Xiuying Xu1, Wen Li2,3,4, Siyun Zou5, Yulong Li6, Huan Wang6, Xiaona Yan1, Xiangdong Du5, Lan Zhang6, Qinge Zhang7, Teris Cheung8, Gabor S Ungvari9,10, Yu-Tao Xiang2,3,4. 1. Department of Psychiatry, 117887Xiamen Xianyue Hospital, Xiamen, China. 2. Faculty of Health Sciences, Unit of Psychiatry, Department of Public Health and Medicinal Administration, and Institute of Translational Medicine, 59193University of Macau, Macao SAR, China. 3. Centre for Cognitive and Brain Sciences, 59193University of Macau, Macao SAR, China. 4. Institute of Advanced Studies in Humanities and Social Sciences, 59193University of Macau, Macao SAR, China. 5. 150260Guangji Hospital Affiliated to Soochow University, Suzhou, China. 6. Department of Psychiatry, 15026074713Lanzhou University Second Hospital, Lanzhou, China. 7. 159333The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital, The Advanced Innovation Center for Human Brain Protection, School of Mental Health, Capital Medical University, Beijing, China. 8. School of Nursing, 26680Hong Kong Polytechnic University, Hong Kong SAR, China. 9. Division of Psychiatry, School of Medicine, 2720University of Western Australia/Graylands Hospital, Perth, Australia. 10. University of Notre Dame Australia, Fremantle, Australia.
Abstract
AIMS: The negative effect of the COVID-19 pandemic on sleep quality of clinically stable psychiatric patients is unknown. This study examined the prevalence of sleep disturbances and their association with quality of life (QOL) in clinically stable older psychiatric patients during the COVID-19 pandemic. METHODS: This multicenter, cross-sectional study involved older patients attending maintenance treatment at outpatient departments of four major psychiatric hospitals in China. Patients' socio-demographic and clinical characteristics were collected. Sleep disturbances, depressive symptoms, and QOL were assessed with the Insomnia Severity Index, the 9-item Patient Health Questionnaire, and 2 items of the World Health Organization Quality of Life-Brief version, respectively. Binary logistic regression analysis was conducted to examine the independent associations of socio-demographic and clinical variables with sleep disturbances, while the association between sleep disturbances and QOL was explored with analysis of covariance. RESULTS: A total of 941 patients were recruited. The prevalence of sleep disturbances was 57.1% (95% CI: 53.9-60.2%). Analysis of covariance revealed that QOL was significantly lower in patients with sleep disturbances compared to those without. Multivariate logistic regression analysis showed that sleep disturbances were positively and independently associated with more severe depressive symptoms (OR = 1.32, 95% CI: 1.26-1.37). Compared to patients with major depressive disorder, those with other psychiatric diagnoses had a significantly higher prevalence of sleep disturbances (OR = 1.44, 95% CI: 1.00-2.08). CONCLUSION: Sleep disturbances were common among clinically stable older psychiatric patients during the COVID-19 pandemic. Considering the negative association with QOL, this subpopulation needs regular assessment and timely treatment to reduce their sleep disturbances and improve their QOL.
AIMS: The negative effect of the COVID-19 pandemic on sleep quality of clinically stable psychiatric patients is unknown. This study examined the prevalence of sleep disturbances and their association with quality of life (QOL) in clinically stable older psychiatric patients during the COVID-19 pandemic. METHODS: This multicenter, cross-sectional study involved older patients attending maintenance treatment at outpatient departments of four major psychiatric hospitals in China. Patients' socio-demographic and clinical characteristics were collected. Sleep disturbances, depressive symptoms, and QOL were assessed with the Insomnia Severity Index, the 9-item Patient Health Questionnaire, and 2 items of the World Health Organization Quality of Life-Brief version, respectively. Binary logistic regression analysis was conducted to examine the independent associations of socio-demographic and clinical variables with sleep disturbances, while the association between sleep disturbances and QOL was explored with analysis of covariance. RESULTS: A total of 941 patients were recruited. The prevalence of sleep disturbances was 57.1% (95% CI: 53.9-60.2%). Analysis of covariance revealed that QOL was significantly lower in patients with sleep disturbances compared to those without. Multivariate logistic regression analysis showed that sleep disturbances were positively and independently associated with more severe depressive symptoms (OR = 1.32, 95% CI: 1.26-1.37). Compared to patients with major depressive disorder, those with other psychiatric diagnoses had a significantly higher prevalence of sleep disturbances (OR = 1.44, 95% CI: 1.00-2.08). CONCLUSION: Sleep disturbances were common among clinically stable older psychiatric patients during the COVID-19 pandemic. Considering the negative association with QOL, this subpopulation needs regular assessment and timely treatment to reduce their sleep disturbances and improve their QOL.
Authors: Dieter Riemann; Chiara Baglioni; Claudio Bassetti; Bjørn Bjorvatn; Leja Dolenc Groselj; Jason G Ellis; Colin A Espie; Diego Garcia-Borreguero; Michaela Gjerstad; Marta Gonçalves; Elisabeth Hertenstein; Markus Jansson-Fröjmark; Poul J Jennum; Damien Leger; Christoph Nissen; Liborio Parrino; Tiina Paunio; Dirk Pevernagie; Johan Verbraecken; Hans-Günter Weeß; Adam Wichniak; Irina Zavalko; Erna S Arnardottir; Oana-Claudia Deleanu; Barbara Strazisar; Marielle Zoetmulder; Kai Spiegelhalder Journal: J Sleep Res Date: 2017-09-05 Impact factor: 3.981