Prevalence and factors associated with insomnia symptoms in adolescents and young adults with cancer during the COVID-19 pandemic

Tulk, Joshua; Garland, Sheila N.; Howden, Kaitlyn; Glidden, Camille; Scott, Ian; Chalifour, Karine; Eaton, Geoff; Mahar, Alyson; Oberoi, Sapna

doi:10.1016/j.sleh.2022.04.005

Cited by 8 publications

(3 citation statements)

References 39 publications

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“…They suggested that insomnia may be associated with financial stress, social distance restrictions, travel restrictions, changes in daily life, mental illness, and the gender of SMR women. Severe psychological stress (i.e., depression and anxiety) or having previous mental disorders increased the risk of insomnia symptoms during the COVID-19 pandemic [33]. There was no information in this study of the respondents having previous mental disorders.…”

Section: Discussionmentioning

confidence: 82%

Prevalence of Insomnia at Before and During the COVID-19 Pandemic

Purwanto¹,

Ahmad²,

Said³

et al. 2023

Sleep Med Res

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Background and Objective Lockdown, social confinement, and the uncertainty of the COVID-19 pandemic have increased mental health disorders and affected sleep disorders, especially insomnia. This study aims to explain the prevalence of insomnia before and during the COVID-19 pandemic in Surakarta, Indonesia.Methods This cross-sectional survey was conducted twice in Surakarta city. The survey was conducted before the pandemic with 456 participants and during the pandemic with 1254 participants. All participants were selected using the purposive sampling method with criteria of age 15–44 years and having sleep problems. The online questionnaire of the Insomnia Severity Index Indonesian version (ISI–INA) was used to collect insomnia data. The statistical analysis was conducted using SPSS v25 by a descriptive test and Mann–Whitney test.Results The mean total ISI–INA scores before and during the pandemic were 13.83 and 12.54. Surveys found that the participants who suffered from subthreshold insomnia, moderate, and severe insomnia before the pandemic were 45.6%, 41.2%, and 5%, respectively, while during the pandemic 42.1%, 35%, and 3.5%, respectively. There was a difference between before and during the pandemic in the mean total ISI scores, severity of insomnia, difficulty in falling asleep and maintaining sleep, waking up too early, sleep dissatisfaction, noticeability of sleep problems by others, and interference of sleep problems with daytime activities (p < 0.05), while there was no difference in the worried about sleep problems (p > 0.05).Conclusions The prevalence of insomnia during the COVID-19 pandemic is lower than before the COVID-19 pandemic. Overall, the prevalence of insomnia remains relatively high, so gradual and continuous intervention is needed to overcome insomnia.

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Section: Discussionmentioning

confidence: 82%

Prevalence of Insomnia at Before and During the COVID-19 Pandemic

Purwanto¹,

Ahmad²,

Said³

et al. 2023

Sleep Med Res

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“…Another cross-sectional study in psychiatric samples reported that pandemicrelated worry and insomnia symptoms were associated with poorer well-being during the COVID-19 pandemic, but did not explore directional effects between these variables [21]. Multiple other cross-sectional studies from across the world reported associations between COVID-19-related worries and higher insomnia, but these studies did not track participants longitudinally [22][23][24][25][26][27][28]. Thus, our study was the first to explore long-term associations between worry and insomnia during the pandemic.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Worries and Insomnia: A Follow-Up Study

Brown

Zhu

Hamlett

et al. 2023

IJERPH

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The COVID-19 pandemic was associated with significant increases in sleep disorder symptoms and chronic worry. We previously demonstrated that worry about the pandemic was more strongly associated with subsequent insomnia than the converse during the acute (first 6 months) phase of the pandemic. In this report, we evaluated whether that association held over one year of the pandemic. Participants (n = 3560) completed self-reported surveys of worries about the pandemic, exposure to virus risk factors, and the Insomnia Severity Index on five occasions throughout the course of one year. In cross-sectional analyses, insomnia was more consistently associated with worries about the pandemic than exposure to COVID-19 risk factors. In mixed-effects models, changes in worries predicted changes in insomnia and vice versa. This bidirectional relationship was further confirmed in cross-lagged panel models. Clinically, these findings suggest that during a global disaster, patients who report elevations in either worry or insomnia should be considered for evidence-based treatments for these symptoms to prevent secondary symptoms in the future. Future research should evaluate the extent to which dissemination of evidence-based practices for chronic worry (a core feature of generalized anxiety disorder or illness anxiety disorder) or insomnia reduces the development of co-occurring symptoms during a global disaster.

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“…Another cross-sectional study of 1147 colorectal cancer patients from China showed that during the COVID-19 pandemic, colorectal cancer patients had poorer sleeping quality and increased levels of insomnia than before the pandemic 50 . Moreover, a study by Tulk et al 51 showed that 38.8% of Canadian adolescents and young adults diagnosed with cancer reported high levels of distress and insomnia symptoms during the COVID-19 pandemic. Similarly, studies from United States, Italy and Argentina showed that compared with the prepandemic situation elderly subjects with dementia or type 2 diabetes, epilepsy patients, HIV-infected individuals, chronic obstructive pulmonary disease patients and Parkinson’s disease patients suffered from more severe insomnia, anxiety and depression during the COVID-19 pandemic as a result of tough COVID-19 prevention and control measures and lockdown 52–56 .…”

Section: Special Populations With Covidrimentioning

confidence: 99%

COVID-19–Related Insomnia Populations Research and Management Strategies: A Review

et al. 2023

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Coronavirus disease 19 (COVID-19) has affected the quality of sleep for various populations, causing anxiety and depression worldwide. COVID-19-related insomnia (COVIDRI) appears to be more common in certain populations, including females, urban residents and other individuals who reside in high-risk COVID-19-related areas, lack higher socioeconomic and educational levels, have a history of underlying mental illness, have no access to social support and work, or have been mandated for isolation. Among vulnerable populations, pregnant women, adolescents and children are more likely to suffer from anxiety and depression, which leads to irregular sleep-wake cycles and significantly poor sleep quality. Insomnia in COVID-19 patients is associated with decreased immune levels, excessive psychological stress and severe anxiety. The COVIDRI incidence and severity among frontline healthcare workers is high, especially among females and those working in isolation wards and intensive care units. The factors related to COVIDRI for college students during home study are stress from upcoming graduation, disharmonious family relationships and inadaptability to online education. For military personnels, anxiety and depression are the main causes of poor sleep quality. Based on the characteristics of different populations, active Chinese and Western medications, non-drug therapy, psychological counseling and suitable sleep management are vital measures to strengthen immunity, alleviate insomnia and limit recurrence.

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Prevalence and factors associated with insomnia symptoms in adolescents and young adults with cancer during the COVID-19 pandemic

Cited by 8 publications

References 39 publications

Prevalence of Insomnia at Before and During the COVID-19 Pandemic

Prevalence of Insomnia at Before and During the COVID-19 Pandemic

COVID-19 Worries and Insomnia: A Follow-Up Study

COVID-19–Related Insomnia Populations Research and Management Strategies: A Review

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