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首页> 外文期刊>Frontiers in Psychology >Poor Sleep Quality and Its Consequences on Mental Health During the COVID-19 Lockdown in Italy
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Poor Sleep Quality and Its Consequences on Mental Health During the COVID-19 Lockdown in Italy

机译：在意大利的Covid-19锁定期间，睡眠质量不佳及其对心理健康的后果

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Coronavirus disease 2019 (COVID-19) seriously affected the whole of Italy. The extreme virulence and the speed of propagation resulted in restrictions and home confinement. This change was immediately perceived by people who found themselves exposed to feelings of uncertainty, fear, anger, stress and a drastic change in the diurnal but above all nocturnal lifestyle. For these reasons, we aimed to study the quality of sleep and its connection to distress levels and to evaluate how lifestyle changed in the Italian population during the lockdown. By means of an Internet survey we recruited 6,519 adults during the whole of the COVID-19 lockdown (from 10thMarch– 1st phase - to 4th May – 2nd phase). We investigated the socio-demographic and COVID-19 related information and assessed sleep quality using the Medical Outcomes Study - sleep scale (MOS-SS) and mental health with the short form of Depression, Anxiety, and Stress Scales – 21 Items (DASS-21). Multiple logistic regression model was used to evaluate the multivariate association between the dependent variable (good sleeper vs. poor sleeper) and all the variables that were significant in the univariate analysis. 3,562 (55.32%) participants reported poor sleep quality according to the MOS-Sleep Index II score. The multiple binary logistic regression results of poor sleepers revealed several risk factors during the outbreak restrictions: female gender, living in Central Italy, having someone close who died because of COVID-19, markedly changed sleep-wake rhythms characterized by earlier or postponed habitual bedtime, earlier habitual awakening time and reduced number of afternoon naps, extremely severe levels of stress, anxiety, and depression. This is the first study designed to understand sleep quality and sleep habits during the whole of the lockdown period in the Italian population that provides more than 6,000 participants in a survey developed specifically for the health emergency related to COVID-19. Our study found that more than half of the Italian population had impaired sleep quality and sleep habits due to elevated psychological distress during the COVID-19 lockdown containment measures. A multidisciplinary action should be undertaken in order to plan appropriate responses to the current crisis caused by the lockdown for the COVID-19 outbreak.
机译：冠状病毒疾病2019（Covid-19）严重影响了整个意大利。极端毒力和传播速度导致限制和家庭限制。这种变化立即被发现自己暴露在不确定性，恐惧，愤怒，压力和昼夜剧烈变化的感觉中，而是高于所有夜行的生活方式。由于这些原因，我们的目标是研究睡眠质量及其与痛苦水平的联系，并评估在锁定期间意大利人群中的生活方式如何变化。通过互联网调查，我们在整个Covid-19锁定期间招募了6,519名成年人（从10阶段 - 第1阶段 - 第4阶段 - 第2阶段）。我们调查了社会人口统计和Covid-19相关信息，并使用医疗结果研究 - 睡眠量表（MOS-SS）和心理健康，抑郁，焦虑和压力秤的短症 - 21项（Dass- 21）。使用多个逻辑回归模型来评估从属变量（良好睡眠与睡眠者与睡眠者）之间的多变量关联以及单变量分析中的所有变量。 3,562（55.32％）参与者根据MOS睡眠指数II分数报告睡眠质量差。贫困睡眠者的多个二元逻辑回归结果揭示了疫情限制期间的几个危险因素：女性性别，生活在意大利中部，有人因Covid-19而死亡的人，显着改变了睡眠节奏，其特征在于早期或推迟习惯性睡前的睡眠节奏，早些时候习惯性觉醒时间和下午的数量减少，严重严重的压力，焦虑和抑郁。这是第一项研究，旨在了解意大利人口的整个锁定期间睡眠质量和睡眠习惯，在专门为Covid-19相关的卫生紧急情况下提供了超过6,000名参与者。我们的研究发现，由于在Covid-19锁定遏制措施期间，由于心理困扰提高了睡眠质量和睡眠习惯，超过一半的人口受损。应进行多学科行动，以规划对Covid-19爆发的锁定造成的当前危机的适当答复。

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