بيانات النشر: Funktionell farmakologi
Uppsala universitet, Transplantation och regenerativ medicin
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.
Univ Laval, Ctr Etud Troubles Sommeil, Ctr Rech CERVO, Brain Res Ctr,Ecole Psychol, Quebec City, PQ, Canada.
Univ Oxford, Sleep & Circadian Neurosci Inst, Nuffield Dept Clin Neurosci, Oxford, England.
Univ Hlth Network, Dept Anesthesiol & Pain Med, Toronto, ON, Canada.
Charite, Sleep Med Ctr, Berlin, Germany.
Mississippi State Univ, Dept Psychol, Mississippi State, MS USA.
Northwestern Univ, Dept Med, Div Endocrinol Metab & Mol Med, Feinberg Sch Med, Chicago, IL USA.
Chinese Univ Hong Kong, Dept Psychiat, Li Chiu Kong Family Sleep Assessment Unit, Hong Kong, Peoples R China.
Univ Hosp Ctr Montpellier, Gui De Chauliac Hosp, Natl Reference Ctr Narcolepsy, Dept Neurol,Sleep & Wake Unit, Montpellier, France.
Sapienza Univ Rome, Dept Psychol, Rome, Lazio, Italy.;IRCCS Fdn Santa Lucia, Rome, Italy.
Peking Univ, Dept Pulm Med, Peoples Hosp, Beijing, Peoples R China.
Tokyo Med Univ, Dept Somnol, Shinjuku Ku, Tokyo, Japan.;Japan Somnol Ctr, Neuropsychiat Res Inst, Tokyo, Japan.
Natl 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.
Hop Hotel Dieu Paris, Sleep & Vigilance Ctr, Paris, France.;Univ Paris, VIFASOM EA 7331 Vigilance Fatigue Sommeil & Sante, Paris, France.
Univ Fed Rio Grande do Norte, Prod Engn Dept, Natal, RN, Brazil.
Univ Helsinki, Fac Med, Res Programs Unit, Helsinki, Finland.
Onofre Lopes Univ Hosp, Brain Inst, Petropolis, RJ, Brazil.;Univ Fed Rio Grande do Norte, Physiol & Behav Dept, Natal, RN, Brazil.
IRCCS Ist Sci Neurol Bologna, Bologna, Italy.;Univ Modena & Reggio Emilia, Dept Biomed Metab & Neural Sci, Modena, Italy.
Med Univ Gdansk, Dept Emergency Med, Gdansk, Poland.
Univ Bergen, Dept Global Publ Hlth & Primary Care, Bergen, Norway.;Haukeland Hosp, Norwegian Competence Ctr Sleep Disorders, Bergen, Norway.
BMJ
نبذة مختصرة : 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 ...
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