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
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