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Sleep problems among Chinese adolescents and young adults during the coronavirus-2019 pandemic.
Sleep Med. 2020 10; 74:39-47.SM

Abstract

OBJECTIVE

To assess the prevalence and sociodemographic correlates of insomnia symptoms among Chinese adolescents and young adults affected by the outbreak of coronavirus disease-2019 (COVID-19).

METHODS

This cross-sectional study included Chinese adolescents and young adults 12-29 years of age during part of the COVID-19 epidemic period. An online survey was used to collect demographic data, and to assess recognition of COVID-19, insomnia, depression, and anxiety symptoms using the Pittsburgh Sleep Quality Index (PSQI), the Patient Health Questionnaire (PHQ-9), and the Generalized Anxiety Disorder (GAD-7) questionnaires, respectively. The Social Support Rate Scale was used to assess social support.

RESULTS

Among 11,835 adolescents and young adults included in the study, the prevalence of insomnia symptoms during part of the COVID-19 epidemic period was 23.2%. Binomial logistic regression analysis revealed that female sex and residing in the city were greater risk factors for insomnia symptoms. Depression or anxiety were risk factors for insomnia symptoms; however, social support, both subjective and objective, was protective factors against insomnia symptoms. Furthermore, anxiety and depression symptoms were mediators of social support and insomnia symptoms.

CONCLUSIONS

Results of this study revealed a high prevalence of sleep problems among adolescents and young adults during the COVID-19 epidemic, especially senior high school and college students, which were negatively associated with students' projections of trends in COVID-19. The adverse impact of COVID-19 was a risk factor for insomnia symptoms; as such, the government must devote more attention to sleep disorders in this patient population while combating COVID-19.

Authors+Show Affiliations

Beijing HuiLongGuan Hospital, Peking University HuiLongGuan Clinical Medical School, Beijing, China.Beijing HuiLongGuan Hospital, Peking University HuiLongGuan Clinical Medical School, Beijing, China.Beijing Anding Hospital, Capital Medical University, Beijing, China.Beijing HuiLongGuan Hospital, Peking University HuiLongGuan Clinical Medical School, Beijing, China.Beijing HuiLongGuan Hospital, Peking University HuiLongGuan Clinical Medical School, Beijing, China.The First High School of Juxian, Rizhao, Shandong Province, China.The Experimental Middle School of Chengde, Hebei Province, China.Binhai Eco-city School-Tianjin Nankai High School, Tianjin, China.Beijing HuiLongGuan Hospital, Peking University HuiLongGuan Clinical Medical School, Beijing, China. Electronic address: chenjx1110@163.com.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

32836185

Citation

Zhou, Shuang-Jiang, et al. "Sleep Problems Among Chinese Adolescents and Young Adults During the Coronavirus-2019 Pandemic." Sleep Medicine, vol. 74, 2020, pp. 39-47.
Zhou SJ, Wang LL, Yang R, et al. Sleep problems among Chinese adolescents and young adults during the coronavirus-2019 pandemic. Sleep Med. 2020;74:39-47.
Zhou, S. J., Wang, L. L., Yang, R., Yang, X. J., Zhang, L. G., Guo, Z. C., Chen, J. C., Wang, J. Q., & Chen, J. X. (2020). Sleep problems among Chinese adolescents and young adults during the coronavirus-2019 pandemic. Sleep Medicine, 74, 39-47. https://doi.org/10.1016/j.sleep.2020.06.001
Zhou SJ, et al. Sleep Problems Among Chinese Adolescents and Young Adults During the Coronavirus-2019 Pandemic. Sleep Med. 2020;74:39-47. PubMed PMID: 32836185.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sleep problems among Chinese adolescents and young adults during the coronavirus-2019 pandemic. AU - Zhou,Shuang-Jiang, AU - Wang,Lei-Lei, AU - Yang,Rui, AU - Yang,Xing-Jie, AU - Zhang,Li-Gang, AU - Guo,Zhao-Chang, AU - Chen,Jin-Cheng, AU - Wang,Jing-Qi, AU - Chen,Jing-Xu, Y1 - 2020/06/06/ PY - 2020/05/07/received PY - 2020/05/24/revised PY - 2020/06/01/accepted PY - 2020/8/25/pubmed PY - 2020/10/21/medline PY - 2020/8/25/entrez KW - Adolescents KW - COVID-19 KW - Insomnia KW - Prevalence KW - Young adults SP - 39 EP - 47 JF - Sleep medicine JO - Sleep Med VL - 74 N2 - OBJECTIVE: To assess the prevalence and sociodemographic correlates of insomnia symptoms among Chinese adolescents and young adults affected by the outbreak of coronavirus disease-2019 (COVID-19). METHODS: This cross-sectional study included Chinese adolescents and young adults 12-29 years of age during part of the COVID-19 epidemic period. An online survey was used to collect demographic data, and to assess recognition of COVID-19, insomnia, depression, and anxiety symptoms using the Pittsburgh Sleep Quality Index (PSQI), the Patient Health Questionnaire (PHQ-9), and the Generalized Anxiety Disorder (GAD-7) questionnaires, respectively. The Social Support Rate Scale was used to assess social support. RESULTS: Among 11,835 adolescents and young adults included in the study, the prevalence of insomnia symptoms during part of the COVID-19 epidemic period was 23.2%. Binomial logistic regression analysis revealed that female sex and residing in the city were greater risk factors for insomnia symptoms. Depression or anxiety were risk factors for insomnia symptoms; however, social support, both subjective and objective, was protective factors against insomnia symptoms. Furthermore, anxiety and depression symptoms were mediators of social support and insomnia symptoms. CONCLUSIONS: Results of this study revealed a high prevalence of sleep problems among adolescents and young adults during the COVID-19 epidemic, especially senior high school and college students, which were negatively associated with students' projections of trends in COVID-19. The adverse impact of COVID-19 was a risk factor for insomnia symptoms; as such, the government must devote more attention to sleep disorders in this patient population while combating COVID-19. SN - 1878-5506 UR - https://www.unboundmedicine.com/medline/citation/32836185/Sleep_problems_among_Chinese_adolescents_and_young_adults_during_the_coronavirus_2019_pandemic_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1389-9457(20)30255-0 DB - PRIME DP - Unbound Medicine ER -