Insomnia and psychological reactions during the COVID-19 outbreak in China

Li, Yun; Qin, Qingsong; Sun, Qing; Sanford, Larry D.; Vgontzas, Alexandros N.; Tang, Xiangdong

doi:10.5664/jcsm.8524

Cited by 185 publications

(188 citation statements)

References 2 publications

(1 reference statement)

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“…The impact was greater in students than in administrative staff workers, and in females than in males. In our groups, we observed poor quality of sleep and poor sleep hygiene during COVID-19 lockdown, as observed in other studies conducted in the general population [15,27]. In particular, a worsening of quality of sleep (according to PSQI) and of symptoms related to insomnia (according to ISI) was found despite no change in TST.…”

Section: Discussionsupporting

confidence: 88%

“…It is composed by 21 items on a four-point Likert scale. The scores are minimal anxiety (0-7), mild anxiety (8)(9)(10)(11)(12)(13)(14)(15), moderate anxiety (16)(17)(18)(19)(20)(21)(22)(23)(24)(25), and severe anxiety . Anxiety and depressive disorders are strongly related to each other.…”

Section: Anxiety and Depression Symptoms Questionnairesmentioning

confidence: 99%

“…Participants with higher levels of depression, anxiety, and stress showed more sleep problems. A study conducted by Li et al [15] showed that the prevalence of insomnia increased significantly during the COVID-19 outbreak (in some cases new onsets of insomnia), that time in bed (TIB) and total sleep time (TST) increased, and that sleep efficiency significantly decreased.…”

Section: Introductionmentioning

confidence: 99%

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Impact of COVID-19 lockdown on sleep quality in university students and administration staff

et al. 2020

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Introduction In Italy, lockdown due to COVID-19 health emergency started on March 10 and partially ended on May 3rd, 2020. There was a significant increase of psychological distress and symptoms of mental illness, and worsening of quality of sleep in the general population. Methods Participants completed an anonymous web-based survey that include questionnaires about sleep and anxiety and depression symptoms. Our sample included 400 subjects: 307 students (mean age 22.84 ± 2.68) and 93 university administration staff workers (mean age 37.02 ± 12.46). Results we found an increase in Bed Time hour, Sleep Latency, and Wake-Up time between before and during COVID-19 emergency and a worsening of sleep quality and of insomnia symptoms. In particular, during the lockdown, the impact of the delay in Bed Time and in Wake-Up was more pronounced in students. In workers, we observed a prevalence of maintenance insomnia before COVID-19 of 24% that significantly increase during COVID-19 reaching 40%, while workers with difficulties in sleep initiation were only 15% that increased to 42%. In our sample, 27.8% showed depressive symptoms, while 34.3% showed anxious symptoms, in particular in students. Conclusion The impact of lockdown was greater in students than in workers, and in females than in males. Concerning the psycho-emotional aspects, about one-third of our sample showed depressive or anxious symptoms. The results of our study may provide support for the implementation of some interventions for well-being in pandemic condition.

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Section: Discussionsupporting

confidence: 88%

Section: Anxiety and Depression Symptoms Questionnairesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Impact of COVID-19 lockdown on sleep quality in university students and administration staff

et al. 2020

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“…A very recent study from China, where the authors used similar methodology as we did in studying insomnia (online ISI questionnaire, pre- and during the pandemic) found a significant increase of insomnia (ISI > 7) from 26.2% to 33.7%. The authors of that study conclude that their findings suggest that insomnia is associated with the COVID-19 outbreak-related psychological reactions and poor sleep hygiene [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

Mental Well-Being (Depression, Loneliness, Insomnia, Daily Life Fatigue) during COVID-19 Related Home-Confinement—A Study from Poland

Bartoszek

Walkowiak

Bartoszek

et al. 2020

IJERPH

142

140

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The COVID-19 pandemic is a great threat to both physical and mental health as it may lead to psychological stress connected with an economic crisis, threat of unemployment, or fear of losing family members. Emerging data shows that the general public may be vulnerable to the pandemic-related stress and experience frequently prevalent anxiety. A study involving 471 subjects (85.6% female) was conducted online during the COVID-19 pandemic. We used the following scales: Insomnia Severity Index (ISI), Beck Depression Inventory (BDI), Revised University of California, Los Angeles (R-UCLA) Loneliness Scale, and Daily Life Fatigue scale (DLF). Women had higher mean scores of depression, loneliness, and daily life fatigue and more often than males started exercising. Among people professionally active before the pandemic, there were more cases of increased alcohol consumption than among students. No differences in alcohol consumption patterns were found between genders. People living alone had higher scores of loneliness and daily life fatigue compared to those living with someone. Respondents who started taking any new drugs during COVID-19 home confinement had higher outcomes in all questionnaires. During home confinement, high scores of depression, insomnia, loneliness, and everyday fatigue were observed.

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“…In healthcare workers, paramedics, volunteers, virologists, management workers and staff at isolation wards or media persons at the frontline of the COVID-19 control are believed to be facing issues like coverage fatigue, burnout, frustration and the fear of getting infected or guilt of transmitting infection, affecting their mental and social well-being and sense of safety and satisfaction at workplace. 8,9 Objective:-To assess the prevalence of insomnia and other psychological effects of lockdown period during COVID-19 Pandemic and to estimate proportion of individuals facing social stigma due to workplace commitments and those facing the difficulties in getting essential commodities in the lockdown period.…”

mentioning

confidence: 99%

Assessment of Insomnia and Psycho-Social Health Status of Indian Citizens During Covid-19 Pandemic Lockdown Period

Bisen¹,

Student²,

Gothankar³

2020

IJAR

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Insomnia and psychological reactions during the COVID-19 outbreak in China

Cited by 185 publications

References 2 publications

Impact of COVID-19 lockdown on sleep quality in university students and administration staff

Impact of COVID-19 lockdown on sleep quality in university students and administration staff

Mental Well-Being (Depression, Loneliness, Insomnia, Daily Life Fatigue) during COVID-19 Related Home-Confinement—A Study from Poland

Assessment of Insomnia and Psycho-Social Health Status of Indian Citizens During Covid-19 Pandemic Lockdown Period

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