COVID-19 Worries and Insomnia: A Follow-Up Study.

Publisher: MDPI Country of Publication: Switzerland NLM ID: 101238455 Publication Model: Electronic Cited Medium: Internet ISSN: 1660-4601 (Electronic) Linking ISSN: 16604601 NLM ISO Abbreviation: Int J Environ Res Public Health Subsets: MEDLINE

Original Publication: Basel : MDPI, c2004-

COVID-19* ; Sleep Initiation and Maintenance Disorders*; Humans ; Follow-Up Studies ; Pandemics ; Cross-Sectional Studies ; Anxiety/diagnosis ; Depression

The COVID-19 pandemic was associated with significant increases in sleep disorder symptoms and chronic worry. We previously demonstrated that worry about the pandemic was more strongly associated with subsequent insomnia than the converse during the acute (first 6 months) phase of the pandemic. In this report, we evaluated whether that association held over one year of the pandemic. Participants ( n = 3560) completed self-reported surveys of worries about the pandemic, exposure to virus risk factors, and the Insomnia Severity Index on five occasions throughout the course of one year. In cross-sectional analyses, insomnia was more consistently associated with worries about the pandemic than exposure to COVID-19 risk factors. In mixed-effects models, changes in worries predicted changes in insomnia and vice versa. This bidirectional relationship was further confirmed in cross-lagged panel models. Clinically, these findings suggest that during a global disaster, patients who report elevations in either worry or insomnia should be considered for evidence-based treatments for these symptoms to prevent secondary symptoms in the future. Future research should evaluate the extent to which dissemination of evidence-based practices for chronic worry (a core feature of generalized anxiety disorder or illness anxiety disorder) or insomnia reduces the development of co-occurring symptoms during a global disaster.

Sleep Health. 2022 Aug;8(4):410-416. (PMID: 35729003)
Front Psychiatry. 2021 Dec 03;12:769048. (PMID: 34925097)
Psychol Health Med. 2022 Jan;27(1):199-214. (PMID: 33382639)
J Sleep Res. 2022 Oct;31(5):e13590. (PMID: 35362217)
J Clin Nurs. 2022 Jul 22;:. (PMID: 35869416)
J Public Health (Oxf). 2020 Nov 23;42(4):672-678. (PMID: 32657323)
Psychosom Med. 2011 Apr;73(3):242-9. (PMID: 21257976)
J Affect Disord. 2019 Feb 15;245:841-847. (PMID: 30699868)
J Telemed Telecare. 2021 Dec 3;:1357633X211053738. (PMID: 34860613)
Front Psychiatry. 2022 Aug 03;13:919251. (PMID: 35990065)
Curr Psychol. 2022 Aug 3;:1-12. (PMID: 35967497)
Lancet. 2021 Nov 6;398(10312):1700-1712. (PMID: 34634250)
Psychiatry Res. 2022 Jun;312:114533. (PMID: 35381505)
Curr Psychol. 2022;41(11):8224-8235. (PMID: 34456535)
J Sleep Res. 2022 Oct;31(5):e13564. (PMID: 35165971)
Brain Behav. 2022 May;12(5):e2559. (PMID: 35385888)
Depress Anxiety. 2022 Jul;39(7):556-563. (PMID: 35344625)
Int Rev Psychiatry. 2014 Apr;26(2):205-13. (PMID: 24892895)
Cogn Behav Ther. 2021 May;50(3):246-260. (PMID: 33787448)
Front Psychiatry. 2021 Nov 05;12:762799. (PMID: 34803771)
Sleep Med. 2022 Mar;91:185-188. (PMID: 33663915)
Behav Sleep Med. 2022 Nov 24;:1-12. (PMID: 36421026)
Cognit Ther Res. 2022;46(1):1-10. (PMID: 34177004)
Front Psychiatry. 2021 Apr 22;12:561898. (PMID: 33967841)
J Consult Clin Psychol. 2018 May;86(5):452-463. (PMID: 29683702)
J Affect Disord. 2022 Aug 15;311:181-188. (PMID: 35594975)
Transl Psychiatry. 2020 Aug 20;10(1):291. (PMID: 32820171)
Psychol Med. 2015 Feb;45(3):647-61. (PMID: 25272965)
Behav Sleep Med. 2023 Mar-Apr;21(2):208-225. (PMID: 35604338)
J Geriatr Psychiatry Neurol. 2022 Mar;35(2):223-228. (PMID: 35245996)
Sleep Med. 2001 Jul;2(4):297-307. (PMID: 11438246)
J Clin Psychol. 2019 Jul;75(7):1188-1202. (PMID: 31004521)
Sleep Med. 2020 Mar;67:120-127. (PMID: 31918117)

K23 MH120437 United States MH NIMH NIH HHS

Keywords: COVID-19 pandemic; anxiety; insomnia; worry

Date Created: 20230311 Date Completed: 20230314 Latest Revision: 20230320

20240829

PMC10001605

10.3390/ijerph20054568

36901578