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Sleep disorders and mental health in hospital workers during the COVID-19 pandemic: a cross-sectional multicenter study in Northern Italy.
Proserpio, Paola; Zambrelli, Elena; Lanza, Andrea; Dominese, Ambra; Di Giacomo, Roberta; Quintas, Rui; Tramacere, Irene; Rubino, Annalisa; Turner, Katherine; Colosio, Claudio; Cattaneo, Federica; Canevini, Maria Paola; D'Agostino, Armando; Agostoni, Elio Clemente; Didato, Giuseppe.
  • Proserpio P; Department of Neuroscience, Sleep Medicine Centre, ASST Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore, 20162, Milan, Italy.
  • Zambrelli E; Epilepsy Centre, Sleep Medicine Centre, Childhood and Adolescence Neuropsychiatry Unit, ASST Santi Paolo E Carlo, San Paolo Hospital, Via Antonio di Rudinì, 8, 20142, Milan, Italy.
  • Lanza A; Department of Neuroscience, Sleep Medicine Centre, ASST Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore, 20162, Milan, Italy.
  • Dominese A; Epilepsy Unit, Sleep Disorders Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, 20133, Milan, Italy.
  • Di Giacomo R; Epilepsy Unit, Sleep Disorders Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, 20133, Milan, Italy.
  • Quintas R; Epilepsy Unit, Sleep Disorders Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, 20133, Milan, Italy.
  • Tramacere I; Department of Research and Clinical Development, Scientific Directorate, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, 20133, Milan, Italy.
  • Rubino A; Department of Neuroscience, Sleep Medicine Centre, ASST Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore, 20162, Milan, Italy.
  • Turner K; Epilepsy Centre, Sleep Medicine Centre, Childhood and Adolescence Neuropsychiatry Unit, ASST Santi Paolo E Carlo, San Paolo Hospital, Via Antonio di Rudinì, 8, 20142, Milan, Italy.
  • Colosio C; Occupational Health Unit, ASST Santi Paolo E Carlo, San Paolo Hospital, Via Antonio di Rudinì, 8, 20142, Milan, Italy.
  • Cattaneo F; Department of Neuroscience, Sleep Medicine Centre, ASST Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore, 20162, Milan, Italy.
  • Canevini MP; Epilepsy Centre, Sleep Medicine Centre, Childhood and Adolescence Neuropsychiatry Unit, ASST Santi Paolo E Carlo, San Paolo Hospital, Via Antonio di Rudinì, 8, 20142, Milan, Italy.
  • D'Agostino A; Department of Health Sciences, Università Degli Studi, Milan, Italy.
  • Agostoni EC; Department of Health Sciences, Università Degli Studi, Milan, Italy.
  • Didato G; Department of Mental Health and Addiction, ASST Santi Paolo E Carlo, Milan, Italy.
Neurol Sci ; 43(4): 2241-2251, 2022 Apr.
Article in English | MEDLINE | ID: covidwho-1636655
ABSTRACT

INTRODUCTION:

From the beginning of the COVID-19 pandemic, healthcare workers had to face unprecedented emergency needs associated with an extraordinary amount of psychological distress. In this cross-sectional multicenter study, we investigated sleep disturbances, and the level of anxiety and depression among the healthcare and non-healthcare staff of three hospitals in Milan (Italy) during the COVID-19 outbreak. Moreover, we explored potential predisposing factors for affective symptoms and poor sleep.

METHODS:

Between June and July 2020, we administered an online questionnaire to evaluate the presence of sleep disorders (Pittsburgh Sleep Quality Index), insomnia (Sleep Condition Indicator), anxiety (State Trait Anxiety Inventory), and depression (Beck Depression Inventory-II). We used univariate and multivariate analysis to evaluate the association between the personal conditions and sleep and affective disorders.

RESULTS:

The 964 participants reported high rates of sleep disorders (80.3%)-mainly insomnia (30.5%)-anxiety (69.7%), and depression (32.8%). The multivariate analysis showed a strong association of sleep disorders, especially insomnia, with female gender (p = 0.004), divorced marital status (p = 0.015), self-isolation (p = 0.037), and chronic diseases (p = 0.003). Anxiety was significantly associated with teleworking (p = 0.001), while depressive symptoms were associated with self-isolation (p = 0.028), modified work schedules (p = 0.03), and chronic diseases (p = 0.027).

CONCLUSION:

In hospital workers, the high prevalence of sleep and psychiatric symptoms during the COVID-19 outbreak appears to be determined mainly by modifications of personal or work habits. Teleworking was associated with increased anxiety. An accurate planning of hospital activities and a psychological support are needed to prevent and manage sleep and mental disorders.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Sleep Wake Disorders / COVID-19 / Sleep Initiation and Maintenance Disorders Type of study: Etiology study / Experimental Studies / Observational study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Female / Humans Language: English Journal: Neurol Sci Journal subject: Neurology Year: 2022 Document Type: Article Affiliation country: S10072-021-05813-y

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Sleep Wake Disorders / COVID-19 / Sleep Initiation and Maintenance Disorders Type of study: Etiology study / Experimental Studies / Observational study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Female / Humans Language: English Journal: Neurol Sci Journal subject: Neurology Year: 2022 Document Type: Article Affiliation country: S10072-021-05813-y