Association of insomnia disorder with sociodemographic factors and poor mental health in COVID-19 inpatients in China

Wang, Yu; Zhu, Li; Yu, Fang; Bo, Hai; Deng, Hai Bo; Cao, Jianzhong; Wang, Ying; Wang, Xiao Jie; Xu, Yuan; Lu, Qiao Dan; Hui, Wang; Wu, Xin Juan

doi:10.1016/j.sleep.2020.06.011

Cited by 56 publications

(72 citation statements)

References 35 publications

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“…This study investigated the prevalence of insomnia symptoms in clinically stable older psychiatric patients and their impact on QOL during the COVID-19 outbreak in China. Over half (57.1%, 95%CI: 53.9%-60.2%) of the patients suffered from insomnia symptoms, which is higher than the corresponding gures reported in other populations using the same measure and cutoff value during the COVID-19 outbreak, such as frontline clinicians (28.75%-38.4%) (36)(37)(38), inpatients with COVID-19 (42.8%) (14), breast cancer patients (36.2%) (39), and the general population (28.5%) (40). In addition, the prevalence of insomnia symptoms in this study was also much higher than the gures in both the general population (15.0%, 95%CI: 12.1%-18.5%) (41) and older psychiatric patients (27.0%, 95%CI: 24.5%-29.4%) (42) in China before the COVID-19 outbreak, although measures on insomnia symptoms were different.…”

Section: Discussionmentioning

confidence: 70%

WITHDRAWN: The Prevalence of Insomnia Symptoms and Its Association With Quality of Life Among Clinically Stable Older Patients With Psychiatric Disorders in China During the COVID-19 Outbreak

Zou

et al. 2020

Preprint

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Aims: The negative impact of the COVID-19 outbreak on sleep quality of clinically stable psychiatric patients is unknown. This study examined the prevalence of insomnia symptoms and its association with quality of life (QOL) in clinically stable older psychiatric patients during the COVID-19 outbreak. Methods: This multicenter, cross-sectional study involved older patients attending maintenance-treatment at the outpatient departments of four major psychiatric hospitals in China. Patients’ basic socio-demographic and clinical characteristics were collected. Insomnia symptoms, depressive symptoms, and QOL were assessed with the Insomnia Severity Index (ISI), Patient Health Questionnaire (PHQ-9), and two items of the World Health Organization Quality of Life-brief version (WHOQOL-BREF), respectively. Binary logistic regression analysis was conducted to examine the independent associations of socio-demographic and clinical variables with insomnia symptoms, while the association between insomnia symptoms and QOL was examined with analysis of covariance.Results: A total of 941 patients were recruited. The prevalence of insomnia symptoms was 57.1% (95% CI: 53.9-60.2%). Analysis of covariance revealed that QOL was significantly lower in patients with insomnia symptoms compared to those without them (P<0.01). Multivariate logistic regression analysis showed that insomnia symptoms were positively and independently associated with more severe depressive symptoms (P<0.01, OR=1.31, 95%CI: 1.26-1.37). Compared to patients with major depressive disorder, those with other psychiatric diagnoses had significantly higher prevalence of insomnia symptoms (P=0.03, OR=1.47, 95%CI: 1.02-2.12).Conclusions: Insomnia symptoms were common among clinically stable older psychiatric patients during the COVID-19 outbreak. Considering their negative impact on QOL, regular assessment and treatment of insomnia symptoms need to be addressed in this population.

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Section: Discussionmentioning

confidence: 70%

WITHDRAWN: The Prevalence of Insomnia Symptoms and Its Association With Quality of Life Among Clinically Stable Older Patients With Psychiatric Disorders in China During the COVID-19 Outbreak

Zou

et al. 2020

Preprint

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“…Twenty-seven (87%) studies 43,44,[70][71][72][73][85][86][87][88][89][90][91][92][93][94][96][97][98][99][100][101][102][103][104][105]107 were conducted in China, and the remaining four studies were, respectively, conducted in Italy, 75 Ecuador, 95 Turkey, 74 and Iran. 106 Twenty-eight (90%) studies were cross-sectional studies, 43,44,[70][71][72][73][74][75][85][86][87][88]90,[92][93][94][95][96][97][98]…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Sleep disturbances screening tools. The most common criteria for assessing sleep disturbances were PSQI 16−21 88,92,102 and ISI ≥8, 97,98,107 which are used by three studies each, yielding a pooled prevalence of 19% (95% CI: 0-68%, I 2 = 99%) and 43% (95% CI: 31-56%, I 2 = 73%), respectively. The remaining studies used unvalidated custom questionnaires or interviews for assessing sleep disturbances.…”

Section: Meta-regression and Publication Biasmentioning

confidence: 99%

“…Six studies 88,92,97,98,102,107 used validated screening tools and yielded a pooled prevalence of 29% (95% CI: 10-52%, I 2 = 98%). Four studies 71,74,75,85 used unvalidated screening tools and reported a pooled prevalence of 42% (95% CI: 18-68%, I 2 = 97%).…”

Section: Meta-regression and Publication Biasmentioning

confidence: 99%

“…S19, online only). Eight studies 71,85,88,92,97,98,102,107 reported a pooled prevalence of sleep disturbances of 35% from China. The prevalence of sleep disturbances for Turkey 74 and Italy 75 was 13% and 50%, respectively, as reported by one study in each subgroup (see Fig.…”

Section: Country Subgroupsmentioning

confidence: 99%

See 2 more Smart Citations

The prevalence of depression, anxiety, and sleep disturbances in COVID‐19 patients: a meta‐analysis

Deng

Zhou

Hou

et al. 2020

Annals of the New York Academy of Sciences

634

499

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Evidence from previous coronavirus outbreaks has shown that infected patients are at risk for developing psychiatric and mental health disorders, such as depression, anxiety, and sleep disturbances. To construct a comprehensive picture of the mental health status in COVID-19 patients, we conducted a systematic review and randomeffects meta-analysis to assess the prevalence of depression, anxiety, and sleep disturbances in this population. We searched MEDLINE, EMBASE, PubMed, Web of Science, CINAHL, Wanfang Data, Wangfang Med Online, CNKI, and CQVIP for relevant articles, and we included 31 studies (n = 5153) in our analyses. We found that the pooled prevalence of depression was 45% (95% CI: 37-54%, I 2 = 96%), the pooled prevalence of anxiety was 47% (95% CI: 37-57%, I 2 = 97%), and the pooled prevalence of sleeping disturbances was 34% (95% CI: 19-50%, I 2 = 98%). We did not find any significant differences in the prevalence estimates between different genders; however, the depression and anxiety prevalence estimates varied based on different screening tools. More observational studies assessing the mental wellness of COVID-19 outpatients and COVID-19 patients from countries other than China are needed to further examine the psychological implications of COVID-19 infections.

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The psychological toll of the COVID‐19 pandemic on dental care providers in Iran: A multicenter cross‐sectional study

Banakar

Vossoughi

Kharrazi

et al. 2023

Health Science Reports

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Background/Purpose The COVID‐19 pandemic affects social and psychological resources. Healthcare workers, especially dental personnel, are more at risk for mental issues due to anxiety, pressure, and frustration. This study assessed mental health outcomes during the COVID‐19 epidemic among Iranian dental care providers, focusing on insomnia, anxiety, depression, and posttraumatic stress disorder (PTSD). Methods In this multicenter cross‐sectional survey, the Insomnia Severity Index, the Hospital Anxiety and Depression Scale, and the Global Psychotrauma Screening were masured. Six hundred thirty‐eight dental care providers (dental specialists, general dentists, dental hygienists, dental assistants, and dental students) from different parts of Iran (Tehran, Shiraz, Tabriz, and Mashhad) were investigated by the stratified sampling method. The univariate analysis was incorporated as independent in binary logistic regression models to analyze the data. In this study, the significance level was set at 0.05. Results Among all the participants, 42.8% were dental students or residents, 21.9% were general or specialist dentists, 18.7% were dental assistants, and 16.6% were nonclinicians. The prevalence of insomnia, anxiety, and depression was 31.3%, 40.8%, and 54.9%, respectively. The frequency of participants in the low, moderate, and high levels of PTSD resulting from LCA 56.6%, 33.7%, and 9.7%, respectively. Conclusions This study found a significant frequency of mental health issues among Iranian dentists. Females, participants whose relatives have COVID‐19, and those with a higher workload were more likely to develop mental health symptoms. As mental problems among dental professionals might affect the quality of patient care, diagnostic, supportive, and therapeutic interventions should be taken.

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Association of insomnia disorder with sociodemographic factors and poor mental health in COVID-19 inpatients in China

Cited by 56 publications

References 35 publications

WITHDRAWN: The Prevalence of Insomnia Symptoms and Its Association With Quality of Life Among Clinically Stable Older Patients With Psychiatric Disorders in China During the COVID-19 Outbreak

WITHDRAWN: The Prevalence of Insomnia Symptoms and Its Association With Quality of Life Among Clinically Stable Older Patients With Psychiatric Disorders in China During the COVID-19 Outbreak

The prevalence of depression, anxiety, and sleep disturbances in COVID‐19 patients: a meta‐analysis

The psychological toll of the COVID‐19 pandemic on dental care providers in Iran: A multicenter cross‐sectional study

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