Persistence of the Effects of the COVID-19 Lockdown on Sleep: A Longitudinal Study

The effects of the COVID-19 pandemic on sleep have been widely documented, but longitudinal evaluations during different phases of the “COVID-19 era” are needed to disentangle the specific consequences of the r145estrictive measures on sleep variables. The aim of this study was to assess the immedia...

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Autores principales: Maurizio Gorgoni, Serena Scarpelli, Anastasia Mangiaruga, Valentina Alfonsi, Maria R. Bonsignore, Francesco Fanfulla, Luigi Ferini-Strambi, Lino Nobili, Giuseppe Plazzi, Luigi De Gennaro, on behalf of the Board of the Italian Association of Sleep Medicine (AIMS)
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:f19bbff884d04b2699c8a24ef757e9df2021-11-25T16:58:55ZPersistence of the Effects of the COVID-19 Lockdown on Sleep: A Longitudinal Study10.3390/brainsci111115202076-3425https://doaj.org/article/f19bbff884d04b2699c8a24ef757e9df2021-11-01T00:00:00Zhttps://www.mdpi.com/2076-3425/11/11/1520https://doaj.org/toc/2076-3425The effects of the COVID-19 pandemic on sleep have been widely documented, but longitudinal evaluations during different phases of the “COVID-19 era” are needed to disentangle the specific consequences of the r145estrictive measures on sleep variables. The aim of this study was to assess the immediate effect of the lockdown’s end on sleep and sleep-related dimensions in an Italian sample, also considering the stress and depressive symptoms. We used an online survey to longitudinally collect data on sociodemographic, environmental, clinical, sleep, and sleep-related variables in two time points: during and immediately after the lockdown. The final sample included 102 participants. The large prevalence of poor sleep quality, clinically relevant pre-sleep arousal, and depressive symptoms, as well as poor sleep quality and pre-sleep arousal score observed during the lockdown, remained stable after its end. On the other hand, the prevalence of moderate-to-severe event-related stress and intrusive symptom scores exhibited a drastic reduction after the end of home confinement. Both bedtime and rise time were anticipated after the lockdown, while sleep quality exhibited only a trend of post-lockdown sleep disturbance reduction. Our findings point to a reduced stress level (specific for the intrusive symptomatology) after the end of the lockdown and persistence of sleep problems, suggesting two non-mutually exclusive hypotheses: (a) the strict restrictive measures are not the main cause of sleep problems during the pandemic and (b) home confinement induces long-lasting effects on sleep observable after its end, and a longer period of time might be needed to observe an improvement.Maurizio GorgoniSerena ScarpelliAnastasia MangiarugaValentina AlfonsiMaria R. BonsignoreFrancesco FanfullaLuigi Ferini-StrambiLino NobiliGiuseppe PlazziLuigi De Gennaroon behalf of the Board of the Italian Association of Sleep Medicine (AIMS)MDPI AGarticleCOVID-19pandemiclockdownsleepstressdepressionNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENBrain Sciences, Vol 11, Iss 1520, p 1520 (2021)
institution DOAJ
collection DOAJ
language EN
topic COVID-19
pandemic
lockdown
sleep
stress
depression
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
spellingShingle COVID-19
pandemic
lockdown
sleep
stress
depression
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Maurizio Gorgoni
Serena Scarpelli
Anastasia Mangiaruga
Valentina Alfonsi
Maria R. Bonsignore
Francesco Fanfulla
Luigi Ferini-Strambi
Lino Nobili
Giuseppe Plazzi
Luigi De Gennaro
on behalf of the Board of the Italian Association of Sleep Medicine (AIMS)
Persistence of the Effects of the COVID-19 Lockdown on Sleep: A Longitudinal Study
description The effects of the COVID-19 pandemic on sleep have been widely documented, but longitudinal evaluations during different phases of the “COVID-19 era” are needed to disentangle the specific consequences of the r145estrictive measures on sleep variables. The aim of this study was to assess the immediate effect of the lockdown’s end on sleep and sleep-related dimensions in an Italian sample, also considering the stress and depressive symptoms. We used an online survey to longitudinally collect data on sociodemographic, environmental, clinical, sleep, and sleep-related variables in two time points: during and immediately after the lockdown. The final sample included 102 participants. The large prevalence of poor sleep quality, clinically relevant pre-sleep arousal, and depressive symptoms, as well as poor sleep quality and pre-sleep arousal score observed during the lockdown, remained stable after its end. On the other hand, the prevalence of moderate-to-severe event-related stress and intrusive symptom scores exhibited a drastic reduction after the end of home confinement. Both bedtime and rise time were anticipated after the lockdown, while sleep quality exhibited only a trend of post-lockdown sleep disturbance reduction. Our findings point to a reduced stress level (specific for the intrusive symptomatology) after the end of the lockdown and persistence of sleep problems, suggesting two non-mutually exclusive hypotheses: (a) the strict restrictive measures are not the main cause of sleep problems during the pandemic and (b) home confinement induces long-lasting effects on sleep observable after its end, and a longer period of time might be needed to observe an improvement.
format article
author Maurizio Gorgoni
Serena Scarpelli
Anastasia Mangiaruga
Valentina Alfonsi
Maria R. Bonsignore
Francesco Fanfulla
Luigi Ferini-Strambi
Lino Nobili
Giuseppe Plazzi
Luigi De Gennaro
on behalf of the Board of the Italian Association of Sleep Medicine (AIMS)
author_facet Maurizio Gorgoni
Serena Scarpelli
Anastasia Mangiaruga
Valentina Alfonsi
Maria R. Bonsignore
Francesco Fanfulla
Luigi Ferini-Strambi
Lino Nobili
Giuseppe Plazzi
Luigi De Gennaro
on behalf of the Board of the Italian Association of Sleep Medicine (AIMS)
author_sort Maurizio Gorgoni
title Persistence of the Effects of the COVID-19 Lockdown on Sleep: A Longitudinal Study
title_short Persistence of the Effects of the COVID-19 Lockdown on Sleep: A Longitudinal Study
title_full Persistence of the Effects of the COVID-19 Lockdown on Sleep: A Longitudinal Study
title_fullStr Persistence of the Effects of the COVID-19 Lockdown on Sleep: A Longitudinal Study
title_full_unstemmed Persistence of the Effects of the COVID-19 Lockdown on Sleep: A Longitudinal Study
title_sort persistence of the effects of the covid-19 lockdown on sleep: a longitudinal study
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/f19bbff884d04b2699c8a24ef757e9df
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