Universidad del Magdalena.
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Acta Biomed. 2022 Mar 14;93(1):e2022019. doi: 10.23750/abm.v93i1.12132.
The prevalence of insomnia is higher in COVID-19 survivors. However, there is little information about his associated variables. The aimed to know the prevalence and variables associated with insomnia among COVID-19 survivors in Colombian adults.
Three hundred and thirty COVID-19 survivors participated in a cross-sectional study. Insomnia was quantified with the Athens Insomnia Scale (cut-off score ≤ 6, Cronbach's alpha of 0.90).
COVID-19 survivors were between 18 and 89 years (Mean = 47.7, SD = 15.2); the majority were women (61.5%), university-educated (62.4%), low income (71.2%), married or free union (66.1%), not healthcare workers (85.8%), without comorbidities (63.0%), asymptomatic or mild COVID-19 (66.1%), duration of COVID-19 symptoms in less than three weeks (80.0%) and remission of symptoms less two months by the day of study participation (73.0%). Scores on the Athens Insomnia Scale were observed between 0 and 24 (M = 7.3, SD = 5.1, Me = 7, IQR = 3 - 10), 60% presented insomnia. Insomnia was associated with post-traumatic stress symptoms (OR = 8.8, 95%CI 2.7 - 29.5), COVID-19 symptoms for more than three weeks (OR = 2.1, 95%CI 1.1 - 3.9), female gender (OR = 1.9, 95%CI 1.2 - 3.2) and married or free union marital status (OR = 1.8, 95%CI 1.1 - 3.0).
The frequency of insomnia in COVID-19 survivors is high and mainly related to post-traumatic stress, symptoms of COVID-19 for more than three weeks, and the female gender. It is necessary to implement follow-up studies over time to evaluate the persistence of insomnia.
COVID-19 幸存者的失眠症发病率较高。然而，关于其相关变量的信息却很少。本研究旨在了解哥伦比亚成年人 COVID-19 幸存者中失眠症的患病率及其相关变量。
330 名 COVID-19 幸存者参与了横断面研究。采用雅典失眠量表（分界值≤6，克朗巴赫α系数为 0.90）来量化失眠症。
COVID-19 幸存者的年龄在 18 至 89 岁之间（均值=47.7，标准差=15.2）；大多数为女性（61.5%）、受过大学教育（62.4%）、收入较低（71.2%）、已婚或同居（66.1%）、非医护人员（85.8%）、无合并症（63.0%）、无症状或轻度 COVID-19（66.1%）、COVID-19 症状持续不到三周（80.0%）、研究参与日症状缓解不到两个月（73.0%）。雅典失眠量表的得分范围为 0 至 24 分（M=7.3，标准差=5.1，中位数=7，四分位距=3-10），60%的人存在失眠症。失眠症与创伤后应激症状（OR=8.8，95%CI 2.7-29.5）、COVID-19 症状持续超过三周（OR=2.1，95%CI 1.1-3.9）、女性（OR=1.9，95%CI 1.2-3.2）和已婚或同居的婚姻状况（OR=1.8，95%CI 1.1-3.0）相关。
COVID-19 幸存者的失眠症发病率较高，主要与创伤后应激、COVID-19 症状持续超过三周以及女性有关。有必要进行随访研究以评估失眠症的持续性。
