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

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. Cross-sectional and l...

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Bibliographic Details
Published in:Journal of affective disorders 2023-02, Vol.323, p.472-481
Main Authors: dos Santos Alves Maria, Gustavo, de Oliveira Serpa, Alexandre Luiz, de Medeiros Chaves Ferreira, Clarice, de Andrade, Vitor Douglas, Rodrigues Hansen Ferreira, Alessandra, de Souza Costa, Danielle, Paim Diaz, Alexandre, da Silva, Antônio Geraldo, Marques de Miranda, Débora, Nicolato, Rodrigo, Fernandes Malloy-Diniz, Leandro
Format: Article
Language:English
Subjects:
Anxiety - psychology
Brazil - epidemiology
COVID-19
COVID-19 - epidemiology
Cross-Sectional Studies
Delivery of Health Care
Depression - psychology
Health Personnel - psychology
Health professionals
Humans
Insomnia
Mental Health
Mental illness
Pandemics
Research Paper
SARS-CoV-2
Sleep
Sleep Initiation and Maintenance Disorders - epidemiology
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Summary: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. 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. 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). Attrition bias. 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. •Sleep disturbances vary among healthcare workers.•Poor sleep during COVID-19 is strongly related to previous diagnosis of insomnia.•The strongest predictor of insomnia during COVID-19 was previous mental illness.•Strategies may be directed to professionals at higher risk of sleep disturbances.
ISSN:0165-0327
1573-2517
DOI:10.1016/j.jad.2022.11.082