| Literature DB >> 35851068 |
Federico Salfi1, Aurora D'Atri1, Giulia Amicucci1,2, Lorenzo Viselli1, Maurizio Gorgoni2, Serena Scarpelli2, Valentina Alfonsi2, Michele Ferrara3.
Abstract
Eveningness is distinctively associated with sleep disturbances and depression symptoms due to the misalignment between biological and social clocks. The widespread imposition of remote working due to the COVID-19 pandemic allowed a more flexible sleep schedule. This scenario could promote sleep and mental health in evening-type subjects. We investigated the effect of working from home on sleep quality/quantity and insomnia symptoms within the morningness-eveningness continuum, and its indirect repercussions on depressive symptomatology. A total of 610 Italian office workers (mean age ± standard deviation, 35.47 ± 10.17 years) and 265 remote workers (40.31 ± 10.69 years) participated in a web-based survey during the second contagion wave of COVID-19 (28 November-11 December 2020). We evaluated chronotype, sleep quality/duration, insomnia, and depression symptoms through validated questionnaires. Three moderated mediation models were performed on cross-sectional data, testing the mediation effect of sleep variables on the association between morningness-eveningness continuum and depression symptoms, with working modality (office vs. remote working) as moderator of the relationship between chronotype and sleep variables. Remote working was associated with delayed bedtime and get-up time. Working modality moderated the chronotype effect on sleep variables, as eveningness was related to worse sleep disturbances and shorter sleep duration among the office workers only. Working modality also moderated the mediation of sleep variables between chronotype and depression. The above mediation vanished among remote workers. The present study suggests that evening-type people did not show their characteristic vulnerability to sleep problems when working from home. This result could imply a reduction of the proposed sleep-driven predisposition to depression of late chronotypes. A working environment complying with individual circadian preferences might ensure an adequate sleep quantity/quality for the evening-type population, promoting their mental health.Entities:
Mesh:
Year: 2022 PMID: 35851068 PMCID: PMC9293935 DOI: 10.1038/s41598-022-16256-6
Source DB: PubMed Journal: Sci Rep ISSN: 2045-2322 Impact factor: 4.996
Figure 1The three theoretical moderated mediation models tested (M1, M2, M3). Three mediators (sleep quality, insomnia symptoms, sleep duration) are hypothesized to mediate the relationship between morningness-eveningness continuum and severity of depression symptoms in a context where working modality (office working, remote working) moderate the effect of chronotype on sleep variables. Each model was adjusted for age and gender. Abbreviations: PSQI, Pittsburgh Sleep Quality Index; ISI, Insomnia Severity Index; MEQr, Morningness-Eveningness Questionnaire-reduced version; BDI-II, Beck Depression Inventory-second edition.
Characteristics of participants divided by working modality (office, remote).
| Working modality | |||||
|---|---|---|---|---|---|
| Office | Remote | ||||
| Male | 95 (15.6%) | 51 (19.2%) | 1.791* | 1 | 0.181 |
| Female | 515 (84.4%) | 214 (80.8%) | |||
| Age | 35.467 ± 10.174 | 40.309 ± 10.694 | 58,326† | 873 | |
| MEQr score | 15.867 ± 3.494 | 15.430 ± 3.850 | 76,014.5† | 873 | 0.160 |
| PSQI score | 6.693 ± 3.504 | 7.015 ± 3.598 | 76,367.5† | 873 | 0.192 |
| ISI score | 7.428 ± 5.268 | 7.815 ± 5.356 | 77,398† | 873 | 0.318 |
| Sleep duration (min) | 403.365 ± 66.462 | 401.624 ± 64.434 | 79,169† | 873 | 0.626 |
| Bedtime (hh:mm) | 23:11 ± 1:05 | 23:37 ± 1:16 | 63,901† | 873 | |
| Get-up time (hh:mm) | 7:13 ± 1:03 | 7:41 ± 1:09 | 56,625† | 873 | |
| BDI-II score | 11.141 ± 8.620 | 11.660 ± 9.698 | 79,897† | 873 | 0.787 |
Results of the comparisons between the working modality groups are also shown.
*Chi-square, †Mann–Whitney U.
SD standard deviation, df degrees of freedom, PSQI Pittsburgh sleep quality index, ISI insomnia severity index, MEQr morningness-eveningness questionnaire-reduced version, BDI-II beck depression inventory-second edition.
Significant values are in bold.
Unstandardized effects (B), t-value, and significance of the covariates (age, gender) for the three models, including sleep quality (PSQI score; Model 1), insomnia symptoms (ISI score; Model 2), and sleep duration (min; Model 3) as mediators.
| Covariate effects | |||
|---|---|---|---|
| Age → PSQI | 0.051 | 4.480 | |
| Gender* → PSQI | − 1.230 | − 3.915 | |
| Age → BDI-II | − 2.188 | − 3.120 | |
| Gender* → BDI-II | − 0.067 | − 2.690 | |
| Age → ISI | 0.052 | 3.040 | |
| Gender* → ISI | − 1.943 | − 4.112 | |
| Age → BDI-II | − 0.054 | − 2.336 | |
| Gender* → BDI-II | − 1.820 | − 2.764 | |
| Age → Sleep duration | − 1.834 | − 8.752 | |
| Gender* → Sleep duration | − 6.908 | − 1.196 | 0.232 |
| Age → BDI-II | − 0.071 | − 2.493 | |
| Gender* → BDI-II | − 3.998 | − 5.217 | |
*Female was used as reference for “Gender” factor.
PSQI Pittsburgh sleep quality index, ISI insomnia severity index, BDI-II beck depression inventory-second edition.
Significant values are in bold.
Direct effects and conditional direct effects at the value of the moderator (office working, remote working) for the three models, including sleep quality (PSQI score; Model 1), insomnia symptoms (ISI score; Model 2), and sleep duration (min; Model 3) as mediators, whilst accounting for the effects of age and gender.
| Direct effects | |||
|---|---|---|---|
| MEQr → BDI-II | − 0.274 | − 3.724 | |
| PSQI → BDI-II | 1.245 | 16.613 | |
| MEQr → BDI-II | − 0.233 | − 3.376 | |
| ISI → BDI-II | 0.971 | 20.775 | |
| MEQr → BDI-II | − 0.445 | − 5.560 | |
| Sleep duration → BDI-II | − 0.038 | − 8.535 | |
PSQI Pittsburgh sleep quality index, ISI insomnia severity index, MEQr morningness-eveningness questionnaire-reduced version, BDI-II beck depression inventory-second edition.
Significant values are in bold.
Moderator and interaction effects for the three models, including sleep quality (PSQI score; Model 1), insomnia symptoms (ISI score; Model 2), and sleep duration (min; Model 3) as mediators, whilst accounting for the effects of age and gender.
| Moderator effects | |||
|---|---|---|---|
| Working modality* → PSQI | − 2.242 | − 2.062 | |
| Working modality* → ISI | − 3.555 | − 2.175 | |
| Working modality* → Sleep duration | 53.026 | 2.654 | |
*Office working was used as reference for “Working modality” factor.
PSQI Pittsburgh sleep quality index, ISI insomnia severity index, MEQr morningness-eveningness questionnaire-reduced version.
Significant values are in bold.
Figure 2Simple slope analyses of the interaction between MEQr scores and working modality [office working (blue line), remote working (green line)] on sleep quality (PSQI score), insomnia symptoms (ISI score), and sleep duration (min). Gray bands discriminate chronotypes according to the validated cut-off scores. Abbreviations: ET, evening type; NT, neither type; MT, morning type; PSQI, Pittsburgh Sleep Quality Index; ISI, Insomnia Severity Index; MEQr, Morningness-Eveningness Questionnaire-reduced version.
Figure 3Summary of the results of the three moderated mediation models (M1, M2, M3). The figure reports the unstandardized coefficients of direct effects, conditional direct effects at the value of moderator, and conditional indirect effects with bootstrapped computed confidence intervals for the two levels of moderator [office working (blue arrow/area), remote working (green arrow/area)]. Significant effects are reported in bold, and the significance level of direct effects is indicated with asterisks (***p < .001).