Would we recover better sleep at the end of Covid-19? A relative improvement observed at the population level with the end of the lockdown in France

Peretti‐Watel, Patrick; Seror, Valérie; Cortaredona, Sébastien; Fressard, Lisa; Launay, Odile; Raude, Jocelyn; Verger, Pierre; Beck, François; Legleye, Stéphane; l’Haridon, Olivier; Ward, Jeremy K.; Léger, Damien

doi:10.1016/j.sleep.2020.11.029

Cited by 36 publications

(46 citation statements)

References 26 publications

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“…[134][135][136][137][138][139] Several weeks may be required before returning to a feeling of well-being consistent with that experienced prior to COVID-19. 2,132,[140][141][142] Selfisolation should continue to be practiced until resumption of regular daily activities is approved by a physician.…”

Section: Resultsmentioning

confidence: 99%

Guidelines: Discharge Instructions for Covid-19 Patients

Baker

Greiner

2021

J Prim Care Community Health

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Introduction/Objectives: Clinicians treating COVID-19 patients face a major challenge in providing an effective relationship with patients who are discharged to return to home in order to optimize patient self-management after discharge. The purpose of these discharge instructions is to assist and provide guidance for physicians, nurses, and other health care personnel involved in discharging COVID-19 patients to home after encounters at hospitals, emergency departments, urgent care settings, and medical offices. Methods: A systematic literature-search of studies evaluating both symptoms and signs of COVID-19 was performed in order to establish specific optimal performance criteria in monitoring a patient’s status with regard to disease safety. These optimal performance criteria parameters were considered with regard to the severity of morbidity and mortality. Strategies used to develop the discharge instructions included review of a broad spectrum of literature to develop the discharge criteria. Results: These guidelines are presented for patient education and should achieve the essential goals including: enabling patients to understand their medical situation, preventing complications, supporting patients by providing instructions, helping patients make more effective use of available health services, and managing patient stress by giving patients comfort through the knowledge of specific recommendations including how to respond to situations. Conclusion: The COVID-19 pandemic requires clinicians to efficiently teach their patients self-management strategies and to provide a safe educated response to the patient and the surrounding community environment. The primary goal of the patient education discharge-instructions (PEDI) is to provide self-management strategies for preventing complications and disease transmission.

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Section: Resultsmentioning

confidence: 99%

Guidelines: Discharge Instructions for Covid-19 Patients

Baker

Greiner

2021

J Prim Care Community Health

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“…There is solid evidence, however, that insomnia often follows a persistent course [ 27 ] and, when it reaches a chronic status, it produces adverse health outcomes, such as enhanced risk of depression [ 28 ], prolonged leave of absences from work [ 29 ], and increased risk for hypertension [ 30 ]. It is also possible that milder form of sleep disturbances remit with the end of confinement as was observed with the end of the confinement following the first wave in France [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Insomnia, anxiety, and depression during the COVID-19 pandemic: an international collaborative study

et al. 2021

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Importance and study objective The COVID-19 pandemic has produced unprecedented changes in social, work, and leisure activities, which all have had major impact on sleep and psychological well-being. This study documented the prevalence of clinical cases of insomnia, anxiety, and depression and selected risk factors (COVID-19, confinement, financial burden, social isolation) during the first wave of the pandemic in 13 countries throughout the world. Design and participants International, multi-center, harmonized survey of 22 330 adults (mean age = 41.9 years old, range 18–95; 65.6% women) from the general population in 13 countries and four continents. Participants were invited to complete a standardized web-based survey about sleep and psychological symptoms during the first wave of the COVID-19 pandemic from May to August 2020. Results Clinical insomnia symptoms were reported by 36.7% (95% CI, 36.0–37.4) of respondents and 17.4% (95% CI, 16.9–17.9) met criteria for a probable insomnia disorder. There were 25.6% (95% CI, 25.0–26.2) with probable anxiety and 23.1% (95% CI, 22.5–23.6) with probable depression. Rates of insomnia symptoms (>40%) and insomnia disorder (>25%) were significantly higher in women, younger age groups, and in residents of Brazil, Canada, Norway, Poland, USA, and United Kingdom compared to residents from Asian countries (China and Japan, 8% for disorder and 22%–25% for symptoms) (all Ps < 0.01). Proportions of insomnia cases were significantly higher among participants who completed the survey earlier in the first wave of the pandemic relative to those who completed it later. Risks of insomnia were higher among participants who reported having had COVID-19, who reported greater financial burden, were in confinement for a period of four to five weeks, and living alone or with more than five people in same household. These associations remained significant after controlling for age, sex, and psychological symptoms. Conclusion and relevance Insomnia, anxiety, and depression were very prevalent during the first wave of the COVID-19 pandemic. Public health prevention programs are needed to prevent chronicity and reduce long-term adverse outcomes associated with chronic insomnia and mental health problems.

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“…Several studies across the world have also observed the remarkable effects of confinement on these three behaviors ( Colley et al., 2020 ; Dal Santo et al., 2021 ; Qin et al., 2020 ; Rolland et al, 2020 ; Smith et al., 2020 ; Wiederhold et al., 2020 ). Moreover, a longitudinal study found a trend towards the disappearance of the sleep disturbances after the lockdown release in France ( Beck et al., 2021 ). Being able to leave the house, either to work, entertain or play sports, seems to be a key change to organize personal routines, which in turn would help to restore sleep-wake rhythms.…”

Section: Discussionmentioning

confidence: 99%

“…Given the rapidly changing nature of the COVID-19 pandemic, repeated measurements would provide a better insight on the dynamics of its consequences and their relationship with risk and protective factors. For instance, improvement in sleep problems ( Beck et al., 2021 ), increased physical activity ( McCarthy et al., 2021 ), and worsened feelings of loneliness ( Killgore et al., 2020 ) have been described several months after the confinement across the world.…”

Section: Introductionmentioning

confidence: 99%

Lifestyle changes and mental health during the COVID-19 pandemic: A repeated, cross-sectional web survey

Cervera-Martínez

Atienza-Carbonell

Mota

et al. 2021

Journal of Affective Disorders

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Background This study aimed to compare self-reported changes on lifestyle behaviors during two phases of the COVID-19 pandemic in Spain, and to evaluate clinical and sociodemographic factors associated with lifestyles. Methods Two cross-sectional web surveys were conducted during lockdown (April 15-May 15, 2020) and seven months later (November 16-December 16, 2020). Lifestyle behaviors were self-reported by a multidimensional scale (SMILE-C). Two separate samples of respondents were analyzed. A multivariate regression model was performed to evaluate the association of SMILE-C scores with demographic and clinical variables. Results The sample comprised, 3412 participants from the first survey (S1) and in the S1 and 3635 from the second (S2). SMILE-C score decreased across surveys ( p < 0.001). The rates of positive screenings for depression and anxiety were similar between the surveys, whereas those for alcohol abuse decreased ( p < 0.001). Most participants in S2 reported that their lifestyle had not changed compared to those before the pandemic. Variables independently associated with an unhealthier lifestyle were working as an essential worker, lower educational level, previous mental disease, worse self-rated health, totally/moderate changes on diet, sleep or social support, as well as positive screenings for alcohol abuse, anxiety and depression. Limitations The cross-sectional design and recruitment by non-probabilistic methods limit inferring causality and the external validity of the results. Conclusions Overall lifestyle worsened seven months after the lockdown in Spain. Several demographic and clinical factors were associated with lifestyle scores. The contribution of common mental disorders to unhealthier lifestyles should be considered in order to prevent the negative impact of the pandemic.

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Would we recover better sleep at the end of Covid-19? A relative improvement observed at the population level with the end of the lockdown in France

Cited by 36 publications

References 26 publications

Guidelines: Discharge Instructions for Covid-19 Patients

Guidelines: Discharge Instructions for Covid-19 Patients

Insomnia, anxiety, and depression during the COVID-19 pandemic: an international collaborative study

Lifestyle changes and mental health during the COVID-19 pandemic: A repeated, cross-sectional web survey

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