Sleep health early in the coronavirus disease 2019 (COVID-19) outbreak in the United States: integrating longitudinal, cross-sectional, and retrospective recall data

Sleep health early in the coronavirus disease 2019 (COVID-19) outbreak in the United States: integrating longitudinal, cross-sectional, and retrospective recall data
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DOI:
10.1016/j.sleep.2020.06.032
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发表时间:
2020-09-01
期刊:
影响因子:
4.8
通讯作者:
Scullin, Michael K.
Scullin, Michael K.
中科院分区:
医学2区
文献类型:
--
作者:
Gao, Chenlu;Scullin, Michael K.

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背景:2019 年冠状病毒病 (COVID-19) 的爆发导致生活方式、责任和压力源发生巨大变化。这种巨大的社会变化可能会导致整体睡眠健康状况下降(压力观点)、保持不变(弹性观点),甚至改善(减少工作/日程负担观点)。方法:我们于 2020 年 3 月下旬,即美国颁布社交距离和就地避难政策两周后,对 699 名美国成人参与者使用纵向、横向和回顾性回忆方法解决了这个问题。结果:相对于 2 月中旬的基线数据2020 年,横断面和纵向分析表明,在大流行初期,平均睡眠质量没有变化,甚至有所改善。然而,存在明显的个体差异:大约 25% 的参与者报告说,他们的睡眠质量恶化了,原因是压力脆弱、照顾、不利的生活影响、轮班工作和出现 COVID-19 症状。结论:因此,COVID-19 大流行对某些人的睡眠健康产生了不利影响,但矛盾的是,通过减少严格的工作/学校时间表(例如清晨的承诺),对其他人的睡眠健康有益。 (C) 2020 Elsevier B.V. 保留所有权利。
Background: The outbreak of coronavirus disease 2019 (COVID-19) caused substantial changes in life-style, responsibilities, and stressors. Such dramatic societal changes might cause overall sleep health to decrease (stress view), to remain unchanged (resilience view), or even to improve (reduced work/schedule burden view).Methods: We addressed this question using longitudinal, cross-sectional, and retrospective recall methodologies in 699 American adult participants in late March 2020, two weeks following the enactment of social distancing and shelter-in-place policies in the United States.Results: Relative to baseline data from mid February 2020, cross-sectional and longitudinal analyses demonstrated that average sleep quality was unchanged, or even improved, early in the pandemic. However, there were clear individual differences: approximately 25% of participants reported that their sleep quality had worsened, which was explained by stress vulnerability, caregiving, adverse life impact, shift work, and presence of COVID-19 symptoms.Conclusions: Therefore, the COVID-19 pandemic has detrimentally impacted some individuals' sleep health while paradoxically benefited other individuals' sleep health by reducing rigid work/school schedules such as early morning commitments. (C) 2020 Elsevier B.V. All rights reserved.