Sex differences in self-report anxiety and sleep quality during COVID-19 stay-at-home orders.

Sex differences in self-report anxiety and sleep quality during COVID-19 stay-at-home orders.
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DOI:
10.1186/s13293-020-00333-4
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发表时间:
2020-10-13
影响因子:
7.9
通讯作者:
Carter JR
Carter JR
中科院分区:
医学2区
文献类型:
--
作者:
Bigalke JA;Greenlund IM;Carter JR

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COVID-19和居家隔离影响了生活质量,但对焦虑和睡眠的影响仍不明确。这项研究的目的是评估COVID-19和呆在家里的命令对自我报告焦虑和睡眠质量的影响,重点是性别差异。我们假设COVID-19大流行与焦虑增加和睡眠质量下降有关,女性的相关性更强。103名参与者(61名女性,38 ± 1岁)报告了在COVID-19大流行期间由于呆在家里的命令而引起的焦虑和睡眠质量的感知变化,并进行了Spielberger状态-特质焦虑量表(STAI),匹兹堡睡眠质量指数(PSQI)和失眠严重程度指数(ISI)。卡方和T检验分析用于评估报告的焦虑和睡眠的性别差异。协方差分析用于比较报告的COVID-19影响与焦虑/睡眠参数之间的关联。女性(80.3%)报告称,与男性(50%; p = 0.001)相比,COVID-19导致的一般性焦虑增加的患病率更高,与男性相比,STAI状态焦虑升高(43 ± 1 vs 38 ± 1 a.u.,p = 0.007)。尽管存在这些焦虑差异,但COVID-19对PSQI的影响在性别之间没有差异。然而,当按COVID-19引起的焦虑变化进行分层时,对COVID-19有较高焦虑反应的参与者的ISI高于没有焦虑变化的参与者(9 ± 1 vs. 5 ± 1 a.u.,p = 0.003)。此外,报告因COVID-19导致睡眠质量下降的参与者报告了更高的状态焦虑(45 ± 1 a.u.)与那些感觉没有变化的人相比(36 ± 2 a.u.,p = 0.002)或增加(36 ± 2 a.u.,p < 0.001)睡眠质量。COVID-19和国家下令的家庭隔离与更高的焦虑和睡眠质量降低有关,女性与焦虑的关联更强。
COVID-19 and home isolation has impacted quality of life, but the perceived impact on anxiety and sleep remains equivocal. The purpose of this study was to assess the impact of COVID-19 and stay-at-home orders on self-report anxiety and sleep quality, with a focus on sex differences. We hypothesized that the COVID-19 pandemic would be associated with increased anxiety and decreased sleep quality, with stronger associations in women. One hundred three participants (61 female, 38 ± 1 years) reported perceived changes in anxiety and sleep quality due to stay-at-home orders during the COVID-19 pandemic and were administered the Spielberger State-Trait Anxiety Inventory (STAI), Pittsburgh Sleep Quality Index (PSQI), and Insomnia Severity Index (ISI). Chi-square and T test analyses were utilized to assess sex differences in reported anxiety and sleep. Analysis of covariance was used to compare the associations between reported impact of COVID-19 and anxiety/sleep parameters. Women (80.3%) reported higher prevalence of increased general anxiety due to COVID-19 when compared to men (50%; p = 0.001) and elevated STAI state anxiety compared to men (43 ± 1 vs. 38 ± 1 a.u., p = 0.007). Despite these differences in anxiety, the perceived impact of COVID-19 on PSQI was not different between sexes. However, when stratified by perceived changes in anxiety due to COVID-19, participants with higher anxiety responses to COVID-19 had higher ISI compared to those with no perceived changes in anxiety (9 ± 1 vs. 5 ± 1 a.u., p = 0.003). Additionally, participants who reported reduced sleep quality due to COVID-19 reported higher state anxiety (45 ± 1 a.u.) compared to those that perceived no change (36 ± 2 a.u., p = 0.002) or increased (36 ± 2 a.u., p < 0.001) sleep quality. COVID-19 and state-ordered home isolation was associated with higher anxiety and reduced sleep quality, with a stronger association in women with respect to anxiety.
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