The association between sleep and psychological distress among New York City healthcare workers during the COVID-19 pandemic.
J Affect Disord
; 298(Pt A): 618-624, 2022 02 01.
Article
in English
| MEDLINE | ID: covidwho-1536624
ABSTRACT
BACKGROUND:
Healthcare workers (HCWs) treating patients with COVID-19 report psychological distress. We examined whether disturbed sleep was associated with psychological distress in New York City (NYC) HCWs during the initial peak of the COVID-19 pandemic (April-May 2020).METHODS:
HCWs completed a survey screening for acute stress (4-item Primary Care PTSD screen), depressive (Patient Health Questionaire-2), and anxiety (2-item Generalized Anxiety Disorder scale) symptoms. Insomnia symptoms (modified item from the Insomnia Severity Index) and short sleep (SS, sleep duration <6 h/day) were assessed. Poisson regression analyses predicting psychological distress from SS and insomnia symptoms, adjusting for demographics, clinical role/setting, redeployment status, shifts worked, and multiple comparisons were performed.RESULTS:
Among 813 HCWs (80.6% female, 59.0% white) mean sleep duration was 5.8 ± 1.2 h/night. Prevalence of SS, insomnia, acute stress, depressive, and anxiety symptoms were 38.8%, 72.8%, 57.9%, 33.8%, and 48.2%, respectively. Insomnia symptoms was associated with acute stress (adjusted prevalence ratio [PR] 1.51, 95% CI 1.35, 1.69), depressive (PR 2.04, 95% CI 1.78, 2.33), and anxiety (PR 1.74, 95% CI 1.55, 1.94) symptoms. SS was also associated with acute stress (PR 1.17, 95% CI 1.07, 1.29), depressive (PR 1.36, 95% CI 1.233, 1.51), and anxiety (PR 1.38, 95% CI 1.26, 1.50) symptoms.LIMITATIONS:
Our cross-sectional analysis may preclude the identification of temporal associations and limit causal claims.CONCLUSIONS:
In our study, SS and insomnia were associated with psychological distress symptoms in NYC HCWs during the COVID-19 pandemic. Sleep may be a target for interventions to decrease psychological distress among HCWs.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Psychological Distress
/
COVID-19
Type of study:
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Female
/
Humans
/
Male
Country/Region as subject:
North America
Language:
English
Journal:
J Affect Disord
Year:
2022
Document Type:
Article
Affiliation country:
J.jad.2021.10.033
Similar
MEDLINE
...
LILACS
LIS