ABSTRACT
Background: The COVID-19 pandemic put considerable strain on individual mental health. The current study aimed to determine the prevalence and severity of insomnia symptoms among students and employees during this period. Methods: This paper is a cross-sectional analysis using convenience sampling. A web-based anonymous survey was developed and included questions about socio-demographic characteristics, contact with COVID-19, and the Athens Insomnia Scale. Results: 620 participants, 331 students, and 289 employees were included in the final sample. According to the current findings, 21.29% (n = 132) of participants met the criteria for insomnia, and 39.03% (n = 242) met the criteria for mild sleep disturbances. Conclusions: Although respondents reported an increased prevalence of sleep disorders, these changes were not directly related to the presence or severity of the infection but rather to a variety of socio-demographic and lifestyle-related variables. Students associated more frequently with the next-day consequences of insomnia (overall functioning and sleepiness during the day), while for employees, the most prevalent were awakenings during the night and early morning awakenings. Furthermore, sleep difficulties were more prevalent in women, single people, sedentary people, and those with psychiatric disorders.
ABSTRACT
BACKGROUND: The COVID-19 pandemic has meant significant precautions and changes in delivering healthcare services. The aim of the study was to explore the lifestyle changes of pregnant women during the COVID-19 pandemic in Romania, the changes in prenatal care and delivery during the pandemic and the psychological impact on women and to determine how healthcare providers can help them to overcome this period. METHODS: A cross-sectional survey was conducted anonymously and distributed among pregnancy-related groups from Romania, recruiting 559 study participants, between May and October 2020. A total of 559 pregnant women completed an online 26-item questionnaire but we only validated 557 responses for study. The survey included basic demographic questions, pregnancy-related questions, questions regarding the pregnant women's lifestyle changes during the pandemic and their perception of the COVID-19 pandemic and questions which evaluated the impact of the pandemic on prenatal care and delivery in Romania. RESULTS: The pandemic restrictions affected women's routine activities regarding professional, familial and social life. Therefore, for pregnant women who were emotionally vulnerable, these restrictions had a great impact on their mental health. The majority of the study participants (78.8%, N = 439) were emotionally affected by the pandemic. The fear related to the possibility of having their pregnancy affected by the virus was dominant in the group (45.8%). A high number of women (69.5%) felt safe when they accessed health services, but private hospitals were considered safer (53.1%) compared to public hospitals (14.4%). The majority of participants (53.7%) used to have prenatal care in a private healthcare system. During the pandemic, preventive measures were associated with low confidence in the healthcare system. Of the total group of participants, 123 women (22.1%) gave birth during the pandemic. Of these, a majority of the study participants considered that it was very difficult for them to cope without their partner during the hospitalization and labor period. CONCLUSIONS: The main anxiety of pregnant women were related to threats to their lives and their baby's health because of the uncertainty caused by pandemic. It is important to know that the restrictions and the changes in maternity care had a negative impact on them. This conclusion must be taken into account when preventive measures will be decided for helping them to get through such a period. Additionally, psychological support will be essential for improving the mental health of pregnant women and for preventing a negative outcome of the pregnancy. These feelings must be taken into account when preventive measures will be established during pandemic and a psychological support will be essential for improving their mental health for preventing negative outcome of pregnancy.