Burden of Sleep Disturbance During COVID-19 Pandemic: A Systematic Review

Lin, Ying; Liu, Zhuo Ran; Li, Shi Qi; Li, Chuan Xiang; Zhang, Liu; Li, Ning; Sun, Xiaoqing; Li, Hong Peng; Zhou, Jian; Li, Qing Yun

doi:10.2147/nss.s312037

Cited by 75 publications

(78 citation statements)

References 124 publications

(213 reference statements)

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“…Such relational directionality suggests that if someone with relatively low psychological wellbeing proactively engages in resilience-based coping, their sleep quality is better supported. These results are in line with other recent studies on sleep quality during the pandemic, which have shown that change in sleep quality varies based on individual differences [7,61,62]; however, the current study is the first to examine individual differences in situational coping as impacting sleep quality during the pandemic.…”

Section: Main Effect Model and Mediation Modelsupporting

confidence: 92%

Psychological Wellbeing, Worry, and Resilience-Based Coping during COVID-19 in Relation to Sleep Quality

Tousignant

Hopkins

Stark

et al. 2021

IJERPH

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The current study evaluated the impact of psychological wellbeing on sleep quality during the onset of the COVID-19 pandemic. A novel empirical model tested variables that mediate and moderate this impact. First, a relationship was established between psychological wellbeing during the COVID-19 pandemic and sleep quality. Second, resilience-based coping associated with the COVID-19 pandemic was tested as a mediator of the impact of psychological wellbeing on sleep quality. Third, dispositional rumination, mindfulness, and worry were compared as moderators of the impact of psychological wellbeing on sleep quality. Fourth, a moderated mediated model was tested for each moderator. Online survey data was collected from 153 adults in the United States. Results demonstrated that coping with the COVID-19 pandemic partially mediated the impact of psychological wellbeing on sleep quality. Worry, but not rumination or mindfulness, moderated the impact. A moderated mediation model failed to demonstrate significance, indicating that the data are best represented by distinct mediation and moderation models. Thus, interventions aimed at improving sleep quality should prioritize concurrent reduction in worry and increase in resilience-based coping strategies. This study provides practical and theoretical contribution to the literature by demonstrating relationships between key variables and contextualizing how the model can be used for assessments and interventions during widespread crises.

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Section: Main Effect Model and Mediation Modelsupporting

confidence: 92%

Psychological Wellbeing, Worry, and Resilience-Based Coping during COVID-19 in Relation to Sleep Quality

Tousignant

Hopkins

Stark

et al. 2021

IJERPH

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“… 36 In this case, the first assessment included both the psychological distress of a potential infection and stringent measures of quarantine, limiting their exposure to important environmental sleep promoters. 37 Therefore, the results from our study may have differed from the other longitudinal studies because our first assessment was obtained well before the COVID-19 pandemic began.…”

Section: Discussionmentioning

confidence: 78%

Subjective sleep quality before and during the COVID-19 pandemic in a Brazilian rural population

et al. 2022

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Objectives Prior studies have examined sleep during the coronavirus disease 2019 (COVID-19) pandemic, but have few compared sleep measured both during and prior to COVID. We examined the impact of the COVID-19 pandemic on subjective sleep quality in general and separately by gender and age (<50 vs. ≥50 years). Further, we compared sleep quality between those who did and did not follow quarantine orders. Methods This sample is from the Baependi Heart Study, a family-based cohort of adults in South-eastern Brazil. Longitudinal data were from 417 individuals who completed the Pittsburgh Sleep Quality Index (PSQI) twice: between January 2010 and September 2014 (pre-COVID) and during the COVID-19 stay-at-home order March-June, 2020. Cross-sectional analysis included 800 participants. Results Mean (±SD) PSQI scores were significantly higher during than before COVID-19 (5.7 ± 3.8 vs. 5.0 ± 3.3, p < .01). This increase was significant among women and among adults ≥50 years but not in men or younger adults. The significant increase in PSQI was only observed in those who quarantined during COVID-19 (5.9 ±3.7 vs. 5.2 ±3.4, p < .01) and not those who did not quarantine (5.0 ± 3.7 vs. 4.5 ± 3, p = .12). In cross-sectional analyses, individuals who quarantined had higher PSQI scores than nonquarantined individuals (6.1 ± 3.9 vs. 5.0 ± 3.5, p < .01). The quarantine status-dependent differences were significant for women (6.4 ± 4 vs. 5.2 ± 3.7, p < .01) and older adults (6.6 ± 0.1 vs. 5.5 ± 3.3, p = .04). Differences by quarantine status were attenuated after adjusting for age and gender. Conclusions Subjective sleep quality declined during the COVID-19 pandemic, particularly among women, older adults, and those compliant to quarantine orders.

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“…For instance, a 2021 meta-analysis reported that worldwide, the prevalence of sleep disturbance has been estimated to be between 18.4 and 84.7% in health care workers and 17.65-81% in the general population. 19 Exposure to the COVID-19 pandemic in the workplace could act as a precipitating factor of a hyperarousal state, which could lead to a higher incidence of sleep disturbance and other sleep disorders when compared with the general population. 3 Sleep dysfunction is often accompanied by psychological distress symptoms among health care workers during the COVID-19 pandemic.…”

Section: Introductionmentioning

confidence: 99%

Understanding the Mediating Role of Anxiety and Depression on the Relationship Between Perceived Stress and Sleep Quality Among Health Care Workers in the COVID-19 Response

Luo¹,

Fei²,

Gong³

et al. 2021

NSS

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There is an increasing amount of evidence exploring the adverse effects of perceived stress or anxiety and depression independently on sleep quality during the COVID-19 outbreak, although the underlying mechanisms are unclear. The aim of the current study was to explore the role of anxiety and depression as a potential mediator between perceived stress and sleep quality among health care workers. Methods: Data were collected through an online survey using the snowball sampling method and comprised 588 current health care workers in Zhejiang and Hubei provinces, China, from February to March 2020. We administered the Sleep Quality Questionnaire (SQQ), the Perceived Stress Scale (PSS-10), the Patient Health Questionnaire (PHQ-4) and the sociodemographic characteristics and COVID-19-related characteristics questionnaire. Structural equation modelling (SEM) was used to examine the direct and indirect relationships between perceived stress, anxiety and depression, and sleep quality. Results:The average scores for sleep quality and perceived stress were 16.01 (95% CI [15.40, 16.57]) and 15.46 (95% CI [15.05, 15.87]), respectively. The positive rates of anxiety and depression symptom tests were 9.86% and 10.37%, respectively. The SEM results indicated that the original relationship between perceived stress and sleep quality was beta = 0.52 (P < 0.001) and reduced to beta = 0.25 (P = 0.045) while introducing anxiety and depression as mediating variables. Perceived stress was positively associated with anxiety and depression (beta = 0.78, P = 0.014), and anxiety and depression were positively associated with sleep quality (beta = 0.42, P < 0.001). Conclusion:Poor sleep quality and high perceived stress were common during the COVID-19 crisis. Reducing perceived stress could help reduce anxiety and depression symptoms, thereby improving sleep quality among health care workers. In an attempt to promote psychological resources, we should perhaps take multiple measures, including personal tailored intervention and organizational humanistic concern.

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Burden of Sleep Disturbance During COVID-19 Pandemic: A Systematic Review

Cited by 75 publications

References 124 publications

Psychological Wellbeing, Worry, and Resilience-Based Coping during COVID-19 in Relation to Sleep Quality

Psychological Wellbeing, Worry, and Resilience-Based Coping during COVID-19 in Relation to Sleep Quality

Subjective sleep quality before and during the COVID-19 pandemic in a Brazilian rural population

Understanding the Mediating Role of Anxiety and Depression on the Relationship Between Perceived Stress and Sleep Quality Among Health Care Workers in the COVID-19 Response

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