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  • Partinen, MarkkuUniv Helsinki, Dept Clin Neurosci, Clinicum Unit, Helsinki, Finland.;Helsinki Sleep Clin, Terveystalo Healthcare Serv, Helsinki, Finland. (author)

Sleep and daytime problems during the COVID-19 pandemic and effects of coronavirus infection, confinement and financial suffering : a multinational survey using a harmonised questionnaire

  • Article/chapterEnglish2021

Publisher, publication year, extent ...

  • 2021-12-13
  • BMJ Publishing Group Ltd,2021
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:uu-463475
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-463475URI
  • https://doi.org/10.1136/bmjopen-2021-050672DOI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Objectives Sleep is important for human health and well-being. No previous study has assessed whether the COVID-19 pandemic impacts sleep and daytime function across the globe. Methods This large-scale international survey used a harmonised questionnaire. Fourteen countries participated during the period of May-August 2020. Sleep and daytime problems (poor sleep quality, sleep onset and maintenance problems, nightmares, hypnotic use, fatigue and excessive sleepiness) occurring 'before' and 'during' the pandemic were investigated. In total, 25 484 people participated and 22 151 (86.9%) responded to the key parameters and were included. Effects of COVID-19, confinement and financial suffering were considered. In the fully adjusted logistic regression models, results (weighted and stratified by country) were adjusted for gender, age, marital status, educational level, ethnicity, presence of sleep problems before COVID-19 and severity of the COVID-19 pandemic in each country at the time of the survey. Results The responders were mostly women (64%) with a mean age 41.8 (SD 15.9) years (median 39, range 18-95). Altogether, 3.0% reported having had COVID-19; 42.2% reported having been in confinement; and 55.9% had suffered financially. All sleep and daytime problems worsened during the pandemic by about 10% or more. Also, some participants reported improvements in sleep and daytime function. For example, sleep quality worsened in about 20% of subjects and improved in about 5%. COVID-19 was particularly associated with poor sleep quality, early morning awakening and daytime sleepiness. Confinement was associated with poor sleep quality, problems falling asleep and decreased use of hypnotics. Financial suffering was associated with all sleep and daytime problems, including nightmares and fatigue, even in the fully adjusted logistic regression models. Conclusions Sleep problems, fatigue and excessive sleepiness increased significantly worldwide during the first phase of the COVID-19 pandemic. Problems were associated with confinement and especially with financial suffering.

Subject headings and genre

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  • Holzinger, BrigitteMed Univ Vienna, Inst Dream & Consciousness Res, Vienna, Austria. (author)
  • Morin, Charles M.Univ Laval, Ctr Etud Troubles Sommeil, Ctr Rech CERVO, Brain Res Ctr,Ecole Psychol, Quebec City, PQ, Canada. (author)
  • Espie, ColinUniv Oxford, Sleep & Circadian Neurosci Inst, Nuffield Dept Clin Neurosci, Oxford, England. (author)
  • Chung, FrancesUniv Hlth Network, Dept Anesthesiol & Pain Med, Toronto, ON, Canada. (author)
  • Penzel, ThomasCharite, Sleep Med Ctr, Berlin, Germany. (author)
  • Benedict, Christian,Docent,1976-Uppsala universitet,Schiöth: Funktionell farmakologi(Swepub:uu)chrbe136 (author)
  • Bolstad, Courtney J.Mississippi State Univ, Dept Psychol, Mississippi State, MS USA. (author)
  • Cedernaes, Jonathan,Docent,1985-Uppsala universitet,Transplantation och regenerativ medicin,Northwestern Univ, Dept Med, Div Endocrinol Metab & Mol Med, Feinberg Sch Med, Chicago, IL USA.(Swepub:uu)jonce840 (author)
  • Chan, Rachel Ngan YinChinese Univ Hong Kong, Dept Psychiat, Li Chiu Kong Family Sleep Assessment Unit, Hong Kong, Peoples R China. (author)
  • Dauvilliers, YvesUniv Hosp Ctr Montpellier, Gui De Chauliac Hosp, Natl Reference Ctr Narcolepsy, Dept Neurol,Sleep & Wake Unit, Montpellier, France. (author)
  • De Gennaro, LuigiSapienza Univ Rome, Dept Psychol, Rome, Lazio, Italy.;IRCCS Fdn Santa Lucia, Rome, Italy. (author)
  • Han, FangPeking Univ, Dept Pulm Med, Peoples Hosp, Beijing, Peoples R China. (author)
  • Inoue, YuichiTokyo Med Univ, Dept Somnol, Shinjuku Ku, Tokyo, Japan.;Japan Somnol Ctr, Neuropsychiat Res Inst, Tokyo, Japan. (author)
  • Matsui, KentaroNatl Inst Mental Hlth, Natl Ctr Neurol & Psychiat, Dept Clin Lab, Kodaira, Tokyo, Japan.;Natl Inst Mental Hlth, Natl Ctr Neurol & Psychiat, Dept Sleep Wake Disorders, Kodaira, Tokyo, Japan.;Tokyo Womens Med Univ, Dept Psychiat, Shinjuku Ku, Tokyo, Japan. (author)
  • Leger, DamienHop Hotel Dieu Paris, Sleep & Vigilance Ctr, Paris, France.;Univ Paris, VIFASOM EA 7331 Vigilance Fatigue Sommeil & Sante, Paris, France. (author)
  • Cunha, Ana SuelyUniv Fed Rio Grande do Norte, Prod Engn Dept, Natal, RN, Brazil. (author)
  • Merikanto, IlonaUniv Helsinki, Fac Med, Res Programs Unit, Helsinki, Finland. (author)
  • Mota-Rolim, SergioOnofre Lopes Univ Hosp, Brain Inst, Petropolis, RJ, Brazil.;Univ Fed Rio Grande do Norte, Physiol & Behav Dept, Natal, RN, Brazil. (author)
  • Nadorff, MichaelMississippi State Univ, Dept Psychol, Mississippi State, MS USA. (author)
  • Plazzi, GiuseppeIRCCS Ist Sci Neurol Bologna, Bologna, Italy.;Univ Modena & Reggio Emilia, Dept Biomed Metab & Neural Sci, Modena, Italy. (author)
  • Schneider, JulesUniv Oxford, Sleep & Circadian Neurosci Inst, Nuffield Dept Clin Neurosci, Oxford, England. (author)
  • Sieminski, MariuszMed Univ Gdansk, Dept Emergency Med, Gdansk, Poland. (author)
  • Wing, Yun-KwokChinese Univ Hong Kong, Dept Psychiat, Li Chiu Kong Family Sleep Assessment Unit, Hong Kong, Peoples R China. (author)
  • Bjorvatn, BjornUniv Bergen, Dept Global Publ Hlth & Primary Care, Bergen, Norway.;Haukeland Hosp, Norwegian Competence Ctr Sleep Disorders, Bergen, Norway. (author)
  • Univ Helsinki, Dept Clin Neurosci, Clinicum Unit, Helsinki, Finland.;Helsinki Sleep Clin, Terveystalo Healthcare Serv, Helsinki, Finland.Med Univ Vienna, Inst Dream & Consciousness Res, Vienna, Austria. (creator_code:org_t)

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