Sleep Quality and Self-Stigma Mediate the Association Between Problematic Use of Social Media and Quality of Life Among People With Schizophrenia in Taiwan: A Longitudinal Study

Mohsen Saffari, Kun Chia Chang, Jung Sheng Chen, Marc N. Potenza, Cheng Fang Yen, Ching Wen Chang, Po Ching Huang, Hsin Chi Tsai, Chung Ying Lin

研究成果: Article同行評審

6 引文 斯高帕斯(Scopus)

摘要

Objective Problematic use of social media (PUSM) may affect sleep quality and self-stigma in people with schizophrenia and conse-quently reduce their quality of life (QoL). This longitudinal study investigated if sleep quality and self-stigma mediated relationships between PUSM and QoL. Methods One-hundred-and-ninety-three outpatients with schizophrenia were recruited from a psychiatric center in Taiwan from April 2019 to August 2021 and participated in a longitudinal study at intervals of three months between measurements. QoL was assessed using the World Health Organization Quality of Life Questionnaire Brief Version; sleep quality using the Pittsburgh Sleep Quality Index; self-stigma using the Self-Stigma Scale-Short; and PUSM using the Bergen Social Media Addiction Scale. Via SPSS 20.0, general estimating equation models assessed temporal associations between variables. Via R software, mediating effects of self-stigma and sleep quality were examined through Monte Carlo simulations with 20,000 repetitions. Results Mean scores of physical, psychological, social and environmental QoL ranged from 11.86 to 13.02. Mean scores of sleep quality and self-stigma were 9.1±4.5 and 2.2±0.8, respectively. Sleep quality and self-stigma were directly related to QoL (p<0.001) and mediated indirect relationships between PUSM and all components of QoL with a range of 95% confidence intervals spanning from-0.0591 to-0.0107 for physical QoL;-0.0564 to-0.0095 for psychological QoL;-0.0292 to-0.0035 for social QoL; and-0.0357 to-0.0052 for environmental QoL. Conclusion Sleep quality and self-stigma mediated relationships between PUSM and QoL in people with schizophrenia. Developing interventions targeting PUSM, sleep, and self-stigma may help improve QoL in people with schizophrenia. Psychiatry Investig 2023;20(11):1034-1044.

原文English
頁(從 - 到)1034-1044
頁數11
期刊Psychiatry Investigation
20
發行號11
DOIs
出版狀態Published - 2023 11月

All Science Journal Classification (ASJC) codes

  • 精神病學和心理健康
  • 生物精神病學

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