Kandeger Ali, Uygur Omer Faruk, Chung Seockhoon, Yavuz Elif, Selvi Yavuz
Department of Psychiatry, Faculty of Medicine, Selçuk University, Konya, Türkiye.
Department of Psychiatry, Faculty of Medicine, Atatürk University, Erzurum, Türkiye.
Psychiatry Investig. 2023 Aug;20(8):768-774. doi: 10.30773/pi.2022.0326. Epub 2023 Aug 11.
Society's sleep-wake cycle and eating behaviors have altered and are considered the psychological outcomes of the coronavirus disease-2019 (COVID-19) pandemic. Our aim was to examine the relationship between sleep-wake rhythms, eating behaviors (dieting, oral control, and bulimic behaviors), and attention deficit hyperactivity disorder (ADHD) symptoms with weight gain during the COVID-19 pandemic.
The participants were 578 female university students divided into three groups based on weight change during COVID-19 who lost weight, whose weight did not change (nWC), and who gained weight (WG). The participants' information about weight change in the last year and responses to the Pittsburg Sleep Quality Index, Eating Attitudes Test, Adult ADHD Severity Rating Scale, and Wender Utah Rating Scale were collected via an online survey from January 8, 2021 to January 11, 2021.
The sleep-wake phase was more delayed in WGs than in the other two groups. The bulimic behavior score was higher and the oral control behavior score was lower in the WG group than in the nWC group. A hierarchical regression analysis model, in which weight change scores were dependent variables, showed that mid-sleep time in second step (β=4.71, t=2.18, p=0.03), and oral control (β=-0.11, t=-3.24, p=0.001)/bulimic behaviors (β=0.20, t=3.20, p=0.001) in third step were associated with weight change after controlling for both current and childhood ADHD symptoms.
Chronotherapeutic approaches that regulate sleep-wake rhythm may facilitate weight control of individuals during stressful periods, such as the COVID-19 outbreak.
社会的睡眠-觉醒周期和饮食行为已经改变，被认为是2019冠状病毒病（COVID-19）大流行的心理结果。我们的目的是研究COVID-19大流行期间睡眠-觉醒节律、饮食行为（节食、口腔控制和暴食行为）以及注意力缺陷多动障碍（ADHD）症状与体重增加之间的关系。
参与者为578名女大学生，根据COVID-19期间的体重变化分为三组，即体重减轻组、体重未变化组（nWC）和体重增加组（WG）。通过在线调查收集了参与者关于去年体重变化的信息，以及他们对匹兹堡睡眠质量指数、饮食态度测试、成人ADHD严重程度评定量表和温德犹他评定量表的回答，调查时间为2021年1月8日至2021年1月11日。
体重增加组的睡眠-觉醒阶段比其他两组更延迟。体重增加组的暴食行为得分高于体重未变化组，而口腔控制行为得分低于体重未变化组。以体重变化分数为因变量的分层回归分析模型显示，在控制了当前和儿童期ADHD症状后，第二步中的睡眠中期时间（β=4.71，t=2.18，p=0.03），以及第三步中的口腔控制（β=-0.11，t=-3.24，p=0.001）/暴食行为（β=0.20，t=3.20，p=0.001）与体重变化相关。
调节睡眠-觉醒节律的时间治疗方法可能有助于在COVID-19疫情等压力时期控制个体体重。
