Sleep quality and social support in people over 65 years old who have had a quarantine process due to covid-19

Abstract

Aim: We aimed to investigate the effects of anxiety or social support on sleep quality in patients with COVID-19 who were older than 65 years of age and undergoing quarantine process. Material and Method: The study included the patients ≥65 years of age who had a quarantine process for 14 days during the COVID-19 outbreak. The sociodemographic features and comorbidities were recorded in all patients. Geriatric Anxiety Scale (GAS), Multidimensional Perceived Social Support Scale (SS), and Pittsburgh Sleep Quality Index (PSQI) questionnaires were applied. Results: Totally 198 patients (123 male and 75 female) were included in the study. Among patients, 115 (58.1%) patients were living in a nursing home. All GAS scores and the total PSQI were significantly higher and all SS scores were significantly lower in PCR positive patients compared with the negative ones (p:0.001). Moreover, All GAS scores and the total PSQI were significantly higher and all SS scores were significantly lower in patients living in nursing homes compared with the others (p:0.001). Conclusion: In elderly patients faced with the COVID-19, social support was negatively associated with the sleep disturbances. We suggest that, increasing social support is important in elderly patients in the clash against COVID-19.

Keywords

• Anxiety
• Covid-19
• Elderly people
• Social support
• Sleep quality

Supporting Institution

none

Thanks

None

References

1. Wang C. A novel coronavirus outbreak of global health concern. Lancet 2020; 395: 470–3. doi: 10.1016/S0140-6736(20)30185-9.
2. Epidemiology Working Group for NCIP Epidemic Response, Chinese Center for Disease Control and Prevention. The epidemiological characteristics of an outbreak of an outbreak of 2019 novel Coronavirus Diseases (Covid-19) in China. Zhonghua Liu Xin Bin 2020; 41: 145–51.
3. Sher L. Covid-19, anxiety, sleep disturbances and suicide. Sleep Med 2020; 70: 124.
4. Cullen W, Gulati G, Kelly BD. Mental health in the Covid-19 pandemic. QJM 202; 113: 311-2.
5. Peteet JR. Covid-19 Anxiety. J Relig Health 2020:1-2.
6. Mazza M, Marano G, Antonazzo B, et al. What about heart and mind in the Covid-19 era? Minerva Cardioangiol 2020.
7. Segal DL, June A, Payne M, Coolidge FL, Yochim B. Development and initial validation of a self-report assessment tool for anxiety among older adults: The geriatric anxiety scale. J Anxiety Disord 2010; 24: 709-14.
8. Yochim BP, Mueller AE, June A, Segal DL. Psychometric properties of the geriatric anxiety scale: comparison to the Beck anxiety inventory and geriatric anxiety inventory. Clin Gerontol 2011; 34: 21-33.

9. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Personality Assessment 1988; 52: 30-41.
10. Buysse DJ, Hall ML, Strollo PJ, et al. Relationships between the Pittsburgh sleep quality index (PSQI), Epworth sleepiness scale (ESS), and clinical/polysomnographic measures in a community sample. J Clin Sleep Med 2008; 4: 563-71.
11. Grasselli G, Zangrillo A, Zanella A, et al. Baseline Characteristics and Outcomes of 1591 Patients Infected With SARS-CoV-2 Admitted to ICUs of the Lombardy Region, Italy. JAMA 2020; 323: 1574-81.
12. Wang L, He W, Yu X, et al. Coronavirus disease 2019 in elderly patients: Characteristics and prognostic factors based on 4-week follow-up. J Infect 2020; 80: 639-64.
13. Wang C, Pan R, Wan X, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (Covid-19) epidemic among the general population in China. Int J Environ Res Public Health 2020; 17: 1729.
14. Cao W, Fang Z, Hou G, et al. The psychological impact of the Covid-19 epidemic on college students in China. Psychiatry Res 2020; 287: 112934
15. Lei L, Huang X, Zhang S, Yang J, Yang L, Xu M. Comparison of prevalence and associated factors of anxiety and depression among people affected by versus people unaffected by quarantine during the Covid-19 epidemic in Southwestern China. Med Sci Monit 2020;26: e924609.
16. Özdin S, Bayrak Özdin Ş. Levels and predictors of anxiety, depression and health anxiety during Covid-19 pandemic in Turkish society: The importance of gender. Int J Soc Psychiatry 2020: 20764020927051.
17. Xiao H, Zhang Y, Kong D, Li S, Yang N. Social Capital and Sleep Quality in Individuals Who Self-Isolated for 14 Days During the Coronavirus Disease 2019 (COVID-19) Outbreak in January 2020 in China. Med Sci Monit 2020; 26: e923921.
18. Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during Covid-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res 2020; 288: 112954.
19. Xiao H, Zhang Y, Kong D, Li S, Yang N. the effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019 (Covid-19) in January and February 2020 in China. Med Sci Monit 2020; 26: e923549.
20. Yang Y, Yang M, Shen C, et al. Evaluating the accuracy of different respiratory specimens in the laboratory diagnosis and monitoring the viral shedding of 2019-nCoV infections 2020. 10.1101/2020.02.11.20021493.
21. Applegate WB, Ouslander JG. Covid-19 Presents High Risk to Older Persons. J Am Geriatr Soc 2020; 68:681.
22. Fallon A, Dukelow T, Kennelly SP, O'Neill D. Covid-19 in Nursing Homes. QJM 2020: hcaa136.
23. Davidson PM, Szanton SL. Nursing homes and Covid-19: We can and should do better. J Clin Nurs 2020; 12: 10.1111/jocn.15297.