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Ta Z, Gilles AA, Parsinejad N, Egger MJ, Baron KG. Predicting the Persistence of Insomnia Symptoms during the COVID-19 Pandemic. Behav Sleep Med 2024; 22:433-445. [PMID: 38148617 DOI: 10.1080/15402002.2023.2298377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/28/2023]
Abstract
OBJECTIVE The goal of this study is to evaluate the factors associated with vulnerability and course of insomnia longitudinally in the COVID-19 pandemic and examine differences between: (a) those who never demonstrated clinical insomnia symptoms, (b) those who demonstrated clinically elevated insomnia symptoms at 1 or 2 time points, and (c) those who demonstrated clinically elevated insomnia symptoms at all 3 time points. METHODS Participants (≥18 years old) completed measures of insomnia (ISI), depression (PHQ-8), anxiety (GAD-7), and pre-sleep arousal (PSAS) at 3 time points (baseline, 1 month, and 3 months). Data were analyzed using univariable odds ratios and multivariable multicategory logistic regression to determine demographic, psychological, and behavioral predictors of insomnia persistence. RESULTS A total of 129 participants completed all 3 assessments (70 female, age M = 44 years, SD = 16). We found that 40% (N = 51) never had insomnia symptoms, 33% (N = 42) reported transient insomnia symptoms (1 or 2 time points), and 28% (N = 36) reported persistent insomnia symptoms (all 3 time points). From the multivariable multicategory logistic analyses, pre-sleep arousal, gender, and income were significant predictors of insomnia persistence. CONCLUSIONS Findings indicate elevated insomnia symptoms were persistent in a substantial number of individuals throughout the pandemic. Results suggest additional insomnia and psychological interventions are needed to improve sleep and mental health.
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Affiliation(s)
- Zachary Ta
- Division of Public Health, Department of Family and Preventive Medicine, University of Utah, Salt Lake City, UT
| | - Allyson A Gilles
- Division of Public Health, Department of Family and Preventive Medicine, University of Utah, Salt Lake City, UT
| | - Nasim Parsinejad
- Division of Public Health, Department of Family and Preventive Medicine, University of Utah, Salt Lake City, UT
| | - Marlene J Egger
- Division of Public Health, Department of Family and Preventive Medicine, University of Utah, Salt Lake City, UT
| | - Kelly Glazer Baron
- Division of Public Health, Department of Family and Preventive Medicine, University of Utah, Salt Lake City, UT
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2
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de Vargas D, Volpato RJ, Dos Santos LC, Pereira CF, de Oliveira SR, da Silva RR, Maciel MED, Fernandes IL, de Oliveira Santana K, Aguilar TF. Prevalence of psychological and mental health symptoms among nursing professionals during the COVID-19 pandemic in the Americas: Systematic review and meta-analysis. Int J Ment Health Nurs 2024; 33:582-599. [PMID: 38151828 DOI: 10.1111/inm.13274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Revised: 11/14/2023] [Accepted: 11/29/2023] [Indexed: 12/29/2023]
Abstract
To assess the prevalence of mental health symptoms in nursing professionals during the COVID-19 pandemic on the American continent. A systematic review and meta-analysis of observational studies that estimated the prevalence of mental health symptoms in nursing professionals during the COVID-19 pandemic was performed through bibliographic database searches. A three-level meta-analysis model was used with the inverse variance method, tau was estimated via restricted maximum likelihood and logistic transformation, and heterogeneity was presented as tau2 and I2. Of the 7467 studies obtained, 62 were included in the meta-analysis, which involved 52 270 nursing professionals. The overall prevalence for at least one mental health symptom was 56.3% (50.4%, 62.1%; I2 = 98.6%, p < 0.001). Eight mental health symptoms were found; among them, the most prevalent were burnout (52.1%, 37.1%, 88.8%; I2 = 98.5%, p < 0.001) and fear (52.1%, 30.1%, 73.3%; I2 = 98.1%, p < 0.001). The prevalence of mental health symptoms in nursing professionals during the COVID-19 pandemic on the American continent was high, and strategies should be developed and implemented by managers and government agencies to promote the well-being, physical and mental health of nursing professionals. Studies like this one are necessary to highlight the need for efforts in the implementation of promotion and prevention actions to be developed by health organisations, managers and leaders with a view to improving the quality of life of nursing workers.
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Affiliation(s)
| | | | | | | | | | | | - Marjorie Ester Dias Maciel
- Nucleon of Addiction Nursing Research, School of Nursing (NEPEEA), University of São Paulo, São Paulo, Brazil
| | | | | | - Thiago Faustino Aguilar
- Nucleon of Addiction Nursing Research, School of Nursing (NEPEEA), University of São Paulo, São Paulo, Brazil
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3
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Delage JP, Côté J, Journault WG, Lemyre A, Bastien CH. The relationships between insomnia, nightmares, and dreams: A systematic review. Sleep Med Rev 2024; 75:101931. [PMID: 38733767 DOI: 10.1016/j.smrv.2024.101931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2023] [Revised: 03/29/2024] [Accepted: 04/04/2024] [Indexed: 05/13/2024]
Abstract
Insomnia and nightmares are both prevalent and debilitating sleep difficulties. The present systematic review aims to document the relationships between insomnia and nightmares in individuals without a concomitant psychopathology. The relationships between insomnia and dreams are also addressed. PsycINFO and Medline were searched for papers published in English or French from 1970 to March 2023. Sixty-seven articles were included for review. Most results support positive relationships between insomnia variables and nightmare variables in individuals with insomnia, individuals with nightmares, the general population, students, children and older adults, and military personnel and veterans. These positive relationships were also apparent in the context of the COVID-19 pandemic. Some psychological interventions, such as Imagery Rehearsal Therapy, might be effective in alleviating both nightmares and insomnia symptoms. Regarding the relationships between insomnia and dreams, compared with controls, the dreams of individuals with insomnia are characterized by more negative contents and affects. The results show that insomnia and nightmares are connected and may be mutually aggravating. A model is proposed to explain how insomnia might increase the likelihood of experiencing nightmares, and how nightmares can in turn lead to sleep loss and nonrestorative sleep.
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Affiliation(s)
- Julia-Pizzamiglio Delage
- École de Psychologie, Université Laval, Québec, QC, Canada; CERVO Brain Research Center, Québec, QC, Canada
| | - Jeannie Côté
- École de Psychologie, Université Laval, Québec, QC, Canada
| | | | - Alexandre Lemyre
- École de Criminologie, Université de Montréal, Montréal, QC, Canada; Centre de recherche de l'Institut universitaire en santé mentale de Montréal, Montréal, QC, Canada
| | - Célyne H Bastien
- École de Psychologie, Université Laval, Québec, QC, Canada; CERVO Brain Research Center, Québec, QC, Canada; Research Laboratory on Human Neurophysiology and Sleep, Université Laval, Québec, QC, Canada.
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4
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Drager LF, Assis M, Bacelar AFR, Poyares DLR, Conway SG, Pires GN, de Azevedo AP, Carissimi A, Eckeli AL, Pentagna Á, Almeida CMO, Franco CMR, Sobreira EST, Stelzer FG, Mendes GM, Minhoto GR, Linares IMP, Sousa KMM, Gitaí LLG, Sukys-Claudino L, Sobreira-Neto MA, Zanini MA, Margis R, Martinez SCG. 2023 Guidelines on the Diagnosis and Treatment of Insomnia in Adults - Brazilian Sleep Association. Sleep Sci 2023; 16:507-549. [PMID: 38370879 PMCID: PMC10869237 DOI: 10.1055/s-0043-1776281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/20/2024] Open
Abstract
Chronic insomnia disorder (simplified in this document as insomnia) is an increasingly common clinical condition in society and a frequent complaint at the offices of different areas of health practice (particularly Medicine and Psychology). This scenario has been accompanied by a significant evolution in treatment, as well as challenges in approaching patients in an appropriately way. This clinical guideline, coordinated by the Brazilian Sleep Association and the Brazilian Association of Sleep Medicine and counting on the active participation of various specialists in the area, encompasses an update on the diagnosis and treatment of insomnia in adults. To this end, it followed a structured methodology. Topics of interest related to diagnosis were written based on theoretical framework, evidence in the literature, and professional experience. As for the topics related to the treatment of insomnia, a series of questions were developed based on the PICO acronym (P - Patient, problem, or population; I - Intervention; C - Comparison, control, or comparator; O - Outcome). The work groups defined the eligible options within each of these parameters. Regarding pharmacological interventions, only the ones currently available in Brazil or possibly becoming available in the upcoming years were considered eligible. Systematic reviews were conducted to help prepare the texts and define the level of evidence for each intervention. The final result is an objective and practical document providing recommendations with the best scientific support available to professionals involved in the management of insomnia.
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Affiliation(s)
- Luciano Ferreira Drager
- Associação Brasileira do Sono, São Paulo, SP, Brazil.
- Unidades de HipertenSão, Instituto do Coração (InCor) e Disciplina de Nefrologia, Universidade de São Paulo, São Paulo, SP, Brazil.
| | - Márcia Assis
- Associação Brasileira do Sono, São Paulo, SP, Brazil.
- Clínica do Sono de Curitiba, Hospital São Lucas, Curitiba, Brazil.
| | - Andrea Frota Rego Bacelar
- Associação Brasileira do Sono, São Paulo, SP, Brazil.
- Clínica Bacelar - Neuro e Sono, Rio de Janeiro, RJ, Brazil.
| | - Dalva Lucia Rollemberg Poyares
- Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil.
- Instituto do Sono, São Paulo, SP, Brazil.
| | - Silvia Gonçalves Conway
- Instituto de Psiquiatria (IPq), Universidade de São Paulo, São Paulo, SP, Brazil.
- Departamento de Otoneurologia, Universidade de São Paulo, São Paulo, SP, Brazil.
- AkasA - Formação e Conhecimento, São Paulo, SP, Brazil.
| | - Gabriel Natan Pires
- Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil.
- Instituto do Sono, São Paulo, SP, Brazil.
| | | | - Alicia Carissimi
- Faculdade Dom Bosco, Porto Alegre, RS, Brazil.
- Cronosul Clínica de Psicologia do Sono, Psicoterapia e Neuropsicologia, Porto Alegre, RS, Brazil.
| | - Allan Luiz Eckeli
- Departamento de Neurociências e Ciências do Comportamento, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
| | - Álvaro Pentagna
- Hospital das Clínicas (HCFMUSP), Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
| | | | | | - Emmanuelle Silva Tavares Sobreira
- AkasA - Formação e Conhecimento, São Paulo, SP, Brazil.
- Universidade Federal do Ceará, Fortaleza, CE, Brazil.
- Clínica Sinapse Diagnóstico, Fortaleza, CE, Brazil.
| | - Fernando Gustavo Stelzer
- Departamento de Neurociências e Ciências do Comportamento, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
| | | | | | - Ila Marques Porto Linares
- Instituto de Psiquiatria (IPq), Universidade de São Paulo, São Paulo, SP, Brazil.
- Instituto da Criança, Faculdade de Medicina, Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil.
| | - Ksdy Maiara Moura Sousa
- Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil.
- SleepUp Tecnologia e Saúde LTDA, São Paulo, SP, Brazil.
| | | | - Lucia Sukys-Claudino
- Disciplina de Neurologia, Universidade Federal de Santa Catarina (UFSC), Florianópolis, SC, Brazil.
| | | | - Marcio Andrei Zanini
- Instituto de Assistência Médica ao Servidor Público Estadual (IAMPSE), São Paulo, SP, Brazil.
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5
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Tufik SB, Pires GN, Porcacchia AS, Bezerra AG, Andersen ML, Tufik S. Impact of the early months of the COVID-19 pandemic on the sleep patterns of a Brazilian population sample. Chronobiol Int 2023; 40:1133-1145. [PMID: 37700530 DOI: 10.1080/07420528.2023.2255667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Revised: 08/24/2023] [Accepted: 08/31/2023] [Indexed: 09/14/2023]
Abstract
Humanitarian and health crisis have drastic effects on the physical and mental well-being of people. The COVID-19 pandemic forced many countries to impose containment measures on its population to halt the spread of the new coronavirus (SARS-CoV-2). This aim of this study was to explore self-reported sleep quality and insomnia symptoms in a sample of the Brazilian population before and during the COVID-19 quarantine period. Our data was collected through online questionnaires, including the Pittsburgh Sleep Quality Index, the Insomnia Severity Index, and the Sleep Hygiene Index. The final sample comprised 1,109 volunteers. Generalized estimating equations (GEE) revealed that during the initial months of the COVID-19 pandemic, alterations in self-reported sleep parameters were observed in the participants. Sleep efficiency and sleep duration increased, but there was a worsening in sleep quality and an increase in symptoms related to insomnia.
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Affiliation(s)
| | - Gabriel Natan Pires
- Instituto do Sono, São Paulo, Brazil
- Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Allan Saj Porcacchia
- Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil
| | | | - Monica Levy Andersen
- Instituto do Sono, São Paulo, Brazil
- Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Sergio Tufik
- Instituto do Sono, São Paulo, Brazil
- Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil
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6
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Margherita G, Caffieri A. An observatory on changes in dreaming during a pandemic: a living systematic review (part 1). J Sleep Res 2023; 32:e13742. [PMID: 36320190 PMCID: PMC9877779 DOI: 10.1111/jsr.13742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Revised: 09/09/2022] [Accepted: 09/12/2022] [Indexed: 01/28/2023]
Abstract
A 'new' way of dreaming has emerged during the pandemic, enhancing the interest of psychological literature. Indeed, during the years of the spread of coronavirus disease 2019 (COVID-19), many studies have investigated dream-related phenomena and dreaming functions. Considering the constant and rapid emergence of new results on this topic, the main aim of this study was to create an 'observatory' on the short- and long-term consequences of the COVID-19 pandemic on dreaming, by means of a living systematic review. The baseline results are presented, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement guidelines, to identify and discuss existing studies about dreams and dreaming during the COVID-19 pandemic published until February 2022. Web of Science, Embase, EBSCO, and PubMed were used for the search strategy, yielding 71 eligible papers included in the review. Our results show: (a) a more intense oneiric activity during lockdown; (b) changes in dreaming components (especially dream-recall and nightmare frequency); (c) a particular dreaming scenario ('pandemic dreams'); (d) an alteration of the dreaming-waking-life continuum and a specific function of dreaming as emotional regulator. Findings suggest that monitoring changes in dreaming provides important information about psychological health and could also contribute to the debate on the difficulties of dreaming, as well as sleeping, in particular during and after a period of 'collective trauma'.
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Affiliation(s)
- Giorgia Margherita
- Department of Humanistic StudiesUniversity of Naples Federico IINaplesItaly
| | - Alessia Caffieri
- Department of Humanistic StudiesUniversity of Naples Federico IINaplesItaly
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7
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O'Driscoll DM, Young AC. Contemporary Concise Review 2022: Sleep. Respirology 2023; 28:518-524. [PMID: 36990762 DOI: 10.1111/resp.14500] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2023] [Accepted: 03/15/2023] [Indexed: 03/31/2023]
Abstract
COVID-19 AND SLEEP: The COVID-19 pandemic is associated with an increase in insomnia and impaired sleep quality Health care workers are particularly susceptible and improved with cognitive behavioural therapy for insomnia (CBT-I) Long COVID has significant effects on sleep OSA impacts on the severity of acute COVID-19 illness OBSTRUCTIVE SLEEP APNOEA: Large trials of clinically representative patients confirm the cardiovascular benefits of CPAP treatment in OSA CPAP may improve long-term cognitive outcomes in OSA, but further research is needed Racial disparities in OSA prevalence and mortality risk are becoming evident Periodic evaluation of OSA risk in pregnancy is important as timing may be key for intervention to prevent or treat cardiovascular risk factors INSOMNIA: Comorbid insomnia and obstructive sleep apnoea (COMISA) can frequently co-exist and the combined negative effects of both may be deleterious, particularly to cardiovascular health There is evidence for effectiveness with novel orexin receptor antagonists.
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Affiliation(s)
- Denise M O'Driscoll
- Department of Respiratory and Sleep Medicine, Eastern Health, Box Hill, Victoria, Australia
- Eastern Health Clinical School, Monash University, Box Hill, Victoria, Australia
| | - Alan C Young
- Department of Respiratory and Sleep Medicine, Eastern Health, Box Hill, Victoria, Australia
- Eastern Health Clinical School, Monash University, Box Hill, Victoria, Australia
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8
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Meaklim H, Burge M, Le F, Bains SK, Saunders W, Ghosh S, Junge MF, Varma P, Rehm IC, Jackson ML. Strange themes in pandemic dreams: Insomnia was associated with more negative, anxious and death-related dreams during the COVID-19 pandemic. J Sleep Res 2022; 32:e13655. [PMID: 35699296 PMCID: PMC9350044 DOI: 10.1111/jsr.13655] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2022] [Revised: 05/03/2022] [Accepted: 05/08/2022] [Indexed: 02/03/2023]
Abstract
Dreaming and insomnia are important markers of distress in times of crisis. Here, we present a longitudinal, mixed-methods study examining changes in dreaming between individuals with and without insomnia symptoms and their relationship to mental health during the COVID-19 pandemic. A global survey examining insomnia symptoms, dreams and mental health was launched in April 2020 and followed participants over 12 months. Of 2240 participants, 1009 (45%) reported dream changes at baseline. A higher proportion of participants with new-onset insomnia reported dream changes (55%) than those with pre-existing insomnia (45%) or good sleepers (36%). Overall, thematic analysis identified key dream change themes of increased dream activity, with participants dreaming vividly, in high-definition, and with a strong negative charge. Themes around survival, adjusting to pandemic life, meaning-making and poor sleep quality were also noted. Linguistic Inquiry Word Count showed that individuals with insomnia used more negative words to describe their dream changes than good sleepers. Specifically, the new-onset insomnia group used more anxious and death-related words than those who slept well. Notably, all groups experienced a significant reduction in dream activity by 3-month follow-up. Lastly, dream changes were associated with worse mental health symptoms over time, and this effect was more pronounced in individuals with insomnia. Our results highlight that insomnia symptoms, especially new-onset insomnia, are associated with more negative dream changes during collective stressful events, potentially compounding daytime distress and mental health symptoms over time. During times of crisis, dreaming and insomnia may reveal an important target for mental health interventions.
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Affiliation(s)
- Hailey Meaklim
- Turner Institute for Brain and Mental Health, School of Psychological SciencesMonash UniversityMonashVictoriaAustralia
| | - Malisa Burge
- Turner Institute for Brain and Mental Health, School of Psychological SciencesMonash UniversityMonashVictoriaAustralia
| | - Flora Le
- Turner Institute for Brain and Mental Health, School of Psychological SciencesMonash UniversityMonashVictoriaAustralia
| | - Sukjhit K. Bains
- Turner Institute for Brain and Mental Health, School of Psychological SciencesMonash UniversityMonashVictoriaAustralia
| | - William Saunders
- Turner Institute for Brain and Mental Health, School of Psychological SciencesMonash UniversityMonashVictoriaAustralia
| | - Stephen Ghosh
- Turner Institute for Brain and Mental Health, School of Psychological SciencesMonash UniversityMonashVictoriaAustralia
| | - Moira F. Junge
- Turner Institute for Brain and Mental Health, School of Psychological SciencesMonash UniversityMonashVictoriaAustralia,The Sleep Health FoundationBlacktownNew South WalesAustralia
| | - Prerna Varma
- Turner Institute for Brain and Mental Health, School of Psychological SciencesMonash UniversityMonashVictoriaAustralia
| | - Imogen C. Rehm
- College of Health and BiomedicineVictoria UniversityMelbourneVictoriaAustralia
| | - Melinda L. Jackson
- Turner Institute for Brain and Mental Health, School of Psychological SciencesMonash UniversityMonashVictoriaAustralia
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9
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Ossadnik S, Glos M, Fietze I. Bidirektionale Aspekte von SARS-CoV-2 und Schlafstörungen. SOMNOLOGIE 2022; 26:80-88. [PMID: 35528044 PMCID: PMC9052730 DOI: 10.1007/s11818-022-00350-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/19/2022] [Indexed: 11/25/2022]
Abstract
Im vorliegenden Überblick wird der Zusammenhang zwischen der Schlaflänge, der Schlafqualität, dem Immunsystem und einer SARS-CoV-2-Infektion aufgezeigt. Kurzer und/oder schlechter Schlaf kann einen Einfluss auf das Entstehen einer Infektion sowie deren Verlauf haben. Ebenso können eine SARS-CoV-2-Infektion sowie die pandemiebedingten Umstände den Schlaf negativ beeinflussen. Dabei nimmt insbesondere die Schlafqualität ab. Die Pandemie hat somit das Potenzial, Schlafstörungen auszulösen, zu verstärken und/oder aufrechtzuerhalten. Diese Befunde haben insofern Relevanz, als nur ein ausreichender und erholsamer Schlaf das Immunsystem stärkt und protektiv bezüglich einer Infektion und ihres Verlaufs wirken kann. Die Pandemie stellt somit eine weitere Herausforderung für die Schlafmedizin dar und bietet gleichzeitig die Chance, die Bedeutung des Schlafs für die Gesundheit und den Krankheitsverlauf zu vermitteln.
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Affiliation(s)
- Sarah Ossadnik
- Interdisziplinäres Schlafmedizinisches Zentrum, Charité – Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Deutschland
| | - Martin Glos
- Interdisziplinäres Schlafmedizinisches Zentrum, Charité – Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Deutschland
| | - Ingo Fietze
- Interdisziplinäres Schlafmedizinisches Zentrum, Charité – Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Deutschland
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10
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Wang C, Chen J, Deng J, Chen R, Liu Y, Lin J, Zhang Y, Zhou Y, Lin J, Hu L, Zhen X, Zheng Z. Pay attention to the health problems of health care professionals: the key to fighting COVID-19. J Clin Sleep Med 2022; 18:687-688. [PMID: 34463250 PMCID: PMC8804989 DOI: 10.5664/jcsm.9634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Affiliation(s)
- Chaoyu Wang
- Taishan Hospital of Traditional Chinese Medicine, Jiangmen, China
| | - Jiahui Chen
- Emergency Department, Central Hospital of Guangdong Nongken, Zhanjiang, China
| | - Junzhong Deng
- The Second Affiliated Hospital of Guangdong Medical University, Zhanjiang, China
| | - Riken Chen
- State Key Laboratory of Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Institute of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou, China
| | - Yanhong Liu
- Taishan Hospital of Traditional Chinese Medicine, Jiangmen, China
| | - Jiangpeng Lin
- State Key Laboratory of Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Institute of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou, China
| | - Yu Zhang
- State Key Laboratory of Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Institute of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou, China
| | - Yuanming Zhou
- Guangzhou Eighth People’s Hospital, Guangzhou Medical University, Guangzhou, China
| | - Junyan Lin
- State Key Laboratory of Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Institute of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou, China
| | - Linna Hu
- Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Xinxian Zhen
- Taishan Hospital of Traditional Chinese Medicine, Jiangmen, China;,Address correspondence to: Zhenzhen Zheng, MD, Department of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Guangdong Medical University, 12 Minyou Road, Zhanjiang, Guangdong, 524000, China; ; and Xinxian Zhen, MS, Department of Respiratory and Critical Care Medicine, Taishan Hospital of Traditional Chinese Medicine, Jiangmen, Guangdong, 529200, China;
| | - Zhenzhen Zheng
- The Second Affiliated Hospital of Guangdong Medical University, Zhanjiang, China;,Address correspondence to: Zhenzhen Zheng, MD, Department of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Guangdong Medical University, 12 Minyou Road, Zhanjiang, Guangdong, 524000, China; ; and Xinxian Zhen, MS, Department of Respiratory and Critical Care Medicine, Taishan Hospital of Traditional Chinese Medicine, Jiangmen, Guangdong, 529200, China;
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11
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de Menezes LAA, Lourenção LG, Andrade ACDS, Carraro JCC, Machado-Coelho GLL, Meireles AL. Determinants of poor sleep quality in adults during the coronavirus disease pandemic: COVID-Inconfidentes, a population-based study. SAO PAULO MED J 2022; 141:e2022139. [PMID: 36472868 PMCID: PMC10065109 DOI: 10.1590/1516-3180.2022.0139.r1.19082022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Accepted: 08/19/2022] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND The coronavirus disease (COVID-19) pandemic has adversely affected the health of the global population, with sleep quality being one of the affected parameters. OBJECTIVES To evaluate sleep quality and its associated factors in adults during the COVID-19 pandemic in Brazil. DESIGN AND SETTING A population-based cross-sectional serological survey of 1,762 adults in the Iron Quadrangle region of Brazil. METHODS The Pittsburgh Sleep Quality Index was used to assess sleep quality. Sociodemographic variables, health conditions, health-related behaviors, anxiety, vitamin D levels, weight gain/loss, and pandemic characteristics were assessed using a structured questionnaire. Univariate and multivariate analyses using Poisson regression with robust variance were performed to identify factors associated with sleep quality. RESULTS More than half of the participants reported poor sleep quality (52.5%). Multivariate analysis revealed that the factors associated with poor sleep quality included living alone (prevalence ratio [PR] = 1.34; 95% confidence interval [CI]: 1.04-1.73), anxiety disorder (PR = 1.32; 95% CI: 1.08-1.62), 5.0% weight loss (PR = 1.21; 95% CI: 1.02-1.44), 5.0% weight gain (PR = 1.27; 95% CI: 1.03-1.55), vitamin D deficiency (PR = 1.16; 95% CI: 1.01-1.35), and COVID-19 symptoms (PR = 1.29; 95% CI: 1.10-1.52). CONCLUSIONS Our study revealed that more than half of the participants experienced poor sleep quality during the COVID-19 pandemic. Factors associated with poor sleep quality included vitamin D deficiency and weight changes related to the pandemic.
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Affiliation(s)
- Luiz Antônio Alves de Menezes
- MSc. Nutritionist and Doctoral Student, Postgraduate Program in
Health and Nutrition, Universidade Federal de Ouro Preto (UFOP), Ouro Preto (MG),
Brazil
| | - Luciano Garcia Lourenção
- MSc, PhD. Nurse and Associated Professor, Nursing School,
Universidade Federal do Rio Grande (FURG), Rio Grande (RS), Brazil
| | - Amanda Cristina de Souza Andrade
- MSc, PhD. Statistics and Associated Professor, Institute of
Collective Health, Universidade Federal do Mato Grosso (UFMT), Cuiabá (MT),
Brazil
| | - Júlia Cristina Cardoso Carraro
- PhD. Nutritionist and Associated Professor, School of Nutrition,
Universidade Federal de Ouro Preto (UFOP), Ouro Preto (MG), Brazil
| | - George Luiz Lins Machado-Coelho
- MD, MSc, PhD. Epidemiologist and Associated Professor, School of
Medicine, Universidade Federal de Ouro Preto (UFOP), Ouro Preto (MG), Brazil
| | - Adriana Lúcia Meireles
- MSc, PhD. Nutritionist and Associated Professor, School of
Nutrition, Universidade Federal de Ouro Preto (UFOP), Ouro Preto (MG), Brazil
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de Medeiros KS, Ferreira de Paiva LM, Macêdo LTDA, Farias de Souza W, Soares da Silva LA, Sarmento ACA, Costa APF, Freitas CL, Gonçalves AK. Prevalence of Burnout Syndrome and other psychiatric disorders among health professionals during the COVID-19 pandemic: A systematic review and meta-analysis protocol. PLoS One 2021; 16:e0260410. [PMID: 34855831 PMCID: PMC8639088 DOI: 10.1371/journal.pone.0260410] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2021] [Accepted: 11/09/2021] [Indexed: 12/14/2022] Open
Abstract
INTRODUCTION Studies carried out during previous pandemics revealed an increase in the prevalence of Burnout Syndrome and other psychiatric disorders among health professionals. A high prevalence of psychiatric disorders is also observed in some health categories, during the COVID-19 pandemic. OBJECTIVE This systematic review/meta-analysis study aims to assess the prevalence of Burnout Syndrome and other psychiatric disorders (depression, anxiety, stress, and insomnia) among health care professionals and other support professionals during the COVID-19 pandemic. INCLUSION CRITERIA Observational studies published from December 2019, without language restrictions in which the prevalence of Burnout Syndrome and other psychiatric disorders among health professionals during the COVID-19 pandemic will be assessed. METHODS PubMed, Web of Science, Embase, CINAHAL, PsycINFO, LILACS, SCOPUS, and The Cochrane Library will be searched for eligible studies. Two reviewers will independently screen and select studies, assess methodological quality, and extract data. A meta-analysis will be performed, if possible, and the Grading of Recommendations Assessment Development and Evaluation (GRADE). ETHICS AND DISCLOSURE This study will use secondary data. Thus, there is no need for submission to the ethics committee. The results of this systematic review will be published in a journal after a peer-review process. TRIAL REGISTRATION Systematic review registration number: CRD42020212036.
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Affiliation(s)
- Kleyton Santos de Medeiros
- Health Sciences Postgraduate Program, Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brazil
- Instituto de Ensino, Pesquisa e Inovação, Liga Contra o Câncer, Natal, Rio Grande do Norte, Brazil
| | | | | | - Wederson Farias de Souza
- Department of Nursing, Centro Universitário do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | | | - Ayane Cristine Alves Sarmento
- Health Sciences Postgraduate Program, Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brazil
| | - Ana Paula Ferreira Costa
- Health Sciences Postgraduate Program, Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brazil
| | - Cijara Leonice Freitas
- Health Sciences Postgraduate Program, Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brazil
| | - Ana Katherine Gonçalves
- Health Sciences Postgraduate Program, Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brazil
- Department of obstetrics and Gynecology, Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brazil
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