2022
DOI: 10.3389/fpsyt.2022.918417
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Effects of COVID-19-Related Anxiety and Sleep Problems on Loneliness and Feelings of School Refusal in Adolescents

Abstract: BackgroundCOVID-19-related anxiety, sleep problems, and loneliness may be risk factors for school refusal in children and adolescents. However, few studies have examined the mechanisms by which these risk factors cause school refusal. This study examined the process by which COVID-19-related anxiety, sleep problems, and loneliness cause school refusal, using structural equation modeling.MethodsIn this cross-sectional questionnaire-based study, 256 (109 male, 147 female, mean age: 15.37 ± 0.48 years) senior hig… Show more

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Cited by 8 publications
(7 citation statements)
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“…For health workers, infection anxiety was associated with worse sleep problems and the subsequent mental health issues [18]. However, infection anxiety did not affect sleep problems, loneliness, and school refusal in adolescents [19]. Although both studies were conducted during the COVID-19 pandemic, it is noteworthy that the results showed different effects of infection anxiety on sleep problems in a given population.…”
Section: Measurements Of Anxiety About Infectionmentioning
confidence: 95%
See 2 more Smart Citations
“…For health workers, infection anxiety was associated with worse sleep problems and the subsequent mental health issues [18]. However, infection anxiety did not affect sleep problems, loneliness, and school refusal in adolescents [19]. Although both studies were conducted during the COVID-19 pandemic, it is noteworthy that the results showed different effects of infection anxiety on sleep problems in a given population.…”
Section: Measurements Of Anxiety About Infectionmentioning
confidence: 95%
“…Two studies have examined the relationship between anxiety about infection, measured by SAVE-9 or SAVE-6, and sleep problems [18,19]. The results of these two studies are inconsistent.…”
Section: Measurements Of Anxiety About Infectionmentioning
confidence: 99%
See 1 more Smart Citation
“…One meta-analytic study showed that insomnia is an important antecedent variable of depression and anxiety [ 36 ], and during the COVID-19 pandemic, anxiety and insomnia symptoms were common [ 37 , 38 ]. The stress related to the COVID-19 pandemic could affect depression directly and indirectly via insomnia [ 39 ]. In a national longitudinal study, insomnia was observed to play a mediating role between anxiety and depression [ 40 ].…”
Section: Introductionmentioning
confidence: 99%
“…Adolescence is especially sensitive to stress exposures and vulnerable to the negative influence of the COVID-19 pandemic (Berger et al, 2021;Cao et al, 2022). Extant studies have confirmed the negative influence of the pandemic on mental health of adolescents (Wu et al, 2021;Okajima et al, 2022). Notably, the influence of the pandemic on mental health not only works during the pandemic but also has long-term mental health consequences after the pandemic and lockdown (Awan et al, 2021;Cao et al, 2022).…”
Section: Introductionmentioning
confidence: 99%