Impacts of mental health in the sleep pattern of healthcare professionals during the COVID-19 pandemic in Brazil

Data de publicação
Journal of Affective Disorders
Citações (Scopus)
dos Santos Alves Maria G.
de Oliveira Serpa A.L.
de Medeiros Chaves Ferreira C.
de Andrade V.D.
Rodrigues Hansen Ferreira A.
de Souza Costa D.
Paim Diaz A.
da Silva A.G.
Marques de Miranda D.
Nicolato R.
Fernandes Malloy-Diniz L.
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© 2022 Elsevier B.V.Background: After >2 years of the Coronavirus Disease-19 (COVID-19) pandemic, it is well established how sleep symptoms are rising, especially among healthcare workers (HCW). The aim of this study is to evaluate what features are associated with sleep disturbances in the HCW population. Methods: Cross-sectional and longitudinal analysis of social and clinical variables associated with sleep problems and insomnia incidence in HCW in a large, national-level cohort. The measurement of sleep problems was assessed by self-report using Jenkins Sleep Scale (JSS). A multivariate analysis was used in the cross-sectional design and generalized linear models were used in the longitudinal design. Results: 10,467 HCW were analyzed in the cross-sectional analysis, 3313 participants were analyzed in the three timepoints of the study. Sex, previously diagnosed mental illness and frontline work with COVID-19 were associated with higher scores in JSS in the univariate analysis. In the multivariate analysis, only previous diagnosis of mental illness was related with sleep difficulties, especially previously diagnosed insomnia. The longitudinal analysis concluded that previous diagnosis of mental illnesses was associated with higher levels of insomnia development (OR = 11.62). The self-reported disorders found to be major risk factors were addiction (OR = 7.69), generalized anxiety disorder (OR = 3.67), social anxiety (OR = 2.21) and bipolar disorder (OR = 2.21). Limitations: Attrition bias. Conclusions: Previous diagnosis of mental illness was strongly related to insomnia development in HCW during the COVID-19 pandemic. Strategies that focus on this population are advised.
Assuntos Scopus
Anxiety , Brazil , COVID-19 , Cross-Sectional Studies , Delivery of Health Care , Depression , Health Personnel , Humans , Mental Health , Pandemics , SARS-CoV-2 , Sleep , Sleep Initiation and Maintenance Disorders
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