Sleep and daytime problems during the COVID-19 pandemic and effects of coronavirus infection, confinement and financial suffering: A multinational survey using a harmonised questionnaire
Autor: | Markku Partinen, Brigitte Holzinger, Charles M Morin, Colin Espie, Frances Chung, Thomas Penzel, Christian Benedict, Courtney J Bolstad, Jonathan Cedernaes, Rachel Ngan Yin Chan, Yves Dauvilliers, Luigi De Gennaro, Fang Han, Yuichi Inoue, Kentaro Matsui, Damien Leger, Ana Suely Cunha, Ilona Merikanto, Sergio Mota-Rolim, Michael Nadorff, Giuseppe Plazzi, Jules Schneider, Mariusz Sieminski, Yun-Kwok Wing, Bjørn Bjorvatn |
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Přispěvatelé: | Department of Neurosciences, Clinicum, HUS Neurocenter, SLEEPWELL Research Program, Research Programs Unit, Herrada, Anthony, Helsingin yliopisto = Helsingfors universitet = University of Helsinki, Helsinki Sleep Clinic [Helsinki], Medizinische Universität Wien = Medical University of Vienna, Centre de recherche de l’Institut universitaire en santé mentale de Québec [Canada] (CERVO), Département de réadaptation (Faculté de médecine de l'Université Laval) [Canada], Faculté de médecine de l'Université Laval [Québec] (ULaval), Université Laval [Québec] (ULaval)-Université Laval [Québec] (ULaval)-Faculté de médecine de l'Université Laval [Québec] (ULaval), Université Laval [Québec] (ULaval)-Université Laval [Québec] (ULaval), University of Oxford, University Health Network, Charité - UniversitätsMedizin = Charité - University Hospital [Berlin], Uppsala University, Mississippi State University [Mississippi], Northwestern University Feinberg School of Medicine, The Chinese University of Hong Kong [Hong Kong], Département de neurologie [Montpellier], Université Montpellier 1 (UM1)-Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)-Hôpital Gui de Chauliac [Montpellier]-Université de Montpellier (UM), Institut des Neurosciences de Montpellier (INM), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM), Fondazione Santa Lucia [IRCCS], Clinical and Behavioral Neurology [IRCCS Santa Lucia], Università degli Studi di Roma 'La Sapienza' = Sapienza University [Rome] (UNIROMA), Peking University [Beijing], Tokyo Medical University, Tokyo Women's Medical University (TWMU), Hôpital Hôtel-Dieu [Paris], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Sommeil-Vigilance-Fatigue et Santé Publique (VIFASOM (URP_7330)), Institut de Recherche Biomédicale des Armées (IRBA)-Université Paris Cité (UPCité), Universidade Federal do Rio Grande do Norte [Natal] (UFRN), Università degli Studi di Modena e Reggio Emilia = University of Modena and Reggio Emilia (UNIMORE), Medical University of Gdańsk, Haukeland University Hospital, University of Bergen (UiB) |
Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
[SDV.MHEP.PHY] Life Sciences [q-bio]/Human health and pathology/Tissues and Organs [q-bio.TO]
Epidemiology insomnia COVID-19 pandemic sleep stress depression epidemiology social medicine 0302 clinical medicine [SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases Surveys and Questionnaires MESH: COVID-19 030212 general & internal medicine [SDV.MHEP.ME] Life Sciences [q-bio]/Human health and pathology/Emerging diseases MESH: Sleep Quality [SDV.MHEP.ME]Life Sciences [q-bio]/Human health and pathology/Emerging diseases sleep medicine Public Health Global Health Social Medicine and Epidemiology General Medicine 3. Good health Sleep Quality Neurology [SDV.MHEP.MI] Life Sciences [q-bio]/Human health and pathology/Infectious diseases Female Adult MESH: Pandemics Social medicine 03 medical and health sciences anxiety disorders Anxiety disorders Sleep medicine Humans SARS-CoV-2 Pandemics [SDV.MHEP.PHY]Life Sciences [q-bio]/Human health and pathology/Tissues and Organs [q-bio.TO] MESH: SARS-CoV-2 MESH: Surveys and Questionnaires MESH: Humans neurology 3112 Neurosciences MESH: Adult Folkhälsovetenskap global hälsa socialmedicin och epidemiologi [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie 3121 General medicine internal medicine and other clinical medicine [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie LOCKDOWN MESH: Female 030217 neurology & neurosurgery |
Zdroj: | e050672 BMJ Open BMJ Open, 2021, 11 (12), pp.e050672. ⟨10.1136/bmjopen-2021-050672⟩ |
ISSN: | 2044-6055 |
Popis: | ObjectivesSleep is important for human health and well-being. No previous study has assessed whether the COVID-19 pandemic impacts sleep and daytime function across the globe.MethodsThis large-scale international survey used a harmonised questionnaire. Fourteen countries participated during the period of May–August 2020. Sleep and daytime problems (poor sleep quality, sleep onset and maintenance problems, nightmares, hypnotic use, fatigue and excessive sleepiness) occurring ‘before’ and ‘during’ the pandemic were investigated. In total, 25 484 people participated and 22 151 (86.9%) responded to the key parameters and were included. Effects of COVID-19, confinement and financial suffering were considered. In the fully adjusted logistic regression models, results (weighted and stratified by country) were adjusted for gender, age, marital status, educational level, ethnicity, presence of sleep problems before COVID-19 and severity of the COVID-19 pandemic in each country at the time of the survey.ResultsThe responders were mostly women (64%) with a mean age 41.8 (SD 15.9) years (median 39, range 18–95). Altogether, 3.0% reported having had COVID-19; 42.2% reported having been in confinement; and 55.9% had suffered financially. All sleep and daytime problems worsened during the pandemic by about 10% or more. Also, some participants reported improvements in sleep and daytime function. For example, sleep quality worsened in about 20% of subjects and improved in about 5%. COVID-19 was particularly associated with poor sleep quality, early morning awakening and daytime sleepiness. Confinement was associated with poor sleep quality, problems falling asleep and decreased use of hypnotics. Financial suffering was associated with all sleep and daytime problems, including nightmares and fatigue, even in the fully adjusted logistic regression models.ConclusionsSleep problems, fatigue and excessive sleepiness increased significantly worldwide during the first phase of the COVID-19 pandemic. Problems were associated with confinement and especially with financial suffering. |
Databáze: | OpenAIRE |
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