Longitudinal associations between stress and sleep disturbances during COVID-19.
COVID-19
HPA axis
arousal
mental health
pandemic
sleep
stress
Journal
Stress and health : journal of the International Society for the Investigation of Stress
ISSN: 1532-2998
Titre abrégé: Stress Health
Pays: England
ID NLM: 101089166
Informations de publication
Date de publication:
Dec 2022
Dec 2022
Historique:
revised:
13
12
2021
received:
30
07
2021
accepted:
16
03
2022
pubmed:
26
3
2022
medline:
15
12
2022
entrez:
25
3
2022
Statut:
ppublish
Résumé
The psychological consequences of COVID-19 pandemic may include the activation of stress systems, that involve the hypothalamic-pituitary-adrenal axis which influences many physiological functions, including sleep. Despite epidemiological studies evidenced greater prevalence of stress symptoms and sleep disturbances during COVID-19, longitudinal evidence investigating the effects of stress on sleep disturbances during the pandemic is lacking. We collected measures of perceived stress and sleep disturbances during the first wave of COVID-19 (March 2020) and at 8-10 months follow up in a sample of 648 adults (M = 33.52, SD = 12.98 years). Results showed that 39.4% of participants reported moderate to extremely severe stress in March 2020. Prevalence of sleep disturbances was 54.8% in March 2020 and 57.4% at follow-up. Structural equation modelling highlighted that perceived stress in March 2020 significantly predicted sleep disturbances at follow up (β = 0.203; p < 0.001), even after controlling for baseline sleep disturbances. Results remained significant even after controlling for the effects of covariates including age, sex, depression and anxiety symptoms, and referring to psychological services (β = 0.179; p < 0.05). Findings confirm the high prevalence of stress symptoms during the COVID-19 pandemic and provide first longitudinal evidence for the effects of perceived stress on sleep disturbances during the pandemic.
Identifiants
pubmed: 35332673
doi: 10.1002/smi.3144
pmc: PMC9111163
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
919-926Informations de copyright
© 2022 The Authors. Stress and Health published by John Wiley & Sons Ltd.
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