Working Mode and Physical Activity as Factors Determining Stress and Sleep Quality during COVID-19 Pandemic Lockdown in Poland

The coronavirus pandemic and related government restrictions have a significant impact on peoples’ everyday functioning and working, which influences their physical and mental health. The aim of the study was to examine the associations between stress and sleep quality of people of different working modes: working in the workplace (WP), working remotely (RW), and nonworking (NW) in relation to their physical activity (PA) during COVID-19 pandemic lockdown in Poland. It was an online survey performed during governmental lockdown in April 2020. The data were collected form 1959 adults using International Physical Activity Questionnaire—Short Form (IPAQ-SF), Pittsburgh Sleep Quality Index (PSQI), and Perceived Stress Scale (PSS). The conducted analysis included t-Student test, analysis of variance (ANOVA), and mediation analysis (MANOVA). A moderate level of stress was reported in 57% of participants, and 34% of them reported a high stress level. Poor sleep quality was reported in 64% of participants. Total PA performed daily was, on average, 184.8 ± 170.5 min/day for WP, 120.6 ± 124.4 min/day for RW, and 124.6 ± 114.7 min/day for NW (p < 0.001). There was a relationship observed between the stress and sleep quality vs. PA habit and working mode, with p < 0.05. Being physically active can be beneficial to perceive less stress and sleep disturbances influencing sleep quality, especially in remotely or nonworking people. Planning future pandemic restrictions, the policymakers should be aware of the appropriate guidelines of work planning and PA recommendations for people of different working modes.

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The psychophysiological effects of the COVID-19 quarantine in the college students

Physical Education of Students ◽

10.15561/20755279.2021.0303 ◽

2021 ◽

Vol 25 (3) ◽

pp. 158-163

Author(s):

Yusuf Soylu

Keyword(s):

Physical Activity ◽

College Students ◽

Sleep Quality ◽

Musculoskeletal Pain ◽

Online Survey ◽

Short Form ◽

Negative Mood ◽

Mood States ◽

Poor Sleep ◽

Lower Back

Background and Study Aim. A global pandemic affected by COVID-19 resulted in restrictions to daily routines, including recreation activities, social skills, and academic and health quality of college students. This study aimed to evaluate the psychophysiological effect of coronavirus quarantine on physical activity and its’ relationship between sleep quality, mood states and musculoskeletal pain in college students. Material and Methods. A total of 392 (male = 150; female = 242; age = 22.9±5.5) college students completed an online survey. The International Physical Activity Questionnaire-Short Form (IPAQ-SF), the Brunel Mood Scale, the Pittsburgh Sleep Quality Index (PSQI) and the Visual Analogue Scale for musculoskeletal pain (MSP) were used in this study. Results. Total physical activity significantly correlation with PSQI (p < 0.05, r = -.103), fatigue (p < 0.01, r = -.344), depression (p < 0.01, r = -.258), angry (p < 0.01, r = -.210), vigour (p < 0.01, r = -.344), neck and shoulder, upper and lower back (p < 0.01, r = -.225), neck and shoulder correlation (p < 0.01, r = -.230), upper and lower back (p < 0.01, r = -.209). Furthermore, a positive correlation was shown between PSQI and negative moods and a negative correlation with positive mood. Conclusions. During quarantine, decreased physical activity was associated with higher negative mood states and poor sleep quality and more MSP. The COVID-19 quarantine has considerably affected mental health-related crisis consists of desperation, self-consciousness and deficiency of physical capabilities in young adults, especially in college students.

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Effect of Communication Technology Usage on Sleep and Physical Activity Level in Nursing Students

Journal of Academic Research in Nursing ◽

10.5222/jaren.2020.17894 ◽

2020 ◽

Author(s):

Yeliz Çulha ◽

Nuray Turan ◽

Gülsün Özdemir Aydın ◽

Hatice Kaya ◽

Türkinaz Atabek Aştı

Keyword(s):

Physical Activity ◽

Nursing Students ◽

Sleep Quality ◽

Communication Technology ◽

Physical Activity Level ◽

Sleep Disturbances ◽

Short Form ◽

Activity Level ◽

Poor Sleep ◽

Technology Usage

Objective: The present study was conducted in order to examine effect of communication technology usage on sleep and physical activity level in nursing students. Method: This descriptive and cross-sectional study was carried out with 215 nursing students in the Nursing Department of a Faculty of Health Sciences in Istanbul in the 2016-2017 academic year. 188 nursing students who agreed to participate in the study constituted the sample group. Prior to the start of the study, the ethics committee was granted permission and informed from the students. The data were collected by using Structured Question Form, Pitsburgh Sleep Quality Index (PSQI) and International Physical Activity Inventory (IPAQ short form). Data were analyzed in the program of SPSS 21.00. Results: It was determined that 86.17% of the students were female, their average age was 20.68±1.83 years, 93.6% of the students used internet, 79.3% of them had smartphones in bedrooms. It was determined that the point average of PSQI was 7.74 ± 3.41, Subjective Sleep Quality subscale 0.13±0.42, Sleep Latency 1.81 ± 0.74, Sleep Duration 1.07 ± 1,00, Habitual Sleep Efficiency 0.61±0.94, Sleep Disturbances 0.85 ± 0.98 in the Use of Sleeping Medications and 2.18±1.49 in the Daytime Dysfunctioan. According to IPAQ, the calculated weekly energy consumption point average was determined 1388.04±1644.24. Conclusion: It was seen that the amount of weekly energy in which students had poor sleep quality was low. In this case, it may be advisable not to use the technological tools too much before sleeping.

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Physical Activity as a Predictor of the Level of Stress and Quality of Sleep during COVID-19 Lockdown

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18115811 ◽

2021 ◽

Vol 18 (11) ◽

pp. 5811

Author(s):

Anna Lipert ◽

Remigiusz Kozłowski ◽

Dariusz Timler ◽

Michał Marczak ◽

Kamila Musiał ◽

...

Keyword(s):

Physical Activity ◽

Sleep Quality ◽

Online Survey ◽

Short Form ◽

Well Being ◽

Poor Quality ◽

Quality Of Sleep ◽

Low Level ◽

The Government

Background: The coronavirus pandemic and the government restrictions significantly disturbed the daily functioning of people, thereby influencing healthy behaviors, such as physical activity—the core indicator of well-being. This study evaluates the associations between physical activity (PA), the level of stress and quality of sleep during the COVID-19 pandemic lockdown. Methods: An online survey was distributed during the governmental lockdown in April 2020 and included measures for assessing physical activity, stress and sleep. The surveyed participants included all adults aged 18 years and over. The final data were collected from the 1959 respondents using: International Physical Activity Questionnaire-Short Form (IPAQ-SF), Perceived Stress Scale (PSS) and Pittsburgh Sleep Quality Index (PSQI). Findings: Almost half of the respondents indicated a low level of PA, performing only 60 min of PA daily. Most of the participants reported a moderate or high level of stress (57% and 29%, respectively) and 64% of them reported poor quality of sleep. People with low levels of stress performed on average 85.1 min/day of walking (WPA), 40.9 min/day of moderate PA (MPA) or 52.6 min/day of vigorous PA (VPA). People with good quality of sleep performed 82.9 min/day of WPA, 43.6 min/day MPA and 40.5 min/day VPA. Interpretation: The results from the study indicate that the volume of daily PA may be a predictor of the level of stress and sleep quality in adults during the COVID-19 pandemic lockdown. To retain a low level of stress and good quality of sleep, a lifestyle that allows to achieve a moderate level of physical activity should be maintained. The optimal daily dose of PA is at least 70 min per day, involving different intensities.

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Sleep Quality and Mental Health of Medical Students in Greece During the COVID-19 Pandemic

Frontiers in Public Health ◽

10.3389/fpubh.2021.775374 ◽

2021 ◽

Vol 9 ◽

Author(s):

Anna Eleftheriou ◽

Aikaterini Rokou ◽

Aikaterini Arvaniti ◽

Evangelia Nena ◽

Paschalis Steiropoulos

Keyword(s):

Mental Health ◽

Medical Students ◽

Sleep Quality ◽

Sleep Disturbances ◽

Online Survey ◽

Female Students ◽

Poor Sleep ◽

Special Focus ◽

Cross Sectional ◽

Health Parameters

Background-Aim: Medical students have been greatly affected by the COVID-19 pandemic due to their educational program, which comprises theoretical knowledge and also clinical duties, making them vulnerable to viral exposures and possibly affecting their everyday life. The aim of this study was to explore changes in sleep and mental health parameters among medical students in Greece during the second year of the pandemic.Methods: This cross-sectional study comprised students of all medical schools in Greece (n = 7), using an anonymous online survey. Participants completed the following questionnaires: Pittsburgh Sleep Quality Index (PSQI), Athens Insomnia Scale (AIS), Fatigue Severity Scale (FSS), General Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9). Statistical analysis was conducted with the use of SPSS v.26 (IBM SPSS, Armonk NY, USA).Results: Out of the 562 received responses, 559 met the inclusion criteria. The largest proportion of the respondents came from 4th-year (27.8%) and the majority of the sample were females (69.8%). Only 5.9% of the participants reported having been infected by SARS-COV-2. Most of the respondents experienced insomnia (65.9%, mean AIS score: 7.59 ± 4.24), poor sleep quality (52.4%, mean PSQI score: 6.6 ± 3.25) and increased fatigue (48.5%, mean 35.82 ± 11.74). Moderate to severe symptoms of anxiety (mean 9.04 ± 5.66) and depression (mean 9.36 ± 6.15) were noted. Suicidal ideation was found in 16.7% of the sample, while use of sleeping pills in the previous month was reported by 8.8% (n = 47). Further analysis revealed independent associations between sleep and mental health parameters. Higher AIS score was associated with greater FSS score; higher PSQI scores with higher GAD-7 and PHQ-9 scores. Additionally, female students were found to be significantly more affected than males by the COVID-19 pandemic, displaying higher levels of insomnia, sleep disturbances, anxiety and depression. In addition, those with a history of COVID-19 infection or in close proximity with a positive case reported significantly more significant post-traumatic symptoms in IES-COVID-19 questionnaire.Conclusions: In the aftermath of the COVID-19 pandemic, prevalence of sleep and mental health disorders among Greek medical students is significant, highlighting the need for better surveillance of students' wellbeing and subsequent counseling, with special focus on female students and other affected groups.

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Lifestyle behaviors trend and their relationship with fear level of COVID-19: Cross-sectional study in Saudi Arabia

PLoS ONE ◽

10.1371/journal.pone.0257904 ◽

2021 ◽

Vol 16 (10) ◽

pp. e0257904

Author(s):

Shaima A. Alothman ◽

Abdullah F. Alghannam ◽

Alaa A. Almasud ◽

Arwa S. Altalhi ◽

Hazzaa M. Al-Hazzaa

Keyword(s):

Physical Activity ◽

Social Support ◽

Saudi Arabia ◽

Sleep Quality ◽

Sedentary Behavior ◽

Online Survey ◽

Dietary Habits ◽

Poor Sleep ◽

Lifestyle Behaviors ◽

Distress Scale

Introduction COVID-19 pandemic cautionary measures have affected the daily life of people around the globe. Further, understanding the complete lifestyle behaviors profile can help healthcare providers in designing effective interventions and assessing overall health impact on risk of disease development. Thus, this study aims to assess the complete spectrum of lifestyle behaviors (physical activity, sedentary behavior, sleep, distress, social support, dietary habits, and smoking) prevalence and its association with fear of COVID-19 in people living in Saudi Arabia. Methods Self-administered survey consisted of seven sections was used to collect data on fear of COVID-19 using Fear of COVID-19 Scale (FCV-19S), physical activity and sedentary behavior using the Global Physical Activity Questionnaire (GPAQ), sleep quality using the Pittsburgh Sleep Quality Index (PSQI), psychosocial distress using Kessler Psychological Distress Scale (K-10), social support using the MOS social support survey, and dietary habits using a short version of food frequency questionnaire (FFQ). The online survey was distributed via social media platforms during lockdown period of COVID-19 pandemic (May–June 2020). Each section consisted of validated questionnaire examining one of aforementioned lifestyle behaviors. Associations were analyzed using multiple linear regression. Results A total of 669 individuals attempted to complete the online survey, 554 participants completed at least 2 sections of the survey (82.8%), and 41.3% (n = 276) completed the whole online survey. The majority of the sample were female (83%), not smokers (86.5%), had sufficient sleep duration (7.5 hrs ± 2.1), and only indicated mild level of distress (21.4 ± 8.9); they also reported high level of sedentary behavior (7.7 hrs ± 4.5), poor sleep quality (5.4 ± 2.4), were not engaged in healthy eating habits, and moderate level of perceived social support (62.0% ± 27). Only physical activity results indicated that about half of the sample were engaged in moderate to vigorous level of physical activity (54.3%). Further, being female (β = 0.12; 95% CI: 0.45, 2.94) and married (β = 0.13; 95% CI: 0.3, 2.63) were associated with fear of COVID-19 level (β = 0.21; 95% IC: 0.05, 0.19) with a confidence interval level of 95%. In addition, distress was associated with fear. Conclusion The trend of lifestyle behaviors measured during lockdown period changed from previously published rates. Future research needs to establish the short-term and long-term effect of lifestyle behaviors complete profile on physical and mental health.

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Associations between sleep quality and its domains and insufficient physical activity in a large sample of Croatian young adults: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2018-021902 ◽

2018 ◽

Vol 8 (7) ◽

pp. e021902 ◽

Cited By ~ 10

Author(s):

Lovro Štefan ◽

Goran Sporiš ◽

Tomislav Krističević ◽

Damir Knjaz

Keyword(s):

Physical Activity ◽

Young Adults ◽

Sleep Quality ◽

Sleep Disturbances ◽

Smoking Status ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Subjective Sleep Quality ◽

Cross Sectional ◽

Insufficient Physical Activity

ObjectivesThe main purpose of the present study was to explore the associations between sleep quality and insufficient physical activity.DesignCross-sectional.SettingFaculties in Croatia.Participants2100 university students (1049 men and 1051 women) aged 18–24 years were recruited.Primary outcomeTo assess the domains of sleep quality (independent variables) and ‘insufficient’ physical activity (dependent variable), we used previously validated Pittsburgh Sleep Quality Index and International Physical Activity questionnaires. Logistic regressions were used to calculate the associations between the sleep quality and ‘insufficient’ physical activity.ResultsWhen sleep quality domains were entered separately into the model, very bad subjective sleep quality (OR 3.09; 95% CI 1.50 to 6.56), >60 min of sleep latency (OR 2.17; 95% CI 1.39 to 3.39), <7 hours of sleep (OR 1.56; 95% CI 1.24 to 1.96), <65% of habitual sleep efficiency (OR 2.26; 95% CI 1.26 to 4.05), sleep disturbances >1/week (OR 1.61; 95% CI 1.03 to 2.52), use of sleep medication >1/week (OR 3.35; 95% CI 1.83 to 6.10), very big daytime dysfunction problem (OR 2.78; 95% CI 1.57 to 4.93) and poor sleep quality (1.53; 95% CI 1.23 to 1.91) were associated with ‘insufficient’ physical activity. When all sleep quality domains were entered simultaneously into the model, the same significant associations remained, except for sleep disturbances. Both models were adjusted for gender, body mass index, self-rated health, life satisfaction, socioeconomic status, presence or absence of chronic diseases, smoking status, binge drinking and psychological distress.ConclusionsOur results show that ‘poor’ sleep quality is associated with ‘insufficient’ physical activity in young adults. In order to improve, special strategies and policies that leverage ‘good sleep’ quality are warranted.

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AB0860-HPR IS THERE A RELATIONSHIP BETWEEN PHYSICAL ACTIVITY, SLEEP QUALITY, ANXIETY AND DEPRESSION IN PATIENTS WITH FAMILIAL MEDITERRANEAN FEVER?

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2021-eular.1290 ◽

2021 ◽

Vol 80 (Suppl 1) ◽

pp. 1453.2-1453

Author(s):

T. Civi Karaaslan ◽

S. Ugurlu ◽

E. Tarakci

Keyword(s):

Physical Activity ◽

Familial Mediterranean Fever ◽

Sleep Quality ◽

Sleep Disturbances ◽

Short Form ◽

Anxiety And Depression ◽

Official Journal ◽

Patient Reported ◽

Mediterranean Fever ◽

The Mean

Background:Maintenance of regular physical activity is associated with better physical and mental health (1). In addition, sleep disturbances and mood disorders are common in chronic inflammatory diseases (2).Objectives:The aim of this study was to determine the relationship between physical activity, sleep quality, anxiety and depression in patients with FMF.Methods:A total of 56 patients (30 female, 26 male) with Familial Mediterranean Fever (FMF) were enrolled in the study. They were diagnosed with FMF based on the Livneh diagnostic criteria (3). International Physical Activity Questionnaire - Short Form (IPAQ) was used to evaluate health-related physical activity. Patient-reported sleep quality was evaluated with the Pittsburgh Sleep Quality Index (PSQI). Hospital Anxiety and Depression Scale (HADS) was used to evaluate anxiety and depression in FMF patients. Patients who were 20-55 years old was included in the study.Results:The mean age was 32.23±9.87 years. The mean disease duration of the patients was 12.24±7.61 years. The education level of 51.8% (n=29) of the participants was undergraduate and above. The rate of those who did not work was 32.1% (n=18) and 48.2% (n=27) of the participants were married. The mean of scores of IPAQ was 2333.99±2640.29, the mean of PSQI was 6.14±3.66, the mean of HADS-Anxiety was 7.89±5.03 and HADS-Depression was 7.01±4.44. The patients were classified according to physical activity categories as low (25.0%, n=14), moderate (41,1% n=23) and high (33.9%, n=19). Physical activity categories were not found associated with PSQI (p=0.437), HADS-Anxiety (p=0.363) and HADS-Depression (p=0.861). The relationships of scores of IPAQ, PSQI and HADS were demonstrated Table 1.Conclusion:This study confirmed that patients with FMF suffer from sleep disturbances, anxiety and depression. In addition, sleep disturbances, anxiety and depression were not associated with physical activity category.References:[1]Sokka, Tuulikki, et al. Physical inactivity in patients with rheumatoid arthritis: data from twenty-one countries in a cross-sectional, international study. Arthritis Care & Research: Official Journal of the American College of Rheumatology, 2008, 59.1: 42-50.[2]Kucuksahin, Orhan, et al. Incidence of sleep disturbances in patients with familial Mediterranean fever and the relation of sleep quality with disease activity. International journal of rheumatic diseases, 2018, 21.10: 1849-1856.[3]Bashardoust, Bahman. Familial Mediterranean fever; diagnosis, treatment, and complications. Journal of nephropharmacology, 2015, 4.1: 5.Table 1.The correlations of IPAQ, PSQI and HADS scores.HADS-DepressionHADS-AnxietyPSQIIPAQr-0.091-0.142-0.002p0.5050.2950.990PSQIr0.6890.615p0.0010.001HADS-Anxietyr0.681p0.001-Pearson CorrelationDisclosure of Interests:None declared

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380 The role of self-esteem and sleep on inflammatory markers in young adults

SLEEP ◽

10.1093/sleep/zsab072.379 ◽

2021 ◽

Vol 44 (Supplement_2) ◽

pp. A151-A151

Author(s):

Emily Squyres ◽

Danica Slavish ◽

Jennifer Graham-Engeland

Keyword(s):

Young Adults ◽

Sleep Quality ◽

Inflammatory Markers ◽

Sleep Disturbances ◽

Short Form ◽

Self Esteem ◽

Coping Resources ◽

Poor Sleep ◽

Blood Draw ◽

Disturbed Sleep

Abstract Introduction Disturbed sleep is common among young adults and is associated with poorer health and developmental outcomes. A large percentage of young adults also struggle with low self-esteem. Together, disturbed sleep and low self-esteem may deplete coping resources, heighten to reactivity to stress, and increase disease risk. Yet no studies to our knowledge have examined interactions between self-esteem and sleep on biomarkers of health among young adults. Methods To address this gap, we investigated associations between sleep quality, self-esteem, and two inflammatory markers, C-reactive protein (CRP) and interleukin-6 (IL-6), in a sample of 60 young adults (mean age 25.3 ± 4.0 years old, 53% female, 83% White). Participants completed a baseline survey to assess self-esteem (Rosenberg Self-Esteem Questionnaire) and sleep quality (Pittsburgh Sleep Quality Index [PSQI] sleep quality item), followed by 14 days of self-reported sleep disturbances each morning (PROMISTM sleep disturbances short-form; averaged across the 14 days). A plasma blood draw was then collected to assess CRP and IL-6 approximately one week after the end of the daily portion. Results Lower self-esteem (b = -0.04, 95%CI [-0.06,-0.01], p = 0.015) and lower sleep quality were each associated with higher CRP (b = -0.34, 95%CI [-0.62, -0.07], p = 0.015), but not IL-6. Greater daily sleep disturbances were marginally associated with higher CRP (b = 0.37, 95%CI [-0.06,-0.79], p = 0.088]. Interactions between self-esteem and either sleep quality or sleep disturbances did not predict CRP or IL-6. Conclusion Our results suggest low self-esteem and poorer sleep are each associated with higher levels of inflammation but may not interact to exacerbate risk. It is possible low self-esteem and poor sleep each lead to negative emotions or engagement in risky behaviors (e.g., substance use, sedentary behavior) that impact levels of inflammatory markers. Overall, our results highlight the importance of assessing both sleep and personality traits in relation to biomarkers of health among young adults. Support (if any) American Psychological Association Dissertation Research Award

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The Effect of the COVID-19 Pandemic Movement Restrictions on Self-Reported Physical Activity and Health in New Zealand: A Cross-Sectional Survey

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18041719 ◽

2021 ◽

Vol 18 (4) ◽

pp. 1719

Author(s):

Rebecca M. Meiring ◽

Silmara Gusso ◽

Eloise McCullough ◽

Lynley Bradnam

Keyword(s):

Mental Health ◽

Physical Activity ◽

New Zealand ◽

Online Survey ◽

Short Form ◽

Physical And Mental Health ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Physically Active ◽

Positive Effect

This study describes self-reported physical activity (PA), motivation to exercise, physical and mental health and feelings towards PA during the March-May 2020 COVID-19 lockdown in New Zealand. Adults over the age of 18 years (n = 238; 80.2% female) completed the International Physical Activity Questionnaire (IPAQ), the Behavioural Regulation in Exercise Questionnaire 3, the Short Form-36 and open-ended questions about PA through an anonymous online survey. Regular exercise was undertaken by 85% of respondents prior to lockdown, but only 49.8% were able to maintain their usual level of PA. Although respondents were considered sufficiently physically active from the IPAQ, 51.5% reported not being able to maintain their usual level of PA primarily due to the closure of their gym facilities. Sixty percent of respondents reported that PA had a positive effect on their overall wellbeing. When asked to specify which aspects of wellbeing were affected, the effect on mental health was reported the most while the effect on body image or fitness was reported the least. Strategies to increase or maintain engagement in physical activity during lockdowns should be encouraged to promote positive mental health during the COVID-19 pandemic.

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Insomnia in chronic non-specific low back pain

Neurology neuropsychiatry Psychosomatics ◽

10.14412/2074-2711-2021-5-62-67 ◽

2021 ◽

Vol 13 (5) ◽

pp. 62-67

Author(s):

I. A. Lamkova ◽

V. A. Parfenov

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Low Back Pain ◽

Back Pain ◽

Sleep Quality ◽

Sleep Disturbances ◽

Short Form ◽

Therapy Group ◽

Low Back

Patients with chronic non-specific low back pain (CNSLBP) often have sleep disturbances (insomnia), which negatively affects pain severity, mental state, activities of everyday living, and the overall quality of life. The prevalence of insomnia in patients with CNSLBP and the effectiveness of its therapy require further investigation.Objective: to identify the prevalence of insomnia and the effectiveness of its treatment in CNSLBP.Patients and methods. The study included 71 patients aged 18–75 years (mean age 55.09±13.0 years) with CNSLBP. A single sleep hygiene educational session was run in the standard treatment group (n=34; mean age – 51±14 years). Intervention in the extended therapy group (n=37; mean age – 59±12 years) included an educational program dedicated to sleep, which was an individual face-to-face course of 4–5 sessions over two weeks and a telephone survey after three months. We used the Insomnia Severity Index (ISI) and Pittsburgh Sleep Quality Index (PSQI) to assess sleep disturbances, a numerical rating scale (NRS) to assess pain, the International Physical Activity Questionnaire (IPAQ-SF), and the 12-item short form health survey (SF-12) to assess physical activity and quality of life. The survey was carried out three times (at the admission, after 7–10 and 80–90 days).Results and discussion. In both groups of patients with CNSLBP, PSQI scores improved in a week and after 3 months compared with baseline (p<0.05). Sleep quality between 7th and 90th days significantly improved only in the extended therapy group (p=0.025). ISI scores significantly improved during inpatient treatment in both groups (p<0.05), but between 7th and 90th days significantly improved only in the extended therapy group (р=0.048). Back pain intensity according to NRS significantly decreased in a week and after 3 months, compared to baseline (р<0.0001). Significant increase in physical activity (p≤0.001), physical and mental components of quality of life (p<0.05) were found only in the extended therapy group.Conclusion. Most patients with CNSLBP have insomnia, the treatment of which can improve sleep and help reduce pain.

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