The Evaluation of Sleep Disturbances for Chinese Frontline Medical Workers under the Outbreak of COVID-19

SummaryBackgroundThe outbreak of coronavirus disease 2019 in China remains to be a serious challenge for frontline medical workers (fMW). They are under high risk of being infected and high mental stress, which may lead to sleep disturbances, anxiety, and depression.MethodsWe conducted a cross-sectional study to evaluate sleep disturbances of fMW and made a comparison with non-fMW. The medical workers from multiple hospitals in Hubei Province, China, were volunteered to participate. An online questionnaire, including Pittsburgh Sleep Quality Index (PSQI), Athens Insomnia Scale (AIS), and Visual Analogue Scale (VAS), was used to evaluate sleep disturbances and mental status of fMW. Sleep disturbances were defined as PSQI>7 points or/and AIS>6 points. We compared the scores of PSQI, AIS, anxiety and depression VAS, and prevalence of sleep disturbances between fMW and non-fMW. Subgroup analysis for different gender in fMW was conducted.FindingsA total of 1306 subjects (including 801 fMW and 505 non-fMW) were enrolled. Compared to non-fMW, fMW had significantly higher scores of PSQI (p< 0.0001), AIS (p<0.0001), anxiety (p<0.0001) and depression (p=0.0010), and higher prevalence of sleep disturbances with PSQI > 7 points (p<0.0001) and AIS > 6 points (p<0.0001). In subgroup analysis, compared to male fMW, female fMW had significantly higher scores of PSQI (p=0.022) and higher prevalence of sleep disturbances with PSQI > 7 points (p<0.0001).InterpretationfMW had higher prevalence of sleep disturbances and worse sleep quality than non-fMW. Female fMW were more vulnerable to having sleep disturbances than male fMW.FundingNone.

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Complaints of insomnia in hospitalized alcoholics

Brazilian Journal of Psychiatry ◽

10.1590/s1516-44462009000300013 ◽

2009 ◽

Vol 31 (3) ◽

pp. 261-264 ◽

Cited By ~ 17

Author(s):

Franklin Escobar-Córdoba ◽

Juan David Ávila-Cadavid ◽

Miguel Cote-Menendez

Keyword(s):

Pittsburgh Sleep Quality Index ◽

Cross Sectional Study ◽

Study Data ◽

Chronic Insomnia ◽

Anxiety And Depression ◽

Sectional Study ◽

Cross Sectional ◽

Clinical Interviews ◽

Depression Scales ◽

Insomnia Complaints

OBJECTIVE: To estimate the prevalence of insomnia complaints in a population of alcoholics hospitalized in addiction clinics in Bogotá. METHOD: Alcoholic patients hospitalized for detoxification in addiction clinics were recruited. Design: observational, descriptive and cross-sectional study. Data gathered by means of clinical interviews and measuring scales: Pittsburgh Sleep Quality Index and the Zung Self-rating Anxiety and Depression scales. RESULTS: The prevalence of chronic insomnia complaints was 56.8% (33/58); anxiety symptoms 65.5% (38/58); depressive symptoms 75.9% (44/58) with variations in distribution by gender. CONCLUSION: The prevalence of chronic insomnia complaints measured was found to be high in the population of hospitalized alcoholics. These patients deserve medical care and treatment for sleep disorders in their rehabilitation plan. Further research allowing the extension of the obtained results is needed.

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Association between Excessive Use of Mobile Phone and Insomnia among Pakistani Teenagers Cross Sectional Study

American International Journal of Multidisciplinary Scientific Research ◽

10.46281/aijmsr.v5i4.406 ◽

2019 ◽

Vol 5 (4) ◽

pp. 10-15

Author(s):

Lubna Farooq ◽

Akhtar Ali ◽

Sehrish Mahmood ◽

Mahnoor Farzand ◽

Hina Masood ◽

...

Keyword(s):

Sleep Quality ◽

Mobile Phone ◽

Sleep Disturbances ◽

Smart Phone ◽

Cross Sectional Study ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

Mobile Phone Usage

Introduction:In the era of modern technology mobile phones have becoming popular, especially in teenagers. Besides of its uses there are various undesirable psychological and physical impact on heath. Aims and objectives: The purpose of this study was to access the link among Excessive Use of Smart Phone and there sleep pattern among Pakistani Adolescents. Materials and Methods: A detailed cross sectional study was performed on a total of 500 medical graduates range between 18 and 24 years who were using mobile phone atleast a year. Self-designed Questionnaire is given to them having details of their frequency and pattern of using smart phone. Sleep quality was analyzed by using Pittsburg Sleep Quality index .Chi square test was also perform to check the link between frequency of mobile phone and quality of sleep.P value < 0.005 were considered as significant. Result: Out of 500 participants, the frequency of mobile phone usage was more in males 70% as compare to females30%. Their age varied from 21to 24 with mean age of 20 ± 1.9 years. Most of students use mobile phone in night 188 (38%)and 202 (40%) participants using mobile phone unlimited. 366 (73%) students mentioned that they start using mobile phone at intermediate level and claimed that no surveillance of the mobile phone being done by the parents . Students who were using unlimited mobile phone reported that they take more than 1 hour to sleep that showed a significant (p-value <0.001) correlation between more mobile phone use and time taken to sleep. Conclusion: The results of our study conclude that excessive mobile phone usage leads to sleep disturbances and poor quality of sleep. That may implement negative effects on student’s mental and physical health along with this it can also affect the students’ educational performance and daily life activities.

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Impact of COVID-19 Pandemic on the Psychological Status of Palestinian Adults in the West Bank, Palestine; A Cross-Sectional Study

The Open Psychology Journal ◽

10.2174/1874350102114010227 ◽

2021 ◽

Vol 14 (1) ◽

pp. 227-237

Author(s):

Imad T. Asmar ◽

Hani Naseef ◽

Nimeh Al-Shami ◽

Maram K. Jaghama ◽

Abdallah D. Abukhalil ◽

...

Keyword(s):

Negative Impact ◽

West Bank ◽

Cross Sectional Study ◽

Psychological Status ◽

Anxiety And Depression ◽

Sectional Study ◽

Online Questionnaire ◽

The West ◽

Cross Sectional ◽

The Impact

Background: Coronavirus Disease 2019 (COVID-19) rapid manifestation and spread have disrupted world norms and affected people's daily activities and life. Many ministries chose mass lockdown protocol as a way to control the virus spread. Though this protocol has shown to be effective in limiting the Virus transmission, it might have a negative impact on the population's psychological status, such as boredom, confusion, psychological stress, anxiety, depression, and physical effects. Objective: This study aimed to find the impact of the COVID-19 pandemic on the Palestinian adults' psychological status by assessing the participant's practices, reports of anxiety and depression during the pandemics Methods: An observational descriptive cross-sectional study was conducted among Palestinian adults in the West Bank, at the occupied Palestinian territories, between July and September 2020. The questionnaire was structured into two domains: the first domain includes nine questions about sociodemographic data. The second consisted of 33 (yes and no) questions evaluating the participant's psychological status. Results: 739 participants with a mean age of 31.76, filled the online questionnaire. Around one-third of respondents revealed having many signs of anxiety, and around 42% of respondents expressed having many signs of depression. Females were significantly more likely to have signs of depression, whereas front-line COVID-19 health care workers were significantly the least likely to have signs of depression and no signs of depression were found among participants with high incomes. Conclusion: COVID-19 pandemic has a negative effect on mental status; most participants have signs of anxiety and depression.

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Prevalence of Sleep Disturbances During COVID-19 Pandemic in a Nepalese Population: A Cross-Sectional Study

Journal of Sleep Medicine ◽

10.13078/jsm.210012 ◽

2021 ◽

Vol 18 (3) ◽

pp. 145-153

Author(s):

Avinash Chandra ◽

Pooja Prakash ◽

Nabina Sharma ◽

Ayush Chandra

Keyword(s):

Sleep Quality ◽

Sleep Disturbances ◽

Severity Index ◽

Cross Sectional Study ◽

Descriptive Statistics ◽

Sectional Study ◽

Cross Sectional ◽

Before And After ◽

The Mean ◽

Insomnia Severity

Objectives: The coronavirus disease (COVID-19) pandemic and news of daily increasing cases inside Nepal and worldwide is adding to the fear that leads to anger, anxiety, frustration, and stress, emotions that directly affect sleep quality. This study aimed to assess sleep disturbances during the COVID-19 pandemic in a Nepalese population.Methods: This cross-sectional study recruited 206 Nepali residents who completed anonymous self-administered questionnaires. The Insomnia Severity Index (ISI) questionnaire was used to measure sleep disturbances before and after the COVID-19 pandemic. The gathered data were analyzed using descriptive statistics and inferential statistics using SPSS version 20 statistical software.Results: There was a significant variation in sleep disturbances among Nepalese residents before versus after the COVID-19 pandemic (p<0.001). The prevalence of clinical moderate insomnia has increased tremendously in Nepalese individuals. Before the pandemic’s onset, only 3.9% of the participants had moderate to severe levels of clinical insomnia; after its onset, this value increased to 17.5%. The mean ISI scores were 6.35±4.65 and 8.01±6.01 before and after the pandemic’s onset, respectively.Conclusions: Our study findings suggest that people are suffering tremendously with sleep disturbances and calls for further research and active measures to help increase sleep quality during the COVID-19 pandemic.

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Association of sociodemografic factors and sleep quality in brazilian university students

Texto & Contexto - Enfermagem ◽

10.1590/s0104-07072014000100021 ◽

2014 ◽

Vol 23 (1) ◽

pp. 176-184 ◽

Cited By ~ 1

Author(s):

Márcio Flávio Moura de Araújo ◽

Adman Câmara Soares Lima ◽

Thiago Moura de Araújo ◽

Vivian Saraiva Veras ◽

Maria Lúcia Zanetti ◽

...

Keyword(s):

University Students ◽

Sleep Quality ◽

Pittsburgh Sleep Quality Index ◽

Sociodemographic Factors ◽

Cross Sectional Study ◽

Poor Sleep ◽

Sectional Study ◽

Poor Sleep Quality ◽

Cross Sectional ◽

Linear Trends

The aim of this study was to analyze relationship between sociodemographic factors and poor sleep quality in Brazilian university students. Cross-sectional study, surveyed 701 students in Fortaleza, Ceará, Brazil. We applied a questionnairre with sociodemographic questions and Pittsburgh Sleep Quality Index. We did not identify associations and/or statistically significant linear trends between sleep quality and sociodemographic analyzed factors. However, the analysis found that the relative risk in college aged > 31 years, in those who lived alone and with relatives (other than parents) there is greater vulnerability to poor sleep quality.

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Clinical and genetic factors associated with anxiety and depression in breast cancer patients: a cross-sectional study

BMC Cancer ◽

10.1186/s12885-021-08615-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Aline HAJJ ◽

Roula HACHEM ◽

Rita KHOURY ◽

Souheil HALLIT ◽

Bashar ElJEBBAWI ◽

...

Keyword(s):

Breast Cancer ◽

Sleep Quality ◽

Cancer Patients ◽

Genetic Factors ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

Breast Cancer Patients ◽

Sectional Study ◽

Cross Sectional

Abstract Background Despite the progress in assessment and treatment of breast cancer, being diagnosed with it or receiving chemotherapy treatment is still conceived as a traumatic experience. Women develop negative thoughts about life and death with detrimental effects on their daily physical functioning/activities, emotional state and overall quality of life. The aim of our study was to evaluate the level of anxiety and depression among breast cancer patients receiving chemotherapy and explore the correlation between these psychological disorders, clinical, sociodemographic and genetic factors. Methods A cross-sectional study was conducted among breast cancer patients undergoing intravenous chemotherapy at the oncology outpatient unit of Hôtel-Dieu de France hospital (November 2017–June 2019; Ethical approval number: CEHDF1016). All patients gave their written informed consent and completed several validated scales, including the Hospital Anxiety and Depression scale (HADS) for the assessment of anxiety and depression. Sleep quality, insomnia, cognitive function, fatigue and pain were also evaluated. Genotyping for certain gene polymorphisms (CLOCK, PER2, CRY2, OPRM1, ABCB1, COMT, DRD2) was performed using the Lightcycler® (Roche). Results A total of 112 women was included. The prevalence of depression was 43.4%, and 56.2% of the patients reported anxiety (based on the HADS classification). Multivariable analysis showed that higher cognitive scores and taking fosaprepitant were significantly associated with lower depression and anxiety scores. Moreover, being married compared to single was also associated with lower depression scores, whereas higher PSQI scores (worse sleep quality) and having the PER2 AA variant genotype compared to GG were significantly associated with higher depression scores. Finally, reporting a more severe insomnia and having the COMT Met/Met genotype were significantly associated with a higher anxiety score. Conclusions Our study demonstrated a strong relationship between depression scores and cognitive impairment, sleep quality, marital status, fosaprepitant intake, and PER2 polymorphism, while anxiety scores were correlated to cognitive impairment, insomnia severity, fosaprepitant intake, and COMT polymorphism. The association with PER polymorphism was not previously reported. Identification of genetic and clinical risk factors for anxiety and depression would help clinicians implement an individualized management therapy aiming at preventing and alleviating the burden of these symptoms in breast cancer patients, hence improving their overall quality of life.

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Assessment of eating habits and lifestyle during the coronavirus 2019 pandemic in the Middle East and North Africa region: a cross-sectional study

British Journal Of Nutrition ◽

10.1017/s0007114520004547 ◽

2020 ◽

pp. 1-10

Author(s):

Leila Cheikh Ismail ◽

Tareq M. Osaili ◽

Maysm N. Mohamad ◽

Amina Al Marzouqi ◽

Amjad H. Jarrar ◽

...

Keyword(s):

Middle East ◽

North Africa ◽

Sleep Disturbances ◽

Eating Habits ◽

Cross Sectional Study ◽

Lifestyle Changes ◽

Sectional Study ◽

Mena Region ◽

Online Questionnaire ◽

Cross Sectional

Abstract Coronavirus disease 2019 (COVID-19) has rapidly spread globally, forcing countries to apply lockdowns and strict social distancing measures. The aim of this study was to assess eating habits and lifestyle behaviours among residents of the Middle East and North Africa (MENA) region during the lockdown. A cross-sectional study among adult residents of the MENA region was conducted using an online questionnaire designed on Google Forms during April 2020. A total of 2970 participants from eighteen countries participated in the present study. During the pandemic, over 30 % reported weight gain, 6·2 % consumed five or more meals per d compared with 2·2 % before the pandemic (P < 0·001) and 48·8 % did not consume fruits on a daily basis. Moreover, 39·1 % did not engage in physical activity, and over 35 % spent more than 5 h/d on screens. A significant association between the frequency of training during the pandemic and the reported change in weight was found (P < 0·001). A significantly higher percentage of participants reported physical and emotional exhaustion, irritability and tension either all the time or a large part of the time during the pandemic (P < 0·001). Although a high percentage of participants reported sleeping more hours per night during the pandemic, 63 % had sleep disturbances. The study highlights that the lockdown due to the COVID-19 pandemic caused a variety of lifestyle changes, physical inactivity and psychological problems among adults in the MENA region.

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Sleep disturbances among pregnant women with history of migraines: A cross-sectional study

Cephalalgia ◽

10.1177/0333102415570493 ◽

2015 ◽

Vol 35 (12) ◽

pp. 1092-1102 ◽

Cited By ~ 11

Author(s):

Chunfang Qiu ◽

Ihunnaya O Frederick ◽

Tanya Sorensen ◽

Sheena K Aurora ◽

Bizu Gelaye ◽

...

Keyword(s):

Sleep Quality ◽

Pregnant Women ◽

Sleep Duration ◽

Sleep Disturbances ◽

Cross Sectional Study ◽

Poor Sleep ◽

Sectional Study ◽

Short Sleep Duration ◽

Cross Sectional ◽

History Of

Background Migraine is associated with sleep disturbances in men and non-pregnant women. However, relatively little is known about sleep disturbances among pregnant migraineurs. We investigated sleep disturbances among pregnant women with and without history of migraine. Methods This cross-sectional study was conducted among 1324 women who were recruited during early pregnancy. Migraine diagnoses were based on the International Classification of Headache Disorders-II criteria. The Pittsburgh Sleep Quality Index (PSQI) questionnaire was used to evaluate sleep-related characteristics including sleep duration, sleep quality, excessive daytime sleepiness, and other sleep traits. Multivariable logistic regression procedures were used to estimate adjusted odds ratios (AORs) and 95% confidence intervals (CIs). Results Migraineurs were more likely than non-migraineurs to report short sleep duration (<6.5 hours) (AOR = 1.47, 95% CI 1.07–2.02), poor sleep quality (PSQI>5) (AOR = 1.73, 95% CI 1.35–2.23), and daytime dysfunction due to sleepiness (AOR = 1.51, 95% CI 1.12–2.02). Migraineurs were also more likely than non-migraineurs to report taking sleep medication during pregnancy (AOR = 1.71, 95% CI 1.20–2.42). Associations were generally similar for migraine with or without aura. The odds of sleep disturbances were particularly elevated among pre-pregnancy overweight migraineurs. Conclusion Migraine headache and sleep disturbances are common comorbid conditions among pregnant women.

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Assessment of Sleep Quality and Occupational Fatigue (A cross-sectional study among nurses working in public hospitals affiliated to Ilam University of Medical Sciences)

Occupational Hygiene and Health Promotion ◽

10.18502/ohhp.v5i1.6212 ◽

2021 ◽

Author(s):

Mohammad Amin RASHIDI ◽

Meghdad KAZEMI ◽

Mehrdad KAZEMI ◽

Amir Hossein RASHIDI ◽

Majid SEIFIFARD

Keyword(s):

Sleep Quality ◽

Sleep Disturbances ◽

Cross Sectional Study ◽

Public Hospitals ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Factors Affecting ◽

Occupational Fatigue ◽

Spearman’S Correlation

Introduction: Fatigue is defined as extreme weakness and exhaustion by work and physical or mental effort. Sleep disturbances are among the most important causes of fatigue among people in various occupational societies. The aim of this study was to determine the relationship of occupational fatigue with sleep quality and factors affecting it among nurses working in governmental hospitals. Methods: This cross-sectional study was conducted on 240 nurses working in public hospitals selected by convenience sampling method during a two-month period. In order to collect data, the Fatigue Exhaustion / Fatigue Recovery Questionnaire (OFER-15) and the Pittsburgh Sleep Quality Questionnaire (PSQI-18) were administered. The data were analyzed using SPSS software version 16. Furthermore, Chi-Square, Spearman’s correlation, Independent Sample T-test, and one–way analysis of variance were run. Results: In this study, 55% and 70% of the participants were at inappropriate sleep quality status and the moderate level of occupational excessive fatigue, respectively. Spearman’s correlation test showed a direct and significant correlation between occupational excessive fatigue and sleep quality (p<0.5). Conclusion: Given the significant correlation between sleep quality and fatigue in this research, sleep quality can be used as a predictive variable of excessive occupational fatigue.

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Impact of problematic Facebook use, loneliness, and poor sleep quality on mental health

International Journal of ADVANCED AND APPLIED SCIENCES ◽

10.21833/ijaas.2021.09.015 ◽

2021 ◽

Vol 8 (9) ◽

pp. 112-118

Author(s):

Ho et al. ◽

Keyword(s):

Sleep Quality ◽

Pittsburgh Sleep Quality Index ◽

Linear Regression Analysis ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Cross Sectional ◽

Central Vietnam ◽

Facebook Use

To examine the effects of problematic Facebook use, loneliness, and poor sleep quality on anxiety and depression in the Vietnamese, 354 Facebook users at a university in central Vietnam in a cross-sectional study design was used. Participants completed Depression Anxiety Stress Scales, Bergen Facebook Addiction Scale, UCLA loneliness scale version 3, and the Pittsburgh Sleep Quality Index. Linear regression analysis found that problematic Facebook use, loneliness, and poor sleep quality respectively explained 31.3% and 45.6% of the variance in anxiety and depression. Problematic Facebook use, loneliness, and poor sleep quality were associated with anxiety and depression. Interventions should focus on reducing loneliness, improving sleep quality, and treating problematic Facebook use.

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