The context of COVID-19 affected the long-term sleep quality of older adults more than SARS-CoV-2 infection.

Autor:	Peixoto VGMNP; Post-graduation Program in Psychobiology, Universidade Federal do Rio Grande do Norte, Natal, Brazil.; Department of Clinical Medicine, Universidade Federal do Rio Grande do Norte, Natal, Brazil., Facci LA; Department of Clinical Medicine Universidade Federal do Rio Grande do Norte, Natal, Brazil., Barbalho TCS; Department of Clinical Medicine Universidade Federal do Rio Grande do Norte, Natal, Brazil., Souza RN; Department of Clinical Medicine Universidade Federal do Rio Grande do Norte, Natal, Brazil., Duarte AM; Department of Clinical Medicine Universidade Federal do Rio Grande do Norte, Natal, Brazil., Almondes KM; Post-graduation Program in Psychobiology, Universidade Federal do Rio Grande do Norte, Natal, Brazil.; Department of Psychology, Universidade Federal do Rio Grande do Norte, Natal, Brazil.
Jazyk:	angličtina
Zdroj:	Frontiers in psychiatry [Front Psychiatry] 2024 Feb 05; Vol. 15, pp. 1305945. Date of Electronic Publication: 2024 Feb 05 (Print Publication: 2024).
DOI:	10.3389/fpsyt.2024.1305945
Abstrakt:	Introduction: Sleep problems are one of the most persistent symptoms of post-COVID syndrome in adults. However, most recent research on sleep quality has relied on the impact of the pandemic, with scarcely any data for older adults on the long-term consequences of COVID infection. This study aims to understand whether older individuals present persistently impaired sleep quality after COVID-19 infection and possible moderators for this outcome. Methods: This is a cross-sectional analysis of a longitudinal cohort study with 70 elders with 6-month-previous SARS-CoV-2 infection and 153 controls. The Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality; Geriatric Depression Scale and Geriatric Anxiety Inventory for screening depression and anxiety. Demographics and comorbid conditions were collected. Results: The mean age of participants was 66,97 ± 4,64 years. There were no statistical differences in depression and anxiety between groups. Poor sleep quality was found in 52,9% and 43,8% of the COVID and control groups ( p =.208). After controlling for multiple variables, all the following factors resulted in greater chances of poor sleep quality: female gender (OR, 2.12; p =.027), memory complaints (OR, 2.49; p =.074), insomnia (OR, 3.66; p =.032), anxiety (OR, 5.46; p <.001), depression (OR, 7.26; p =.001), joint disease (OR, 1.80; p =.050), glucose intolerance (OR, 2.20; p =.045), psychoactive drugs (OR, 8.36; p <.001), diuretics (OR, 2.46; p =.034), and polypharmacy (OR, 2.84; p =.016). Conclusion: Psychosocial burden in the context of the COVID-19 pandemic and pre-existing conditions seems to influence the sleep quality of older adults more than SARS-CoV-2 infection. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2024 Peixoto, Facci, Barbalho, Souza, Duarte and Almondes.)
Databáze:	MEDLINE
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