The prevalence of insomnia in different COVID-19 policy phases: Longitudinal evidence from ITA.LI - Italian Lives.
The prevalence of insomnia in different COVID-19 policy phases: Longitudinal evidence from ITA.LI - Italian Lives.
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DOI：
10.1186/s12889-022-14048-1
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发表时间：
2022-09-01
影响因子：
4.5
通讯作者：
中科院分区：
文献类型：
--
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这项研究调查了2019冠状病毒病期间意大利失眠患病率的变化，从第一个封锁期（2020年3月8日）开始。我们假设，与大流行前相比，封锁促使失眠症状的患病率增加; B）封锁后逐步放松遏制措施（2期和3期）-失眠严重程度降低，导致相对恢复到大流行前的水平;以及c）我们测试了睡眠反应中与年龄相关的异质性，预计年轻和中年组的失眠率会更高。分析借鉴了ITA.LI - Italian Lives的受访者子样本（N = 883），这是一项最近建立的小组研究，对居住在意大利的16岁以上个人的概率样本进行了研究。为了估计失眠的变化模式，我们首先对整个样本拟合了一个随机效应有序逻辑模型。然后，我们在政策阶段和受访者年龄之间添加了一个相互作用项，以测试失眠和政策阶段之间的关系是否在不同年龄组之间存在差异。分析考虑了调查未答复权重。报告中度（“有点”+ 0.159，S.E. 0.017）或重度（“非常”+ 0.142，S.E. 0.030）睡眠障碍在第1阶段显著增加。失眠的患病率在政策阶段呈倒U形曲线，从基线水平进一步增加（“有点”+ 0.168，S.E. 0.015;“非常”+ 0.187，标准误差。0.030），随后在第3阶段出现相对下降，但仍显著高于大流行前时期（“有点”，+ 0.084，S.E. 0.016;“非常”，+ 0.045，标准误差。0.010）。失眠模式存在与年龄相关的显着差异，因为对于较年轻的年龄组来说，不患有失眠的概率与大流行前水平相比的离散变化是负的且显着（-0.269，SE 0.060）和35-54岁的受访者（-0.163，S.E. 0.039）。有理由相信，对COVID-19危机的紧急政策反应可能在失眠症患病率增加方面产生了意想不到的、可能留下疤痕的影响。受影响最大的是年轻人，中年人的影响较小;然而，老年人（55岁以上）仍然保持弹性，他们的失眠轨迹反弹到大流行前的水平。在线版本包含补充材料，可通过10.1186/s12889-022-14048-1获得。
This study investigated changes in the prevalence of insomnia in Italy during COVID-19, starting from the first lockdown period (8 March 2020). We hypothesized that lockdown precipitated increased prevalence of insomnia symptoms relative to the pre-pandemic period; b) the gradual relaxation of containment measures – post-lockdown period (Phase 2 and Phase 3) – reduced insomnia severity, leading to a relative recovery of pre-pandemic levels; and c) we tested age-related heterogeneity in sleep responses, with an expected higher increase in insomnia in younger and middle-age groups. Analyses drew on a subsample (N = 883) of respondents to ITA.LI – Italian Lives, a recently established panel study on a probability sample of individuals aged 16 + living in Italy. To estimate patterns of change in insomnia, we first fitted a random-effects ordered logistic model on the whole sample. We then added an interaction term between policy phases and the respondent age to test whether the relationship between insomnia and policy phases differed across age groups. Analyses accounted for survey non-response weights. The fraction of respondents reporting moderate (“somewhat” + 0.159, S.E. 0.017) or severe (“very much” + 0.142, S.E. 0.030) sleep disturbances significantly increased during Phase 1. The prevalence of insomnia followed an inverted U-shaped curve across policy phases, with further increases from baseline levels (“somewhat” + 0.168, S.E. 0.015; “very much” + 0.187, S.E. 0.030) during Phase 2, followed by a relative reduction in Phase 3, although it remained significantly higher than in the pre-pandemic period (“somewhat”, + 0.084, S.E. 0.016; “very much”, + 0.045, S.E. 0.010). There were significant age-related differences in insomnia patterns, as the discrete change from pre-pandemic levels in the probability of not suffering from insomnia was negative and significant for the younger age group (− 0.269, S.E. 0.060) and for respondents aged 35–54 (− 0.163, S.E. 0.039). There is reason to believe that the emergency policy response to the COVID-19 crisis may have had unintended and possibly scarring effects in terms of increased prevalence of insomnia. The hardest hit were young adults and, to a lesser extent, the middle-aged; however, older respondents (55 +) remained resilient, and their insomnia trajectory bounced back to pre-pandemic levels. The online version contains supplementary material available at 10.1186/s12889-022-14048-1.
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影响因子：
3.8
作者：
Pilcher JJ;Dorsey LL;Galloway SM;Erikson DN
通讯作者：
Erikson DN
影响因子：
3.1
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
通讯作者：
Avasthi A
影响因子：
3.3
作者：
Hahn, Elisabeth;Gottschling, Juliana;Spinath, Frank M.
通讯作者：
Spinath, Frank M.
DOI：
10.26355/eurrev_202112_27632
发表时间：
2021-01-01
影响因子：
3.3
作者：
Akbari, H. A.;Pourabbas, M.;Ghram, A.
通讯作者：
Ghram, A.
影响因子：
4.7
作者：
Kesavayuth, Dusanee;Poyago-Theotoky, Joanna;Zikos, Vasileios
通讯作者：
Zikos, Vasileios