Longitudinal trajectories of insomnia symptoms among college students during the COVID-19 lockdown in China

Wang, Dongfang; Zhao, Jingbo; Zhai, Shuyi; Huang, Sai; Yang, Zhaorong; Pan, Ye; Liu, Xianchen; Fan, Fang

doi:10.1016/j.jpsychores.2022.110795

Cited by 33 publications

(26 citation statements)

References 64 publications

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“…One meta-analysis showed that healthcare professionals fighting COVID-19 are often affected by psychiatric disorders such as depression, anxiety, distress, and insomnia ( 13 ). Alcohol is often a coping mechanism to deal with negative mood states and insomnia ( 17 , 56 ). A study of frontline health workers in Australia during the pandemic found that over a quarter of healthcare workers reported increased alcohol use associated with a history of poor mental health and worse personal relationships ( 57 ).…”

Section: Discussionmentioning

confidence: 99%

Alcohol Use and Misuse Among Chinese Psychiatrists During the Early COVID-19 Pandemic

Min

Gluck

et al. 2022

Front. Psychiatry

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AimSurvey alcohol use and misuse among Chinese psychiatrists during the Coronavirus diseases 2019 (COVID-19) pandemic.MethodsWe conducted a large-scale, nationwide online survey of psychiatrists regarding their alcohol use during the pandemic. The Alcohol Use Disorder Identification Test-Concise (AUDIT-C) was used to assess alcohol use and misuse.ResultsOf 3,815 psychiatrists who completed the survey, alcohol use and misus were 47.5% and 8.2%, respectively, and both were significantly higher in males. The majority (59%) reported no change in alcohol use during the pandemic, one-third (34.5%) reported a decrease, and 6.5% reported an increase. Alcohol misuse was associated with middle-age (OR = 1.418), male sex (OR = 5.089), Northeast China (OR = 1.507), cigarette-smoking (OR = 2.335), insomnia (OR = 1.660), and regular exercise (OR = 1.488). A master's degree (OR = 0.714) and confidence in clinical work (OR = 0.610) were associated with less alcohol misuse. Those who reported a decrease in alcohol use during the pandemic were more likely to be male (OR = 2.011), located in Northeast China (OR = 1.994), and feel confident in their clinical work (OR = 1.624). Increased alcohol use was significantly associated with insomnia (OR = 3.139).ConclusionsDuring the COVID-19 pandemic, alcohol use and misuse among Chinese psychiatrists declined. While males were more likely to misuse alcohol, they were also more likely to have reduced their intake. Age, location, and lifestyle factors also predicted alcohol use and misuse. Further examination of specific factors that reduced alcohol use and misuse may help guide public health efforts to sustain the lower rates beyond the pandemic.

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Section: Discussionmentioning

confidence: 99%

Alcohol Use and Misuse Among Chinese Psychiatrists During the Early COVID-19 Pandemic

Min

Gluck

et al. 2022

Front. Psychiatry

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“…Demographic information and other categorical variables were presented as counts and percentages. According to previous studies ( Wang et al., 2022a , 2022b ), participants were classified into five trajectories based on temporal changes of SI (see Supplemental Material Fig.A1): (1) Resilient: SI was absent at all three time points; (2) Persistent dysfunction: SI were all positive at three time points;(3) Recovery: SI was positive at T1 but negative at T3; (4) Delayed dysfunction: SI was negative at T1 but positive at T3 (5) Relapsing/remitting: SI was positive at T1 and T3 but negative at T2, or SI negative at T1 and T3 but at positive at T2.…”

Section: Methodsmentioning

confidence: 97%

Changes in suicidal ideation and related influential factors in college students during the COVID-19 lockdown in China

Huang¹,

Wang²,

Zhao³

et al. 2022

Psychiatry Research

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“…As is well known, college students’ daily routine was converted by implementing containment measures during the COVID-19 pandemic period, including taking online courses instead of offline teaching, playing video games without hanging out, and suspending part-time jobs or taking internships online. The most straightforward and transparent consequence of the containment measure is a boosted trend of sleep disturbance among college students (Li et al, 2020 ), and female college students report more sleep problems (Wang et al, 2022 ). College students have to face the academic load and the challenges of career planning and interpersonal relations construction, which means taking on more adult-like responsibilities with a paucity of adulthood skills and cognitive maturity (Pedrelli et al, 2015 ).…”

Section: Introductionmentioning

confidence: 99%

“…College students have to face the academic load and the challenges of career planning and interpersonal relations construction, which means taking on more adult-like responsibilities with a paucity of adulthood skills and cognitive maturity (Pedrelli et al, 2015 ). In addition, tremendous pressure and time-intensive tasks force college students to squelch their spare time and can be deleterious to college students’ sleep quality (Wang et al, 2022 ). In common sense, poor sleep quality simply represents day naps, tiredness, or fatigue.…”

Section: Introductionmentioning

confidence: 99%

Centrality and bridge symptoms of anxiety, depression, and sleep disturbance among college students during the COVID-19 pandemic—a network analysis

et al. 2022

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Symptoms of depression and anxiety usually co-occur and are inextricably linked to sleep disturbance. However, little is known about the symptom-to-symptom relationships among these three mental disorders. Hence, to improve our understanding of concurrent depression, anxiety, and sleep disturbance, we used the network analysis approach to construct an interplay relationship among the above three mental disorders and identify which specific symptoms bridge these aggregations. We collected data from a large sample ( N = 6710, male = 3074, female = 3636; mean age = 19.28) at a university. We estimated the symptom network structure of depression, anxiety, and sleep disturbance as assessed by the Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, and Youth Self-Rating Insomnia Scale during the COVID-19 lockdown. We further investigated four goals: first, identifying the individual core symptoms in the network by the index of “expected influence”; second, determining the bridge symptoms that play roles in linking different mental disorders by the index of bridge expected influence (1-step); third, examining the robustness of all results; and fourth, providing an overall structure that may or may not differ by sex. The network structure was stable, accurate, and predictable. Items referring to sleep dissatisfaction, poor sleep quality, and uncontrollable worry were potentially core symptoms in the interplay among depression, anxiety, and sleep disturbance. Sleep, guilt, restlessness, irritability, and feeling afraid can function as bridges among depression, anxiety, and sleep disturbance, which is clinically relevant and theoretically important. The results suggested that the network structures significantly differed between the female and male networks. Robustness tests also revealed that the results were reliable.

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Longitudinal trajectories of insomnia symptoms among college students during the COVID-19 lockdown in China

Cited by 33 publications

References 64 publications

Alcohol Use and Misuse Among Chinese Psychiatrists During the Early COVID-19 Pandemic

Alcohol Use and Misuse Among Chinese Psychiatrists During the Early COVID-19 Pandemic

Changes in suicidal ideation and related influential factors in college students during the COVID-19 lockdown in China

Centrality and bridge symptoms of anxiety, depression, and sleep disturbance among college students during the COVID-19 pandemic—a network analysis

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