The association between sleep and psychological distress among New York City healthcare workers during the COVID-19 pandemic.
The association between sleep and psychological distress among New York City healthcare workers during the COVID-19 pandemic.
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DOI：
10.1016/j.jad.2021.10.033
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发表时间：
2022-02-01
影响因子：
6.6
通讯作者：
Abdalla M
中科院分区：
文献类型：
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作者：
Diaz F;Cornelius T;Bramley S;Venner H;Shaw K;Dong M;Pham P;McMurry CL;Cannone DE;Sullivan AM;Lee SAJ;Schwartz JE;Shechter A;Abdalla M
治疗COVID-19患者的医护人员报告了心理困扰。我们研究了在COVID-19大流行的最初高峰期（2020年4月至5月），纽约市（NYC）HCW的睡眠障碍是否与心理困扰相关。HCW完成了急性应激（4项初级护理PTSD筛查）、抑郁（患者健康量表-2）和焦虑（2项广泛性焦虑障碍量表）症状的调查筛查。评估失眠症状（失眠严重程度指数的修改项目）和短睡眠（SS，睡眠持续时间<6小时/天）。Poisson回归分析预测SS和失眠症状的心理困扰，调整人口统计学，临床角色/设置，重新部署状态，轮班工作和多重比较。在813名HCW（80.6%女性，59.0%白色）中，平均睡眠时间为5.8 ± 1.2小时/晚。SS、失眠、急性应激、抑郁和焦虑症状的患病率分别为38.8%、72.8%、57.9%、33.8%和48.2%。抑郁症状与急性应激（校正患病率[PR]：1.51，95% CI：1.35，1.69）、抑郁（PR：2.04，95% CI：1.78，2.33）和焦虑（PR：1.74，95% CI：1.55，1.94）症状相关。SS还与急性应激（PR：1.17，95% CI：1.07，1.29）、抑郁（PR：1.36，95% CI：1.233，1.51）和焦虑（PR：1.38，95% CI：1.26，1.50）症状相关。我们的横截面分析可能会排除时间关联的识别和限制因果关系的索赔。在我们的研究中，在COVID-19大流行期间，SS和失眠与纽约HCW的心理困扰症状有关。睡眠可能是干预措施的目标，以减少HCW的心理困扰。
Healthcare workers (HCWs) treating patients with COVID-19 report psychological distress. We examined whether disturbed sleep was associated with psychological distress in New York City (NYC) HCWs during the initial peak of the COVID-19 pandemic (April-May 2020). HCWs completed a survey screening for acute stress (4-item Primary Care PTSD screen), depressive (Patient Health Questionaire-2), and anxiety (2-item Generalized Anxiety Disorder scale) symptoms. Insomnia symptoms (modified item from the Insomnia Severity Index) and short sleep (SS, sleep duration <6 h/day) were assessed. Poisson regression analyses predicting psychological distress from SS and insomnia symptoms, adjusting for demographics, clinical role/setting, redeployment status, shifts worked, and multiple comparisons were performed. Among 813 HCWs (80.6% female, 59.0% white) mean sleep duration was 5.8 ± 1.2 h/night. Prevalence of SS, insomnia, acute stress, depressive, and anxiety symptoms were 38.8%, 72.8%, 57.9%, 33.8%, and 48.2%, respectively. Insomnia symptoms was associated with acute stress (adjusted prevalence ratio [PR]: 1.51, 95% CI: 1.35, 1.69), depressive (PR: 2.04, 95% CI: 1.78, 2.33), and anxiety (PR: 1.74, 95% CI: 1.55, 1.94) symptoms. SS was also associated with acute stress (PR: 1.17, 95% CI: 1.07, 1.29), depressive (PR: 1.36, 95% CI: 1.233, 1.51), and anxiety (PR: 1.38, 95% CI: 1.26, 1.50) symptoms. Our cross-sectional analysis may preclude the identification of temporal associations and limit causal claims. In our study, SS and insomnia were associated with psychological distress symptoms in NYC HCWs during the COVID-19 pandemic. Sleep may be a target for interventions to decrease psychological distress among HCWs.
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影响因子：
--
作者：
Cunningham TJ;Wheaton AG;Giles WH
通讯作者：
Giles WH
DOI：
10.1037/fsh0000614
发表时间：
2021-09
期刊：
Families, systems & health : the journal of collaborative family healthcare
影响因子：
--
作者：
Cornelius T;Duran AT;Diaz F;Bramley S;Shaw K;Schwartz JE;Edmondson D;Shechter A;Abdalla M
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Abdalla M
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影响因子：
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