EFFECT OF COVID-19 PANDEMIC ON SLEEP PATTERNS OF HEALTH PROFESSIONALS AND MEDICAL STUDENTS IN THE KURDISTAN REGION OF IRAQ
DOI:
https://doi.org/10.17656/jsmc.10336Keywords:
COVID-19, Sleep, Lifestyle, Health Professionals, Medical StudentsAbstract
Background
Quality sleep is fundamental to human wellbeing. Healthcare providers are at the frontline of dealing with patients with COVID-19 (Coronavirus disease 2019), rendering them more susceptible to sleep disturbance by different factors.
Objectives
To observe sleep changes and the effect of lockdown on the duration and quality of sleep of health professionals and medical students during the COVI-19 pandemic in the Kurdistan Region of Iraq.
Materials and Methods
This was a descriptive cross-sectional study; a self-administered questionnaire was sent to 500 health professionals and medical students online from 2nd July 2020 to 2nd September 2020. The questionnaire used was a part of a multinational study on sleep patterns in relation to the COVID-19 pandemic (International COVID-19 sleep study, ICCOS) after permission was obtained. All methods were performed in consistence with verified regulations and guidelines. Informed consent was obtained from all participants. Data were entered by Microsoft Excel Worksheet
Results
A total of 304 individuals had responded to the online questionnaire; 53.6% were males. The mean age (in years) was 32.84 (± SD 11.65). The average night sleep and the average 24 hours sleep increased significantly during the COVID-19 pandemic and there was a significant statistical difference in “dreaming” patterns of the study sample before and after the pandemic.
Conclusion
This study concludes that the quality of sleep and daytime function of participants were not impaired despite the worldwide and national stress of the COVID-19 pandemic due to the previous lifestyle of this group of population and their ability to spend more time with their families.
References
Gorbalenya AE, Baker SC, Baric RS. The species severe acute respiratory syndrome-related coronavirus: classifying 2019-nCoV and naming it SARS-CoV-2. Nat Microbiol. 2020; 5(4):536-44. DOI: https://doi.org/10.1038/s41564-020-0695-z
Carskadon MA, Rechtschaffen A. Monitoring and staging human sleep. Principles and practice of sleep medicine. 2011; 5:16-26. DOI: https://doi.org/10.1016/B978-1-4160-6645-3.00002-5
Fox MR. The importance of sleep. Nurs Stand. 1999 ;13(24):44-47. DOI: https://doi.org/10.7748/ns1999.03.13.24.44.c7485
Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. Jama. 2020 Mar 17;323(11):1061-9. DOI: https://doi.org/10.1001/jama.2020.1585
Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry research. 2020 Jun 1; 288:112954. DOI: https://doi.org/10.1016/j.psychres.2020.112954
Wang S, Xie L, Xu Y, Yu S, Yao B, Xiang D. Sleep disturbances among medical workers during the outbreak of COVID-2019. Occupational Medicine. 2020 Jul 17;70(5):364-9. DOI: https://doi.org/10.1093/occmed/kqaa074
Kang L, Li Y, Hu S, Chen M, Yang C, Yang BX, Wang Y et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. The Lancet Psychiatry. 2020 Mar. DOI: https://doi.org/10.1016/S2215-0366(20)30047-X
Chong MY, Wang WC, Hsieh WC, Lee CY, Chiu NM, Yeh WC et al. Psychological impact of severe acute respiratory syndrome on health workers in a tertiary hospital. The British journal of psychiatry. 2004 Aug;185(2):127-33. DOI: https://doi.org/10.1192/bjp.185.2.127
Maunder R. The experience of the 2003 SARS outbreak as a traumatic stress among frontline healthcare workers in Toronto: lessons learned. Philosophical Transactions of the Royal Society of London. Series B: Biological Sciences. 2004 Jul 29;359(1447):1117-25. DOI: https://doi.org/10.1098/rstb.2004.1483
Maunder RG, Lancee WJ, Balderson KE, Bennett JP, Borgundvaag B, Evans S et al. Long-term psychological and occupational effects of providing hospital healthcare during SARS outbreak. Emerging infectious diseases. 2006 Dec;12(12):1924. DOI: https://doi.org/10.3201/eid1212.060584
McAlonan GM, Lee AM, Cheung V, Cheung C, Tsang KW, Sham PC et al. Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers. The Canadian Journal of Psychiatry. 2007 Apr;52(4):241-7. DOI: https://doi.org/10.1177/070674370705200406
Li Y, Qin Q, Sun Q, Sanford LD, Vgontzas AN, Tang X. Insomnia and psychological reactions during the COVID-19 outbreak in China. Journal of Clinical Sleep Medicine. 2020 Aug 15;16(8):1417-8. DOI: https://doi.org/10.5664/jcsm.8524
Bai Y, Lin CC, Lin CY, Chen JY, Chue CM, Chou P. Survey of stress reactions among health care workers involved with the SARS outbreak. Psychiatric Services. 2004 Sep;55(9):1055-7. DOI: https://doi.org/10.1176/appi.ps.55.9.1055
Silva KK, Martino MM, Bezerra CM, Souza ÂM, Silva DM, Nunes JT. Stress and quality of sleep-in undergraduate nursing students. Revista Brasileira de Enfermagem. 2020 May 15;73. DOI: https://doi.org/10.1590/0034-7167-2018-0227
Kaparounaki CK, Patsali ME, Mousa DP, Papadopoulou EV, Papadopoulou KK, Fountoulakis KN. University students’ mental health amidst the COVID-19 quarantine in Greece. Psychiatry research. 2020 Aug 1; 290:113111. DOI: https://doi.org/10.1016/j.psychres.2020.113111
Romero-Blanco C, Rodriguez-Almagro J, Onieva-Zafra MD, Parra-Fernandez ML, Prado-Laguna MDC, Hernandez-Martinez A. Sleep Pattern Changes in Nursing Students during the COVID-19 Lockdown. Int J Environ Res Public Health. 2020; 17(14). DOI: https://doi.org/10.3390/ijerph17145222
Owens H, Christian B, Polivka B. Sleep behaviors in traditional-age college students: A state of the science review with implications for practice. Journal of the American Association of Nurse Practitioners. 2017 Nov;29(11):695-703. DOI: https://doi.org/10.1002/2327-6924.12520
Partinen M, Gislason T. Basic Nordic Sleep Questionnaire (BNSQ): a quantitated measure of subjective sleep complaints. Journal of sleep research. 1995 Jun; 4:150-5. DOI: https://doi.org/10.1111/j.1365-2869.1995.tb00205.x
Rana W, Mukhtar S, Mukhtar S. Mental health of medical workers in Pakistan during the pandemic COVID-19 outbreak. Asian journal of psychiatry. 2020 Jun; 51:102080. DOI: https://doi.org/10.1016/j.ajp.2020.102080
Blume C, Schmidt MH, Cajochen C. Effects of the COVID-19 lockdown on human sleep and rest-activity rhythms. Current Biology. 2020 Jul 20;30(14): R795-7. DOI: https://doi.org/10.1016/j.cub.2020.06.021
Shechter A, Diaz F, Moise N, Anstey DE, Ye S, Agarwal S et al. psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic. General hospital psychiatry. 2020 Sep 1; 66:1-8. DOI: https://doi.org/10.1016/j.genhosppsych.2020.06.007
Alnofaiey YH, Alshehri HA, Alosaimi MM, Alswat SH, Alswat RH, Alhulayfi RM et al. Sleep disturbances among physicians during COVID-19 pandemic. BMC research notes. 2020 Dec;13(1):1-7. DOI: https://doi.org/10.1186/s13104-020-05341-6
Que J, Le Shi JD, Liu J, Zhang L, Wu S, Gong Y et al. psychological impact of the COVID-19 pandemic on healthcare workers: a cross-sectional study in China. General psychiatry. 2020;33(3). DOI: https://doi.org/10.1136/gpsych-2020-100259
Ghalichi L, Pournik O, Ghaffari M, Vingard E. Sleep quality among health care workers. Archives of Iranian medicine. 2013 Feb 1;16(2):0-.
Paul F, Schredl M, Alpers GW. Nightmares affect the experience of sleep quality but not sleep architecture: an ambulatory polysomnographic study. Borderline personality disorder and emotion dysregulation. 2015 Dec;2(1):1-9. DOI: https://doi.org/10.1186/s40479-014-0023-4
Schredl M. Nightmare frequency in patients with primary insomnia. Universitätsbibliothek der Universität Heidelberg; 2009 Oct 27.
Schredl M. Dreams in patients with sleep disorders. Sleep medicine reviews. 2009 Jun 1;13(3):215-21. DOI: https://doi.org/10.1016/j.smrv.2008.06.002
Gruber R, Saha S, Somerville G, Boursier J, Wise MS. The impact of COVID-19 related school shutdown on sleep in adolescents: a natural experiment. Sleep medicine. 2020 Dec 1; 76:33-5. DOI: https://doi.org/10.1016/j.sleep.2020.09.015
Dagnew B, Andualem Z, Dagne H. Excessive daytime sleepiness and its predictors among medical and health science students of University of Gondar, Northwest Ethiopia: an institution-based cross-sectional study. Health and Quality of Life Outcomes. 2020 Dec;18(1):1-7. DOI: https://doi.org/10.1186/s12955-020-01553-3
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