A total of 1,046 patients were assessed for the relationship between and (OCD).
Compulsive behaviors and low sleep quality are identified as the most central symptoms in the insomnia-obsessive-compulsive network.
Daytime dysfunction acts as a bridge symptom connecting insomnia with both compulsive behaviors and obsessive thoughts.
Anxiety and panic emerge as central symptoms in the network linking insomnia and obsessive-compulsive disorder with anxiety.
In the context of depression, obsessive thoughts and rhythm disturbances may serve as bridge symptoms in the insomnia-OC-depression network.
Focusing on compulsive behaviors and daytime functioning could potentially reduce insomnia in individuals with OCD.
Simplified
BACKGROUND: has been associated with (OCD), as well as depression and anxiety. However, their interactions and the influence of depression and anxiety on this relationship remain unclear. We aimed to assess the bridge and central symptoms of the insomnia-obsessive-compulsive (OC) network model and explore the impact of depression and anxiety on these connections.
METHODS: A total of 1,046 patients were included in our study. The severity of insomnia, OC, depression, and anxiety were measured using the Pittsburgh Sleep Quality Index, Yale-Brown Obsessive-Compulsive Scale, Zung's Self-Rating Anxiety Scale, and Zung's Self-Rating Depression Scale, respectively. Stability analyses of marginal weights were conducted to assess network robustness.
RESULTS: The network analysis revealed that compulsive behaviors and low sleep quality were shown to be the most central symptoms in the insomnia-OC network, with compulsive behaviors and daytime dysfunction acting as bridge symptoms. Daytime dysfunction, obsessive thoughts, anxiety and panic were found to be bridge symptoms in the insomnia-OC-anxiety network. In the insomnia-OC-depression network, daytime dysfunction, obsessive thoughts, and rhythm disturbances were possible bridge symptoms.
CONCLUSIONS: Compulsive behaviors and daytime dysfunction were linked to insomnia and OC. In the insomnia-OC-anxiety network, anxiety and panic played a central role, while depressed mood was prominent in the insomnia-OC-depression network model. Targeting compulsive behaviors and improving daytime functioning may help reduce insomnia in individuals with OCD. Additionally, addressing anxiety and panic, and rhythm disturbances may further alleviate the psychological distress in these patients.
Key numbers
66.92%
Patients with OC symptoms
Percentage of patients experiencing obsessive-compulsive symptoms among the study population.
90.73%
Patients with symptoms
Percentage of patients experiencing symptoms.
61.57%
Patients indicating both conditions
Percentage of patients with both and obsessive-compulsive symptoms.
Full Text
We can’t show the full text here under this license.
Declarations. Ethics approval and consent to participate: The experimental protocol established according to the ethical guidelines of the Helsinki Declaration and was approved by the Ethics Committee of The Second Xiangya Hospital of Central South University. The ethics approval number is (2022) National Science and Technology Ethics Committee [Science] No. (041). Written informed consent was obtained from participants. All patient data used in the study were kept strictly confidential. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests. Clinical trial number: Not applicable.
