Profiles of sleep changes during the COVID-19 pandemic: Demographic, behavioural and psychological factors.

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Tytuł:: Profiles of sleep changes during the COVID-19 pandemic: Demographic, behavioural and psychological factors.
Autorzy:: Robillard R; Sleep Research Unit, The Royal's Institute of Mental Health Research, Ottawa, ON, Canada.; School of Psychology, University of Ottawa, Ottawa, ON, Canada.
Dion K; Sleep Research Unit, The Royal's Institute of Mental Health Research, Ottawa, ON, Canada.; School of Psychology, University of Ottawa, Ottawa, ON, Canada.
Pennestri MH; Department of Educational & Counselling Psychology, McGill University, Montréal, QC, Canada.; Hôpital en santé mentale Rivières-des-Prairies, CIUSSS du Nord-de-l'Île-de-Montréal, Montréal, QC, Canada.
Solomonova E; Culture, Mind and Brain Research Group, Division of Social and Transcultural Psychiatry, McGill University, Montréal, QC, Canada.
Lee E; Sleep Research Unit, The Royal's Institute of Mental Health Research, Ottawa, ON, Canada.; The Royal Ottawa Mental Health Centre, Ottawa, ON, Canada.
Saad M; Sleep Research Unit, The Royal's Institute of Mental Health Research, Ottawa, ON, Canada.
Murkar A; Sleep Research Unit, The Royal's Institute of Mental Health Research, Ottawa, ON, Canada.
Godbout R; Hôpital en santé mentale Rivières-des-Prairies, CIUSSS du Nord-de-l'Île-de-Montréal, Montréal, QC, Canada.
Edwards JD; University of Ottawa Heart Institute, Ottawa, ON, Canada.
Quilty L; Centre for Addiction and Mental Health, Toronto, ON, Canada.; Department of Psychiatry, University of Toronto, Toronto, ON, Canada.
Daros AR; Centre for Addiction and Mental Health, Toronto, ON, Canada.
Bhatla R; The Royal Ottawa Mental Health Centre, Ottawa, ON, Canada.; Department of Psychiatry, University of Ottawa, Ottawa, ON, Canada.
Kendzerska T; The Ottawa Hospital Research Institute/University of Ottawa, Ottawa, ON, Canada.
Źródło:: Journal of sleep research [J Sleep Res] 2021 Feb; Vol. 30 (1), pp. e13231. Date of Electronic Publication: 2020 Nov 17.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: Oxford ; Boston : Published on behalf of the European Sleep Research Society by Blackwell Scientific Publications, c1992-
MeSH Terms:: Demography*
Health Surveys*
COVID-19/*epidemiology
Dyssomnias/*epidemiology
Dyssomnias/*psychology
Mental Health/*statistics & numerical data
Sleep/*physiology
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Alcohol Drinking/epidemiology ; Alcohol Drinking/psychology ; Canada/epidemiology ; Depression/epidemiology ; Depression/psychology ; Female ; Humans ; Male ; Middle Aged ; Pandemics ; Retrospective Studies ; Sleep Deprivation/epidemiology ; Sleep Deprivation/psychology ; Sleep Disorders, Circadian Rhythm/epidemiology ; Sleep Disorders, Circadian Rhythm/psychology ; Stress, Psychological/epidemiology ; Television/statistics & numerical data ; Young Adult
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Contributed Indexing:: Keywords: COVID-19; chronotype; mental health; pandemic; sleep
Entry Date(s):: Date Created: 20201117 Date Completed: 20210208 Latest Revision: 20230106
Update Code:: 20240105
PubMed Central ID:: PMC7744844
DOI:: 10.1111/jsr.13231
PMID:: 33200477
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This study aimed to evaluate changes in sleep during the COVID-19 outbreak, and used data-driven approaches to identify distinct profiles of changes in sleep-related behaviours. Demographic, behavioural and psychological factors associated with sleep changes were also investigated. An online population survey assessing sleep and mental health was distributed between 3 April and 24 June 2020. Retrospective questions were used to estimate temporal changes from before to during the outbreak. In 5,525 Canadian respondents (67.1% females, 16-95 years old: Mean ± SD = 55.6 ± 16.3 years), wake-up times were significantly delayed relative to pre-outbreak estimates (p < .001, η p 2 = 0.04). Occurrences of clinically meaningful sleep difficulties significantly increased from 36.0% before the outbreak to 50.5% during the outbreak (all p < .001, g ≥ 0.27). Three subgroups with distinct profiles of changes in sleep behaviours were identified: "Reduced Time in Bed", "Delayed Sleep" and "Extended Time in Bed". The "Reduced Time in Bed" and "Delayed Sleep" subgroups had more adverse sleep outcomes and psychological changes during the outbreak. The emergence of new sleep difficulties was independently associated with female sex, chronic illnesses, being employed, family responsibilities, earlier wake-up times, higher stress levels, as well as heavier alcohol use and television exposure. The heterogeneity of sleep changes in response to the pandemic highlights the need for tailored interventions to address sleep problems.
(© 2020 European Sleep Research Society.)

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