Circadian rhythm abnormalities during the COVID-19 outbreak related to mental health in China: a nationwide university-based survey.
Sleep Med
; 84: 165-172, 2021 08.
Artículo
en Inglés
| MEDLINE | ID: covidwho-1253649
ABSTRACT
OBJECTIVE/BACKGROUND:
School closure and home quarantine has been implemented worldwide during the coronavirus disease 2019 (COVID-19) outbreak. The study aims to assess the associations of circadian rhythm abnormalities (CRA) during the COVID-19 outbreak with mental health in Chinese undergraduates.METHODS:
A nationwide cross-sectional university-based survey was conducted from 4th February to 12th, 2020. Based on different geographical locations and purposive sampling approach, 19 universities from 16 provinces or municipalities in the mainland of China were selected. A total of 14,789 participants were recruited by using multistage stratified random sampling. The data of CRA were collected by self-reported questionnaires consist of four items involved rest-activity cycle, diet rhythm, wake up rhythm and sleep rhythm. The Patient Health Questionnaire and the Generalized Anxiety Disorder were applied to evaluate the symptoms of depression and anxiety. Chi-square test and ordinal logistic regression models were used to describe the distributions and associations of CRA and mental health.RESULTS:
A total of 11,787 students [female 6731(57.1%)] aged 15-26 years old (M = 20.45, SD = 1.76) were analyzed (response rate 79.7%). The results showed the percentage of CRA were 17.5-28.7%. The prevalence of depression and anxiety were significantly higher in students with single CRA. Students who reported the coexistence of four CRA were more likely to be with the symptoms of depression (OR 4.43, 95% CI 3.91-5.03) and anxiety (OR 3.11, 95% CI 2.70-3.60). Dose-response relationships were found between multiple CRA and mental problems.CONCLUSION:
Circadian rhythm abnormalities are positively associated with mental health among university studies. Mental health care is needed for college students during the COVID-19 epidemic period.Palabras clave
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Universidades
/
COVID-19
Tipo de estudio:
Estudio experimental
/
Estudio observacional
/
Ensayo controlado aleatorizado
Límite:
Adolescente
/
Adulto
/
Femenino
/
Humanos
/
Young_adult
País/Región como asunto:
Asia
Idioma:
Inglés
Revista:
Sleep Med
Asunto de la revista:
Neurología
/
Psicofisiología
Año:
2021
Tipo del documento:
Artículo
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