Survey of Insomnia and Related Social Psychological Factors Among Medical Staff Involved in the 2019 Novel Coronavirus Disease Outbreak

Zhang, Chenxi; Yang, Lulu; Liu, Shuai; Ma, Simeng; Wang, Ying; Cai, Zhongxiang; Du, Hui; Li, Ruiting; Kang, Lijun; Su, Meilei; Zhang, Jihui; Liu, Zhongchun; Zhang, Bin

doi:10.3389/fpsyt.2020.00306

Cited by 650 publications

(872 citation statements)

References 30 publications

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“…Use NGO services, since they are more efficient and effective in the service delivery process, due to their closer relationship with people, and less bureaucratic operations. Shacham, M. et al (36) The results revealed an elevated risk of psychological distress of 11.5% among the research participants. High psychological stress was found among those with an underlying illness (OR = 3.023; 95% CI: 1.186-7.705), fear of contracting COVID-19 from a patient (OR = 2.110 95% CI: 1.236-3.603) and a greater subjective burden (OR = 1.073; 95% CI: 1.010-1.141).…”

Section: Moghanibashi-mansouriehmentioning

confidence: 85%

“…Another symptom frequently reported in the articles was changes in sleep pattern. 22,29,31,32,36,49,50 Huang & Zhao (2020)29 found a general prevalence of anxiety symptoms, depressive symptoms and poor sleep quality of 35.1 %, 20.1% and 18.2%, respectively. The prevalence of symptoms of anxiety, depressive symptoms and poor sleep quality was signi cantly higher in health professionals who spent a great amount of time (≥3 hours / day) dealing with COVID-19 patients, as compared to those investing less time (<1 hour / day and 1-2 hours / day).29 better sleep quality or lower frequency of nighttime waking reported lower PTSD.…”

Section: Changes In Sleep Patternmentioning

confidence: 99%

See 1 more Smart Citation

Effects of COVID-19 on Anxiety, Depression and Other Mental Health Issues: A worldwide scope review.

Machado¹,

Alves²,

Teixeira³

et al. 2020

Preprint

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BACKGROUND: The COVID-19 pandemic has spread across the world and, along with it, a considerable degree of fear and uncertainties that impact on various aspects of societal life, including on people’s Mental Health (MH). Understanding how the COVID-19 pandemic affects MH can help to implement interventions and adequate public policies, providing more effective responses to mitigate its effects.OBJECTIVES: To summarize the scientific evidence on the possible influence of the Covid-19 pandemic on MH, critically evaluating the methods and scientific validity of the studies found, in addition to summarizing the recommendations on strategic measures to reduce the impact of COVID-19 on MH.METHODOLOGY: The current scoping review was conducted from a screening of 465 articles on COVID-19 and MH outcomes, based on the main database of scientific references on health, assessed throughout PubMed. RESULT: Of the 43 papers selected for summary and critical analysis 77% (n=33) indicated a relationship between the COVID-19 pandemic and anxiety symptoms, 56% (n=26) with depression or depressive symptoms, seven with changes in sleep pattern and seven with obsessive behaviours or Obsessive Compulsive Disorder. In addition to studies that showed an influence of the COVID-19 pandemic on trauma or post-traumatic stress disorder (PTSD), psychological distress, stress and fear. Most of the studies were carried out in China, and primarily evaluated the presence of anxiety and depression, through scales and questionnaires. Health professionals and the elderly were cited among the most affected population groups. CONCLUSIONS: Most studies presented significant methodological limits. Investments in new research, with controlled studies, including representative and randomized samples, and longitudinal follow-up, are necessary, to further explore the relationships between the COVID-19 pandemic and people's MH and long-term effects. Pending such studies, given the effects (during and after) of previous epidemics on MH, government measures need to be implemented to reduce the potential catastrophic effects of the COVID-19 pandemic on MH, and the burden that will remain after the pandemic. The timely identification of psychological distress and the identification of MH needs among populations, facilitate the development of targeted psychological interventions, in addition to the organization of health services and systems, during the pandemic.

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Section: Moghanibashi-mansouriehmentioning

confidence: 85%

Section: Changes In Sleep Patternmentioning

confidence: 99%

Effects of COVID-19 on Anxiety, Depression and Other Mental Health Issues: A worldwide scope review.

Machado¹,

Alves²,

Teixeira³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…A recent study in the Greek population, using the AIS scale to explore sleep di culties during the COVID-19 pandemic, reported sleep problems in 36.7% of the general population [21]. A survey of insomnia among medical staff members in China found that more than one-third of the medical staff suffered insomnia symptoms during the COVID-19 outbreak [22]. In another study [23] scores on AIS scale to evaluate sleep disturbances of Chinese frontline medical workers were not statistically different from the ndings of our study (6.3 ± 4.2 versus 5.95 ± 4.238, p > 0.05).…”

Section: Discussionmentioning

confidence: 99%

Sleep Disorders, Perceived Stress and Family Support Among Nursing Staff During the Pandemic Crisis

Tselebis

Lekka

Sikaras

et al. 2020

Preprint

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Background: The covid-19 pandemic is likely to cause mental health issues, especially for healthcare professionals. The aim of this study is to investigate levels of perceived stress, sleep disturbances and sense of family support among nurses in pandemic conditions. Methods: Athens Insomnia Scale (AIS), Perceived Stress Scale (PSS) and Family Support Scale (FSS) were administered in a sample of 150 nurses from different hospital departments during the COVID-19 pandemic. Individual and demographic data were recorded. Results: 120 women and 30 men completed the study questionnaires. Almost half of participants (49.7%) reported the presence of sleep difficulties and more than half (50.3%) experienced increased stress levels. Scores on AIS scale correlated positively with PSS scores (P<0.01), and negatively with FSS scores (P<0.01). A significantly negative correlation was observed between the PSS scores and the FSS scores (p<0.01). Regression model showed ‘scores on PSS scale’ and ‘years of work experience’ were significant predictors of ‘scores on AIS scale’, each explaining 43.6% and 2.3% of the variance. Scores on AIS scale’ and ‘scores on FSS scale’ were significant predictors of PSS explaining 43.7% and 9,2% of the variance . Conclusion: The study confirmed that working with COVID-19 patients has a negative effect on the sleep of nurses, possibly mediated by increased levels of stress. Family support, as a protective factor, appears to moderate the deleterious consequences of stress.

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“…For instance, in one of the rst reports published by a Chinese team, frontline healthcare workers were found to present with extremely high rates of depression (>50%), generalized anxiety disorder (>44%), insomnia (>36%) and stress-related symptoms (>73%) (13). Since then, numerous studies have further con rmed these ndings in nurses (11) (14), physicians and medical staff (6) (8) (12) (15), as well as trainees (16) (10), and warranted the need for psychological treatments aiming at relieving immediate stress and preventing the onset of psychological disorders in healthcare workers (12). To address this need, we developed a 7-session online cognitive behavioral therapy (CBT) program targeting the reduction of stress and the reinforcement of adaptive coping behaviors in healthcare workers during the COVID -19 pandemic.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of an online cognitive behavioral therapy program developed for healthcare workers during the COVID-19 pandemic: The REduction of STress (REST) study protocol for a randomized controlled trial

Weiner

Berna

Nourry

et al. 2020

Preprint

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Abstract Background: The acknowledgement of the mental health toll of the COVID-19 epidemic in healthcare workers has increased considerably as the disease evolved into a pandemic status. Indeed, high prevalence rates of depression, sleep disorders and post-traumatic stress disorder (PTSD) have been reported in Chinese healthcare workers during the epidemic peak. Symptoms of psychological distress are expected to be long-lasting and have a systemic impact on healthcare systems, warranting the need for evidence-based psychological treatments aiming at relieving immediate stress and preventing the onset of psychological disorders in this population. In the current COVID-19 context, internet-based interventions have the potential to circumvent the pitfalls of face-to-face formats, and provide the flexibility required to facilitate accessibility to healthcare workers. Online cognitive behavioral therapy (CBT) in particular has proved to be effective in treating and preventing a number of stress-related disorders in populations other than healthcare workers. The aim of our randomized controlled trial study protocol is to evaluate the efficacy of the ‘My Health too’ CBT program – a program we have developed for healthcare workers facing the pandemic -- on immediate perceived stress, and on the emergence of psychiatric disorders at 3- and 6-month follow-up compared to an active control group (i.e., bibliotherapy). Methods: Powered for non-inferiority testing, this six-site open trial involves the random assignment of 120 healthcare workers with stress levels >16 on the Perceived Stress Scale (PSS-10) to either the 7-session online CBT program or bibliotherapy. The primary outcome is the decrease of PSS-10 scores. Secondary outcomes include depression, insomnia, and PTSD symptoms, self-reported resilience and rumination, as well as credibility and satisfaction. Assessments are scheduled at pretreatment, mid-treatment (at 4 weeks), end of active treatment (at 8 weeks) and at 3-month and 6-month follow-up. Discussion: This is the first study assessing the efficacy and the acceptability of a brief online CBT program specifically developed for healthcare workers. Given the potential short- and long-term consequences of the COVID-19 pandemic on healthcare workers’ mental health, but also on healthcare systems, our findings can significantly impact clinical practice and management of the ongoing, and probably long-lasting, health crisis. Trial registration: NCT04362358, registered April 24, 2020.

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Survey of Insomnia and Related Social Psychological Factors Among Medical Staff Involved in the 2019 Novel Coronavirus Disease Outbreak

Cited by 650 publications

References 30 publications

Effects of COVID-19 on Anxiety, Depression and Other Mental Health Issues: A worldwide scope review.

Effects of COVID-19 on Anxiety, Depression and Other Mental Health Issues: A worldwide scope review.

Sleep Disorders, Perceived Stress and Family Support Among Nursing Staff During the Pandemic Crisis

Efficacy of an online cognitive behavioral therapy program developed for healthcare workers during the COVID-19 pandemic: The REduction of STress (REST) study protocol for a randomized controlled trial

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