DOI QR코드

DOI QR Code

Mediating Effects of Mental Health and Sleep Problems in the Relationship between Fears of COVID-19 and Preventive Practices

코로나19 두려움과 예방실천 간의 관계에서 정신건강과 수면 문제의 매개효과

  • Received : 2021.04.06
  • Accepted : 2021.07.20
  • Published : 2021.07.28

Abstract

This study sought to determine whether there were mediating effects on both mental health and sleep problems as induced by COVID-19 fears and its effects on preventive practices. The participants were 310 adults living in the Seoul/Gyeonggi Province. For data collection, an online survey was conducted using a semi-structured questionnaire. The collected data were analyzed using PROCESS Macro (Model 6) to validate the dual mediating effects. This study analyzed the direct effects of COVID-19 fears on the mental health problems, sleep problems and preventive practices. Both mental health and sleep problems had dual mediating effects in the influence of COVID-19 fears on preventive practices. Preventive practice has shown that the mediated effects of mental health problems play a strong role in instances when COVID-19 fears increase.

본 연구의 목적은 코로나19 두려움이 예방실천에 영향을 미치는지 살펴보고, 정신건강 문제와 수면 문제의 이중 매개효과를 확인하는 것이다. 연구대상자는 수도권에 거주하는 310명의 성인이었다. 자료수집은 코로나19 두려움, 정신건강 문제, 수면 문제 및 예방실천을 평가하는 설문지를 사용하여 온라인 설문조사를 수행하였다. 수집된 데이터는 이중 매개효과를 검증하기 위해 PROCESS Macro (Model 6)를 사용하여 분석하였다. 연구결과, 코로나19 두려움이 정신건강 문제, 수면 문제 및 예방실천에 직접적인 영향을 미쳤다. 또한 코로나19 두려움이 예방실천에 영향을 미치는 과정에서 정신건강 문제와 수면 문제는 이중 매개효과가 있었다. 코로나19 예방실천은 두려움이 증가할 때 정신건강 문제를 통한 매개효과가 가장 강하게 작용하였다. 따라서 코로나19 확산으로 인해 두려움이 증가할 때 정신건강과 수면 문제가 발생하지 않도록 적극적인 관리를 수행하는 것이 코로나19 예방실천을 향상시킬 수 있다.

Keywords

References

  1. CoronaBoard. (2021). Coronavirus Disease 19 (COVID-19) real-time situation board. (2021. 3. 25.) https://coronaboard.kr/
  2. T. G. L. A. van der Meer & Y. Jin. (2020). Seeking formula for misinformation treatment in public health crises: the effects of corrective information type and source. Health Communication, 35(5), 560-575. DOI : 10.1080/10410236.2019.1573295
  3. Y. T. Xiang et al. (2020). Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The Lancet Psychiatry, 7(3), 228-229. DOI : 10.1016/S2215-0366(20)30046-8
  4. K. M. Fitzpatrick, C. Harris & G. Drawve. (2020). Fear of COVID-19 and the mental health consequences in America. Psychology Trauma, 12(S1), S17-S21. DOI : 10.1037/tra0000924
  5. J. J. Lee et al. (2020). Associations between COVID-19 misinformation exposure and belief with COVID-19 knowledge and preventive behaviors: cross-sectional online study. Journal of Medical Internet Research, 22(11), e22205. DOI : 10.2196/22205
  6. D. K. Ahorsu, C. Y. Lin, V. Imani, M. Saffari, M. D. Griffiths & A. H. Pakpour. (2020). The fear of COVID-19 scale: development and initial validation. International Journal of Mental Health and Addiction, 2020, 1-9. DOI : 10.1007/s11469-020-00270-8
  7. K. A. Knowles & B. O. Olatunji. (2020). Anxiety and safety behavior usage during the COVID-19 pandemic: the prospective role of contamination fear. Journal of Anxiety Disorder, 77, 102323. DOI : 10.1016/j.janxdis.2020.102323
  8. M. S. Mahmud, M. U. Talukder & S. M. Rahman. (2020). Does 'Fear of COVID-19' trigger future career anxiety? An empirical investigation considering depression from COVID-19 as a mediator. The International Journal of Social Psychiatry, 2020, 20764020935488. DOI : 10.1177/0020764020935488
  9. B. Satici, E. Gocet-Tekin, M. E. Deniz & S. A. Satici. (2020). Adaptation of the fear of COVID-19 scale: its association with psychological distress and life satisfaction in Turkey. International Journal of Mental Health and Addiction, 8, 1-9. DOI : 10.1007/s11469-020-00294-0
  10. M. Pierce et al. (2020). Mental health before and during the COVID-19 pandemic: a longitudinal probability sample survey of the UK population. Lancet Psychiatry, 7(10), 883-892. DOI : 10.1016/S2215-0366(20)30308-4
  11. O. Galindo-Vazquez, M. Ramirez-Orozco, R. Costas-Muniz, L. A. Mendoza-Contreras, G. Calderillo-Ruiz & A. Meneses-Garcia. (2020). Symptoms of anxiety, depression and self-care behaviors during the COVID-19 pandemic in the general population. Gaceta Medica de Mexico, 156(4), 298-305. DOI : 10.24875/GMM.20000266
  12. M. M. Hossain et al. (2020). Epidemiology of mental health problems in COVID-19: a review. F1000 Research., 9, 636. DOI : 10.12688/f1000research.24457.1
  13. W. Jo, J. Lee, J. Park & Y. Kim. (2020). Online information exchange and anxiety spread in the early stage of the novel coronavirus (COVID-19) outbreak in South Korea: structural topic model and network analysis. Journal of Medical Internet Research, 22(6), e19455. DOI : 10.2196/19455
  14. E. Y. Jang. (2021). A preliminary study on the relationship between anxiety and sleep experience during the COVID-19 period: focus on adults in P city. The Korean Journal of Health Psychology, 26(1), 73-89. https://doi.org/10.17315/KJHP.2021.26.1.005
  15. R. Rossi et al. (2020). COVID-19 pandemic and lockdown measures impact on mental health among the general population in Italy. Frontiers in psychiatry, 11, 790. DOI : 10.3389/fpsyt.2020.00790
  16. Y. Huang & N. Zhao. (2020). Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Research, 299, 113803. DOI : 10.1101/2020.02.19.20025395
  17. Y. A. Al-Ajlouni et al. (2020). Anxiety and depressive symptoms are associated with poor sleep health during a period of COVID-19-induced nationwide lockdown: a cross-sectional analysis of adults in Jordan. BMJ Open, 10(12), e041995. DOI : 10.1136/bmjopen-2020-041995
  18. K. Wulff, S. Gatti, J. G. Wettstein & R. G. Foster. (2010). Sleep and circadian rhythm disruption in psychiatric and neurodegenerative disease. Nature Reviews Neuroscience, 11(8), 589-599. https://doi.org/10.1038/nrn2868
  19. Korea Centers for Disease Control & Prevention (2020. 6.). COVID 19 response-distance in life. Information on the work of the quarantine manager. Korea Centers for Disease Control and Prevention. http://ncov.mohw.go.kr/upload/viewer/skin/doc.html?fn=1591232925735_20200604100845.pdf&rs=/upload/viewer/result/202006/
  20. D. B. Jang et al. (2015). Relationship between hand washing practices and infectious diseases in Korean students. Journal of Agricultural Medicine Community Health, 40(4), 206-220. DOI : 10.5393/JAMCH.2015.40.4.206
  21. M. Z. Ferdous, M. S. Islam, M. T. Sikder, A. S. M. Mosaddek, J. A. Zegarra-Valdivia & D. Gozal. (2020). Knowledge, attitude, and practice regarding COVID-19 outbreak in Bangladesh: an online-based cross-sectional study. PLoS One, 15(10), e0239254. DOI : 10.1371/journal.pone.0239254
  22. C. Wang et al. (2020). Immediate psychological response and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health, 17(5), 1729. DOI : 10.3390/ijerph17051729
  23. J. F. Hair, W. C. Black, B. J. Babin & R. E. Anderson. (2010). Multivariate data analysis: a global perspective. 7th ed. Upper Saddle River, N.J. : London: Pearson Education.
  24. A. Reznik, V. Gritsenko, V. Konstantinov, N. Khamenka, & R. Isralowitz. (2020). COVID-19 fear in Eastern Europe: validation of the fear of COVID-19 scale. International Journal of Mental Health and Addiction, 2020, 1-6. DOI : 10.1007/s11469-020-00283-3
  25. L. R. Derogatis. (2001). Brief Symptom Inventory (BSI)-18: administration, scoring and procedures manual. Minneapolis : NCS Pearson, Inc.
  26. K. P. Park, S. W. Woo & M. S. Chang. (2012). Validational study of Brief Symptoms Inventory-18 (BSI-18) in college students. The Korean Journal of Clinical Psychology, 31(2), 507-521. https://doi.org/10.15842/kjcp.2012.31.2.006
  27. H. R. Lee. (2005). Development Sleep Quality Scale. Unpublished doctoral dissertation. Master's thesis. Ewha Womans University, Seoul.
  28. M. Salman et al. (2020). Knowledge, attitude and preventive practices related to COVID-19: a cross-sectional study in two Pakistani university populations. Drugs & Therapy Perspectives, 2020, 1-7. DOI : 10.1007/s40267-020-00737-7
  29. A. F. Hayes. (2018). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. 2nd ed. New York: The Guilford Press.
  30. E. H. Ko. (2020). The impact of fear and depression of COVID-19 on career decision-making self-efficacy of college students majoring in tourism: orientation to happiness as a moderator. Korean Journal of Hospitality & Tourism, 29(8), 163-181. DOI : 10.24992/KJHT.2020.12.29.08.163
  31. A. R. Jung & E-J. Hong. (2020). A study on anxiety, knowledge, infection possibility, preventive possibility and preventive behavior level of COVID-19 in general public. Journal of Convergence for Information Technology, 10(8), 87-98. DOI : 10.22156/CS4SMB.2020.10.08.087
  32. Y. Ye et al. (2020). The recommended and excessive preventive behaviors during the COVID-19 pandemic: a community-based online survey in China. International Journal of Environment Research Public Health, 17(19), 6953. DOI : 10.3390/ijerph17196953