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Moura SS, Menezes Júnior LAA, Carraro JCC, Machado-Coelho GLL, Meireles AL. Poor Sleep Quality and Working From Home Influence the Prevalence of Leisure Time Physical Inactivity During the COVID-19 Pandemic: COVID-Inconfidentes Study. J Occup Environ Med 2023; 65:e640-e647. [PMID: 37505098 DOI: 10.1097/jom.0000000000002930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/29/2023]
Abstract
OBJECTIVE The aim of the study is to explore possible associations according to quality of sleep and work from home (WFH) with physical inactivity (PI) during the COVID-19 pandemic. METHODS This is a cross-sectional study in two Brazilian cities (>18 years), by probability sampling. Leisure-time physical activity was self-reported and classified according to guidelines. Sleep was by applying the Pittsburgh Sleep Quality Index. Work from home was classified as: total WFH or no WFH. RESULTS A total of 1750 adults were analyzed, 69.1% were physically inactive, 51.9% had poor sleep quality, and 79.8% were not in WFH. PI was associated with poor sleep quality and non-WFH. Compared with those who reported WFH and good sleep quality, those who reported non-WFH and poor sleep quality had 4 times the prevalence of PI. CONCLUSIONS Poor sleep quality, and not WFH, is associated with leisure PI. These factors combined increase the probability of PI.
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Affiliation(s)
- Samara Silva Moura
- From the Post-graduate Program in Health and Nutrition, Nutrition School, Federal University of Ouro Preto. Ouro Preto, Minas Gerais, Brazil (S.S.d.M., L.A.A.d.M.J., J.C.C.C., G.L.L.M.-C., A.L.M.); and Epidemiology Laboratory, Medical School, Federal University of Ouro Preto. OuroPreto, Minas Gerais, Brazil (S.S.d.M., L.A.A.d.M.J., G.L.L.M.-C.)
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Geoffroy PA, Schroder CM, Bourgin P, Maruani J, Lejoyeux M, d'Ortho MP, Couffignal C. Validation of a data collection set for the psychiatric, addiction, sleep and chronobiological assessments of patients with depression: A Delphi study for the SoPsy-depression French national cohort. L'ENCEPHALE 2023; 49:117-123. [PMID: 36257850 DOI: 10.1016/j.encep.2022.07.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Revised: 07/08/2022] [Accepted: 07/15/2022] [Indexed: 11/05/2022]
Abstract
OBJECTIVES Despite international efforts to identify biomarkers of depression, none has been transferred to clinical practice, neither for diagnosis, evolution, nor therapeutic response. This led us to build a French national cohort (through the clinical and research network named SoPsy within the French biological psychiatry society (AFPBN) and sleep society (SFRMS)), to better identify markers of sleep and biological rhythms and validate more homogeneous subgroups of patients, but also to specify the manifestations and pathogeneses of depressive disorders. Before inclusions, we sought to provide a predefined, standardized, and robust set of data to be collected in all centers. METHODS A Delphi process was performed to achieve consensus through the independent rating of invited experts, the SoPsy-depression co-investigators (n=34). The initial set open for vote included 94 questionnaires targeting adult and child psychiatry, sleep and addiction. RESULTS Two questionnaire rounds were completed with 94% participation in the first round and 100% participation in the second round. The results of the Delphi survey incorporated the consensus opinion of the 32 members who completed both rounds. Nineteen of the 94 questionnaires achieved consensus at the first round and seventy of 75 at the second round. The five remaining questionnaires were submitted to three experts involved in the steering committee during a dedicated meeting. At the end, 24 questionnaires were retained in the mandatory and 26 in the optional questionnaire set. CONCLUSIONS A validated data collection set of questionnaires is now available to assess psychiatry, addiction, sleep and chronobiology dimensions of depressive disorders.
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Affiliation(s)
- P A Geoffroy
- Département de psychiatrie et d'addictologie, GHU Paris Nord, DMU neurosciences, hôpital Bichat - Claude Bernard, AP-HP, 75018 Paris, France; GHU Paris - psychiatry & neurosciences, 1, rue Cabanis, 75014 Paris, France; NeuroDiderot, Inserm, FHU I2-D2, université Paris Cité, 75019 Paris, France; CNRS UPR 3212, Institute for cellular and integrative neurosciences, 67000 Strasbourg, France.
| | - C M Schroder
- CNRS UPR 3212, Institute for cellular and integrative neurosciences, 67000 Strasbourg, France; Department of child and adolescent psychiatry, Strasbourg university and Strasbourg university hospitals, Strasbourg, France; Sleep disorders center & CIRCSom (International Research Center for ChronoSomnology), CHRU, Strasbourg, France
| | - P Bourgin
- CNRS UPR 3212, Institute for cellular and integrative neurosciences, 67000 Strasbourg, France; Sleep disorders center & CIRCSom (International Research Center for ChronoSomnology), CHRU, Strasbourg, France
| | - J Maruani
- Département de psychiatrie et d'addictologie, GHU Paris Nord, DMU neurosciences, hôpital Bichat - Claude Bernard, AP-HP, 75018 Paris, France; GHU Paris - psychiatry & neurosciences, 1, rue Cabanis, 75014 Paris, France; NeuroDiderot, Inserm, FHU I2-D2, université Paris Cité, 75019 Paris, France
| | - M Lejoyeux
- Département de psychiatrie et d'addictologie, GHU Paris Nord, DMU neurosciences, hôpital Bichat - Claude Bernard, AP-HP, 75018 Paris, France; GHU Paris - psychiatry & neurosciences, 1, rue Cabanis, 75014 Paris, France; NeuroDiderot, Inserm, FHU I2-D2, université Paris Cité, 75019 Paris, France
| | - M-P d'Ortho
- NeuroDiderot, Inserm, FHU I2-D2, université Paris Cité, 75019 Paris, France; Service de physiologie - explorations fonctionnelles, centre du sommeil, hôpital Bichat, AP-HP, 75018 Paris, France
| | - C Couffignal
- Département de biostatistique, épidémiologie et recherche clinique, Hôpital Bichat, université Paris Cité, AP-HP, 75018 Paris, France
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de Menezes-Júnior LAA, Sabião TDS, de Moura SS, Batista AP, de Menezes MC, Carraro JCC, Andrade ACDS, Machado-Coelho GLL, Meireles AL. Influence of sunlight on the association between 25-hydroxyvitamin D levels and sleep quality in Brazilian adults: A population-based study. Nutrition 2023; 110:112008. [PMID: 36940625 PMCID: PMC9941068 DOI: 10.1016/j.nut.2023.112008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Revised: 02/09/2023] [Accepted: 02/14/2023] [Indexed: 02/25/2023]
Abstract
OBJECTIVES This study aimed to evaluate the association of vitamin D with sleep quality during the COVID-19 pandemic and the influence of daily sunlight on this association. METHODS This cross-sectional, population-based study among adults stratified by multistage probability cluster sampling was conducted from October to December 2020 in the Iron Quadrangle region of Brazil. The outcome was sleep quality, evaluated by the Pittsburgh Sleep Quality Index. Vitamin D (25-hydroxyvitamin D) concentrations were determined by indirect electrochemiluminescence and a deficiency was classified as 25(OH)D < 20 ng/mL. To assess sunlight, the average daily sunlight exposure was calculated and was classified as insufficient when less than 30 min/d. Multivariate logistic analysis was used to estimate the association between vitamin D and sleep quality. A directed acyclic graph was used to select minimal and sufficient sets of adjustment variables for confounding from the backdoor criterion. RESULTS In a total of 1709 individuals evaluated, the prevalence of vitamin D deficiency was 19.8% (95% CI, 15.5-24.9%), and the prevalence of poor sleep quality was 52.5% (95% CI, 48.6-56.4%). In multivariate analysis, vitamin D was not associated with poor sleep quality in individuals with sufficient sunlight. Moreover, in individuals with insufficient sunlight, vitamin D deficiency was associated with poor sleep quality (odds ratio [OR], 2.02; 95% CI, 1.10-3.71). Furthermore, each 1-ng/mL increase in vitamin D levels reduced the chance of poor sleep quality by 4.2% (OR, 0.96; 95% CI, 0.92-0.99). CONCLUSIONS Vitamin D deficiency was associated with poor sleep quality in individuals with insufficient exposure to sunlight.
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Affiliation(s)
- Luiz Antônio Alves de Menezes-Júnior
- Postgraduate Program in Health and Nutrition, School of Nutrition, Federal University of Ouro Preto, Ouro Preto, Minas Gerais, Brazil; Research and Study Group on Nutrition and Public Health (GPENSC), Federal University of Ouro Preto, Brazil.
| | - Thais da Silva Sabião
- Postgraduate Program in Health and Nutrition, School of Nutrition, Federal University of Ouro Preto, Ouro Preto, Minas Gerais, Brazil; Research and Study Group on Nutrition and Public Health (GPENSC), Federal University of Ouro Preto, Brazil.
| | - Samara Silva de Moura
- Postgraduate Program in Health and Nutrition, School of Nutrition, Federal University of Ouro Preto, Ouro Preto, Minas Gerais, Brazil; Research and Study Group on Nutrition and Public Health (GPENSC), Federal University of Ouro Preto, Brazil.
| | | | - Mariana Carvalho de Menezes
- Postgraduate Program in Health and Nutrition, School of Nutrition, Federal University of Ouro Preto, Ouro Preto, Minas Gerais, Brazil; Research and Study Group on Nutrition and Public Health (GPENSC), Federal University of Ouro Preto, Brazil; Department of Clinical and Social Nutrition, School of Nutrition, Federal University of Ouro Preto, Ouro Preto, Minas Gerais, Brazil.
| | - Júlia Cristina Cardoso Carraro
- Postgraduate Program in Health and Nutrition, School of Nutrition, Federal University of Ouro Preto, Ouro Preto, Minas Gerais, Brazil; Research and Study Group on Nutrition and Public Health (GPENSC), Federal University of Ouro Preto, Brazil; Department of Clinical and Social Nutrition, School of Nutrition, Federal University of Ouro Preto, Ouro Preto, Minas Gerais, Brazil.
| | | | - George Luiz Lins Machado-Coelho
- Postgraduate Program in Health and Nutrition, School of Nutrition, Federal University of Ouro Preto, Ouro Preto, Minas Gerais, Brazil; School of Medicine, Federal University of Ouro Preto, Ouro Preto, Minas Gerais, Brazil.
| | - Adriana Lúcia Meireles
- Postgraduate Program in Health and Nutrition, School of Nutrition, Federal University of Ouro Preto, Ouro Preto, Minas Gerais, Brazil; Research and Study Group on Nutrition and Public Health (GPENSC), Federal University of Ouro Preto, Brazil; Department of Clinical and Social Nutrition, School of Nutrition, Federal University of Ouro Preto, Ouro Preto, Minas Gerais, Brazil.
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Bocek J, Prasko J, Genzor S, Hodny F, Vanek J, Pobeha P, Belohradova K, Ociskova M. Sleep Disturbance and Immunological Consequences of COVID-19. Patient Prefer Adherence 2023; 17:667-677. [PMID: 36941925 PMCID: PMC10024468 DOI: 10.2147/ppa.s398188] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Accepted: 02/18/2023] [Indexed: 03/14/2023] Open
Abstract
The overarching importance of sleep was further emphasized during the pandemic of COVID-19. The subjects infected by COVID-19 frequently experience sleep disturbances; some are long-lasting problems and decrease the quality of life. Insomnia is the most studied sleep disorder associated with COVID-19. Insomnia affects patients who have experienced an infection and the general population. Good sleep is important in maintaining mental and physical health, including immune system functions. The interconnections between insomnia, the immune system, and COVID-19 are complex. Insomnia triggers numerous immune system dysregulations and makes individuals more vulnerable to respiratory infections. This narrative review overviews the influence of the COVID-19 pandemic on the immune system through sleep disorders.
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Affiliation(s)
- Jonas Bocek
- Department of Psychiatry, Faculty of Medicine and Dentistry, University Palacky Olomouc, University Hospital, Olomouc, The Czech Republic
| | - Jan Prasko
- Department of Psychiatry, Faculty of Medicine and Dentistry, University Palacky Olomouc, University Hospital, Olomouc, The Czech Republic
- Department of Psychology Sciences, Faculty of Social Science and Health Care, Constantine the Philosopher University in Nitra, Nitra, The Slovak Republic
- Department of Psychotherapy, Institute for Postgraduate Training in Health Care, Prague, The Czech Republic
- Rehabilitation Hospital Beroun, Jessenia Inc, Akeso Holding, Beroun, The Czech Republic
- Correspondence: Jan Prasko, Department of Psychiatry, Faculty of Medicine and Dentistry, Palacky University Olomouc, University Hospital, I. P. Pavlova 6, Olomouc, 77520, The Czech Republic, Tel +420 603 414 930, Email
| | - Samuel Genzor
- Department of Respiratory Medicine, Faculty of Medicine and Dentistry, University Palacky Olomouc and University Hospital, Olomouc, The Czech Republic
| | - Frantisek Hodny
- Department of Psychiatry, Faculty of Medicine and Dentistry, University Palacky Olomouc, University Hospital, Olomouc, The Czech Republic
| | - Jakub Vanek
- Department of Psychiatry, Faculty of Medicine and Dentistry, University Palacky Olomouc, University Hospital, Olomouc, The Czech Republic
| | - Pavol Pobeha
- Department of Respiratory Diseases and Tuberculosis University Hospital and Faculty of Medicine and Dentistry Pavol Jozef Safarik University, Kosice, The Slovak Republic
| | - Kamila Belohradova
- Department of Psychiatry, Faculty of Medicine and Dentistry, University Palacky Olomouc, University Hospital, Olomouc, The Czech Republic
| | - Marie Ociskova
- Department of Psychiatry, Faculty of Medicine and Dentistry, University Palacky Olomouc, University Hospital, Olomouc, The Czech Republic
- Rehabilitation Hospital Beroun, Jessenia Inc, Akeso Holding, Beroun, The Czech Republic
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Januel D, Fourati T, Moulier V, Ledosseur Y, Bolloré O, Isaac C, Senouci H, Benadhira R, Stamatiadis L, Saba G, Mascarenhas E, Beaucousin MC, Ernouf T, Slama F, Motut A, Rosetti R, Vassal L, Pecot F, Chammas F, Baha D, Rejeb HB, Bouaziz N. Prospective survey of psychiatric patients during the first confinement of the COVID 2019 pandemic. Asian J Psychiatr 2021; 66:102888. [PMID: 34763252 PMCID: PMC8541838 DOI: 10.1016/j.ajp.2021.102888] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Revised: 10/12/2021] [Accepted: 10/13/2021] [Indexed: 12/28/2022]
Abstract
UNLABELLED In the early steps of an emerging infectious disease epidemic such as Covid-19, uncertainties about the nature of the disease, its spread and impact can lead to emotional distress. In addition, the studies on confinement during an epidemic have shown a psychological impact of this measure on the feelings of anxiety and depression in the general population. METHOD We assessed the psychological health of 550 patients followed up in outpatient psychiatry, via a pandemic-related teleconsultation during the first confinement period between March and June 2020. Patients were assessed at the beginning and at the end of the confinement on their personal situation, social relationships, professional activity, anxiety and mood. We also evaluated patients' symptomatology and their quality of life. RESULTS Patients were well informed about Covid-19 via the media and complied with the confinement and barrier procedures. They appreciated the phone-calls and the teleconsultation follow-up. A small proportion of patients were completely socially isolated mainly at the beginning of the confinement (10%). There was no difference between the beginning and the end of the confinement in terms of depressive and anxiety symptoms or quality of life. The women were more anxious and depressed than men. Only smoking was significantly increased during this period. CONCLUSION The expected and feared health catastrophe in psychiatry during this first phase of the pandemic in 2020 did not occur. Will the psychiatric wave appear in the "post- pandemic", the future will tell.
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Affiliation(s)
- Dominique Januel
- Université Sorbonne Paris Nord; Etablissement Publique de Santé de Ville Evrard, Unité de Recherche Clinique 93G03, 202 Avenue Jean Jaurès, Neuilly sur Marne 93330, France.
| | - Taoufik Fourati
- Etablissement Publique de Santé de Ville Evrard, Unité de Recherche Clinique 93G03, 202 Avenue Jean Jaurès, Neuilly sur Marne 93330, France.
| | - Virginie Moulier
- Etablissement Publique de Santé de Ville Evrard, Unité de Recherche Clinique 93G03, 202 Avenue Jean Jaurès, Neuilly sur Marne 93330, France.
| | - Yann Ledosseur
- Etablissement Publique de Santé de Ville Evrard, Unité de Recherche Clinique 93G03, 202 Avenue Jean Jaurès, Neuilly sur Marne 93330, France.
| | - Ombline Bolloré
- Etablissement Publique de Santé de Ville Evrard, Unité de Recherche Clinique 93G03, 202 Avenue Jean Jaurès, Neuilly sur Marne 93330, France.
| | - Clémence Isaac
- Etablissement Publique de Santé de Ville Evrard, Unité de Recherche Clinique 93G03, 202 Avenue Jean Jaurès, Neuilly sur Marne 93330, France.
| | - Habib Senouci
- Etablissement Publique de Santé de Ville Evrard, Unité de Recherche Clinique 93G03, 202 Avenue Jean Jaurès, Neuilly sur Marne 93330, France.
| | - René Benadhira
- Etablissement Publique de Santé de Ville Evrard, Unité de Recherche Clinique 93G03, 202 Avenue Jean Jaurès, Neuilly sur Marne 93330, France.
| | - Laurence Stamatiadis
- Etablissement Publique de Santé de Ville Evrard, Unité de Recherche Clinique 93G03, 202 Avenue Jean Jaurès, Neuilly sur Marne 93330, France.
| | - Ghassen Saba
- Etablissement Publique de Santé de Ville Evrard, Unité de Recherche Clinique 93G03, 202 Avenue Jean Jaurès, Neuilly sur Marne 93330, France.
| | - Eugenia Mascarenhas
- Etablissement Publique de Santé de Ville Evrard, Unité de Recherche Clinique 93G03, 202 Avenue Jean Jaurès, Neuilly sur Marne 93330, France.
| | - Marie Christine Beaucousin
- Etablissement Publique de Santé de Ville Evrard, Unité de Recherche Clinique 93G03, 202 Avenue Jean Jaurès, Neuilly sur Marne 93330, France.
| | - Thibault Ernouf
- Etablissement Publique de Santé de Ville Evrard, Unité de Recherche Clinique 93G03, 202 Avenue Jean Jaurès, Neuilly sur Marne 93330, France.
| | - Frédéric Slama
- Etablissement Publique de Santé de Ville Evrard, Unité de Recherche Clinique 93G03, 202 Avenue Jean Jaurès, Neuilly sur Marne 93330, France.
| | - Alex Motut
- Etablissement Publique de Santé de Ville Evrard, Unité de Recherche Clinique 93G03, 202 Avenue Jean Jaurès, Neuilly sur Marne 93330, France.
| | - Raluca Rosetti
- Etablissement Publique de Santé de Ville Evrard, Unité de Recherche Clinique 93G03, 202 Avenue Jean Jaurès, Neuilly sur Marne 93330, France.
| | - Laurent Vassal
- Etablissement Publique de Santé de Ville Evrard, Unité de Recherche Clinique 93G03, 202 Avenue Jean Jaurès, Neuilly sur Marne 93330, France.
| | - Fabrice Pecot
- Etablissement Publique de Santé de Ville Evrard, Unité de Recherche Clinique 93G03, 202 Avenue Jean Jaurès, Neuilly sur Marne 93330, France.
| | - Francesca Chammas
- Etablissement Publique de Santé de Ville Evrard, Unité de Recherche Clinique 93G03, 202 Avenue Jean Jaurès, Neuilly sur Marne 93330, France.
| | - Djamel Baha
- Etablissement Publique de Santé de Ville Evrard, Unité de Recherche Clinique 93G03, 202 Avenue Jean Jaurès, Neuilly sur Marne 93330, France.
| | - Hammadi Ben Rejeb
- Etablissement Publique de Santé de Ville Evrard, Unité de Recherche Clinique 93G03, 202 Avenue Jean Jaurès, Neuilly sur Marne 93330, France.
| | - Noomane Bouaziz
- Etablissement Publique de Santé de Ville Evrard, Unité de Recherche Clinique 93G03, 202 Avenue Jean Jaurès, Neuilly sur Marne 93330, France.
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The impact of COVID-19 lockdown on child and adolescent mental health: systematic review. Eur Child Adolesc Psychiatry 2021:10.1007/s00787-021-01856-w. [PMID: 34406494 PMCID: PMC8371430 DOI: 10.1007/s00787-021-01856-w] [Citation(s) in RCA: 279] [Impact Index Per Article: 93.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/16/2021] [Accepted: 07/31/2021] [Indexed: 02/07/2023]
Abstract
COVID-19 was declared a pandemic in March 2020, resulting in many countries worldwide calling for lockdowns. This study aimed to review the existing literature on the effects of the lockdown measures established as a response to the COVID-19 pandemic on the mental health of children and adolescents. Embase, Ovid, Global Health, PsycINFO, Web of Science, and pre-print databases were searched in this PRISMA-compliant systematic review (PROSPERO: CRD42021225604). We included individual studies reporting on a wide range of mental health outcomes, including risk and protective factors, conducted in children and adolescents (aged ≤ 19 years), exposed to COVID-19 lockdown. Data extraction and quality appraisal were conducted by independent researchers, and results were synthesised by core themes. 61 articles with 54,999 children and adolescents were included (mean age = 11.3 years, 49.7% female). Anxiety symptoms and depression symptoms were common in the included studies and ranged 1.8-49.5% and 2.2-63.8%, respectively. Irritability (range = 16.7-73.2%) and anger (range = 30.0-51.3%), were also frequently reported by children and adolescents. Special needs and the presence of mental disorders before the lockdown, alongside excessive media exposure, were significant risk factors for anxiety. Parent-child communication was protective for anxiety and depression. The COVID-19 lockdown has resulted in psychological distress and highlighted vulnerable groups such as those with previous or current mental health difficulties. Supporting the mental health needs of children and adolescents at risk is key. Clinical guidelines to alleviate the negative effects of COVID-19 lockdown and public health strategies to support this population need to be developed.
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Anxiety, post-traumatic stress symptoms, and emotion regulation: A longitudinal study of pregnant women having given birth during the COVID-19 pandemic. EUROPEAN JOURNAL OF TRAUMA & DISSOCIATION 2021. [PMID: 37521945 PMCID: PMC9767388 DOI: 10.1016/j.ejtd.2021.100225] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
The objectives of the present longitudinal study were to (i) understand the potential impacts of concern about the COVID-19 epidemic and containment measures (e.g. lockdown) on the psychological and emotional status of women during pregnancy and after childbirth, (ii) identify factors associated with these impacts, and (iii) to study the mothers' coping strategies and protective factors. Data were collected during pregnancy (timepoint 1, during France's first period of lockdown from April 6th to May 11th, 2020) and then one month after childbirth (timepoint 2). At timepoint 1, 90 women completed a sociodemographic questionnaire, the Spielberger Trait Anxiety Inventory, the Edinburgh Postnatal Depression Scale, and the Multidimensional Scale of Perceived Social Support. At timepoint 2, 26 women completed the City Birth Trauma Scale, the Interpersonal Emotional Regulation Questionnaire, and the Posttraumatic Growth Inventory. The relationship between social support and worry about the fetus/baby during the COVID-19 pandemic was statistically significant (Rho=- 0.21; p0.05). Worry about the fetus/baby was also significantly correlated with the anxiety score (Rho=0.60; p0.01) and the depression score (Rho= 0.37, p0.01). When the study population was compared with a control sample of new mothers having given birth outside the lockdown period, we observed differences in the prevalence of anxiety but not in the prevalence of postpartum PTSD. Lastly, the relationship between posttraumatic growth and emotion regulation was not significant (Rho=0.29, p = 0.16 for soothing; Rho=0.26, p = 0.20 for social modeling; Rho=0.28; p = 0.17 for perspective-taking; Rho=0.35; p = 0.08 for enhancing positive affect). In view of the sample size and the statistical tests, this study should be considered as exploratory. Our present results open up opportunities for further research and suggest that a possible impact of COVID-19 must be considered when evaluating potential psychological disorders in the perinatal period.
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Abid R, Ammar A, Maaloul R, Souissi N, Hammouda O. Effect of COVID-19-Related Home Confinement on Sleep Quality, Screen Time and Physical Activity in Tunisian Boys and Girls: A Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:3065. [PMID: 33809697 PMCID: PMC8002304 DOI: 10.3390/ijerph18063065] [Citation(s) in RCA: 31] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Revised: 03/11/2021] [Accepted: 03/12/2021] [Indexed: 01/18/2023]
Abstract
COVID-19 home confinement has led to a stressful situation for children around the world and affected their lifestyle. The present study aimed to investigate the effect of these restrictions on sleep quality, screen time (ST) and physical activity (PA) in Tunisian children with a special focus on gender differences. An online survey was launched in April 2020. Questions were presented in a differential format, with expected responses related to "before" and "during" confinement. Participants (52 boys and 48 girls, age: 8.66 ± 3.3 years) responded to the Pittsburgh Sleep Quality Index (PSQI), the digital media use, and the Ricci and Gagnon sedentary behavior questionnaires. Findings revealed that COVID19 home confinement had a negative effect on all the considered parameters (p < 0.05). Significant effects of gender were found on sleep disturbances (p = 0.016, np2 = 0.05), subjective sleep quality (p < 0.01, np2 = 0.07), global score of PSQI (p = 0.01, np2 = 0.01) and nocturnal and global screen time (p < 0.001, np2 = 0.09) with poorer sleep and higher screen time in girls compared to boys during home confinement. A significant correlation was shown between Global ST and PSQI score (r = 0.39, p < 0.001). Programs of PA for children and sensitization campaigns against the use of screens have been deemed urgent with special focus oriented to girls.
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Affiliation(s)
- Rihab Abid
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (R.A.); (N.S.)
| | - Achraf Ammar
- Institute of Sport Science, Otto-von-Guericke University, 39106 Magdeburg, Germany
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning (LINP2), UPL, Paris Nanterre University, UFR STAPS, 92000 Nanterre, France;
| | - Rami Maaloul
- Research Laboratory, Molecular Bases of Human Pathology, LR19ES13, Faculty of Medicine, University of Sfax, Sfax 3029, Tunisia;
| | - Nizar Souissi
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (R.A.); (N.S.)
| | - Omar Hammouda
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning (LINP2), UPL, Paris Nanterre University, UFR STAPS, 92000 Nanterre, France;
- Research Laboratory, Molecular Bases of Human Pathology, LR19ES13, Faculty of Medicine, University of Sfax, Sfax 3029, Tunisia;
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Modifications des modes de vie et impact psychosocial du confinement lié à la COVID-19. MÉDECINE DES MALADIES MÉTABOLIQUES 2021. [PMCID: PMC7837175 DOI: 10.1016/j.mmm.2020.12.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
La mesure sanitaire de confinement imposée par la pandémie à coronavirus 2019 (COVID-19) a exposé la population générale française à une situation imprévue nécessitant des réaménagements sur un temps bref de ses modes de vie. Le confinement a constitué un danger pour certains segments de la population, notamment pour les personnes et familles déjà en situation de vulnérabilité et de précarité sociale et économique. Aux risques inhérents à l’état de confinement, s’ajoutent les conséquences psychologiques et les changements de mode de vie sur une période suffisamment longue pour ancrer certains comportements ou états. Les effets à long terme du confinement sont donc un double enjeu de santé globale, un enjeu à long terme dans la prévention et la prise en charge des conséquences sur l’état de santé des personnes, et un enjeu à moyen terme dans la préparation à la possibilité de nouvelle(s) période(s) de confinement. L’accompagnement psychosocial de la population devrait être pensé collectivement et singulièrement par, avec et pour la population, et engager les acteurs communautaires et sanitaires. La santé mentale doit faire partie intégrante de l’approche de santé globale et des stratégies de santé publique.
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Silva EDSME, Ono BHVS, Souza JC. Sleep and immunity in times of COVID-19. ACTA ACUST UNITED AC 2020; 66Suppl 2:143-147. [PMID: 32965373 DOI: 10.1590/1806-9282.66.s2.143] [Citation(s) in RCA: 46] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2020] [Accepted: 07/03/2020] [Indexed: 01/23/2023]
Abstract
BACKGROUND Analyze how the COVID-19 (SARS-CoV-2) pandemic and its social restriction measures affect sleep quality and the immunological system. METHODS An integrative bibliographical review was carried out using scientific articles from the last five years, from the PUBMED databases, with the descriptors: Sleep; Quarantine; COVID-19; Immunity; Mental Health. Besides the books "Oxford textbook of sleep disorders", "Cellular and molecular immunology", and "Treaty of Infectology". RESULTS Sleep affects immunity. This happens through the regulation of immunological markers and their cells. Therefore, the COVID-19 pandemic can promote sleep disturbances and harm the immune system function. CONCLUSION Sleep exercises a direct influence on immunity maintenance and immunological response. Circadian rhythm alterations, associated with the psychological problems imposed by the COVID-19 pandemic compromise the quality of sleep and, for that reason, the immune system.
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Affiliation(s)
| | - Ben Hur Vitor Silva Ono
- . Universidade para o Desenvolvimento do Estado e da Região do Pantanal (Uniderp), Campo Grande, MS, Brasil
| | - José Carlos Souza
- . Universidade Estadual de Mato Grosso do Sul (UEMS), Campo Grande, MS, Brasil
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Guessoum SB, Lachal J, Radjack R, Carretier E, Minassian S, Benoit L, Moro MR. Adolescent psychiatric disorders during the COVID-19 pandemic and lockdown. Psychiatry Res 2020; 291:113264. [PMID: 32622172 PMCID: PMC7323662 DOI: 10.1016/j.psychres.2020.113264] [Citation(s) in RCA: 504] [Impact Index Per Article: 126.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Revised: 06/26/2020] [Accepted: 06/28/2020] [Indexed: 01/19/2023]
Abstract
The aim of this paper was to review the literature on adolescent psychiatric disorders related to the COVID-19 pandemic and lockdown. Stressful life events, extended home confinement, brutal grief, intrafamilial violence, overuse of the Internet and social media are factors that could influence the mental health of adolescents during this period. The COVID-19 pandemic could result in increased psychiatric disorders such as Post-Traumatic Stress, Depressive, and Anxiety Disorders, as well as grief-related symptoms. Adolescents with psychiatric disorders are at risk of a break or change in their care and management; they may experience increased symptoms. The COVID-19 pandemic and lockdown may have a negative impact on the mental health of adolescents, although there is still no data on the long term impact of this crisis. Adolescents' individual, familial, and social vulnerability, as well as individual and familial coping abilities, are factors related to adolescent mental health in times of crisis. Adolescents are often vulnerable and require careful consideration by caregivers and healthcare system adaptations to allow for mental health support despite the lockdown. Research on adolescent psychiatric disorders in times of pandemics is necessary, as such a global situation could be prolonged or repeated.
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Affiliation(s)
- Sélim Benjamin Guessoum
- Greater Paris University Hospital, University Hospital Cochin, Maison des Adolescents - Youth Department, F-75014 Paris, France; University of Paris, PCPP, F-92100 Boulogne-Billancourt, France; University Paris-Saclay, UVSQ, Inserm, CESP, Team DevPsy, F-94807, Villejuif, France.
| | - Jonathan Lachal
- Greater Paris University Hospital, University Hospital Cochin, Maison des Adolescents - Youth Department, F-75014 Paris, France; University of Paris, PCPP, F-92100 Boulogne-Billancourt, France; University Paris-Saclay, UVSQ, Inserm, CESP, Team DevPsy, F-94807, Villejuif, France
| | - Rahmeth Radjack
- Greater Paris University Hospital, University Hospital Cochin, Maison des Adolescents - Youth Department, F-75014 Paris, France; University Paris-Saclay, UVSQ, Inserm, CESP, Team DevPsy, F-94807, Villejuif, France
| | - Emilie Carretier
- Greater Paris University Hospital, University Hospital Cochin, Maison des Adolescents - Youth Department, F-75014 Paris, France; University of Paris, PCPP, F-92100 Boulogne-Billancourt, France; University Paris-Saclay, UVSQ, Inserm, CESP, Team DevPsy, F-94807, Villejuif, France
| | - Sevan Minassian
- Greater Paris University Hospital, University Hospital Cochin, Maison des Adolescents - Youth Department, F-75014 Paris, France
| | - Laelia Benoit
- Greater Paris University Hospital, University Hospital Cochin, Maison des Adolescents - Youth Department, F-75014 Paris, France; University of Paris, PCPP, F-92100 Boulogne-Billancourt, France; University Paris-Saclay, UVSQ, Inserm, CESP, Team DevPsy, F-94807, Villejuif, France
| | - Marie Rose Moro
- Greater Paris University Hospital, University Hospital Cochin, Maison des Adolescents - Youth Department, F-75014 Paris, France; University of Paris, PCPP, F-92100 Boulogne-Billancourt, France; University Paris-Saclay, UVSQ, Inserm, CESP, Team DevPsy, F-94807, Villejuif, France
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Confinement général, sommeil et médecine du sommeil. MÉDECINE DU SOMMEIL 2020. [PMCID: PMC7831645 DOI: 10.1016/j.msom.2020.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Mengin A, Allé MC, Rolling J, Ligier F, Schroder C, Lalanne L, Berna F, Jardri R, Vaiva G, Geoffroy PA, Brunault P, Thibaut F, Chevance A, Giersch A. [Psychopathological consequences of confinement]. L'ENCEPHALE 2020; 46:S43-S52. [PMID: 32370983 PMCID: PMC7174176 DOI: 10.1016/j.encep.2020.04.007] [Citation(s) in RCA: 99] [Impact Index Per Article: 24.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Accepted: 04/17/2020] [Indexed: 01/14/2023]
Abstract
The psychological effects of isolation have already been described in the literature (polar expeditions, submarines, prison). Nevertheless, the scale of confinement implemented during the COVID-19 pandemic is unprecedented. In addition to reviewing the published studies, we need to anticipate the psychological problems that could arise during or at a distance from confinement. We have gone beyond the COVID-19 literature in order to examine the implications of the known consequences of confinement, like boredom, social isolation, stress, or sleep deprivation. Anxiety, post-traumatic stress disorder, depression, suicidal or addictive behaviours, domestic violence are described effects of confinement, but the mechanisms of emergence of these disorders and their interrelationships remain to be studied. For example, what are the mechanisms of emergence of post-traumatic stress disorders in the context of confinement? We also remind the reader of points of vigilance to be kept in mind with regard to eating disorders and hallucinations. Hallucinations are curiously ignored in the literature on confinement, whereas a vast literature links social isolation and hallucinations. Due to the broad psychopathological consequences, we have to look for these various symptoms to manage them. We quickly summarize the diagnostic and therapeutic approaches already in place, such as telemedicine, which is undergoing rapid development during the COVID-19 crisis.
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Affiliation(s)
- A Mengin
- Inserm U1114, pôle de psychiatrie des hôpitaux universitaires de Strasbourg, centre régional psychotraumatisme Grand Est, Strasbourg, France
| | - M C Allé
- Inserm U1114, pôle de psychiatrie des hôpitaux universitaires de Strasbourg, université de Strasbourg, 1, place de l'Hôpital, 67091 Strasbourg, France; Center on Autobiographical Memory Research, Department of Psychology and Behavioural Sciences, Aarhus University, Aarhus, Danemark
| | - J Rolling
- Service de psychiatrie de l'enfant et de l'adolescent, CNRS UPR 3212, institut des neurosciences cellulaires et intégratives, hôpitaux universitaires de Strasbourg, centre régional psychotraumatisme Grand Est, Strasbourg, France
| | - F Ligier
- Pôle universitaire de psychiatrie de l'enfant et de l'adolescent, centre psychothérapique de Nancy - EA 4360 APEMAC, université de Lorraine, Nancy, France
| | - C Schroder
- Fondation Fondamental, Créteil, France; Service de psychiatrie de l'enfant et de l'adolescent, CNRS UPR 3212, institut des neurosciences cellulaires et intégratives, hôpitaux universitaires de Strasbourg, Strasbourg, France
| | - L Lalanne
- Inserm U1114, service d'addictologie, pôle de psychiatrie des hôpitaux universitaires de Strasbourg, Strasbourg, France
| | - F Berna
- Inserm U1114, pôle de psychiatrie des hôpitaux universitaires de Strasbourg, université de Strasbourg, 1, place de l'Hôpital, 67091 Strasbourg, France; Fondation Fondamental, Créteil, France
| | - R Jardri
- Dir. Plasticity & SubjectivitY (PSY) team, Lille Neuroscience & Cognition Centre (LiNC), Inserm U-1172, université de Lille, Lille, France
| | - G Vaiva
- U1172 Inserm, centre hospitalier universitaire de Lille, Centre National de Ressources et Résilience (Cn2r) pour les Psychotraumatisme, Lille, France
| | - P A Geoffroy
- NeuroDiderot, Inserm, université de Paris, 75019 Paris, France; Department of Psychiatry and Addictive Medicine, University Hospital Bichat-Claude-Bernard, Assistance publique-Hôpitaux de Paris (AP-HP), Paris, France
| | - P Brunault
- CHRU de Tours, Équipe de liaison et de soins en addictologie, UMR 1253, iBrain, Université de Tours, INSERM, Université de Tours, QualiPsy EE 1901, Tours, France
| | - F Thibaut
- International Association of Women's Mental Health (President), Université de Paris, CHU Cochin, Inserm U1266, institut de psychiatrie et neurosciences de Paris, Paris, France
| | - A Chevance
- Inserm U1153, CRESS, Inra, service hospitalo-universitaire de psychiatrie, centre hospitalier Sainte-Anne, université Paris Descartes, Paris, France
| | - A Giersch
- Inserm U1114, pôle de psychiatrie des hôpitaux universitaires de Strasbourg, université de Strasbourg, 1, place de l'Hôpital, 67091 Strasbourg, France; Fondation Fondamental, Créteil, France.
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