Sleep quality during the COVID-19 pandemic: not one size fits all.
Sleep quality during the COVID-19 pandemic: not one size fits all.
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DOI：
10.1016/j.sleep.2020.09.029
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发表时间：
2020-12
期刊：
影响因子：
4.8
通讯作者：
Rösler L
中科院分区：
文献类型：
--
作者：
Kocevska D;Blanken TF;Van Someren EJW;Rösler L
COVID-19大流行给全球人民带来了长期的压力，并已被证明会显著影响不同人群的睡眠时间。然而，睡眠质量的下降而不是持续时间与不良心理健康影响有关。此外，在以前的研究中，三分之一的普通人群患有睡眠质量差。目前的研究旨在阐明COVID-19大流行对睡眠质量的影响，包括大流行前不同程度的睡眠投诉以及影响和担忧。荷兰睡眠登记处（NSR）的参与者（n = 667）被邀请每周在线评估主要压力源，失眠，睡眠时间，痛苦，抑郁和焦虑的主观严重程度，使用经验证的量表。为了调查COVID-19大流行对有和没有失眠史的人的睡眠质量的总体影响，我们使用大流行前失眠严重程度、负面影响和担忧作为预测因素进行了混合模型分析。COVID-19对睡眠质量的影响因参与者而异，并取决于大流行前的睡眠质量。有趣的是，四分之一的大流行前（临床）失眠症患者的睡眠质量有了明显改善，而20%的大流行前睡眠良好的人在封锁措施期间的睡眠更差。此外，整个大流行期间睡眠质量的变化与负面影响和担忧有关。我们的数据表明，封锁对睡眠质量的影响并不一致。在我们的样本中，COVID-19封锁措施更经常使大流行前睡眠良好的人的睡眠投诉恶化，而大流行前严重失眠症状的一部分人的症状得到了有临床意义的缓解。COVID-19对睡眠质量的影响因参与者而异，并取决于大流行前的睡眠质量。四分之一的流感大流行前（临床）失眠患者的睡眠质量得到了有意义的改善。大流行前睡眠良好的人在封锁措施期间往往睡眠较差。在整个大流行期间，睡眠质量的变化与负面情绪和担忧有关。
The COVID-19 pandemic imposes a long period of stress on people worldwide and has been shown to significantly affect sleep duration across different populations. However, decreases in sleep quality rather than duration are associated with adverse mental health effects. Additionally, the one third of the general population suffering from poor sleep quality was underrepresented in previous studies. The current study aimed to elucidate effects of the COVID -19 pandemic on sleep quality across different levels of pre-pandemic sleep complaints and as a function of affect and worry. Participants (n = 667) of the Netherlands Sleep Registry (NSR) were invited for weekly online assessment of the subjective severity of major stressors, insomnia, sleep times, distress, depression, and anxiety using validated scales. To investigate the overall impact of the COVID-19 pandemic on the sleep quality of people with and without a history of insomnia, we performed a mixed model analysis using pre-pandemic insomnia severity, negative affect, and worry as predictors. The effect of COVID -19 on sleep quality differs critically across participants, and depends on the pre-pandemic sleep quality. Interestingly, a quarter of people with pre-pandemic (clinical) insomnia experienced a meaningful improvement in sleep quality, whereas 20% of pre-pandemic good sleepers experienced worse sleep during the lockdown measures. Additionally, changes in sleep quality throughout the pandemic were associated with negative affect and worry. Our data suggests that there is no uniform effect of the lockdown on sleep quality. COVID-19 lockdown measures more often worsened sleep complaints in pre-pandemic good sleepers, whereas a subset of people with pre-pandemic severe insomnia symptoms underwent a clinically meaningful alleviation of symptoms in our sample. The effect of COVID -19 on sleep quality differs across participants, and depends on the pre-pandemic sleep quality. A quarter of people with pre-pandemic (clinical) insomnia experienced a meaningful improvement in sleep quality. Pre-pandemic good sleepers most often experienced worse sleep during the lockdown measures. Changes in sleep quality throughout the pandemic were associated with negative affect and worry.
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