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The immediate impact of the 2019 novel coronavirus (COVID-19) outbreak on subjective sleep status
Sleep Medicine ; 77:348-354, 2021.
Article in English | APA PsycInfo | ID: covidwho-1717307
ABSTRACT

Background:

An outbreak of the 2019 novel coronavirus (COVID-19) has been ongoing in China since January 2020. The threat of infection affects the work and life of most of the population and may also damage sleep. This study aims to examine the subjective sleep status and mental health of the population during the peak of the COVID-19 epidemic.

Method:

The datawere collected through an online questionnaire with a sample of 5461 individuals in China fromFebruary 5, 2020, to February 23, 2020. Participantswere divided into four groups based on their degree of threat fromCOVID-19Group 1wasmost closely associatedwith COVID-19, including inpatients diagnosed with COVID-19, first-line hospital workers and first-line management staff;Group 2 included outpatients diagnosed with COVID-19 and patients who developed a fever and visited the hospital;Group 3 included people related to Group 1 or 2, such as their colleagues, relatives, friends and rescuers;and Group 4 was the farthest removed fromcontact with COVID-19, covering the general public affected by COVID-19 prevention strategies. The Insomnia Severity Index (ISI), Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder Scale (GAD-7) and Acute Stress Disorder Scale (ASDS) were used.

Results:

Threat degree of COVID-19 (groups) had significant correlations with insomnia, depression, anxiety, and stress (p <0.05, p<0.01). Age, gender, and area (Hubei province or other provinces) had significant correlations with insomnia (p < 0.01). A total of 1380 (24.46%) participants were suspected of having major depression based on the PHQ-9. Additionally, 1042 (18.47%) participants were suspected of having generalized anxiety disorder based on the GAD-7. A total of 892 (15.8%) of the participants had Acute Stress Disorder (ASD) according to the ASDS. The prevalence of clinical insomnia during the outbreakwas 20.05% (1131) according to the ISI. The factors of satisfaction with the current sleep pattern and howperceptible the symptoms of the current sleep pattern are to other people (p < 0.05) and the middle (difficulty staying asleep) and terminal (waking up too early) (p < 0.01) factors of the ISI were significantly different across groups. A total of 1129 (20.01%) participants spent more than one hour awake in bed.

Conclusion:

The results indicated that insomnia is more severe in people who are female, young, living in the epicenter and experiencing a high degree of threat from COVID-19. As prevention and treatment efforts continue with regard to COVID-19, the general public has developed poor sleep hygiene habits, which deserve attention. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
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Collection: Databases of international organizations Database: APA PsycInfo Type of study: Experimental Studies Language: English Journal: Sleep Medicine Year: 2021 Document Type: Article

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Collection: Databases of international organizations Database: APA PsycInfo Type of study: Experimental Studies Language: English Journal: Sleep Medicine Year: 2021 Document Type: Article