The Effects of Social Support on Sleep Quality of Medical Staff Treating Patients with Coronavirus Disease 2019 (COVID-19) in January and February 2020 in China

Xiao, Han; Zhang, Yan; Kong, Desheng; Li, Shiyue; Yang, Na

doi:10.12659/msm.923549

Cited by 1,039 publications

(1,143 citation statements)

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“…The risk of developing OCD seemed to increase by 64.6% for every increase in the level of sleep latency. People were reported to have many sleep problems during the quarantine, which may have been associated with the risk of developing OCD ( 15 , 16 ). Consistent with this, in our study, many patients with OCD had disturbing thoughts and repetitive performances like counting or making the bed, which in turn influenced the development of OCD.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence and Characteristics of Obsessive-Compulsive Disorder Among Urban Residents in Wuhan During the Stage of Regular Control of Coronavirus Disease-19 Epidemic

et al. 2020

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Background: Coronavirus disease-19 (Covid-19) is one of the most devastating epidemics in the 21st century, which has caused considerable damage to the physical and mental health of human beings. Despite a few regions like China having controlled the epidemic trends, most countries are still under siege of COVID-19. As the emphasis on cleaning and hygiene has been increasing, the problems related to obsessive-compulsive disorder (OCD) may appear.Objective: This study was designed to investigate the prevalence of OCD in the urban population in Wuhan during the stage of regular epidemic control and prevention. Meanwhile, characteristics and risk factors for OCD were also explored.Method: Five-hundred and seventy residents in urban areas of Wuhan were recruited using the snowball sampling method to complete questionnaires and an online interview from July 9 to July 19, 2020. Collected information encompassed socio-demographics, Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) scores, Social Support Rating Scale (SSRS) scores and Pittsburgh Sleep Quality Index(PSQI) values.Results: Three months after lifting the quarantine in Wuhan, the prevalence of OCD was 17.93%. About 89% of OCD patients had both obsessions and compulsions, while 8% had only obsessions and 3% had only compulsions. Top 3 common dimensions of obsessions were miscellaneous (84.0%), aggressive (76.6%), and contamination (48.9%), and of compulsions were miscellaneous (64%), checking (51.7%), and cleaning/washing/repeating (31.5%). The unmarried were more vulnerable to OCD than the married (p < 0.05, odds ration = 1.836). Students had 2.103 times the risk of developing OCD than health care workers (p < 0.05). Those with positive family history of OCD and other mental disorders (p < 0.05, odds ration = 2.497) and presence of psychiatric comorbidity (p < 0.05, odds ration = 4.213) were also at higher risk. Each level increase in sleep latency increased the risk of OCD to 1.646 times (p < 0.05).Conclusion: In the background of regular epidemic control, the prevalence of OCD was high, and the symptoms were widely distributed. Obsessions often accompanied compulsions. Being single and a student, positive family history of OCD and other mental disorders, presence of psychiatric comorbidity, and longer sleep latency were predictors of OCD. Early recognition and detection of these issues may help to intervene in OCD.

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Section: Discussionmentioning

confidence: 99%

“…Social support and sleep quality have been linked to mental health in many previous studies; enough social support and good sleep quality could ensure a better mood ( 15 , 16 ). However, the association between them seems to be complicated.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Characteristics of Obsessive-Compulsive Disorder Among Urban Residents in Wuhan During the Stage of Regular Control of Coronavirus Disease-19 Epidemic

et al. 2020

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“…The research team developed a general information questionnaire based on a literature review. 6 , 11 , 12 An expert panel evaluated the questionnaire content; the panel included a fever clinic nurse, an emergency nurse, two head nurses, a nurse administrator, and two nursing professors. This questionnaire consisted of two parts; one was demographic characteristics (ie, sex, age, education level, designation, marital status, and having children); the other related to socio-psychological and working conditions during the COVID-19 pandemic, including rest time per week, the number of night shifts in the previous month, professional attitude, confidence, willingness to fight transmission, whether they have been in contact with confirmed patients, and whether they had recently attended infection prevention training.…”

Section: Methodsmentioning

confidence: 99%

“…In public health crises, several factors influence the mental health status of nurses. Common risk factors that cause stress and anxiety during a pandemic include a lack of effective hospital management systems, 10 lack of personal protective equipment (PPE) and training, 11 exposure to confirmed cases, 6 , 12 fear of being infected, 13 fear of spreading the virus to family members, 14 concerns about their children for not being taken care of, 15 long working hours, and heavy workloads. 9 , 13 Previous studies showed that the effect on mental health varies by sex.…”

Section: Introductionmentioning

confidence: 99%

Impact of COVID-19 on Anxiety, Stress, and Coping Styles in Nurses in Emergency Departments and Fever Clinics: A Cross-Sectional Survey

Cui¹,

Jiang²,

Shi³

et al. 2021

RMHP

102

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Background During the Coronavirus Disease 2019 (COVID-19) pandemic, emergency departments and fever clinics nurses acted as gatekeepers to the health care system. To manage the psychological problems that these nurses experience, we should develop appropriate training and intervention programs. Objective To identify the impact of COVID-19 on the psychology of Chinese nurses in emergency departments and fever clinics and to identify associated factors. Methods This online cross-sectional study recruited participants through snowball sampling between 13 February and 20 February 2020. Nurses self-administered the online questionnaires, including a general information questionnaire, the Self-Rating Anxiety Scale, the Perceived Stress Scale-14, and the Simplified Coping Style Questionnaire. Results We obtained 481 responses, of which 453 were valid, an effective response rate of 94.18%. Participants who had the following characteristics had more mental health problems: female gender, fear of infection among family members, regretting being a nurse, less rest time, more night shifts, having children, lack of confidence in fighting transmission, not having emergency protection training, and negative professional attitude. Conclusion Effective measures are necessary to preserve mental health of nurses in emergency departments and fever clinics. These include strengthening protective training, reducing night shifts, ensuring adequate rest time, and timely updating the latest pandemic situation.

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“…Many studies have assessed the different aspects of sleep by providing important information about its association with the pandemic 33 – such as the prevalence of sleep disturbance in different populations 8 , 15 , 34 and the potential risk factors for poor sleep quality during lockdown (eg, gender, level of education, occupational condition, social capital). 35 , 36 , However, no research has integrated the psychological variables into a model capable to associate the pandemic dimensions and the quality of sleep.…”

Section: Introductionmentioning

confidence: 99%

The Coronavirus Pandemic: A Possible Model of the Direct and Indirect Impact of the Pandemic on Sleep Quality in Italians

Casagrande¹,

Forte²,

Tambelli³

et al. 2021

NSS

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Purpose This study aimed to assess the direct and indirect impact of COVID-19-related aspects on self-reported sleep quality, considering the moderator role of some psychological variables. Methods During the first weeks of the lockdown in Italy, 2286 respondents (1706 females and 580 males; age range: 18–74 years) completed an online survey that collected sociodemographic information and data related to the experience with the COVID-19 pandemic. Some questionnaires assessed sleep quality, psychological well-being, general psychopathology, Post-Traumatic Stress Disorders symptoms, and anxiety. The path analysis was adopted. Results The study confirms a direct effect of some aspects ascribable to the pandemic, with a mediator role of the psychological variables. Lower sleep quality was directly related to the days spent at home in confinement and the knowledge of people affected by the COVID-19. All the other aspects related to the COVID-19 pandemic influenced sleep quality through the mediator effect of psychological variables. Conclusion This study highlighted that the psychological condition of the population has been influenced by the COVID-19 pandemic and the government actions taken to contain it, but it has also played an important role in mediating the quality of sleep, creating a vicious circle on people’s health. The results suggest that a health emergency must be accompanied by adequate social support programs to mitigate the fear of infection and promote adequate resilience to accept confinement and social distancing. Such measures would moderate psychological distress and improve sleep quality.

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The Effects of Social Support on Sleep Quality of Medical Staff Treating Patients with Coronavirus Disease 2019 (COVID-19) in January and February 2020 in China

Cited by 1,039 publications

References 35 publications

Prevalence and Characteristics of Obsessive-Compulsive Disorder Among Urban Residents in Wuhan During the Stage of Regular Control of Coronavirus Disease-19 Epidemic

Prevalence and Characteristics of Obsessive-Compulsive Disorder Among Urban Residents in Wuhan During the Stage of Regular Control of Coronavirus Disease-19 Epidemic

Impact of COVID-19 on Anxiety, Stress, and Coping Styles in Nurses in Emergency Departments and Fever Clinics: A Cross-Sectional Survey

The Coronavirus Pandemic: A Possible Model of the Direct and Indirect Impact of the Pandemic on Sleep Quality in Italians

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