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Risk of insomnia during COVID-19: effects of depression and brain functional connectivity.
Tian, Yun; Vitiello, Michael V; Wang, Haien; Wang, Yulin; Dong, Debo; Xu, Hongzhou; Yu, Ping; Qiu, Jiang; He, Qinghua; Chen, Hong; Feng, Tingyong; Lei, Xu.
  • Tian Y; Sleep and NeuroImaging Center, Faculty of Psychology, Southwest University, No. 2 Tiansheng Road, Beibei District, Chongqing 400715, China.
  • Vitiello MV; Key Laboratory of Cognition and Personality, Ministry of Education, No. 2 Tiansheng Road, Beibei District, Chongqing 400715, China.
  • Wang H; Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Box 356560, 1959 NE Pacific Street, Seattle, WA 98195-6560, United States.
  • Wang Y; Sleep and NeuroImaging Center, Faculty of Psychology, Southwest University, No. 2 Tiansheng Road, Beibei District, Chongqing 400715, China.
  • Dong D; Key Laboratory of Cognition and Personality, Ministry of Education, No. 2 Tiansheng Road, Beibei District, Chongqing 400715, China.
  • Xu H; Sleep and NeuroImaging Center, Faculty of Psychology, Southwest University, No. 2 Tiansheng Road, Beibei District, Chongqing 400715, China.
  • Yu P; Key Laboratory of Cognition and Personality, Ministry of Education, No. 2 Tiansheng Road, Beibei District, Chongqing 400715, China.
  • Qiu J; Key Laboratory of Cognition and Personality, Ministry of Education, No. 2 Tiansheng Road, Beibei District, Chongqing 400715, China.
  • He Q; Institute of Neuroscience and Medicine (INM-7: Brain and Behaviour), Research Centre Jülich, Wilhelm-Johnen-Strasse, Jülich 52425, Germany.
  • Chen H; Key Laboratory of Cognition and Personality, Ministry of Education, No. 2 Tiansheng Road, Beibei District, Chongqing 400715, China.
  • Feng T; Sleep and NeuroImaging Center, Faculty of Psychology, Southwest University, No. 2 Tiansheng Road, Beibei District, Chongqing 400715, China.
  • Lei X; Key Laboratory of Cognition and Personality, Ministry of Education, No. 2 Tiansheng Road, Beibei District, Chongqing 400715, China.
Cereb Cortex ; 33(11): 7015-7025, 2023 05 24.
Article in English | MEDLINE | ID: covidwho-2236287
ABSTRACT
Normal sleepers may be at risk for insomnia during COVID-19. Identifying psychological factors and neural markers that predict their insomnia risk, as well as investigating possible courses of insomnia development, could lead to more precise targeted interventions for insomnia during similar public health emergencies. Insomnia severity index of 306 participants before and during COVID-19 were employed to determine the development of insomnia, while pre-COVID-19 psychometric and resting-state fMRI data were used to explore corresponding psychological and neural markers of insomnia development. Normal sleepers as a group reported a significant increase in insomnia symptoms after COVID-19 outbreak (F = 4.618, P = 0.0102, df = 2, 609.9). Depression was found to significantly contribute to worse insomnia (ß = 0.066, P = 0.024). Subsequent analysis found that functional connectivity between the precentral gyrus and middle/inferior temporal gyrus mediated the association between pre-COVID-19 depression and insomnia symptoms during COVID-19. Cluster analysis identified that postoutbreak insomnia symptoms followed 3 courses (lessened, slightly worsened, and developed into mild insomnia), and pre-COVID-19 depression symptoms and functional connectivities predicted these courses. Timely identification and treatment of at-risk individuals may help avoid the development of insomnia in the face of future health-care emergencies, such as those arising from COVID-19 variants.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Sleep Initiation and Maintenance Disorders Type of study: Experimental Studies / Observational study / Prognostic study Topics: Long Covid / Variants Limits: Humans Language: English Journal: Cereb Cortex Journal subject: Brain Year: 2023 Document Type: Article Affiliation country: Cercor

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Sleep Initiation and Maintenance Disorders Type of study: Experimental Studies / Observational study / Prognostic study Topics: Long Covid / Variants Limits: Humans Language: English Journal: Cereb Cortex Journal subject: Brain Year: 2023 Document Type: Article Affiliation country: Cercor