Interconnected struggles: How insomnia, anxiety, and depression impact mental health

doi:10.5498/wjp.v15.i7.105086

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World Journal of Psychiatry

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2220-3206

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Psychiatry. Jul 19, 2025; 15(7): 105086
Published online Jul 19, 2025. doi: 10.5498/wjp.v15.i7.105086

Interconnected struggles: How insomnia, anxiety, and depression impact mental health

Wen-Jie Yang, Yong-Juan Xin

Wen-Jie Yang, School of Public Health, Zhengzhou University, Zhengzhou 450001, Henan Province, China

Yong-Juan Xin, Department of Child and Adolescent Health, School of Public Health, Zhengzhou University, Zhengzhou 450001, Henan Province, China

Author contributions: Xin YJ and Yang WJ conceptualized and designed the research; Yang WJ performed the literature search and wrote the original manuscript; Xin YJ edited the final manuscript; all authors have read and approved the final manuscript.

Conflict-of-interest statement: All the authors declare no conflict of interest for this article.

Corresponding author: Yong-Juan Xin, PhD, Assistant Professor, Department of Child and Adolescent Health, School of Public Health, Zhengzhou University, No. 100 Kexue Road, Gaoxin District, Zhengzhou 450001, Henan Province, China. yjxin@zzu.edu.cn

Received: January 11, 2025
Revised: March 17, 2025
Accepted: May 8, 2025
Published online: July 19, 2025
Processing time: 180 Days and 15.2 Hours

Core Tip

Core Tip: Insomnia, anxiety, and depression have become significant public mental health concerns, particularly after the coronavirus disease 2019 (COVID-19) pandemic. However, the relationships among these conditions remain unclear, and the pandemic's impact on them is still uncertain. This editorial comments on an article from the World Journal of Psychiatry, which examined a cross-sectional online survey of adult participants to assess levels of neuroticism, cognitive function, insomnia, and emotional disorders, and explored the correlations between these factors and mental health. The editorial highlights the interconnections among insomnia, anxiety, and depression, their underlying factors, and the mediating roles of cognitive failures and neuroticism. It also reviews the strengths and limitations of the study and advocates for considering the effects of COVID-19 when treating these mental health conditions.