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Background: In the context of persistent wars and conflicts worldwide, the impact of acute, excessive and constant exposure to media coverage of such events on mental health outcomes becomes a serious problem for public health, and requires therefore urgent investigation to inform an effective prevention and management response. The objective of the present study was to test the hypothesis that war-related media exposure is directly and indirectly associated with insomnia through depression and perceived stress among adults from the general population of different Arab countries.

Methods: A cross-sectional study was carried-out two weeks after the beginning of Israel-Gaza war on the 7th of October 2023. An anonymous online survey and a snowball sampling method were adopted to collect data. A sample of 2635 general population adults (mean age of 23.98 ± 7.55 years, 73.1% females) took part of this study.

Results: The results of the mediation analysis showed that, after adjusting over potential confounders, depression and perceived stress fully mediated the association between war media exposure and insomnia; higher war media exposure was significantly associated with higher depression (Beta = 0.13; p < .001) and perceived stress (Beta = 0.07; p < .001), whereas higher depression (Beta = 0.43; p < .001) and perceived stress (Beta = 0.31; p < .001) were significantly associated with higher insomnia. It is of note that war media exposure was not significantly and directly associated with insomnia (Beta = - 0.01; p = .178 and Beta = 0.02; p = .098 respectively).

Conclusion: The present study is the first to provide evidence that more time spent viewing the horrors of war is significantly associated with insomnia. In addition, symptoms of stress and depression were present as early as two weeks following the beginning of the war, and played a significant role in mediating the association between war media coverage and insomnia. These findings suggest that timely screening for, and management of depression and stress symptoms in clinical and preventive programs might be beneficial for community adults who have been heavily and indirectly exposed to war through media, and present with insomnia.

Titel:	Mediating effect of depression and acute stress between exposure to Israel-Gaza war media coverage and insomnia: a multinational study from five arab countries.
Autor/in / Beteiligte Person:	Fekih-Romdhane, F ; Helmy, M ; Alhuwailah, A ; Shuwiekh, HAM ; Naser, AY ; Maalej, E ; Obeid, S ; Cheour, M ; Hallit, S
Link:	Zum Volltext
Zeitschrift:	BMC public health, Jg. 24 (2024-06-04), Heft 1, S. 1498
Veröffentlichung:	London : BioMed Central, [2001-, 2024
Medientyp:	academicJournal
ISSN:	1471-2458 (electronic)
DOI:	10.1186/s12889-024-18996-8
Schlagwort:	Humans Female Male Cross-Sectional Studies Adult Israel epidemiology Young Adult Middle East epidemiology Mass Media statistics & numerical data Adolescent Surveys and Questionnaires Middle Aged Warfare Sleep Initiation and Maintenance Disorders epidemiology Sleep Initiation and Maintenance Disorders psychology Depression epidemiology Stress, Psychological epidemiology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [BMC Public Health] 2024 Jun 04; Vol. 24 (1), pp. 1498. <i>Date of Electronic Publication: </i>2024 Jun 04. MeSH Terms: Sleep Initiation and Maintenance Disorders* / epidemiology ; Sleep Initiation and Maintenance Disorders* / psychology ; Depression* / epidemiology ; Stress, Psychological* / epidemiology ; Humans ; Female ; Male ; Cross-Sectional Studies ; Adult ; Israel / epidemiology ; Young Adult ; Middle East / epidemiology ; Mass Media / statistics & numerical data ; Adolescent ; Surveys and Questionnaires ; Middle Aged ; Warfare References: J Trauma Dissociation. 2005;6(2):69-84. (PMID: 16150670) ; Psychol Sci. 2007 Mar;18(3):233-9. (PMID: 17444920) ; Sleep. 2019 Oct 21;42(11):. (PMID: 31328781) ; J Epidemiol Community Health. 2004 Jun;58(6):476-80. (PMID: 15143115) ; Am J Psychiatry. 2012 Feb;169(2):221-2. (PMID: 22318796) ; Med Clin North Am. 2014 Sep;98(5):1123-43. (PMID: 25134876) ; N Engl J Med. 2013 Nov 7;369(19):1836-42. (PMID: 24195550) ; J Abnorm Child Psychol. 2019 Apr;47(4):671-681. (PMID: 30167997) ; Lancet Glob Health. 2016 Oct;4(10):e704-13. (PMID: 27568068) ; J Psychiatr Res. 2003 Jan-Feb;37(1):9-15. (PMID: 12482465) ; J Psychiatr Res. 2018 Mar;98:47-50. (PMID: 29276963) ; J Addict Dis. 2012;31(4):376-81. (PMID: 23244556) ; Psychol Sci. 2013 Sep;24(9):1623-34. (PMID: 23907546) ; J Gen Intern Med. 2001 Sep;16(9):606-13. (PMID: 11556941) ; Confl Health. 2019 Nov 08;13:51. (PMID: 31728157) ; Annu Rev Psychol. 2015 Jan 3;66:143-72. (PMID: 25061767) ; Mil Med. 2009 Sep;174(9):948-51. (PMID: 19780370) ; BMJ. 2023 Oct 13;383:2383. (PMID: 37832950) ; J Clin Psychopharmacol. 2011 Apr;31(2):180-6. (PMID: 21346613) ; Health Promot Perspect. 2022 Dec 10;12(3):301-309. (PMID: 36686044) ; Arch Intern Med. 1998 May 25;158(10):1099-107. (PMID: 9605781) ; Psychiatry Res. 2020 Aug;290:113131. (PMID: 32485488) ; J Trauma Stress. 2011 Oct;24(5):575-80. (PMID: 21898601) ; Ann Intern Med. 2007 Oct 16;147(8):573-7. (PMID: 17938396) ; BMJ Glob Health. 2023 Oct;8(10):. (PMID: 37865403) ; Psychiatry. 2002 Winter;65(4):289-300. (PMID: 12530330) ; Arch Pediatr. 2023 Aug;30(6):401-407. (PMID: 37336697) ; J Sleep Res. 2018 Dec;27(6):e12710. (PMID: 29797753) ; JAMA. 2002 Sep 11;288(10):1235-44. (PMID: 12215130) ; Brain Sci. 2021 Mar 26;11(4):. (PMID: 33810322) ; Sleep Adv. 2022 Dec 22;4(1):zpac047. (PMID: 37193290) ; Sleep Med Rev. 2022 Feb;61:101565. (PMID: 34922108) ; Sleep Med Rev. 2010 Feb;14(1):35-46. (PMID: 19939713) ; J Trauma Stress. 2017 Jun;30(3):219-228. (PMID: 28585733) ; Sleep Med Rev. 2021 Apr;56:101414. (PMID: 33385767) ; Sleep Med Rev. 2016 Feb;25:74-83. (PMID: 26140870) ; PLoS One. 2017 Jan 17;12(1):e0169575. (PMID: 28095477) ; Proc Natl Acad Sci U S A. 2014 Jan 7;111(1):93-8. (PMID: 24324161) ; Front Psychiatry. 2021 Nov 25;12:674263. (PMID: 34899406) ; BMC Psychiatry. 2022 Aug 5;22(1):532. (PMID: 35931970) ; J Trauma Stress. 2019 Apr;32(2):175-185. (PMID: 30913350) ; Compr Psychiatry. 1998 Jul-Aug;39(4):185-97. (PMID: 9675502) ; Behav Sleep Med. 2016;14(2):121-33. (PMID: 25313639) ; Sleep Med. 2001 Jul;2(4):297-307. (PMID: 11438246) ; J Dev Behav Pediatr. 2016 Sep;37(7):525-31. (PMID: 27355885) ; J Anxiety Disord. 2010 Jan;24(1):1-15. (PMID: 19716676) ; Pediatrics. 2011 Jul;128(1):29-35. (PMID: 21708803) ; J Cell Mol Med. 2019 Apr;23(4):2324-2332. (PMID: 30734486) ; Front Psychiatry. 2021 Dec 20;12:801002. (PMID: 34987435) Contributed Indexing: Keywords: Acute stress; Depression; Insomnia; Media exposure; Mediation; War media coverage Entry Date(s): Date Created: 20240604 Date Completed: 20240604 Latest Revision: 20240607 Update Code: 20240607 PubMed Central ID: PMC11151504

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Mediating effect of depression and acute stress between exposure to Israel-Gaza war media coverage and insomnia: a multinational study from five arab countries.