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Escalation of sleep disturbances amid the COVID-19 pandemic : a cross-sectional international study

dc.contributor.authorMandelkorn, Uri
dc.contributor.authorGenzer, Shir
dc.contributor.authorChoshen-Hillel, Shoham
dc.contributor.authorReiter, Joel
dc.contributor.authorMeira e Cruz, Miguel
dc.contributor.authorHochner, Hagit
dc.contributor.authorKheirandish-Gozal, Leila
dc.contributor.authorGozal, David
dc.contributor.authorGileles-Hillel, Alex
dc.date.accessioned2021-01-05T16:30:11Z
dc.date.available2021-01-05T16:30:11Z
dc.date.issued2021
dc.description© 2021 American Academy of Sleep Medicinept_PT
dc.description.abstractStudy objectives: The stress imposed by the COVID-19 pandemic and ensuing social isolation could adversely affect sleep. As sleep problems may persist and hurt health, it is important to identify which populations have experienced changes in sleeping patterns during the pandemic and their extent. Methods: In Study 1, 3,062 responders from 49 countries accessed the survey website voluntarily between March 26 and April 26, 2020, and 2,562 (84%; age: 45.2 ± 14.5, 68% women) completed the study. In Study 2, 1,022 adult US responders were recruited for pay through Mechanical Turk, and 971 (95%; age 40.4 ± 13.6, 52% women) completed the study. The survey tool included demographics and items adapted from validated sleep questionnaires on sleep duration, quality and timing, and sleeping pills consumption. Results: In Study 1, 58% of the responders were unsatisfied with their sleep. Forty percent of the responders reported a decreased sleep quality vs before COVID-19 crisis. Self-reported sleeping pill consumption increased by 20% (P < .001). Multivariable analysis indicated that female sex, being in quarantine, and 31- to 45-years age group, reduced physical activity and adverse impact on livelihood were independently associated with more severe worsening of sleep quality during the pandemic. The majority of findings were reproduced in the independent cohort of Study 2. Conclusions: Changes imposed due to the pandemic have led to a surge in individuals reporting sleep problems across the globe. The findings raise the need to screen for worsening sleep patterns and use of sleeping aids, especially in more susceptible populations, namely, women and people with insecure livelihoods subjected to social isolation.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Clin Sleep Med. 2021 Jan 1;17(1):45-53pt_PT
dc.identifier.doi10.5664/jcsm.8800pt_PT
dc.identifier.eissn1550-9397
dc.identifier.issn1550-9389
dc.identifier.urihttp://hdl.handle.net/10451/45678
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherAmerican Academy of Sleep Medicinept_PT
dc.relation.publisherversionhttps://jcsm.aasm.org/journal/jcsmpt_PT
dc.subjectCOVID-19pt_PT
dc.subjectInsomniapt_PT
dc.subjectLockdownpt_PT
dc.subjectSleep disturbancespt_PT
dc.subjectSleep qualitypt_PT
dc.titleEscalation of sleep disturbances amid the COVID-19 pandemic : a cross-sectional international studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage53pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage45pt_PT
oaire.citation.titleJournal of Clinical Sleep Medicinept_PT
oaire.citation.volume17pt_PT
person.familyNameMeira e Cruz
person.givenNameMiguel
person.identifier564039
person.identifier.orcid0000-0001-6076-0878
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicatione6914437-0131-4182-96c8-363a101c91fe
relation.isAuthorOfPublication.latestForDiscoverye6914437-0131-4182-96c8-363a101c91fe

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