Have Sleep Disorders Increased During the Covid-19 Pandemic?

Abstract

Objective: This study aims to examine the sleep quality and related factors of the non-infected general population during the COVID-19 pandemic. Methods: This is a descriptive study. The study population consisted of all individuals who were able to fill out the online questionnaire from the different provinces of Turkey. The sample consisted of voluntary participants who had not been infected with COVID-19. The study was concluded with 341 individuals. The data were collected using a personal information form and the Richards-Campbell Sleep Questionnaire (RCSQ). Data coding and evaluation were carried out using SPSS 21 software. Numbers, means, percentage distributions, the t-test for independent groups and one-way ANOVA were used to evaluate the data. Results: The participants’ mean RCSQ score was 59.68±21.97. There were statistically significant differences in RCSQ scores due to regular smoking and the presence of an individual diagnosed with COVID-19 in the immediate environment. However, there were no significant differences by age, gender, marital status, previous hospital stays, chronic disease and drug use. Conclusion: During the COVID-19 pandemic, the sleep quality of the healthy non-infected population was found to be moderate. Regular smoking and the presence of an individual diagnosed with COVID-19 in the immediate environment also affected sleep quality.

Keywords

• COVID-19
• pandemic
• sleep quality

Ethical Statement

Ethics committee approval was obtained from Atatürk University Local Ethics Committee (Date: May 28, 2020, Number: 06-02).

Covid-19 Pandemisi Sırasında Uyku Bozuklukları Arttı mı?

Abstract

Amaç: Bu araştırmanın amacı, COVID-19 sürecinde enfekte olmayan genel nüfusda uyku kalitesi ve ilişkili faktörleri incelemektir. Yöntemler: Araştırma tanımlayıcı türde yapıldı. Araştırmanın evrenini Türkiye’nin farklı illerinden online araştırma formlarına ulaşılabilecek tüm bireyler oluşturdu. Örneklemi ise çalışmaya katılmayı kabul eden ve COVID-19 ile enfekte olmayan gönüllü bireyler oluşturdu. Araştırma 341 kişiyle tamamlandı. Veriler kişisel bilgi formu ve Richards Cambell Uyku Ölçeği kullanılarak toplandı. Verilerin kodlanması ve değerlendirilmesi bilgisayar ortamında SPSS 21 paket programında yapıldı. Verilerin değerlendirilmesinde; sayı, ortalama, yüzdelik dağılımlar, bağımsız gruplarda t-testi ve One way Anova analizleri kullanıldı. Bulgular: Katılımcıların RSCQ toplam puan ortalamasının 59,68±21,97 olduğu belirlendi. Katılımcıların RCSQ ortalama puanları ile sigara kullanma ve yakın çevrede COVID-19 tanılı bireyin bulunma durumları arasında istatistiksel olarak anlamlı bir fark olduğu belirlendi, ancak yaş, cinsiyet, medeni durum, daha önce hastanede kalma durumu, kronik hastalık ve ilaç kullanma durumları arasında anlamlı bir fark bulunamadı. Sonuç: COVID-19 salgını sürecinde enfekte olmayan sağlıklı nüfusun uyku kalitesinin orta düzeyde olduğu bulundu. Ayrıca katılımcıların sigara kullanma ve yakın çevrede COVID-19 tanılı bireyin bulunma durumlarının uyku kalitesi üzerinde etkili olduğu belirlendi.

Keywords

• COVID-19
• pandemi
• uyku kalitesi

Ethical Statement

Etik kurul onayı Atatürk Üniversitesi Yerel Etik Kurulu’ndan (Tarih: 28.05.2020, Sayı: 06-02) alınmıştır.

References

1. 1. World Health Organization. Coronavirus Disease (COVID-19) Dashboard. 2020. https://covid19.who.int/
2. 2. World Health Organization. Coronavirus Disease (COVID-19) Technical Guidance. 2020. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance
3. 3. Dhama K, Sharun K, Tiwari R, et al. COVID-19, an emerging coronavirus infection: advances and prospects in designing and developing vaccines, immunotherapeutics, and therapeutics. Hum Vaccin Immunother. 2020;16:1-7.
4. 4. Casagrande M, Favieri F, Tambelli R, Forte G. The enemy who sealed the world: effects of quarantine due to COVID-19 on sleep quality, anxiety, and psychological distress in the Italian population. Sleep Med. 2020;75:12-20.
5. 5. Fu W, Wang C, Zou L, et al. Psychological health, sleep quality, and coping styles during COVID-19 in Wuhan, China. Transl Psychiatry. 2020;10:1-9.
6. 6. Li DJ, Ko NY, Chen YL, et al. COVID-19-related factors associated with sleep disturbance and suicidal thoughts among the Taiwanese public. Int J Environ Res Public Health. 2020;17:4479.
7. 7. BBC News Türkçe. Koronavirüs: Türkiye'nin COVID-19 ile mücadelesi. https://www.bbc.com/turkce/haberler-turkiye-52899914
8. 8. Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019-nCoV epidemic: address mental health care to empower society. Lancet. 2020;395:37-38.

9. 9. Chong PY, Chui P, Ling AE, et al. Analysis of deaths during the SARS epidemic in Singapore. Arch Pathol Lab Med. 2004;128:195-204.
10. 10. Wu KK, Chan SK, Ma TM. Posttraumatic stress, anxiety, and depression in SARS survivors. J Trauma Stress. 2005;18:39-42.
11. 11. Mônico-Neto M, Dos Santos RVT, Moreira Antunes HK. The world war against COVID-19 outbreak: don’t forget to sleep. J Clin Sleep Med. 2020;16:1215.
12. 12. Szymusiak R, McGinty D. Hypothalamic regulation of sleep and arousal. Ann N Y Acad Sci. 2008;1129:275-286.
13. 13. Zhu L, Zee PC. Circadian rhythm sleep disorders. Neurol Clin. 2012;30:1167-1191.
14. 14. Silva FRD, Guerreiro RC, Andrade HA, et al. Sleep and circadian disruption in shift workers and COVID-19 vulnerability. Chronobiol Int. 2020;37(5):607-617.
15. 15. Irwin MR. Why sleep is important for health. Annu Rev Psychol. 2015;66:143-172.
16. 16. Edwards S, Hucklebridge F, Clow A, Evans P. Diurnal cortisol cycle and stress. Psychosom Med. 2003;65:320-327.
17. 17. Huang CY, Chen YT, Wu LA, et al. Sleep apnea and mortality in sepsis. Eur J Clin Invest. 2014;44:38-45.
18. 18. Meira ECM, Miyazawa M, Gozal D. Circadian clock and sleep in SARS-CoV-2 infection. Eur Respir J. 2020;55:1-7.
19. 19. Chen Y, Zhao A, Xia Y, et al. COVID-19 pandemic: what can sleep do. Sleep Med. 2020;72:109-110.
20. 20. Richards K. Measurement of sleep in critical care. Focus Crit Care. 1987;14:34.
21. 21. Karaman Özlü Z, Özer N. Richard-Campbell Sleep Scale validity and reliability. J Turk Sleep Med. 2015;2:29- 32.
22. 22. Tabachnick BG, Fidell LS. Using Multivariate Statistics. 7th ed. Pearson; 2019.
23. 23. Tavakol M, Dennick R. Making sense of Cronbach’s alpha. Int J Med Educ. 2011;2:53-55.
24. 24. Kim HY. Statistical notes for clinical researchers: Assessing normal distribution using skewness and kurtosis. Restor Dent Endod. 2013;38(1):52-54.
25. 25. Demir A. Study of Sleep Epidemiology in the Adult Population in Türkiye. Turkish Sleep Medicine Association. 2010.
26. 26. Turkish Statistical Institute. Time Use Survey, 2014-2015. http://www.tuik.gov.tr/PdfGetir.do?id=18627
27. 27. Huang Y, Zhao N. Anxiety, depression and sleep quality during COVID-19 outbreak. Psychiatry Res. 2020;288:112954.
28. 28. Lin LY, Wang J, Ou-yan XY, et al. The immediate impact of the 2019 novel coronavirus (COVID-19) outbreak on subjective sleep status. Sleep Med. 2021;77:348-354.
29. 29. Gualano MR, Lo Moro G, Voglino G, et al. Lockdown effects on mental health and sleep. Int J Environ Res Public Health. 2020;17:4779.
30. 30. Voitsidis P, Gliatas I, Bairachtari V, et al. Insomnia during COVID-19 pandemic. Psychiatry Res. 2020;289:113076.
31. 31. Liu W, Tao ZW, Wang L, et al. Factors associated with COVID-19 outcomes. Chin Med J. 2020;133(9):1032-1038.