Sleep Difficulties Among COVID-19 Frontline Healthcare Workers.
COVID-19
COVID-19 outbreak
health care staff
health care workers (HCW)
sleep
sleep difficulties
sleep disorders
stress
Journal
Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006
Informations de publication
Date de publication:
2022
2022
Historique:
received:
18
12
2021
accepted:
28
03
2022
entrez:
16
5
2022
pubmed:
17
5
2022
medline:
17
5
2022
Statut:
epublish
Résumé
To identify COVID-19 work-related stressors and experiences associated with sleep difficulties in HCW, and to assess the role of depression and traumatic stress in this association. A cross-sectional study of HCW using self-report questionnaires, during the first peak of the pandemic in Israel (April 2020), conducted in a large tertiary medical center in Israel. Study population included 189 physicians and nurses working in designated COVID-19 wards and a comparison group of 643 HCW. Mean age of the total sample was 41.7 ± 11.1, 67% were female, 42.1% physicians, with overall mean number of years of professional experience 14.2 ± 20. The exposure was working in COVID-19 wards and related specific stressors and negative experiences. Primary outcome measurement was the Insomnia Severity Index (ISI). Secondary outcomes included the Primary Care-Post Traumatic Stress Disorder Screen (PC-PTSD-5); the Patient Health Questionnaire-9 (PHQ-9) for depression; the anxiety module of the Patient-Reported Outcomes Measurement Information System (PROMIS); Pandemic-Related Stress Factors (PRSF) and witnessing patient suffering and death. Compared with non-COVID-19 HCW, COVID-19 HCW were more likely to be male (41.3% vs. 30.7%) and younger (36.91 ± 8.81 vs. 43.14 ± 11.35 years). COVID-19 HCW reported higher prevalence of sleep difficulties: 63% vs. 50.7% in the non-COVID group (OR 1.62, 95% CI 1.15-2.29, COVID-19 frontline HCW were more likely to report sleep difficulties, mainly difficulty maintaining sleep, as compared with non-COVID-19 HCW working at the same hospital. Negative patient-care related experiences likely mediated the increased probability for those difficulties. Future research is needed to elucidate the long-term trajectories of sleep difficulties among HCW during large scale outbreaks, and to identify risk factors for their persistence.
Identifiants
pubmed: 35573372
doi: 10.3389/fpsyt.2022.838825
pmc: PMC9098971
doi:
Types de publication
Journal Article
Langues
eng
Pagination
838825Informations de copyright
Copyright © 2022 Cleper, Hertz-Palmor, Mosheva, Hasson-Ohayon, Kaplan, Kreiss, Afek, Pessach, Gothelf and Gross.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
Depress Anxiety. 2020 Oct;37(10):965-971
pubmed: 32789945
Brain Behav Immun. 2020 Jul;87:140-141
pubmed: 32380272
BMJ. 2007 Oct 20;335(7624):806-8
pubmed: 17947786
J Sleep Res. 2011 Sep;20(3):487-94
pubmed: 20887396
Sleep. 2011 May 01;34(5):601-8
pubmed: 21532953
BMJ Open. 2020 Dec 30;10(12):e046620
pubmed: 33380488
Intensive Care Med. 2020 Aug;46(8):1640-1641
pubmed: 32451582
Sleep Med. 2020 Aug;72:1-4
pubmed: 32502844
Psychooncology. 2020 Dec;29(12):2019-2027
pubmed: 32691478
Sleep Breath. 2021 Mar;25(1):503-511
pubmed: 32592021
Occup Med (Lond). 2020 Jul 17;70(5):364-369
pubmed: 32372077
BMJ. 2019 Apr 9;365:l1476
pubmed: 30967483
J Med Internet Res. 2021 May 19;23(5):e27331
pubmed: 33875414
Percept Mot Skills. 1998 Aug;87(1):225-6
pubmed: 9760649
J Sleep Res. 2001 Sep;10(3):173-9
pubmed: 11696070
Surgeon. 2020 Dec;18(6):375-384
pubmed: 32057670
Depress Anxiety. 2021 Apr;38(4):468-479
pubmed: 33544405
Ann Intern Med. 2020 Aug 18;173(4):317-320
pubmed: 32251513
Prehosp Emerg Care. 2018 Feb 15;22(sup1):58-68
pubmed: 29324059
J Clin Sleep Med. 2021 Feb 1;17(2):299-313
pubmed: 33108269
Lancet. 2020 Sep 5;396(10252):658
pubmed: 32891198
Med Care. 2002 Oct;40(10):918-28
pubmed: 12395025
Curr Psychiatry Rep. 2019 Jan 19;21(1):2
pubmed: 30661137
Nurs Outlook. 2014 Sep-Oct;62(5):339-45
pubmed: 25015409
Depress Anxiety. 2015 Sep;32(9):664-70
pubmed: 26047492
Med Sci Monit Basic Res. 2020 May 11;26:e924085
pubmed: 32389999
J Psychiatr Res. 2007 Jan-Feb;41(1-2):119-30
pubmed: 16460760
Front Neurosci. 2019 Oct 01;13:997
pubmed: 31632231
Curr Psychiatry Rep. 2020 Jul 10;22(8):43
pubmed: 32651717
J Gen Intern Med. 2016 Oct;31(10):1206-11
pubmed: 27170304
Support Care Cancer. 2020 Apr;28(4):2025-2031
pubmed: 31392551
Postgrad Med. 2012 Jul;124(4):241-9
pubmed: 22913912
BMC Public Health. 2010 Nov 04;10:672
pubmed: 21050482
Curr Opin Psychol. 2020 Aug;34:12-17
pubmed: 31541965
J Health Soc Behav. 2009 Dec;50(4):476-92
pubmed: 20099452
PLoS One. 2020 Oct 21;15(10):e0241032
pubmed: 33085716
Lancet Psychiatry. 2017 Oct;4(10):749-758
pubmed: 28888927
Psychiatry Res. 2020 Oct;292:113312
pubmed: 32717711
BMJ. 2007 Feb 24;334(7590):424
pubmed: 17322261
JAMA. 2015 Aug 4;314(5):501-10
pubmed: 26241601
Psychiatry Clin Neurosci. 2003 Oct;57(5):490-6
pubmed: 12950703
Am J Psychiatry. 2013 Apr;170(4):372-82
pubmed: 23223954
Sleep Med Rev. 2010 Aug;14(4):239-47
pubmed: 19896872
Sleep. 2013 Jul 01;36(7):1009-1018
pubmed: 23814337
Science. 2021 Oct 29;374(6567):564-568
pubmed: 34709917
N Engl J Med. 1999 Mar 18;340(11):847-51
pubmed: 10080847
J Epidemiol Community Health. 2003 Nov;57(11):857-63
pubmed: 14600110
Curr Opin Psychol. 2017 Apr;14:84-89
pubmed: 28813325
Accid Anal Prev. 2001 Jan;33(1):31-41
pubmed: 11189120
J Anxiety Disord. 2014 Dec;28(8):971-7
pubmed: 25445088
Sleep Med. 2001 Jul;2(4):297-307
pubmed: 11438246
Curr Psychiatry Rep. 2015 Mar;17(3):554
pubmed: 25698339
Sleep Med Rev. 2019 Dec;48:101205
pubmed: 31522135
JAMA Netw Open. 2020 Mar 2;3(3):e203976
pubmed: 32202646
JAMA Netw Open. 2020 Jul 1;3(7):e2014053
pubmed: 32609353
J Clin Psychiatry. 2012 Sep;73(9):e1160-7
pubmed: 23059158
J Psychosom Res. 2018 Oct;113:22-29
pubmed: 30190044
Sleep Med Rev. 2019 Feb;43:96-105
pubmed: 30537570
Front Psychiatry. 2020 Apr 14;11:306
pubmed: 32346373
Sleep Med Rev. 2014 Feb;18(1):61-73
pubmed: 23702220
Global Health. 2020 Sep 29;16(1):92
pubmed: 32993696