Psychosocial and health stressors during the COVID-19 pandemic and their association with sleep quality.

IF 2.4 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY
Psychology & Health Pub Date : 2024-12-01 Epub Date: 2023-08-08 DOI:10.1080/08870446.2023.2245426
Rafael O Leite, Maria M Llabre, Kiara R Timpano, Hannah C Broos, Patrice G Saab
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Abstract

Objective: We investigated how psychosocial and health stressors and related cognitive-affective factors were differentially associated with sleep quality during the early months of the COVID-19 pandemic.

Methods and measures: Adults living in Florida (n = 2,152) completed a Qualtrics survey in April-May 2020 (Wave 1). Participants (n = 831) were reassessed one month later (Wave 2; May-June 2020). At Wave 1, participants reported their level of physical contact with someone they care about, presence of a pre-existing chronic disease, employment status, loneliness, health worry, and financial distress. At Wave 2, participants rated their quality of sleep and insomnia symptoms.

Results: Loneliness, but not health worry or financial distress, directly predicted worse sleep quality. Lack of physical contact was indirectly associated with worse sleep quality via greater levels of loneliness. Further, results showed the presence of a pre-existing chronic disease was associated with both greater health worry and worse sleep quality.

Conclusion: Loneliness was the sole cognitive-affective predictor of worse sleep quality when controlling for other psychosocial factors. As expected, adults living with a chronic disease reported impaired sleep quality. Understanding the processes influencing sleep quality during a significant time of stress is important for identifying risk factors, informing treatment, and improving sleep health beyond the pandemic.

COVID-19 大流行期间的社会心理和健康压力及其与睡眠质量的关系。
目的我们研究了在COVID-19大流行的最初几个月中,心理社会和健康压力因素以及相关认知情感因素与睡眠质量的不同关系:居住在佛罗里达州的成年人(n = 2,152)于 2020 年 4 月至 5 月(第 1 波)完成了 Qualtrics 调查。一个月后对参与者(n = 831)进行了重新评估(Wave 2;2020 年 5 月至 6 月)。在第 1 波调查中,参与者报告了他们与自己关心的人的身体接触程度、是否患有既往慢性病、就业状况、孤独感、健康担忧和财务困境。在第二阶段,参与者对其睡眠质量和失眠症状进行评分:结果:孤独感直接导致睡眠质量下降,而健康担忧和经济压力则不然。缺乏身体接触与睡眠质量的恶化间接相关,因为孤独感更强。此外,结果还显示,原有慢性疾病与更大的健康担忧和更差的睡眠质量有关:结论:在控制其他社会心理因素的情况下,孤独感是预测睡眠质量下降的唯一认知情感因素。不出所料,患有慢性疾病的成年人的睡眠质量会受到影响。在压力巨大的时期,了解影响睡眠质量的过程对于识别风险因素、为治疗提供信息以及改善大流行病后的睡眠健康非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.30
自引率
3.00%
发文量
95
期刊介绍: Psychology & Health promotes the study and application of psychological approaches to health and illness. The contents include work on psychological aspects of physical illness, treatment processes and recovery; psychosocial factors in the aetiology of physical illnesses; health attitudes and behaviour, including prevention; the individual-health care system interface particularly communication and psychologically-based interventions. The journal publishes original research, and accepts not only papers describing rigorous empirical work, including meta-analyses, but also those outlining new psychological approaches and interventions in health-related fields.
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