Insomnia in the Italian Population During Covid-19 Outbreak: A Snapshot on One Major Risk Factor for Depression and Anxiety.

Insomnia in the Italian Population During Covid-19 Outbreak: A Snapshot on One Major Risk Factor for Depression and Anxiety.
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DOI:
10.3389/fpsyt.2020.579107
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发表时间:
2020
影响因子:
4.7
通讯作者:
Baglioni C
Baglioni C
中科院分区:
医学3区
文献类型:
--
作者:
Bacaro V;Chiabudini M;Buonanno C;De Bartolo P;Riemann D;Mancini F;Baglioni C

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目的:在意大利观察到最大的COVID-19感染集群之一。人们被迫在家禁闭,使个人面临更大的失眠风险,而失眠又与抑郁和焦虑有关。通过针对所有意大利成年人群(≥18岁)的横断面在线调查,研究了失眠患病率及其与相关因素的相互作用。方法:调查于2020年4月1日至5月4日进行。我们收集了有关失眠严重程度、抑郁、焦虑、睡眠卫生行为、关于睡眠的功能失调信念、昼夜节律偏好、情绪调节、认知灵活性、感知压力、健康习惯、精神障碍的自我报告以及与大流行病爆发导致的生活变化的个体差异相关的变量的信息。结果:最终样本包括1,989人(38.4 ± 12.8岁)。临床失眠患病率为18.6%。多元线性回归分析结果显示失眠严重程度与不良睡眠卫生行为相关[β = 0.11,95%CI(0.07-0.14)];关于睡眠的功能失调信念[β = 0.09,95% CI(0.08-0.11)];自我报告的精神障碍[β = 2.51,95% CI(1.8-3.1)];焦虑[β = 0.33,95% CI(0.25-0.42)];和抑郁[β = 0.24,95% CI(0.16-0.32)]症状。结论:临床失眠症的患病率高得惊人。结果表明,临床上应注意的问题,失眠在意大利人口方面的预防和治疗。
Objectives: One of the largest clusters of Covid-19 infections was observed in Italy. The population was forced to home confinement, exposing individuals to increased risk for insomnia, which is, in turn, associated with depression and anxiety. Through a cross-sectional online survey targeting all Italian adult population (≥18 yrs), insomnia prevalence and its interactions with relevant factors were investigated. Methods: The survey was distributed from 1st April to 4th May 2020. We collected information on insomnia severity, depression, anxiety, sleep hygiene behaviors, dysfunctional beliefs about sleep, circadian preference, emotion regulation, cognitive flexibility, perceived stress, health habits, self-report of mental disorders, and variables related to individual difference in life changes due to the pandemic's outbreak. Results: The final sample comprised 1,989 persons (38.4 ± 12.8 yrs). Prevalence of clinical insomnia was 18.6%. Results from multivariable linear regression showed that insomnia severity was associated with poor sleep hygiene behaviors [β = 0.11, 95% CI (0.07–0.14)]; dysfunctional beliefs about sleep [β = 0.09, 95% CI (0.08–0.11)]; self-reported mental disorder [β = 2.51, 95% CI (1.8–3.1)]; anxiety [β = 0.33, 95% CI (0.25–0.42)]; and depression [β = 0.24, 95% CI (0.16–0.32)] symptoms. Conclusion: An alarming high prevalence of clinical insomnia was observed. Results suggest that clinical attention should be devoted to problems of insomnia in the Italian population with respect to both prevention and treatment.
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