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法国新冠疫情全面封锁期间普通人群的睡眠和昼夜节律特征。

Sleep and circadian rhythm characteristics in individuals from the general population during the French COVID-19 full lockdown.

机构信息

Département de Psychiatrie et D'Addictologie, AP-HP, GHU Paris Nord, DMU Neurosciences, Hôpital Bichat-Claude Bernard, Paris, France.

CNRS UPR 3212, Institute for Cellular and Integrative Neurosciences, Strasbourg, France.

出版信息

J Sleep Res. 2022 Apr;31(2):e13480. doi: 10.1111/jsr.13480. Epub 2021 Sep 7.

Abstract

The full 2-month lockdown to fight the coronavirus disease 2019 (COVID-19) pandemic in 2020 led to substantial disruption of daily life and routines. The present study aimed to comprehensively identify the lockdown's effects on sleep, daily rhythms and emotions of the French population. A survey was published online during the last week of the 2-month full lockdown and 1,627 individuals completed the online survey. The survey was self-administered and included standardised questionnaires. Sleep schedules were delayed during lockdown in more than half of the participants. New severe delayed sleep phase affected 10% of participants with sleep schedules delayed by ≥3 hr during the lockdown compared to before. A significant decrease in exposure to morning (p < 0.001) and evening natural light (p < 0.001), a significant increase in screen exposure time (with a significant screen exposure >3 hr during the evening for 45% of the participants during lockdown versus 18% before lockdown, p < 0.001), an increase in substance use for one-quarter of participants, a poorer sleep quality in 56% of participants, and less regular sleep schedules in 48% of participants were observed. We also found a poorer sleep quality in women than men during lockdown (p = 0.004). The French full lockdown had a severe impact on sleep quality, sleep-wake rhythms, and sleep behaviours. The implementation of public health strategies for the prevention and care of sleep-wake cycles during lockdown are therefore essential.

摘要

2020 年为抗击 2019 年冠状病毒病(COVID-19)而实施的为期两个月的全面封锁,对日常生活和日常作息造成了重大干扰。本研究旨在全面确定封锁对法国人口睡眠、昼夜节律和情绪的影响。在为期两个月的全面封锁的最后一周,在线发布了一项调查,共有 1627 人完成了在线调查。该调查是自我管理的,包括标准化问卷。在封锁期间,超过一半的参与者的睡眠时间表推迟了。新的严重延迟睡眠阶段影响了 10%的参与者,与封锁前相比,他们的睡眠时间延迟了≥3 小时。暴露于早晨(p<0.001)和傍晚自然光(p<0.001)的时间显著减少,屏幕暴露时间显著增加(45%的参与者在封锁期间晚上的屏幕暴露时间超过 3 小时,而封锁前为 18%,p<0.001),四分之一的参与者增加了物质使用,56%的参与者睡眠质量较差,48%的参与者睡眠规律较差。我们还发现,与男性相比,女性在封锁期间的睡眠质量较差(p=0.004)。法国全面封锁对睡眠质量、睡眠-觉醒节律和睡眠行为产生了严重影响。因此,在封锁期间实施预防和护理睡眠-觉醒周期的公共卫生策略至关重要。

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