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新冠疫情期间美国青年睡眠质量差的心理相关因素。

Psychological correlates of poor sleep quality among U.S. young adults during the COVID-19 pandemic.

机构信息

Department of Newborn Medicine, Brigham and Women's Hospital, 221 Longwood Avenue, Boston, MA, 02115, USA; Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.

School of Social Work, Boston University, 264 Bay State Road, Boston, MA 02215, USA.

出版信息

Sleep Med. 2021 Feb;78:51-56. doi: 10.1016/j.sleep.2020.12.009. Epub 2020 Dec 10.

Abstract

OBJECTIVE

Uncertainty due to the COVID-19 pandemic may result in problematic sleep that can lead to negative effects on overall health. This unprecedented and stressful time can be even more detrimental for young adults with pre-existing mental health conditions. The purpose of this study is to investigate potential risk factors (i.e., current mental health symptoms, and COVID-19-related grief and worry) on sleep quality of U.S. young adults during the initial months of the global pandemic.

METHOD

This cross-sectional study examined 908 young adults in the weeks following the declaration of the coronavirus pandemic as a national emergency by the United States. A series of hierarchical multiple regression analyses examined depression, anxiety, and PTSD, as well as COVID-19-related grief and worry as predictors of young adults' sleep quality.

RESULTS

Young adults experienced high rates of sleep problems during the first two months (April to May 2020) of the pandemic. Depressive and anxiety symptoms appear to be predictors of sleep quality regardless of any pre-existing diagnosis. Furthermore, high levels of PTSD symptoms and COVID-19-related worry were associated with young adults' poor sleep.

CONCLUSIONS

Our findings point to possible psychological factors that uniquely explain young adults' poor sleep quality during the COVID-19 pandemic in the U.S. This study shed new light on how the COVID-19 pandemic might affect the sleep behaviors of young adults without a pre-existing mental health diagnosis. Implications for supporting young adults sleep and well-being during the pandemic are addressed.

摘要

目的

由于 COVID-19 大流行带来的不确定性可能导致睡眠问题,从而对整体健康产生负面影响。对于原本就存在心理健康问题的年轻人来说,这种前所未有的压力时期可能会更加不利。本研究旨在调查美国年轻人在全球大流行的最初几个月中,潜在的风险因素(即当前的心理健康症状以及与 COVID-19 相关的悲伤和担忧)对睡眠质量的影响。

方法

这项横断面研究在冠状病毒大流行被美国宣布为国家紧急状态后的几周内,对 908 名年轻人进行了调查。一系列分层多元回归分析检查了抑郁、焦虑和创伤后应激障碍,以及与 COVID-19 相关的悲伤和担忧对年轻人睡眠质量的预测作用。

结果

在大流行的头两个月(2020 年 4 月至 5 月),年轻人的睡眠问题发生率很高。抑郁和焦虑症状似乎是睡眠质量的预测因素,无论是否存在先前的诊断。此外,高水平的创伤后应激障碍症状和与 COVID-19 相关的担忧与年轻人的睡眠质量差有关。

结论

我们的研究结果表明,在 COVID-19 大流行期间,可能有一些独特的心理因素导致年轻人睡眠质量下降。本研究揭示了 COVID-19 大流行如何可能影响没有先前心理健康诊断的年轻人的睡眠行为。讨论了在大流行期间支持年轻人睡眠和健康的意义。

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