Batool-Anwar Salma, Robbins Rebecca, Ali Shahmir H, Capasso Ariadna, Foreman Joshua, Jones Abbey M, Tozan Yesim, DiClemente Ralph J, Quan Stuart F
Department of Medicine, Division of Sleep and Circadian Disorders, Brigham & Women's Hospital, Boston, MA.
Division of Sleep Medicine, Harvard Medical School, Boston MA.
medRxiv. 2021 Apr 8:2021.04.06.21254996. doi: 10.1101/2021.04.06.21254996.
The COVID-19 pandemic has resulted in social isolation and reports of insomnia. However, reports of changes in sleep duration and associated factors are few.
Data were from an online survey of adults recruited via social media that included a question asking whether the respondent slept less or more after the onset of the pandemic. Analyses determined the association between changes in sleep duration and self reported sociodemographic and occupational information; beliefs about COVID-19; changes in sleep patterns; and responses pertaining to loneliness, anxiety, and depression.
There were 5,175 respondents; 53.9% had a change in sleep duration. 17.1% slept less and 36.7% slept more. Sleeping more was related to greater education, being single/divorced/separated, unemployed or a student. Being retired, divorced/separated or a homemaker, and living in the Mountain or Central time zones were associated with less sleep. Beliefs that COVID-19 would result in personal adverse consequences was associated with both more and less sleep. However, the strongest associations with both more and less sleep were seen with depression, anxiety, and loneliness with adjusted odds ratios ranging from 1.92 ( 1.67-2.21) for sleeping more and loneliness to 5.29 ( 4.1-6.7) for sleeping less and anxiety.
Changes in sleep duration since the start of the COVID-19 pandemic were highly prevalent among social media users and were associated with several sociodemographic factors and beliefs that COVID-19 would have adverse personal impacts. However, the strongest associations occurred with worse mental health suggesting that improvements may occur with better sleep.
新冠疫情导致了社交隔离以及失眠的报告。然而，关于睡眠时间变化及相关因素的报告却很少。
数据来自于通过社交媒体招募的成年人的在线调查，其中包括一个问题，询问受访者在疫情开始后睡眠时间是减少还是增加。分析确定了睡眠时间变化与自我报告的社会人口统计学和职业信息之间的关联；对新冠疫情的看法；睡眠模式的变化；以及与孤独、焦虑和抑郁相关的回答。
共有5175名受访者；53.9%的人睡眠时间有变化。17.1%的人睡眠时间减少，36.7%的人睡眠时间增加。睡眠时间增加与受教育程度较高、单身/离异/分居、失业或学生身份有关。退休、离异/分居或家庭主妇身份以及生活在山区或中部时区与睡眠时间减少有关。认为新冠疫情会导致个人不良后果与睡眠时间增加和减少都有关。然而，与睡眠时间增加和减少关联最强的是抑郁、焦虑和孤独，调整后的优势比范围从睡眠时间增加与孤独的1.92（1.67 - 2.21）到睡眠时间减少与焦虑的5.29（4.1 - 6.7）。
自新冠疫情开始以来，睡眠时间的变化在社交媒体用户中非常普遍，并且与几个社会人口统计学因素以及认为新冠疫情会对个人产生不利影响的看法有关。然而，最强的关联发生在心理健康状况较差的情况下，这表明改善睡眠可能会带来改善。
