Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada.
Addiction and Mental Health, Alberta Health Services, Edmonton, Canada.
Int J Psychiatry Clin Pract. 2021 Jun;25(2):164-171. doi: 10.1080/13651501.2021.1881127. Epub 2021 Feb 19.
Psychological burdens of the COVID-19 pandemic are likely to impact sleep negatively. We investigate prevalence and correlates of disturbed sleep among subscribers to Text4Hope a daily supportive text message program launched in Alberta to support residents to deal with stress, anxiety, and depression.
A survey link was sent to Text4Hope subscribers to assess demographic and clinical variables, including disturbed sleep, stress, anxiety, and depression using the third question on the Patient Health Questionnaire-9 (PHQ-9), Perceived Stress Scale, Generalised Anxiety Disorder 7-item scale, and PHQ-9, respectively. Data were analysed using univariate and logistic regression analyses.
Overall, 6041 out of 32,805 Text4Hope subscribers completed the survey (18.4% response rate). Prevalence of disturbed sleep was 77.8%. Subscribers aged 41-60 years were twice as likely to present with sleep disturbance compared to individuals ≤25 years (OR 1.89, 95% CI: 1.27-2.81). Individuals with moderate/high anxiety and stress symptoms and those with passive death wish/suicidal ideation had higher probability for sleep disturbance [(OR 4.05, 95% CI: 3.33-4.93), (OR 2.42, 95% CI: 1.99-2.94), and (OR 2.39, 95% CI: 1.69-3.38)], respectively.
As the pandemic continues, more Canadians are likely to develop sleep problems, an important consideration for planning mental health services.KEY POINTSThis is the first study to examine the prevalence rates and demographic and clinical correlates of disturbed sleep in a large sample ( = 6041) of Canadians during the COVID-19 pandemic.Prevalence of disturbed sleep was high at 77.8%.Individuals aged 41-60 years were twice as likely to present with sleep disturbance compared to individuals ≤25 years (OR 1.89, 95% CI: 1.27-2.81).Individuals with moderate/high anxiety symptoms, moderate/high stress symptoms, and suicidal ideation/thoughts of self-harm had higher likelihood of developing sleep disturbance, compared to individuals lacking these symptoms [(OR 4.05, 95% CI: 3.33-4.93) and (OR 2.42, 95% CI: 1.98-2.94)], respectively.As the pandemic continues, with fear of multiple waves, more Canadians are likely to develop sleep problems, an important consideration for planning the provision of mental health services.
COVID-19 大流行带来的心理负担可能会对睡眠产生负面影响。我们调查了在艾伯塔省推出的每日支持短信计划 Text4Hope 的订阅者中睡眠障碍的患病率和相关因素，该计划旨在支持居民应对压力、焦虑和抑郁。
向 Text4Hope 订阅者发送了一个调查链接，以使用患者健康问卷-9（PHQ-9）的第三个问题、感知压力量表、广泛性焦虑症 7 项量表和 PHQ-9 分别评估人口统计学和临床变量，包括睡眠障碍、压力、焦虑和抑郁。使用单变量和逻辑回归分析对数据进行分析。
总体而言，在 32805 名 Text4Hope 订阅者中，有 6041 名（18.4%的回复率）完成了调查。睡眠障碍的患病率为 77.8%。41-60 岁的订阅者出现睡眠障碍的可能性是≤25 岁者的两倍（OR 1.89，95%CI：1.27-2.81）。有中度/高度焦虑和压力症状的个体以及有被动死亡愿望/自杀意念的个体发生睡眠障碍的可能性更高[（OR 4.05，95%CI：3.33-4.93），（OR 2.42，95%CI：1.99-2.94）和（OR 2.39，95%CI：1.69-3.38）]。
随着大流行的继续，越来越多的加拿大人可能会出现睡眠问题，这是规划心理健康服务的一个重要考虑因素。
这是第一项研究，在 COVID-19 大流行期间，对大量加拿大人群（ = 6041）的睡眠障碍发生率以及人口统计学和临床相关因素进行了检查。
睡眠障碍的患病率很高，为 77.8%。41-60 岁的个体出现睡眠障碍的可能性是≤25 岁者的两倍（OR 1.89，95%CI：1.27-2.81）。与无这些症状的个体相比，有中度/高度焦虑症状、中度/高度压力症状和自杀意念/自残想法的个体出现睡眠障碍的可能性更高[（OR 4.05，95%CI：3.33-4.93）和（OR 2.42，95%CI：1.99-2.94）]。
随着大流行的继续，人们担心会出现多波疫情，越来越多的加拿大人可能会出现睡眠问题，这是规划心理健康服务的一个重要考虑因素。
