Changes in sleep pattern and sleep quality during COVID-19 lockdown.
Changes in sleep pattern and sleep quality during COVID-19 lockdown.
复制标题
DOI：
10.4103/psychiatry.indianjpsychiatry_523_20
复制
发表时间：
2020-07
影响因子：
3.1
通讯作者：
Avasthi A
中科院分区：
文献类型：
--
作者：
Gupta R;Grover S;Basu A;Krishnan V;Tripathi A;Subramanyam A;Nischal A;Hussain A;Mehra A;Ambekar A;Saha G;Mishra KK;Bathla M;Jagiwala M;Manjunatha N;Nebhinani N;Gaur N;Kumar N;Dalal PK;Kumar P;Midha PK;Daga R;Tikka SK;Praharaj SK;Goyal SK;Kanchan S;Sarkar S;Das S;Sarkhel S;Padhy SK;Sahoo S;Satyanarayana Rao TS;Dubey V;Menon V;Chhabra V;Lahan V;Avasthi A
为了减缓新冠肺炎这种大流行的冠状病毒感染的传播，世界各国政府都采取了“封锁”措施，将许多人限制在家中。这打乱了正常的生活常规，其中的元素是重要的昼夜节律线索。大流行还与新的压力源、角色改变以及健康和经济安全的不确定性有关，这些也可能影响睡眠。目前的研究是一项关于睡眠体验、日常生活、体力活动以及焦虑和抑郁症状的在线调查，以研究与封锁相关的变化。这项调查是在2020年5月初进行的，调查问卷在社交媒体平台上传播。与人口统计特征、当前和以前的睡眠时间表、日常工作方式和工作模式有关的问题。使用标准化工具评估失眠(失眠严重程度指数-4)、压力(压力感知量表-4)、焦虑和抑郁症状(患者健康问卷-4)和体力活动(国际体力活动问卷)。我们共收到958份有效回覆。与封锁前相比，睡觉时间和起床时间都变得更晚，夜间睡眠减少，白天午睡增加。这些影响在所有职业群体中都可见，但主要影响除卫生专业人员以外的工作人员。睡眠质量在不同的人群中都有所下降。睡眠时间的缩短与抑郁症状有关。新冠肺炎的封锁与睡眠时间表的改变以及夜间睡眠的数量和质量有关。尽管这些变化与情绪症状的发生率升高有关，但从这些横断面结果中尚不清楚睡眠恶化是否会导致心理痛苦，或者反之亦然。
To mitigate the spread of the pandemic coronavirus infection (COVID-19), governments across the world have adopted “lockdowns” which have confined many individuals to their homes. This disrupts normal life routines, elements of which are important circadian cues. The pandemic is also associated with new stressors, altered roles, and uncertainties about health and economic security, which are also likely to affect sleep. The current study is an online survey of sleep experience, routines, physical activity, and symptoms of anxiety and depression, to study the alterations associated with the lockdown. The survey was conducted in early May 2020 using a questionnaire circulated through social media platforms. Questions related to demographic characteristics, current and previous sleep schedules, routine, and working patterns. Insomnia (Insomnia Severity Index - 4), Stress (Perceived Stress Scale - 4), anxiety and depressive symptoms (Patient Health Questionnaire - 4) and physical activity (International Physical Activities Questionnaire) were assessed using standardized instruments. A total of 958 valid responses were received. Compared to the prelockdown period, there was a shift to a later bedtime and waking time, with a reduction in night-time sleep and an increase in day-time napping. These effects were visible across occupational groups, but mostly affected working individuals except health professionals. Sleep quality deteriorated across groups. Reductions in sleep duration were associated with depressive symptoms. The COVID-19 lockdown is associated with changes in sleep schedule and in the quantity and quality of night-time sleep. Although these changes are associated with elevated rates of emotional symptoms, it is unclear from these cross-sectional results, whether sleep deterioration produces psychological distress, or vice versa.