Literature DB >> 33226333

Short-term insomnia disorder in health care workers in an academic medical center before and during COVID-19: rates and predictive factors.

William V McCall1, Demetra Mensah-Bonsu1, Allison E Withers1, Robert W Gibson1.   

Abstract

STUDY
OBJECTIVES: This study investigated risk factors and estimated rates of acute insomnia disorder in health care workers at the onset of the coronavirus disease 2019 (COVID-19) pandemic.
METHODS: A Qualtrics survey of more than 2,300 health care providers was conducted in a single academic health system on May 15, 2020, including practicing attending physicians, residents and fellows in training, advanced practice providers, and nurses. Six hundred and sixty-eight responded (29% response rate). The survey employed the Research Diagnostic Criteria for insomnia disorder to diagnose acute insomnia disorder.
RESULTS: Five hundred seventy-three respondents had no missing data pertaining to sleep, with a mean age of 43.4 ± 12.5 years and 72% women. The rate of insomnia disorder before COVID-19 was 44.5%, while after COVID-19 it was 64.0%. Of persons with insomnia disorder before COVID-19 10.2% stated it had resolved during COVID-19, while 43.4% of persons who did not have insomnia disorder before COVID-19 developed acute insomnia disorder during COVID-19 (χ² = 145.2; df = 1; P < .0001). New cases of acute insomnia disorder were related positively to female sex, advancing age, and less time spent in direct patient care.
CONCLUSIONS: Acute insomnia disorder was exceptionally common in this sample of tertiary care health care workers. The effects of sex and age were similar to what has been generally described as risk factors for insomnia. The surprising finding that less time spent in direct patient care was associated with more cases of acute insomnia disorder might be explained by the poorly understood stresses of working from home during COVID-19.
© 2021 American Academy of Sleep Medicine.

Entities:  

Keywords:  COVID-19; acute insomnia disorder; health care workers; insomnia

Mesh:

Year:  2021        PMID: 33226333      PMCID: PMC8020705          DOI: 10.5664/jcsm.9034

Source DB:  PubMed          Journal:  J Clin Sleep Med        ISSN: 1550-9389            Impact factor:   4.062


  27 in total

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8.  Sleep problems during COVID-19 pandemic and its' association to psychological distress: A systematic review and meta-analysis.

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