8.South China Univ Technol ScUT, Sch Mat Sci & Engn, Dept Biomed Engn, Guangzhou, Peoples R China
9.Guangzhou Med Univ, Guangzhou Peoples Hosp 8, Dept Med, Guangzhou, Peoples R China
10.Guangdong Engn Technol Res Ctr Translat Med Menta, Dept Psychiat, Guangzhou, Peoples R China
11.Chinese Acad Sci, Inst Psychol, CAS Key Lab Mental Hlth, Beijing, Peoples R China
Corresponding Author AffilicationKey Laboratory of Mental Health, CAS
Recommended Citation
GB/T 7714
Huang, Yuanyuan,Wang, Yanxia,Zeng, Lingyun,et al. Prevalence and Correlation of Anxiety, Insomnia and Somatic Symptoms in a Chinese Population During the COVID-19 Epidemic[J]. FRONTIERS IN PSYCHIATRY,2020,11:9.
APA Huang, Yuanyuan.,Wang, Yanxia.,Zeng, Lingyun.,Yang, Jiezhi.,Song, Xiuli.,...&Zhang, Xiangyang.(2020).Prevalence and Correlation of Anxiety, Insomnia and Somatic Symptoms in a Chinese Population During the COVID-19 Epidemic.FRONTIERS IN PSYCHIATRY,11,9.
MLA Huang, Yuanyuan,et al."Prevalence and Correlation of Anxiety, Insomnia and Somatic Symptoms in a Chinese Population During the COVID-19 Epidemic".FRONTIERS IN PSYCHIATRY 11(2020):9.
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