scholarly journals Telework during COVID-19 outbreak: Impact on mental health among Italian workers

2021 ◽  
Vol 7 (2) ◽  
pp. 29
Author(s):  
Vincenzo Bertino ◽  
Veronica Nisticò ◽  
Armando D'Agostino ◽  
Alberto Priori ◽  
Orsola Gambini ◽  
...  
Keyword(s):  
Home Environment ◽  
Online Survey ◽  
Psychiatric Symptoms ◽  
Clinical History ◽  
Severity Index ◽  
Psychometric Scales ◽  
Work Routine ◽  
Potential Risks ◽  
Related Stress ◽  
Insomnia Severity

Objective: The outbreak of COVID-19 lead to an uptake of telework worldwide. We evaluated the prevalence of psychiatric symptoms, potential risks, and protective factors, across a sample of Italian workers that converted to teleworking.Methods: 804 participants completed an online survey, including sociodemographic information (current work routine, home environment and clinical history) and the psychometric scales “Depression, Anxiety and Stress Scale – 21 items” and “Insomnia Severity Index.”Results: 30% of participants presented pathological levels of depression, 20.8% of anxiety, 30.7% of stress, and 5% appeared to suffer from insomnia. Prevalence was higher in respondents with psychological and physical frailties, greater social isolation or inadequate working spaces. However, telework itself was broadly appreciated and did not seem to be directly associated with increased psychiatric symptoms, which were exacerbated instead by COVID-19-related stress or by constitutional and social determinants of health.Conclusions: Authorities should promote adequate measures to guarantee a healthy approach to teleworking.

scholarly journals Mental Well-Being (Depression, Loneliness, Insomnia, Daily Life Fatigue) during COVID-19 Related Home-Confinement—A Study from Poland

2020 ◽  
Vol 17 (20) ◽  
pp. 7417 ◽  
Author(s):  
Adrian Bartoszek ◽  
Dariusz Walkowiak ◽  
Agnieszka Bartoszek ◽  
Grzegorz Kardas
Keyword(s):  
Los Angeles ◽  
Alcohol Consumption ◽  
Daily Life ◽  
Well Being ◽  
Severity Index ◽  
New Drugs ◽  
Physical And Mental Health ◽  
Related Stress ◽  
Mental Well Being ◽  
Insomnia Severity

The COVID-19 pandemic is a great threat to both physical and mental health as it may lead to psychological stress connected with an economic crisis, threat of unemployment, or fear of losing family members. Emerging data shows that the general public may be vulnerable to the pandemic-related stress and experience frequently prevalent anxiety. A study involving 471 subjects (85.6% female) was conducted online during the COVID-19 pandemic. We used the following scales: Insomnia Severity Index (ISI), Beck Depression Inventory (BDI), Revised University of California, Los Angeles (R-UCLA) Loneliness Scale, and Daily Life Fatigue scale (DLF). Women had higher mean scores of depression, loneliness, and daily life fatigue and more often than males started exercising. Among people professionally active before the pandemic, there were more cases of increased alcohol consumption than among students. No differences in alcohol consumption patterns were found between genders. People living alone had higher scores of loneliness and daily life fatigue compared to those living with someone. Respondents who started taking any new drugs during COVID-19 home confinement had higher outcomes in all questionnaires. During home confinement, high scores of depression, insomnia, loneliness, and everyday fatigue were observed.

scholarly journals Risk Perception, Unhealthy Behavior, and Anxiety Due to Viral Epidemic Among Healthcare Workers: The Relationships With Depressive and Insomnia Symptoms During COVID-19

2021 ◽  
Vol 12 ◽  
Author(s):  
Jukab Lee ◽  
Hyuk Joo Lee ◽  
Youjin Hong ◽  
Yong-Wook Shin ◽  
Seockhoon Chung ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Online Survey ◽  
Mental Health Problems ◽  
Severity Index ◽  
Work Related Stress ◽  
Work Related ◽  
Unhealthy Behavior ◽  
Patient Health ◽  
Related Stress ◽  
Sex Perception

We aimed to investigate the relationship between mental health problems and unhealthy behaviors among healthcare workers in response to the COVID-19 pandemic. Using an online survey, we collected data on healthcare workers' perception regarding COVID-19 exposure in a work unit. Workers' depression, insomnia, and anxiety symptoms were assessed using the Patient Health Questionnaire-9, Insomnia Severity Index, and Generalized Anxiety Disorder-7 scale, respectively. Work-related stress and anxiety in response to the viral epidemic were measured using the Stress and Anxiety to Viral Epidemic-9 (SAVE-9) scale. We found that work-related stress and anxiety in response to the viral epidemic was associated with female sex, perception of the workplace as being dangerous, and depressive symptoms. Unhealthy behaviors, such as smoking and drinking as coping behaviors during the pandemic, were associated with male sex, young age, depression, and insomnia. During the COVID-19 pandemic, it is necessary to closely observe the patterns of work-related stress and anxiety reactions among healthcare workers to reduce their burnout.

scholarly journals 711 Changes in Healthcare Visits and Sleep Medication Use in Sleep Medicine Patients during the COVID-19 Pandemic

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A277-A278
Author(s):  
Ahmad Debian ◽  
Emily Arentson-Lantz ◽  
Manasa Kokanda ◽  
Fidaa Shaib ◽  
Sara Nowakowski
Keyword(s):  
Health Care ◽  
Sleep Disturbance ◽  
Online Survey ◽  
Medication Use ◽  
Severity Index ◽  
Sleep Medicine ◽  
Veterans Health ◽  
Health Administration ◽  
Sleep Medication ◽  
Insomnia Severity

Abstract Introduction Patients may be experiencing increased stress and sleep disturbance due to healthcare changes during the COVID-19 pandemic. Healthcare changes may include telemedicine visits, delayed or canceled appointments and sleep studies. The purpose of this study was to assess the association between changes in healthcare and sleep medication use on sleep disturbance and insomnia severity. Methods Between June-November 2020, 81 sleep medicine clinic patients (54.8 ± 15.9 y, 44% male, 69% Caucasian) completed an online survey that included questions about COVID-19 (tested for coronavirus, test results, willingness to be vaccinated for COVID-19, changes in health care visits and sleep medications during the pandemic), PROMIS measures (Sleep Disturbance, Sleep-Related Impairments), and Insomnia Severity Index (ISI). Stepwise linear regression was performed using SAS to determine if changes in healthcare and sleep medications predicted poorer sleep. Results Among participants, 32% were tested for coronavirus, out of those 8% tested positive for COVID-19. 74% were willing to get vaccinated and 65% were willing to get their children vaccinated. 35% changed their healthcare office appointments to telephone visits, 54% changed to video visits; whereas 26% cancelled and 32% rescheduled their healthcare appointments. Changes in health care visits during the pandemic had a significant increase on ISI score (3.98 ± 1.66, p=0.019). Changes in sleep medication during the pandemic had significant effect on Sleep Disturbance (7.15 ± 2.51, p=0.005), Sleep-Related Impairments (8.69 ± 2.68, p=0.001) and ISI (6.04 ± 1.66, p=0.001) measures. Conclusion Sleep medicine patients who reported changes in sleep medication reported higher insomnia severity, sleep disturbance, and sleep-related impairments. Patients who reported changes in healthcare visits during the pandemic reported higher insomnia severity. Assessing sleep medication changes and preference for healthcare visit format is advised when treating sleep medicine patients during the pandemic. Support (if any) This work is supported by National Institutes of Health (NIH) Grant # R01NR018342 (PI: Nowakowski) and by the Department of Veteran Affairs, Veterans Health Administration, Office of Research and Development, and the Center for Innovations in Quality, Effectiveness and Safety (CIN 13–413).

scholarly journals The Hazardous Workplace, Work-related Stress, and Unhealthy Behaviors among Healthcare Workers: The Relationships with Depressive and Insomnia symptoms during COVID-19

2020 ◽  
Author(s):  
Ju Kab Lee ◽  
Hyuk Joo Lee ◽  
Yujin Hong ◽  
Yong Wook Shin ◽  
Seockhoon Chung ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Online Survey ◽  
Mental Health Problems ◽  
Severity Index ◽  
Coping Behaviors ◽  
Work Related Stress ◽  
Work Related ◽  
Patient Health ◽  
Related Stress ◽  
The Relationship

We aimed to investigate the relationship between mental health problems and unhealthy behaviors among healthcare workers in response to the COVID-19 pandemic. Using an online survey, we collected data on healthcare workers’ consideration of their work unit as hazardous. Furthermore, workers’ depression, insomnia, and anxiety symptoms were assessed using the Patient Health Questionnaire-9, Insomnia Severity Index, and Generalized Anxiety Disorder-7 scale, respectively. Healthcare workers’ work-related stress and anxiety in response to the viral epidemic were measured using the Stress and Anxiety to Viral Epidemic - 9 (SAVE-9) scale. As a result, work-related stress and anxiety in response to the viral epidemic was related to being female, to regarding one's work as a dangerous workplace, and depressive symptoms. Unhealthy behaviors, such as smoking and drinking as coping behaviors during the pandemic, were related to being male, young, experiencing depression, and having insomnia. During the COVID-19 pandemic, it is necessary to closely observe the patterns of work-related stress and anxiety reactions among healthcare workers to reduce their burnout.

scholarly journals Sleepless in COVID-19: racial disparities during the pandemic as a consequence of structural inequity

SLEEP ◽  
2021 ◽  
Author(s):  
Philip Cheng ◽  
Melynda D Casement ◽  
Ruby Cuellar ◽  
Dayna A Johnson ◽  
David Kalmbach ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Racial Disparities ◽  
Minority Stress ◽  
Severity Index ◽  
Prior History ◽  
Clinical Trial Registration ◽  
Related Stress ◽  
Structural Inequities ◽  
The Relationship ◽  
Insomnia Severity

Abstract Study Objectives Insomnia has been on the rise during the 2019 coronavirus disease (COVID-19) pandemic, which may disproportionately affect racial minorities. This study characterized racial disparities in insomnia during the pandemic and evaluated mechanisms for such disparities. Methods Participants included 196 adults (48 Black) from a 2016–2017 clinical trial of insomnia treatment who were reevaluated in April 2020. Race was evaluated as a predictor of change in insomnia, impact of COVID-19, and COVID-19 stress. Mediation models using the PRODCLIN method evaluated the extent to which: (1) COVID-19 impact accounted for Black-White disparities in change in insomnia, and (2) COVID-19 stress accounted for associations between discrimination and change in insomnia. Results Increases in insomnia symptoms during COVID-19 were greater in Black compared to White participants, with 4.3 times the odds of severe insomnia (Insomnia Severity Index ≥ 22). Symptom severity was associated with pre-pandemic experiences of discrimination. Black participants were also disproportionately impacted by COVID-19, with twice the odds of irreparable loss of income/employment and four times the rate of COVID-19 diagnoses in their sociofamilial network compared to White participants. The disproportionate impact of COVID-19 accounted for 69.2% of the relationship between race and change in insomnia severity, and COVID-19 related stress accounted for 66.5% of the relationship between prior history of racial discrimination and change in insomnia severity. Conclusions Black-White disparities in insomnia severity during COVID-19 may be driven by structural inequities resulting in the disproportionate impact of COVID-19 on Black Americans. Results lend support for the minority stress model in the context of sleep health. Clinical Trial Registration Sleep to Prevent Evolving Affecting Disorders (SPREAD). NCT number: NCT02988375. https://clinicaltrials.gov/ct2/show/NCT02988375.

scholarly journals 1192 The Accuracy of a Novel Sleep Ring Device for Estimating Sleep Onset with Good and Poor Sleepers

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A456-A456
Author(s):  
H Scott ◽  
A Whitelaw ◽  
A Canty ◽  
N Lovato ◽  
L Lack
Keyword(s):  
Home Environment ◽  
Sleep Onset ◽  
Severity Index ◽  
Sleep Laboratory ◽  
Sleep Onset Latency ◽  
Onset Latency ◽  
Additional Funding ◽  
Multiple Sleep Latency ◽  
Insomnia Severity ◽  
Intense Vibration

Abstract Introduction THIM is a new ring-like sleep device that, if found to accurately measure sleep onset, could be used for a variety of clinical purposes. These include administering a brief but effective treatment for insomnia called Intensive Sleep Retraining, facilitating the optimal 10-minute power nap, and administering Multiple Sleep Latency Tests (MSLTs) outside of the sleep laboratory. This study assessed the accuracy of THIM for measuring sleep onset latency compared to polysomnography (PSG). Methods Twenty healthy individuals aged 23.6 years (SD = 4.89) underwent overnight PSG recording whilst using THIM on two nights in the sleep laboratory, one week apart. On each night, participants completed sleep onset trials for four hours whilst monitored via PSG. In these trials, participants attempted to fall asleep whilst responding to vibrations emitted from THIM. Once they failed to respond to two consecutive stimuli, THIM woke them with an intense vibration. Participants had a short break before attempting the next trial. Results On average, THIM overestimated sleep onset on the first night by 0.24 minutes (SD = 0.90). On the second night, THIM overestimated sleep onset by 0.82 minutes (SD = 1.31) and this discrepancy was not significantly different to that obtained on the first night, p = .08. The accuracy of THIM did not differ between good sleepers (Insomnia Severity Index (ISI) score < 7) or poor sleepers (ISI score 8-15), p = .98. Conclusion The findings suggest that THIM is accurate at estimating sleep onset latency for both good and poor sleepers. The next step is to test THIM outside of the laboratory environment. The goal is to develop an accurate yet practical device that can translate laboratory-based procedures to the home environment, to the benefit of patients and clinicians wanting to improve sleep. Support The project was funded in-part by the manufacturers of THIM, Re-Time Pty. Ltd., with additional funding provided by Flinders University.

scholarly journals Impact of COVID-19 pandemic on psychological health and quality of sleep: An online survey from Kolkata

2021 ◽  
Vol 12 (10) ◽  
pp. 12-19
Author(s):  
Arijit Mondal ◽  
Indranil Saha ◽  
Niladri Banerjee ◽  
Pradeep Kumar Saha ◽  
Soumi Ghosh ◽  
...  
Keyword(s):  
Psychological Health ◽  
Online Survey ◽  
Psychological Impact ◽  
Severity Index ◽  
Patient Health Questionnaire ◽  
Poor Sleep ◽  
Health Questionnaire ◽  
Insomnia Severity Index ◽  
Patient Health ◽  
Insomnia Severity

Background: As a preventive measure to combat COVID-19 pandemic, India has undergone “lockdown” since March 25, 2020. The pandemic and lockdown can impose a psychological impact in the form of fear, anxiety, stress and insomnia etc. Aims and Objective: The aim of the current study is to assess the magnitude of anxiety, depression, stress and poor sleep quality among the adult population of Kolkata, West Bengal amidst COVID-19 pandemic. Materials and Methods: By this online survey using Google forms, a total of 435 responses were received. The online questionnaire comprises of Socio-demographic characteristics, COVID—19 Anxiety Scale (CAS), Perceived Stress Scale 4 (PSS 4), Patient Health Questionnaire-9 (PHQ 9) and Insomnia Severity Index (ISI). Results: COVID-19 related anxiety were almost similar across age groups, sex, marital and educational status. PSS score was found higher in ≤25 years and >40 years age group, those not currently married, students and homemakers. Patient Health Questionnaire scores were found significantly different across all background characteristics categories except for the level of education whereas Insomnia Severity index Scale scores were found significantly more among subjects not currently married and among subjects who were working from home. Conclusions: The current study provides evidence towards the negative psychological impact of the pandemic and reminds us about the need for widespread psychiatric services during and after pandemic.

scholarly journals 700 Young African American Adults Endorse Greater Distress from Racism than COVID though COVID may have Greater Impact on Sleep

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A273-A274
Author(s):  
Nkemdilim Ndubuizu ◽  
Travan Hurst ◽  
Amanda Wilson ◽  
Thomas Mellman
Keyword(s):  
African Americans ◽  
Online Survey ◽  
Sleep Problems ◽  
Severity Index ◽  
Emotional Impact ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Blood Institute ◽  
National Heart Lung ◽  
Insomnia Severity

Abstract Introduction Much attention has been given to stress-related symptoms including insomnia related to the COVID-19 pandemic. Exposure to racially targeted police violence and the disproportionate impact of COVID on their communities have been particularly salient stressors for African Americans. Aims for this presentation are to illuminate the emotional impact of COVID and racism on young adult African Americans and their relationship to sleep problems. Methods An online survey was sent to participants in an ongoing study focusing on sleep and health along with new participants recruited through a snowball method. The survey included the Insomnia Severity Index (ISI), Impact of Event scale (IES), as well as items to assess experiences with COVID, exposure to racially targeted violence, and disparate community impact. Results Respondents were African Americans age 18–35. 45% endorsed worsening sleep during the pandemic. 25% had ISI scores of probable insomnia and 61% had IES scores above the symptom threshold for clinical concern. Racism-related distress was endorsed at higher levels than worries related to COVID. There was a significant relationship of insomnia severity with the number of COVID related stressors and a trend level relationship with COVID worries. Sleep outcomes were not correlated with racism-related distress. Conclusion While distress related to racism was endorsed more than COVID worries, our preliminary findings suggest COVID worries but not racism exposure negatively impact sleep health. This may be a consequence of habituation to the chronic stress of racism in contrast with the novel stress of COVID. Support (if any) 5R01HL136626 from the National Heart Lung and Blood Institute

319 Validation of the Insomnia Severity Index Short-Form for Identifying Insomnia Disorder in Young Adult Cancer Survivors

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A128-A128
Author(s):  
Lydia Chevalier ◽  
Alexis Michaud ◽  
Eric Zhou ◽  
Grace Chang ◽  
Christopher Recklitis
Keyword(s):  
Young Adult ◽  
Cancer Survivors ◽  
Sensitivity And Specificity ◽  
Short Form ◽  
A Priori ◽  
Severity Index ◽  
Young Adult Cancer Survivors ◽  
Adult Cancer Survivors ◽  
Young Adult Cancer ◽  
Insomnia Severity

Abstract Introduction Insomnia is a common and impairing late effect experienced by many young adult cancer survivors (YACS). Although routine evaluation of sleep disorders in cancer survivors is recommended, lack of consensus on appropriate screening measures contributes to under-identification and under-treatment of these disorders in YACS. As screening measures are ideally as brief as possible while maintaining validity, we sought to validate the recently published three-item Insomnia Severity Index Short-Form (ISI-SF) in YACS. Methods 250 YACS completed the ISI and the Structured Clinical Interview for the DSM-5 (SCID-5). The ISI-SF was created by summing three ISI items: distress (item #6), interference (item #7), and satisfaction (item #4). In receiver operating characteristic (ROC) analyses, area under the curve (AUC) was calculated to compare discrimination on the ISI-SF to two criteria: the full-scale ISI using a cutoff of ≥8 recently validated in this sample, and the SCID-5 insomnia module. Consistent with previous research, we specified a priori that a cut-off score on the ISI-SF with sensitivity ≥.85 and specificity ≥.75 would be acceptable. Results The ISI-SF had excellent discrimination when compared to the full-scale ISI (AUC = .97) and a cut-off score of ≥4 met criteria with a sensitivity of 97% and specificity of 86%. The ISI-SF had good discrimination when compared to the SCID-5 (AUC = .88), but none of the cut-off scores met a priori criteria for sensitivity and specificity. A cut-off score of ≥4 came closest with a sensitivity of 94% and specificity of 70%. Conclusion Although the ISI-SF did not meet sensitivity and specificity criteria for a stand-alone screening measure when compared to a diagnostic interview, it demonstrated utility as the first step in a two-step screening procedure. Specifically, the high sensitivity of the ≥4 ISI-F cut-off score is well-suited to accurately screening out YACS who do not need insomnia services; as a second screen, the SCID-5 insomnia module could be administered only to those elevated on the ISI-SF in order to identify false positives cases before making referrals for insomnia specialists. Support (if any) National Cancer Institute (1R21CA223832), Swim Across America

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