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Gui Z, Wang YY, Li JX, Li XH, Su Z, Cheung T, Lok KI, Ungvari GS, Ng CH, Zhang Q, Xiang YT. Prevalence of poor sleep quality in COVID-19 patients: a systematic review and meta-analysis. Front Psychiatry 2024; 14:1272812. [PMID: 38260776 PMCID: PMC10800583 DOI: 10.3389/fpsyt.2023.1272812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/04/2023] [Accepted: 12/11/2023] [Indexed: 01/24/2024] Open
Abstract
Objective The coronavirus disease (COVID-19) and the public health responses were associated with a huge health burden, which could influence sleep quality. This meta-analysis and systematic review examined the prevalence of poor sleep quality in COVID-19 patients. Methods PubMed, Web of Science, Embase, and PsycINFO were systematically searched from their respective inception to October 27, 2022. Prevalence rates of poor sleep were analyzed using a random effects model. Results Totally, 24 epidemiological and 12 comparative studies with 8,146 COVID-19 patients and 5,787 healthy controls were included. The pooled prevalence of poor sleep quality based on the included studies was 65.0% (95%CI: 59.56-70.44%, I2 = 97.6%). COVID-19 patients had a higher risk of poor sleep quality compared to healthy controls (OR = 1.73, 95% CI: 1.30-2.30, p < 0.01, I2 = 78.1%) based on the 12 comparative studies. Subgroup analysis revealed that COVID-19 patients in low-income countries (p = 0.011) and in studies using a lower Pittsburgh Sleep Quality Index score cut-off (p < 0.001) were more likely to have poor sleep quality. Meta-regression analyses revealed that being female (p = 0.044), older (p < 0.001) and married (p = 0.009) were significantly correlated with a higher risk of poor sleep quality while quality score (p = 0.014) were negatively correlated with the prevalence of poor sleep quality in COVID-19 patients. Conclusion Poor sleep quality was found to be very common in COVID-19 patients. Considering the negative effects of poor sleep quality on daily life, sleep quality should be routinely assessed and appropriately addressed in COVID-19 patients.
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Affiliation(s)
- Zhen Gui
- Unit of Psychiatry, Department of Public Health and Medicinal Administration, Faculty of Health Sciences, Institute of Translational Medicine, University of Macau, Macao SAR, China
- Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China
| | - Yue-Ying Wang
- Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China
| | - Jia-Xin Li
- Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China
| | - Xiao-Hong Li
- Beijing Huilongguan Hospital, Peking University Huilongguan Clinical Medical School, Beijing, China
| | - Zhaohui Su
- School of Public Health, Southeast University, Nanjing, China
| | - Teris Cheung
- School of Nursing, Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China
| | - Ka-In Lok
- Faculty of Health Sciences and Sports, Macao Polytechnic University, Macao SAR, China
| | - Gabor S. Ungvari
- Section of Psychiatry, University of Notre Dame Australia, Fremantle, WA, Australia
- Division of Psychiatry, School of Medicine, University of Western Australia, Perth, WA, Australia
| | - Chee H. Ng
- Department of Psychiatry, The Melbourne Clinic and St Vincent's Hospital, University of Melbourne, Richmond, VIC, Australia
| | - Qinge Zhang
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
| | - Yu-Tao Xiang
- Unit of Psychiatry, Department of Public Health and Medicinal Administration, Faculty of Health Sciences, Institute of Translational Medicine, University of Macau, Macao SAR, China
- Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China
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Mejova Y, Hommadova Lu A. Gender in the disclosure of loneliness on Twitter during COVID-19 lockdowns. Front Digit Health 2023; 5:1297983. [PMID: 38125758 PMCID: PMC10731375 DOI: 10.3389/fdgth.2023.1297983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Accepted: 11/17/2023] [Indexed: 12/23/2023] Open
Abstract
Introduction Loneliness has been shown to affect both mental and physical health, and was a major concern even before the COVID-19 pandemic. During the COVID-19 distancing measures, millions of people took to social media to express their feelings and seek social support. Methods In this mixed-methods study, we examine the self-disclosure of loneliness by users identifying as male or female (via self-disclosed naming conventions) on Twitter before and during the COVID-19 "lockdowns." Results We show that in the first two months of COVID-19 restrictions, self-disclosure of loneliness on this platform rose dramatically, and also have changed qualitatively. We find that female accounts tend to post more loneliness self-disclosures compared to male ones, even before COVID. Female disclosures more often center around pregnancy, family, and close relationships, whereas those posted by the male ones are more related to leadership, video gaming and sex. During COVID lockdowns, female accounts turn to online messaging apps and hobbies, and male become increasingly vocal in seeking partners. Discussion The insights of this study have important implications for the design of interventions for lessening the burden of loneliness in the current digitized world.
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Affiliation(s)
| | - Anya Hommadova Lu
- Communication Studies, Sam Houston State University, Huntsville, TX, United States
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Kim YJ, Lee DS, Kim ES. Examining the relationship between sleep quality and depressive symptoms in Korean women engaged in soccer during the coronavirus pandemic. Front Public Health 2023; 11:1282887. [PMID: 38045977 PMCID: PMC10691262 DOI: 10.3389/fpubh.2023.1282887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2023] [Accepted: 10/23/2023] [Indexed: 12/05/2023] Open
Abstract
Introduction The COVID-19 pandemic has caused sudden changes to daily lives, such as self-isolation and social distancing, and has negatively affected sleep quality and patterns. The resulting psychological discomfort has caused many Korean women to experience depressive moods. Vigorous physical activity is considered effective in improving sleep quality and alleviating depressive symptoms. As a form of vigorous physical activity, soccer could be used to improve women's mental health. This study aimed to ascertain the effects of playing soccer on sleep quality and depressive symptoms in women. Methods Non-face-to-face questionnaires were administered using Pittsburgh Sleep Quality Index to measure sleep quality and Patient Health Questionnaire-9 to measure depressive symptoms, targeting 200 of 297 soccer-playing Korean women aged 20-50 years, from October 13, 2022, to January 15, 2023. A total of 172 questionnaires administered to soccer participants were used, while 28 with insincere and double or no-responses were excluded. Additionally, 124 samples of non-exercise participants were collected, with the help of "EMBRAIN," a Korean research and survey company. This study analyzed differences in sleep quality and depressive symptoms, and correlations and multiple regression analysis were performed. Results The soccer group was shown to have a high quality of sleep. In relation to the effect of sleep quality on depressive symptoms, subjective sleep quality, sleep latency, sleep disturbance, use of sleeping pills, and daytime functional disorder had a significant effect. In the relation to the effect of sleep quality on depressive symptoms, significant effect was found in subjective sleep quality, sleep latency, sleep disturbance, and daytime functional disorder of soccer participants, and non-exercise participants displayed significant effect in subjective sleep quality, sleep disturbance, and the use of sleeping pills. Discussion This study examined the effect of soccer participation on sleep quality and depressive symptoms among women. Soccer, which requires high activity and teamwork levels, improves sociability in women by enhancing their sense of belonging, self-confidence, and team spirit.
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Affiliation(s)
| | | | - E-Sack Kim
- Department of Physical Education of Chung-Ang University, Seoul, Republic of Korea
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Hu W, Deng C. The effect of duration of youth/parent communication on depression and anxiety during COVID-19 isolation in China. SCHOOL PSYCHOLOGY INTERNATIONAL 2023; 44:468-488. [PMID: 38603409 PMCID: PMC9729717 DOI: 10.1177/01430343221142284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
The current study examines the mediating roles of self-efficacy and sleep disturbance and the moderating role of gender in the association between the duration of youth/parent communication on depression and anxiety during the COVID-19 isolation period in China. We used the self-designed demographic variable questionnaire, General Self-Efficacy Scale, the Pittsburgh Sleep Quality Index, the Self-Rating Depression Scale, and the Self-Rating Anxiety Scale with 1,772 youths aged 15-24 from 26 provinces in China during the COVID-19 lockdown. We performed demographic variable analysis, correlation analysis, mediation analysis, and moderated analysis. The duration of daily communication with parents was significantly positively correlated with self-efficacy and significantly negatively correlated with sleep disturbance, depression, and anxiety. The chain mediation analysis revealed that the duration of communication with parents directly affected depression and anxiety. Self-efficacy, sleep disturbance, and self-efficacy sleep disturbance had significant mediating and chain-mediating effects on the duration of communication with parents, depression, and anxiety. The interactions between sleep disturbance and gender (B = 0.35, 95% CI 0.06 to 0.64, p = .02 < .05) were significant. The duration of parent/youth communication directly affected depression and anxiety and indirectly affected depression and anxiety via the chain-mediating effect of self-efficacy and sleep disturbance. Gender moderates the relationships between sleep disturbance and depression.
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Affiliation(s)
- Weijian Hu
- Department of Mental Health, Guangzhou College of Technology and Business, Guangzhou, China
| | - Cuiyun Deng
- Department of Mental Health, Guangzhou College of Technology and Business, Guangzhou, China
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D'orsogna T, Halson SL, Oehmen R. Poor sleep quality during COVID-19 pandemic restrictions associated with reduced psychological wellbeing in healthcare students. Chronobiol Int 2023:1-12. [PMID: 36883343 DOI: 10.1080/07420528.2023.2186127] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/09/2023]
Abstract
Sleep is inexorably linked to both physiological and psychological wellbeing. Restrictions imposed to control the COVID-19 pandemic likely impacted upon daily and weekly routines, which can have a negative impact on a range of factors including sleep quality, and/or quantity and general wellbeing. The aim of this study was to investigate the effect of COVID-19 related restrictions on sleep patterns and psychological wellbeing of healthcare students. A survey was delivered to healthcare students across three faculties at a single institution. Participants completed questionnaires on the effect of COVID-19 restrictions on course delivery and clinical placements, its effect on sleep-wake times, sleep quality, sleep hygiene, psychological wellbeing, their current sleep knowledge and sleep education in their current course. Using the Pittsburgh Sleep Quality Index (PSQI), over 75% of participants were found to have poor sleep quality. Changes in sleep habits and sleep behaviours during COVID-19 restrictions were associated with poorer sleep quality, and this poor sleep quality was associated with poor psychological wellbeing, particularly, motivation, stress and fatigue. Increases in negative sleep hygiene behaviours were associated with a statistically significant increase in PSQI global score. Positive emotions were positively correlated with PSQI (r = 0.22-0.24, p < .001), negative emotions were negatively correlated with PSQI (r = -0.22 - -0.31, p < .001). Also, a self-perceived lack of sleep education was identified. This study illustrates the negative association between self-reported poor sleep behaviour and poor sleep quality during COVID-19 restrictions on university student mental health and wellbeing. Additionally, there is a self-perceived lack of sleep education with little to no time spent educating students in their current degree. Hence, appropriate sleep education may improve sleep behaviours and subsequent sleep quality, which may prove to be a protective factor against poor mental health in the face of unexpected changes to routines.
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Affiliation(s)
- Tommaso D'orsogna
- School of Medicine, University of Notre Dame Australia, Fremantle, Western Australia, Australia
| | - Shona L Halson
- School of Behavioural and Health Sciences, Australian Catholic University, Banyo, Australia
| | - Raoul Oehmen
- School of Medicine, University of Notre Dame Australia, Fremantle, Western Australia, Australia
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Han SS, Li B, Ke YZ, Wang GX, Meng SQ, Li YX, Cui ZL, Tong WX. Chinese College Students' Physical-Exercise Behavior, Negative Emotions, and Their Correlation during the COVID-19 Outbreak. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph191610344. [PMID: 36011976 PMCID: PMC9408574 DOI: 10.3390/ijerph191610344] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/03/2022] [Revised: 08/05/2022] [Accepted: 08/18/2022] [Indexed: 05/29/2023]
Abstract
BACKGROUND In the period of the COVID-19 pandemic, the level of college students' physical exercise, the detection rate of negative emotions, and their correlation should attract extensive attention. Therefore, this study aimed to explore the correlation between college students' physical exercise and negative emotions. METHODS Data were collected via a web-based cross-sectional survey. A questionnaire survey was conducted among 3118 college students from five universities in Shanghai in March 2022. In addition to sociodemographic information, measures included Physical Activity Rating Scale (PARS-3) and Depression Anxiety Stress Scale (DASS). The chi-squared test and logistic regression were used to analyze the differences and test the relative risk of negative emotions caused by different amounts of physical exercise. RESULTS Most students (66.1%) performed a small amount of physical exercise. Male students' physical-exercise level was higher than female students', and the detection rate of negative emotions was lower than that of female students. Moderate and low physical-exercise levels were associated with a higher risk of depression (beta of 0.289 and 0.345, respectively) and anxiety (beta of 0.301 and 0.418) symptoms than high physical-exercise level. CONCLUSIONS The anxiety symptoms of college students were significant during the COVID-19 pandemic period. The physical-exercise behavior of college students was closely related to negative emotions, and the weakening of physical-exercise behavior was one of the factors that induced negative emotions in college students.
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Affiliation(s)
- Shan-Shan Han
- Institute of Sports Science, Nantong University, Nantong 226019, China
| | - Bo Li
- Institute of Sports Science, Nantong University, Nantong 226019, China
| | - You-Zhi Ke
- School of Physical Education, Shanghai University of Sport, Shanghai 200438, China
| | - Guang-Xu Wang
- College of Physical Education, Henan Normal University, Xinxiang 453007, China
| | - Shu-Qiao Meng
- Physical Education College, Yangzhou University, Yangzhou 225127, China
| | - Ya-Xing Li
- Physical Education College, Shangqiu University, Shangqiu 476000, China
| | - Zhong-Lei Cui
- Physical Education College, Shangqiu Normal University, Shangqiu 476000, China
| | - Wen-Xia Tong
- Physical Education College, Yangzhou University, Yangzhou 225127, China
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