Insomnia symptoms during the COVID-19 pandemic: an examination of biopsychosocial moderators

Dzierzewski, Joseph M.; Dautovich, Natalie D.; Ravyts, Scott G.; Perez, Elliottnell; Soto, Pablo; Donovan, Emily K.

doi:10.1016/j.sleep.2021.02.018

Cited by 24 publications

(25 citation statements)

References 27 publications

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“…Finally, we examined “personal growth” due to COVID-19 using 5 items from the Complementary and Integrative Research (CAIR) Lab Pandemic Impact Questionnaire (C-PIQ), which assessed the extent to which participants felt the COVID-19 pandemic had led to positive changes in their life (strengthened relationships with others and community, created new possibilities, helped identify personal strengths, created spiritual change, increased appreciation of life). The 5 items of this measure are summed to create a score from 0–20, with higher scores indicating greater personal growth ( Lang 2020 ; Dzierzewski et al., 2021 ).…”

Section: Methodsmentioning

confidence: 99%

An examination of racial and ethnic disparities in mental health during the Covid-19 pandemic in the U.S. South

Goldmann

Hagen

Khoury

et al. 2021

Journal of Affective Disorders

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Background The mental health of racial/ethnic minority groups in the United States may be disproportionately impacted by the COVID-19 pandemic due to greater experience of peri-pandemic stressors. Yet, few studies have systematically examined racial/ethnic differences in mental health outcomes in this context. Methods Data came from the COVID-19 Southern Cities Study, a probability-based, cross-sectional study conducted in May/June 2020 among adults living in the metropolitan statistical areas of Atlanta, Austin, Dallas, Houston, and New Orleans. Unadjusted and adjusted associations between racial/ethnic identity and past-week depression and/or anxiety symptoms (Patient Health Questionnaire-2 score ≥ 3 or Generalized Anxiety Disorder-2 score ≥ 3), trouble sleeping, physical reactions when thinking about COVID-19, and self-rated worsened mental health due to the pandemic were estimated in separate logistic regression models. Results Over 30% of respondents reported depression and/or anxiety symptoms, 21% reported physical reactions, 25% had trouble sleeping, and 33% worsened mental health since the pandemic began. Adjusting for sociodemographic and health-related characteristics and pandemic-related stressors, odds of anxiety symptoms (odds ratio (OR) 0.53, 95% confidence interval (CI) 0.30–0.95) and worsened mental health (OR 0.58, 95% CI 0.36–0.94) were lower among non-Hispanic Black vs. non-Hispanic white respondents. Limitations No diagnostic assessments were used, and results may not be generalizable to later phases of the pandemic and the entire U.S. South. Conclusions Despite greater pandemic-related stressor experience, poor mental health outcomes were not more common among racial/ethnic minority individuals. However, interventions to reduce disparities in stressor experience and promote mental health are needed.

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Section: Methodsmentioning

confidence: 99%

An examination of racial and ethnic disparities in mental health during the Covid-19 pandemic in the U.S. South

Goldmann

Hagen

Khoury

et al. 2021

Journal of Affective Disorders

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“…Insomnia symptoms can include sleep-onset and sleep maintenance difficulties, low sleep satisfaction, impaired daily functioning due to sleep problems, and increased concern or distress related to sleep problems [40]. Insomnia prevalence during the pandemic has been reported from a low of 10-13% in India, similar to the pre-pandemic prevalence [30,41], to a high of 56% in Morocco [42], with other countries reporting results falling between these extremes [43][44][45]. Studies in China reported that among those classified as having insomnia during the pandemic period, 13.6% reported developing new-onset insomnia while 12.5% reported worsened symptoms of prior insomnia [20].…”

Section: Sleep Disturbances and Insomnia During Covid-19mentioning

confidence: 99%

“…Sleep problems also appear to be significantly elevated among several groups directly impacted by COVID-19 including: those diagnosed with COVID-19, those who had someone close to them diagnosed with COVID-19, those who were uncertain of their COVID-19 status, or those who knew someone who died from COVID-19-related causes [22,29,33,45,47,49,61].…”

Section: Pandemic-related Factors Affecting Sleep Healthmentioning

confidence: 99%

“…With the abrupt halt of all in-person social activities and subsequent decrease in social interactions in efforts to curtail the spread of the virus, feelings of loneliness have become a major factor in sleep and mental health during the pandemic. Loneliness, made worse by the lack of accessible social support, has been associated with poor sleep quality and increased insomnia symptoms since the start of the pandemic [24,43,45,61,63]. Moreover, the link between loneliness and sleep is stronger among those with more COVID-19 related worries and those with lower resilience [63].…”

Section: Pandemic-related Factors Affecting Sleep Healthmentioning

confidence: 99%

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Sleep and Resilience during the COVID-19 Pandemic

Taylor¹,

Persich²,

Dailey³

et al. 2021

Anxiety, Uncertainty, and Resilience During the Pandemic Period - Anthropological and Psychological Perspectives

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Since early 2020, the COVID-19 pandemic has had a profound effect on the mental health and wellbeing of much of the population. Rates of depression, anxiety, loneliness, suicidal ideation, and other mental health concerns increased during the first year of the pandemic, with heightened fears of the virus, social isolation, and economic instability. Psychological resilience remains a key factor in sustaining healthy emotional functioning during the crisis and facilitating rapid recovery as we move forward to build a better post-pandemic world. Our research, and that of others, suggests that healthy sleep is one of the most powerful aspects of psychological resilience. This chapter will summarize the current literature on psychological resilience, particularly as it relates to the pandemic, and describe the important role of sleep as a key component of resilience capacity. We will discuss novel empirical data linking sleep and resilience during the pandemic. We will conclude with concrete, empirically based suggestions for modulating sleep to sustain psychological resilience during the present crisis and those that may emerge in the future.

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“…Sleep problems and related emotional difficulties have gained significant attention during COVID-19's global spread [ 1 ]. Digital tools utilizing smartphones have played an important role in characterizing the prevalence and severity of insomnia, anxiety and depression in response to the pandemic.…”

mentioning

confidence: 99%

Increased use of digital tools in sleep disorders research in response to the COVID-19 challenge: implications for the present and future

et al. 2021

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Insomnia symptoms during the COVID-19 pandemic: an examination of biopsychosocial moderators

Cited by 24 publications

References 27 publications

An examination of racial and ethnic disparities in mental health during the Covid-19 pandemic in the U.S. South

An examination of racial and ethnic disparities in mental health during the Covid-19 pandemic in the U.S. South

Sleep and Resilience during the COVID-19 Pandemic

Increased use of digital tools in sleep disorders research in response to the COVID-19 challenge: implications for the present and future

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