Anxiety-depression and sleep quality in students receiving online education at home during the covid-19 pandemic
Year 2023,
, 186 - 193, 31.08.2023
Ayşe Karaoğullarından
,
Sanem Okşan Erkan
,
Birgül Tuhanioğlu
,
Yunus Kıllı
,
Orhan Görgülü
Abstract
Amaç: Bu çalışmada, Covid-19 pandemisi sırasında öğrencilerde anksiyete ve depresyon belirtileri, gündüz aşırı uyku hali ve uyku alışkanlıklarını analiz etmeyi amaçladık
Gereç ve yöntemler :Bu çalışmaya COVID-19 pandemisi sırasında evde online eğitim alan 200 çocuk dahil edildi. Öğrenciler ilkokul, ortaokul ve lise olmak üzere üç gruba ayrıldı. Öğrenciler Epworth Uykululuk Ölçeği (ESS), Çocuk Uyku Alışkanlıkları Anketi (CSHQ) ve Çocukluk Anksiyete ve Depresyon Ölçeği (CADS) içeren anket formlarını doldurdular.
Bulgular: CADS ve ESS'ye göre anksiyete bozukluğu ve gündüz uykululuk oranları en fazla lise grubundaydı. CSHQ skoruna göre ilköğretim öğrencilerinde uyku kalitesi bozukluğu daha yüksek oranda gözlendi (p<0,005) Adenoidektomi geçirenlerde yapılmayanlara göre ESS daha düşük bulundu (p=0.011). Medyan CSHQ ve ESS puanları, alerjisi olan ortaokul sınıfında, alerjisi olmayanlara göre daha yüksekti (p = 0.040). Evde sigara dumanına maruz kalan ortaokul öğrencilerinin medyan CADS ve CSHQ puanları, sigara dumanına maruz kalmayanlara göre daha yüksekti (p=0,022)
Sonuç: Çocuklarda adenotonsiller hastalığı varsa, COVID-19 önlemlerine uyularak gecikmeden ameliyat yapılması uyku kalitesinin artmasına katkı sağlayabilir. Sigaraya maruziyetine ve allerjiye Covid-19 pandemisi döneminde dikkat etmeliyiz.
References
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- 11. Carneiro IM, Fonseca P, Ferreira R. Children's Sleep Habits Questionnaire in Two Subpopulations from Cape Verde and Mozambique: Exploratory and Regression Analysis. Acta Med Port. 2019 Oct 1;32(10):628-634. doi: 10.20344/amp.11841. PMID: 31625874.
- 12. Ağargün MY, Çilli As, Kara H, Bilici M, Semiz ÜB, Başoğlu C.Validity and Reliability of Epworth Sleepiness Scale, Turkish Journal of Psychiatry .1999;10(4):261-67 (Turkısh
- 13. Lewandowski AS, Toliver-Sokol M, Palermo TM. Evidence-based review of subjective pediatric sleep measures. Journal of Pediatric Psychology. 2011; 36(7), 780-793
- 14. Melendres MaC, Lutz JM, Rubin ED, Marcus CL. Daytime sleepiness and hyperactivity in children with suspected sleep-disordered breathing. Pediatrics. 2004; 114(3): 768-75.
- 15. Owens JA, Spirito A, McGuinn M. The Children’s Sleep Habits Questionnaire (CSHQ): psychomet-ric properties of a survey instrument for school-aged children. Sleep 2000; 15:1043-1051.
- 16. Fiş N., Arman A., Topuzoğlu A., et al.The validity and the reliability of Turkish Version of Children’s Sleep Habits Questionnaire Anatolian Journal of Psychiatry 2010; 11:151-160 (Turkısh)
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- 21. Zhao, J., Xing, X., Wang, M., 2012. Psychometric properties of the Spence Children's Anxiety Scale (SCAS) in Mainland Chinese children and adolescents. J Anxiety Disord 26, 728–736.
- 22. Marelli S, Castelnuovo A, Somma A, et al. Impact of COVID-19 lockdown on sleep quality in university students and administration staff. J Neurol. 2021 Jan;268(1):8-15. doi: 10.1007/s00415-020-10056-6. Epub 2020 Jul 11. PMID: 32654065; PMCID: PMC7353829
- 23. Essau, C.A., Leung, P.W., Conradt, J., Cheng, H., Wong, T., 2008. Anxiety symptoms in Chinese and German adolescents: their relationship with early learning experiences,perfectionism, and learning motivation. Depress Anxiety 25, 801–810.
- 24. Li, C.E., DiGiuseppe, R., Froh, J., 2006. The roles of sex, gender, and coping in adolescentdepression. Adolescence 41, 409.
- 25. Koulouglioti C, Cole R, Kitzman H. Inadequate Sleep and Unintentional Injuries in Young Children. Public Health Nursing 2008; 25( 2): 106–14.
- 26. Bahammam A, Al_Faris E, Shaikh S, Bin Saeed A. Prevalence of Sleep Problems and Habits in a Sample of Saudi Primary School Children. Ann saudi Med. JanFeb. 2006b; 26(1): 7-13.
- 27. Shin C, Kim J, Lee S, Ahn Y, Joo S. Sleep habits, excessive daytime sleepiness and school performance in high school students. Psychiatry Clin Neurosci. 2003 Aug;57(4):451-3
- 28. Chung KF, Cheung MM. Sleep-wake patterns and sleep disturbance among Hong Kong Chinese adolescents. Sleep. 2008 ;31(2):185-94
- 29. Moore SA, Faulkner G, Rhodes RE, et al Impact of the COVID-19 virus outbreak on movement and play behaviours of Canadian children and youth: a national survey. Int J Behav Nutr Phys Act. 2020 Jul 6;17(1):85. doi: 10.1186/s12966-020-00987-8. PMID: 32631350; PMCID: PMC7336091
- 30. Pietrobelli A, Pecoraro L, Ferruzzi A, et al. Effects of COVID-19 Lockdown on Lifestyle Behaviors in Children with Obesity Living in Verona, Italy: A Longitudinal Study. Obesity (Silver Spring). 2020 Aug;28(8):1382-1385. doi: 10.1002/oby.22861. Epub 2020 Jul 10. PMID: 32352652; PMCID: PMC7267384.
- 31. Savini S, Ciorba A, Bianchini C, et al. Assessment of obstructive sleep apnoea (OSA) in children: an update. Acta Otorhinolaryngol Ital. 2019 Oct;39(5):289-297. doi: 10.14639/0392-100X-N0262. PMID: 31708576; PMCID: PMC6843580.
- 32. Marcus CL, Omlin KJ, Basinki DJ, et all. Normal polysomnographic values for children and adolescents. Am Rev Respir Dis. 1992 Nov;146(5 Pt 1):1235-9.
- 33. Brunetti L, Rana S, Lospalluti ML, et all. Prevalence of obstructive sleep apnea syndrome in a cohort of 1,207 children of southern Italy. Chest. 2001 Dec;120(6):1930-5.
- 34. Hannon TS, Rofey DL, Ryan CM, Clapper DA, Chakravorty S, Arslanian SA. Relationships among obstructive sleep apnea, anthropometric measures, and neurocognitive functioning in adolescents with severe obesity. J Pediatr. 2012 May;160(5):732-5.
- 35. Weinstock TG, Rosen CL, Marcus CL, et al. Predictors of obstructive sleep apnea severity in adenotonsillectomy candidates. Sleep. 2014 Feb 1;37(2):261-9
- 36. Cassano M, Russo G, Granieri C, Ciavarella D. Modification of growth, immunologic and feeding parameters in children with OSAS after adenotonsillectomy. Acta Otorhinolaryngol Ital. 2018 Apr;38(2):124-130
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Anxiety-depression and sleep quality in students receiving online education at home during the covid-19 pandemic
Year 2023,
, 186 - 193, 31.08.2023
Ayşe Karaoğullarından
,
Sanem Okşan Erkan
,
Birgül Tuhanioğlu
,
Yunus Kıllı
,
Orhan Görgülü
Abstract
Abstract
Aim: In this study, we aimed to analyzed symptoms of anxiety and depression, excessive daytime sleepiness, and sleep habits in students during the Covid-19 pandemic.
Methods: Two hundred children who received online education at home during the COVID-19 pandemic were included in this study. The students were divided into three groups as primary school, middle school, and high school. The students completed questionnaire forms including the Epworth Sleepiness Scale (ESS), Child Sleep Habits Questionnaire (CSHQ), and Childhood Anxiety and Depression Scale (CADS)
Results: The rates of CADS and ESS did not differ according to the groups (p>0.05). The rates of anxiety disorder and daytime sleepiness according to CADS and ESS were mostly in the high school group. According to the CSHQ score, sleep quality disorder was observed with a higher rate in primary school students (p<0.005) The median ESS was found to be lower in those who had adenoidectomy compared to those who did not (p=0.011). The Median CSHQ and ESS scores were higher in the secondary school class with allergies than in those without allergies (p = 0.040). Secondary school students who are exposed to cigarette smoke at home Median CADS and CSHQ scores were higher than those who did not (p = 0.022)
Conclusions: If the children have adenotonsillar disease, performing surgery without delay by following COVID-19 precautions may contribute to increase sleep quality.
We must be carefull exposure to cigarettes and allergies during the Covid-19 pandemic
References
- 1. Duan L, Shao X, Wang Y, et al. An investigation of mental health status of children and adolescents in china during the outbreak of COVID-19. J Affect Disord. 2020 Oct 1;275:112-118. doi: 10.1016/j.jad.2020.06.029. Epub 2020 Jul 2. PMID: 32658812; PMCID: PMC7329661.
- 2. Duan, L., Zhu, G., 2020. Psychological interventions for people affected by the COVID-19 epidemic. The Lancet Psychiatry 7, 300–302.
- 3. Rubin GJ, Wessely S. The psychological effects of quarantining a city. BMJ. 2020 Jan 28;368:m313. doi: 10.1136/bmj.m313. PMID: 31992552.
- 4. Ma, H., Hu, J., Tian, J., et al. A single-center, retrospective study of COVID-19features in children: a descriptive investigation. BMC Med 18, 123.
- 5. Roussos, A., Goenjian, A.K., Steinberg, A.M., et al. Posttraumatic stress and depressive reactions among children and adolescents after the 1999 earthquake in Ano Liosia. Greece. American J Psychiatry 162, 530–537.
- 6. Sprang, G., Silman, M., 2013. Posttraumatic stress disorder in parents and youth after health-related disasters. Disaster Med Public Health Prep 7, 105–110.
- 7. Sama BK, Kaur P, Thind PS, Verma MK, Kaur M, Singh DD. Implications of COVID-19-induced nationwide lockdown on children's behaviour in Punjab, India. Child Care Health Dev. 2021 Jan;47(1):128-135. doi: 10.1111/cch.12816. Epub 2020 Oct 22. PMID: 33047842; PMCID: PMC7675304
- 8. Gulotta G, Iannella G, Vicini C, et al. Risk Factors for Obstructive Sleep Apnea Syndrome in Children: State of the Art. Int J Environ Res Public Health. 2019 Sep 4;16(18):3235. doi: 10.3390/ijerph16183235. PMID: 31487798; PMCID: PMC6765844.
- 9. Xu Z, Wu Y, Tai J, et al. Risk factors of obstructive sleep apnea syndrome in children. J Otolaryngol Head Neck Surg. 2020 Mar 4;49(1):11. doi: 10.1186/s40463-020-0404-1. PMID: 32131901; PMCID: PMC7057627.
- 10. Imani V, Lin CY, Jalilolgadr S, Pakpour AH. Factor structure and psychometric properties of a Persian translation of the Epworth Sleepiness Scale for Children and Adolescents. Health Promot Perspect. 2018 Jul 7;8(3):200-207. doi: 10.15171/hpp.2018.27. PMID: 30087843; PMCID: PMC6064752.
- 11. Carneiro IM, Fonseca P, Ferreira R. Children's Sleep Habits Questionnaire in Two Subpopulations from Cape Verde and Mozambique: Exploratory and Regression Analysis. Acta Med Port. 2019 Oct 1;32(10):628-634. doi: 10.20344/amp.11841. PMID: 31625874.
- 12. Ağargün MY, Çilli As, Kara H, Bilici M, Semiz ÜB, Başoğlu C.Validity and Reliability of Epworth Sleepiness Scale, Turkish Journal of Psychiatry .1999;10(4):261-67 (Turkısh
- 13. Lewandowski AS, Toliver-Sokol M, Palermo TM. Evidence-based review of subjective pediatric sleep measures. Journal of Pediatric Psychology. 2011; 36(7), 780-793
- 14. Melendres MaC, Lutz JM, Rubin ED, Marcus CL. Daytime sleepiness and hyperactivity in children with suspected sleep-disordered breathing. Pediatrics. 2004; 114(3): 768-75.
- 15. Owens JA, Spirito A, McGuinn M. The Children’s Sleep Habits Questionnaire (CSHQ): psychomet-ric properties of a survey instrument for school-aged children. Sleep 2000; 15:1043-1051.
- 16. Fiş N., Arman A., Topuzoğlu A., et al.The validity and the reliability of Turkish Version of Children’s Sleep Habits Questionnaire Anatolian Journal of Psychiatry 2010; 11:151-160 (Turkısh)
- 17. Birmaher B, Brent DA, Chiappetta L, Bridge J, Monga S, Baugher M. Psychometric properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED): a replication study. J Am Acad Child Adolesc Psychiatry. 1999 Oct;38(10):1230-6.
- 18. Çakmakçı F . Validity and reliability study of screening scale for anxiety disorders in children. Master thesis.kocaeli , Kocaeli Üniversitesi, Kocaeli,2004.
- 19. Bao Y, Sun Y, Meng S, Shi J, Lu L (2020) 2019-nCoV epidemic: address mental health care to empower society. Lancet. https :// doi.org/10.1016/S0140 -6736(20)30309 -3
- 20. Tsamakis K, Rizos E, Manolis AJ, et al. COVID-19 pandemic and its impact on mental health of healthcare professionals. Exp Ther Med. 2020 Jun;19(6):3451-3453. doi: 10.3892/etm.2020.8646. Epub 2020 Apr 7. PMID: 32346406; PMCID: PMC7185082.
- 21. Zhao, J., Xing, X., Wang, M., 2012. Psychometric properties of the Spence Children's Anxiety Scale (SCAS) in Mainland Chinese children and adolescents. J Anxiety Disord 26, 728–736.
- 22. Marelli S, Castelnuovo A, Somma A, et al. Impact of COVID-19 lockdown on sleep quality in university students and administration staff. J Neurol. 2021 Jan;268(1):8-15. doi: 10.1007/s00415-020-10056-6. Epub 2020 Jul 11. PMID: 32654065; PMCID: PMC7353829
- 23. Essau, C.A., Leung, P.W., Conradt, J., Cheng, H., Wong, T., 2008. Anxiety symptoms in Chinese and German adolescents: their relationship with early learning experiences,perfectionism, and learning motivation. Depress Anxiety 25, 801–810.
- 24. Li, C.E., DiGiuseppe, R., Froh, J., 2006. The roles of sex, gender, and coping in adolescentdepression. Adolescence 41, 409.
- 25. Koulouglioti C, Cole R, Kitzman H. Inadequate Sleep and Unintentional Injuries in Young Children. Public Health Nursing 2008; 25( 2): 106–14.
- 26. Bahammam A, Al_Faris E, Shaikh S, Bin Saeed A. Prevalence of Sleep Problems and Habits in a Sample of Saudi Primary School Children. Ann saudi Med. JanFeb. 2006b; 26(1): 7-13.
- 27. Shin C, Kim J, Lee S, Ahn Y, Joo S. Sleep habits, excessive daytime sleepiness and school performance in high school students. Psychiatry Clin Neurosci. 2003 Aug;57(4):451-3
- 28. Chung KF, Cheung MM. Sleep-wake patterns and sleep disturbance among Hong Kong Chinese adolescents. Sleep. 2008 ;31(2):185-94
- 29. Moore SA, Faulkner G, Rhodes RE, et al Impact of the COVID-19 virus outbreak on movement and play behaviours of Canadian children and youth: a national survey. Int J Behav Nutr Phys Act. 2020 Jul 6;17(1):85. doi: 10.1186/s12966-020-00987-8. PMID: 32631350; PMCID: PMC7336091
- 30. Pietrobelli A, Pecoraro L, Ferruzzi A, et al. Effects of COVID-19 Lockdown on Lifestyle Behaviors in Children with Obesity Living in Verona, Italy: A Longitudinal Study. Obesity (Silver Spring). 2020 Aug;28(8):1382-1385. doi: 10.1002/oby.22861. Epub 2020 Jul 10. PMID: 32352652; PMCID: PMC7267384.
- 31. Savini S, Ciorba A, Bianchini C, et al. Assessment of obstructive sleep apnoea (OSA) in children: an update. Acta Otorhinolaryngol Ital. 2019 Oct;39(5):289-297. doi: 10.14639/0392-100X-N0262. PMID: 31708576; PMCID: PMC6843580.
- 32. Marcus CL, Omlin KJ, Basinki DJ, et all. Normal polysomnographic values for children and adolescents. Am Rev Respir Dis. 1992 Nov;146(5 Pt 1):1235-9.
- 33. Brunetti L, Rana S, Lospalluti ML, et all. Prevalence of obstructive sleep apnea syndrome in a cohort of 1,207 children of southern Italy. Chest. 2001 Dec;120(6):1930-5.
- 34. Hannon TS, Rofey DL, Ryan CM, Clapper DA, Chakravorty S, Arslanian SA. Relationships among obstructive sleep apnea, anthropometric measures, and neurocognitive functioning in adolescents with severe obesity. J Pediatr. 2012 May;160(5):732-5.
- 35. Weinstock TG, Rosen CL, Marcus CL, et al. Predictors of obstructive sleep apnea severity in adenotonsillectomy candidates. Sleep. 2014 Feb 1;37(2):261-9
- 36. Cassano M, Russo G, Granieri C, Ciavarella D. Modification of growth, immunologic and feeding parameters in children with OSAS after adenotonsillectomy. Acta Otorhinolaryngol Ital. 2018 Apr;38(2):124-130
- 37. Bhattacharjee R, Kheirandish-Gozal L, Spruyt K, et all. Adenotonsillectomy outcomes in treatment of obstructive sleep apnea in children: a multicenter retrospective study. Am J Respir Crit Care Med.