UMR 5287, Institut de Neurosciences Intégratives et Cognitives d'Aquitaine, Neuroimagerie et Cognition Humaine, CNRS, Université de Bordeaux, Bordeaux, France.
Department of Psychiatry and Psychotherapy, Faculty of Medicine, Medical Center - University of Freiburg, University of Freiburg, Freiburg, Germany.
J Sleep Res. 2020 Aug;29(4):e13052. doi: 10.1111/jsr.13052. Epub 2020 May 4.
In the current global home confinement situation due to the COVID-19 outbreak, most individuals are exposed to an unprecedented stressful situation of unknown duration. This may not only increase daytime stress, anxiety and depression levels, but also disrupt sleep. Importantly, because of the fundamental role that sleep plays in emotion regulation, sleep disturbance can have direct consequences upon next day emotional functioning. In this paper, we summarize what is known about the stress-sleep link and confinement as well as effective insomnia treatment. We discuss those effects of the current home confinement situation that can disrupt sleep but also those that could benefit sleep quality. We suggest adaptions of cognitive behavioural therapy elements that are feasible to implement for those facing changed work schedules and requirements, those with health anxiety and those handling childcare and home-schooling, whilst also recognizing the general limitations imposed on physical exercise and social interaction. Managing sleep problems as best as possible during home confinement can limit stress and possibly prevent disruptions of social relationships.
在当前由于 COVID-19 爆发而导致的全球居家隔离环境下，大多数人都面临着前所未有的、未知持续时间的压力情境。这不仅可能增加白天的压力、焦虑和抑郁水平，还可能扰乱睡眠。重要的是，由于睡眠在情绪调节中的基本作用，睡眠障碍会对第二天的情绪功能产生直接影响。在本文中，我们总结了已知的压力-睡眠联系以及隔离和有效的失眠治疗方法。我们讨论了当前居家隔离环境中可能会破坏睡眠的那些因素，也讨论了可能会改善睡眠质量的那些因素。我们建议对认知行为疗法的元素进行调整，使其对那些面临改变工作时间表和要求的人、那些有健康焦虑的人和那些处理儿童保育和家庭教学的人可行，同时也认识到对体育锻炼和社会互动施加的一般限制。在居家隔离期间尽可能地管理睡眠问题，可以减轻压力，并有可能防止社交关系的中断。
