Department of Medicine, Division of Sleep and Circadian Disorders, Brigham & Women's Hospital, Boston, MA, USA.
Division of Sleep Medicine, Harvard Medical School, Boston, MA, USA.
Behav Med. 2023 Apr-Jun;49(2):162-171. doi: 10.1080/08964289.2021.2002800. Epub 2021 Nov 18.
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. To determine the impact of COVID-19 on changes in sleep behavior, data were analyzed from an online survey of adults recruited via social media that included questions asking whether the respondent slept less or more after the onset of the pandemic as well as self-reported sociodemographic and occupational information; beliefs about COVID-19; 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 for both more and less sleep were seen with depression, anxiety, and loneliness. In summary, 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.Supplemental data for this article is available online at https://doi.org/10.1080/08964289.2021.2002800 .
新冠疫情大流行导致了社交隔离和失眠报告。然而,关于睡眠持续时间变化及其相关因素的报告却很少。为了确定新冠疫情对睡眠行为变化的影响,我们对通过社交媒体招募的成年人在线调查数据进行了分析,这些数据包括询问受访者在疫情爆发后睡眠减少或增加的问题,以及自我报告的社会人口统计学和职业信息;对新冠疫情的看法;以及与孤独、焦虑和抑郁有关的反应。共有 5175 名受访者;53.9%的人睡眠时间发生了变化。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/离婚/分居、失业或学生有关。退休、离婚/分居或家庭主妇,以及居住在山区或中部时区与睡眠时间减少有关。认为新冠疫情会对个人造成不利后果的信念与睡眠时间增加和减少都有关。然而,对于睡眠时间增加和减少,与抑郁、焦虑和孤独的关联最强。总之,自新冠疫情开始以来,社交媒体用户的睡眠持续时间变化非常普遍,与几个社会人口统计学因素和认为新冠疫情会对个人产生不利影响的信念有关。然而,与心理健康状况较差的关联最强,这表明改善睡眠可能会有所改善。本文的补充数据可在 https://doi.org/10.1080/08964289.2021.2002800 在线获取。