Autopercepción de la calidad del sueño durante la pandemia de COVID-19: Factores de riesgo y protección
Contenido principal del artículo
Resumen
La situación derivada de la enfermedad por Coronavirus (COVID-19) y los sucesivos confinamientos ordenados para controlar la pandemia llevaron a problemas sin precedentes en diferentes aspectos del bienestar de las personas. Este estudio tuvo como objetivo explorar los efectos agudos del primer confinamiento en la calidad del sueño autopercibida, así como los factores de riesgo y protectores que pueden modular este impacto. La muestra estuvo compuesta por 1,275 encuestados con edades entre 18 y 55 años. Los participantes fueron reclutados durante el primer confinamiento por COVID-19 en España. Se les evaluó en relación con sus problemas de sueño autoinformados antes y durante el confinamiento, así como en otras áreas relacionadas con el impacto del confinamiento (por ejemplo, en la dieta, la actividad física o el uso de medios digitales), estados psicológicos (afecto positivo y negativo) y rasgos (impulsividad). La mayoría de los participantes (66.7%) informaron de una disminución en la calidad del sueño percibida durante la pandemia. Los análisis correlacionales mostraron que mantener buenos niveles deactividad físicaycalidad dela dieta durantela pandemiaestaban positivamente asociados con la calidad del sueño; además, niveles mayores de afecto positivo, vivir en hogares más grandes durante el confinamiento y la edad también estaban positivamente asociados con la calidad del sueño. Por el contrario, el afecto negativo, el ser mujer y el impacto de la pandemia en varios dominios (salud mental, calidad de las relaciones, finanzas personales y el uso de medios digitales) estaban negativamente relacionados con la calidad del sueño percibida. Así pues, esta investigación sustenta el impacto de la pandemia de COVID- 19 en la calidad del sueño percibida y proporciona una base preliminar para identificar factores protectores y de riesgo que contribuyen a la calidad del sueño durante el confinamiento y otras situaciones de estrés.
Descargas
Detalles del artículo
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
Aquellos autores/as que tengan publicaciones con esta revista, aceptan los términos siguientes:
- Los autores/as conservarán sus derechos de autor y garantizarán a la revista el derecho de primera publicación de su obra, el cuál estará simultáneamente sujeto a la Licencia de reconocimiento de Creative Commons que permite a terceros copiar y redistribuir el material en cualquier medio o formato bajo los siguientes términos: —se debe dar crédito de manera adecuada, brindar un enlace a la licencia, e indicar si se han realizado cambios. Puede hacerlo en cualquier forma razonable, pero no de forma tal que sugiera que usted o su uso tienen el apoyo de la licenciante (Atribución); — no se puede hacer uso del material con propósitos comerciales (No Comercial); — si se remezcla, transforma o crea a partir del material, no podrá distribuirse el material modificado (Sin Derivadas).
- Los autores/as podrán adoptar otros acuerdos de licencia no exclusiva de distribución de la versión de la obra publicada (p. ej.: depositarla en un archivo telemático institucional o publicarla en un volumen monográfico) siempre que se indique la publicación inicial en esta revista.
- Se permite y recomienda a los autores/as difundir su obra a través de Internet (p. ej.: en archivos telemáticos institucionales o en su página web) antes y durante el proceso de envío, lo cual puede producir intercambios interesantes y aumentar las citas de la obra publicada. (Véase El efecto del acceso abierto).
Este obra está bajo una licencia de Creative Commons Reconocimiento-NoComercial-SinObraDerivada 4.0 Internacional.
Citas
Alimoradi, Z., Gozal, D., Tsang, H. W. H., Lin, C. Y., Broström, A., Ohayon, M. M., & Pakpour, A. H. (2022). Gender-specific estimates of sleep problems during the COVID-19 pandemic: Systematic review and metaanalysis. Journal of sleep research, 31(1), e13432. https://doi.org/10.1111/jsr.13432
Altena, E., Baglioni, C., Espie, C. A., Ellis, J., Gavriloff, D., Holzinger, B., … Riemann, D. (2020). Dealing with sleep problems during home confinement due to the COVID-19 outbreak: Practical recommendations from a task force of the European CBT-I Academy. Journal of Sleep Research, 29(4), 1–7. https://doi.org/10.1111/jsr.13052
Ammar, A., Brach, M., Trabelsi, K., Chtourou, H., Boukhris, O., Masmoudi, L., … Hammouda, O. (2020). Effects of COVID-19 Home Confinement on Eating Behaviour and Physical Activity : Results of the. Nutrients, 12(1583), 13. https://doi.org/10.3390/nu12061583
Aulsebrook, A. E., Jones, T. M., Mulder, R. A., & Lesku, J. A. (2018). Impacts of artificial light at night on sleep: A review and prospectus. Journal of Experimental Zoology Part A: Ecological and Integrative Physiology, 329(8–9), 409–418. https://doi.org/10.1002/jez.2189
Baglioni, C., Nanovska, S., Regen, W., Spiegelhalder, K., Feige, B., Nissen, C., Reynolds, C. F. III, & Riemann, D. (2016). Sleep and mental disorders: A meta-analysis of polysomnographic research. Psychological Bulletin, 142(9), 969–990. https://doi.org/10.1037/bul0000053
Beck, F., Léger, D., Fressard, L., Peretti-Watel, P., & Verger, P. (2020). Covid-19 health crisis and lockdown associated with high level of sleep complaints and hypnotic uptake at the population level. Journal of Sleep Research, (October). https://doi.org/10.1111/jsr.13119
Borbély, A. A., Daan, S., Wirz-Justice, A., & Deboer, T. (2016). The two-process model of sleep regulation: A reappraisal. Journal of Sleep Research, 25(2), 131–143. https://doi.org/10.1111/jsr.12371
Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet, 395(10227), 912–920. https://doi.org/10.1016/S0140-6736(20)30460-8
Cappuccio, F. P., Taggart, F. M., Kandala, N. B., Currie, A., Peile, E., Stranges, S., & Miller, M. A. (2008). Meta-analysis of short sleep duration and obesity in children and adults. Sleep, 31(5), 619–626. https://doi.org/10.1093/sleep/31.5.619
Cellini, N., Canale, N., Mioni, G., & Costa, S. (2020). Changes in sleep pattern, sense of time and digital media use during COVID-19 lockdown in Italy. Journal of Sleep Research, 29(4), 1–5. https://doi.org/10.1111/jsr.13074
Cellini, N., Duggan, K. A., & Sarlo, M. (2017). Perceived sleep quality: The interplay of neuroticism, affect, and hyperarousal. Sleep Health, 3(3), 184–189. https://doi.org/10.1016/j.sleh.2017.03.001
Chennaoui, M., Arnal, P. J., Sauvet, F., & Léger, D. (2015). Sleep and exercise: A reciprocal issue? Sleep Medicine Reviews, 20, 59–72. https://doi.org/10.1016/j.smrv.2014.06.008
Cizza, G., Requena, M., Galli, G., & De Jonge, L. (2011). Chronic sleep deprivation and seasonality: Implications for the obesity epidemic. Journal of Endocrinological Investigation, 34(10), 793–800. https://doi.org/10.3275/7808
Dal Santo, F., González-Blanco, L., Rodríguez-Revuelta, J., Marina González, P. A., Paniagua, G., García-Álvarez, L., … Bobes, J. (2021). Early Impact of the COVID-19 Outbreak on Sleep in a Large Spanish Sample. Behavioral Sleep Medicine, 00(00), 1–16. https://doi.org/10.1080/15402002.2021.1890597
Dalmases, M., Benítez, I., Sapiña-Beltran, E., Garcia-Codina, O., Medina-Bustos, A., Escarrabill, J., … de Batlle, J. (2019). Impact of sleep health on self-perceived health status. Scientific Reports, 9(1), 1–7. https://doi.org/10.1038/s41598-019-43873-5
Dattilo, M., Antunes, H. K. M., Medeiros, A., Mônico Neto, M., Souza, H. S., Tufik, S., & De Mello, M. T. (2011). Sleep and muscle recovery: Endocrinological and molecular basis for a new and promising hypothesis. Medical Hypotheses, 77(2), 220–222. https://doi.org/10.1016/j.mehy.2011.04.017
Dworak, M., Diel, P., Voss, S., Hollmann, W., & Strüder, H. K. (2007). Intense exercise increases adenosine concentrations in rat brain: Implications for a homeostatic sleep drive. Neuroscience, 150(4), 789–795. https://doi.org/10.1016/j.neuroscience.2007.09.062
Espie, C. A., Kyle, S. D., Hames, P., Cyhlarova, E., & Benzeval, M. (2012). The daytimeimpact of DSM-5 insomnia disorder: Comparative analysis of insomnia subtypes from the Great British Sleep Survey. Journal of Clinical Psychiatry, 73(12), 1478–1484. https://doi.org/10.4088/JCP.12m07954
Franceschini, C., Musetti, A., Zenesini, C., Palagini, L., Scarpelli, S., Quattropani, M. C., … Castelnuovo, G. (2020). Poor sleep quality and its consequences on mental health during the COVID-19 lockdown in Italy. Frontiers in Psychology, 11(November), 1–15. https://doi.org/10.3389/fpsyg.2020.574475
Fu, W., Wang, C., Zou, L., Guo, Y., Lu, Z., Yan, S., & Mao, J. (2020). Psychological health, sleep quality, and coping styles to stress facing the COVID-19 in Wuhan, China. Translational Psychiatry, 10(1). https://doi.org/10.1038/s41398-020-00913-3
Grey, I., Arora, T., Thomas, J., Saneh, A., Tomhe, P., & Abi-Habib, R. (2020). The role of perceived social support on depression and sleep during the COVID-19 pandemic. Psychiatry Research, 293(September), 113452. https://doi.org/10.1016/j.psychres.2020.113452
Gualano, M. R., Lo Moro, G., Voglino, G., Bert, F., & Siliquini, R. (2020). Effects of COVID-19 lockdown on mental health and sleep disturbances in Italy. International Journal of Environmental Research and Public Health, 17(13), 1–13. https://doi.org/10.3390/ijerph17134779
Gupta, R., Grover, S., Basu, A., Krishnan, V., Tripathi, A., Subramanyam, A., Nischal, A., Hussain, A., Mehra, A., Ambekar, A., Saha, G., Mishra, K. K., Bathla, M., Jagiwala, M., Manjunatha, N., Nebhinani, N., Gaur, N., Kumar, N., Dalal, P. K., Kumar, P., … Avasthi, A. (2020). Changes in sleep pattern and sleep quality during COVID-19 lockdown. Indian journal of psychiatry, 62(4), 370–378. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_523_20
Hale, L., & Guan, S. (2015). Screen time and sleep among school-aged children and adolescents: a systematic literature review. Sleep medicine reviews, 21, 50–58. https://doi.org/10.1016/j.smrv.2014.07.007
Hale, T., Angrist, N., Goldszmidt, R., Kira, B., Petherick, A., Phillips, T., ... & Tatlow, H. (2021). A global panel database of pandemic policies (Oxford COVID-19 Government Response Tracker). Nature Human Behaviour, 5(4), 529-538. https://doi.org/10.1038/s41562-021-01079-8
Hall, M. H., Brindle, R. C., & Buysse, D. J. (2018). Sleep and cardiovascular disease: Emerging opportunities for psychology. American Psychologist, 73(8), 994–1006. https://doi.org/10.1037/amp0000362
Hasler, G., Buysse, D. J., Klaghofer, R., Gamma, A., Ajdacic, V., Eich, D., … Angst, J. (2004). The association between short sleep duration and obesity in young adults: A 13-year prospective study. Sleep, 27(4), 661–666. https://doi.org/10.1093/sleep/27.4.661
Király, O., Potenza, M. N., Stein, D. J., King, D. L., Hodgins, D. C., Saunders, J. B., … Demetrovics, Z. (2020). Preventing problematic internet use during the COVID-19 pandemic: Consensus guidance. Comprehensive Psychiatry, 100, 1–4. https://doi.org/10.1016/j.comppsych.2020.152180
Kutana, S., & Lau, P. H. (2020). The impact of the 2019 coronavirus disease (COVID-19) pandemic on sleep health. Canadian Psychology/Psychologie Canadienne. https://doi.org/10.1037/cap0000256
Lao, X. Q., Liu, X., Deng, H. B., Chan, T. C., Ho, K. F., Wang, F., … Yeoh, E. K. (2018). Sleep quality, sleep duration, and the risk of coronary heart disease: A prospective cohort study with 60, 586 adults. Journal of Clinical Sleep Medicine, 14(1), 109–117. https://doi.org/10.5664/jcsm.6894
Limongi F, Siviero P, Trevisan C, Noale M, Catalani F, Ceolin C, Conti S, di Rosa E, Perdixi E, Remelli F, Prinelli F and Maggi S (2023) Changes in sleep quality and sleep disturbances in the general population from before to during the COVID-19 lockdown: a systematic review and meta-analysis. Frontiers in Psychiatry 14:1166815. https://doi.org/10.3389/fpsyt.2023.1166815
Liu, H., & Chen, A. (2019). Roles of sleep deprivation in cardiovascular dysfunctions. Life Sciences, 219(253), 231–237. https://doi.org/10.1016/j.lfs.2019.01.006
Merrill, R. M., Ashton, M. K., & Angell, E. (2023). Sleep disorders related to index and comorbid mental disorders and psychotropic drugs. Annals of general psychiatry, 22(1), 23. https://doi.org/10.1186/s12991-023-00452-3
Navarro-Martínez, R., Chover-Sierra, E., Colomer-Pérez, N., Vlachou, E., Andriuseviciene, V., & Cauli, O. (2020). Sleep quality and its association with substance abuse among university students. Clinical Neurology and Neurosurgery, 188(November 2019), 105591. https://doi.org/10.1016/j.clineuro.2019.105591
Nicholson, A. N., Bradley, C. M., & Pascoe, P. A. (1994). Medications: effect on sleep and wakefulness. Principles and practice of sleep medicine, 228-236.
Olini, N., Rothfuchs, I., Azzinnari, D., Pryce, C. R., Kurth, S., & Huber, R. (2017). Chronic social stress leads to altered sleep homeostasis in mice. Behavioural Brain Research, 327, 167–173. https://doi.org/10.1016/j.bbr.2017.03.022
Orzeł-Gryglewska, J. (2010). Consequences of sleep deprivation. International Journal of Occupational Medicine and Environmental Health, 23(1), 95–114. https://doi.org/10.2478/v10001-010-0004-9
Peuhkuri, K., Sihvola, N., & Korpela, R. (2012). Diet promotes sleep duration and quality. Nutrition Research, 32(5), 309–319. https://doi.org/10.1016/j.nutres.2012.03.009
Podsakoff, P. M., & Organ, D. W. (1986). Self-reports in organizational research: Problems and prospects. Journal of management, 12(4), 531-544. https://doi.org/10.1177/014920638601200408
Prommas, P., Lwin, K. S., Chen, Y. C., Hyakutake, M., Ghaznavi, C., Sakamoto, H., Miyata, H., & Nomura, S. (2023). The impact of social isolation from COVID-19-related public health measures on cognitive function and mental health among older adults: A systematic review and meta-analysis. Ageing research reviews, 85, 101839.
Rappoport, A. (2019). A Complete Biological Theory of Sleep. (April), 1–31. https://doi.org/10.20944/PREPRINTS201904.0325.V1
Richaud, M. C., Muzio, R. N., Lemos, V., Urquijo, S., & Carlo, G. (2022). Editorial: Psychosocial effects of isolation and fear of contagion of COVID-19 on the mental health of different population groups. Frontiers in psychology, 13, 1011028. https://doi.org/10.3389/fpsyg.2022.1011028
Robillard, R., Dion, K., Pennestri, M. H., Solomonova, E., Lee, E., Saad, M., … Kendzerska, T. (2020). Profiles of sleep changes during the COVID-19 pandemic: Demographic, behaviouraland psychological factors.Journal of Sleep Research, 30(1), 1–12. https://doi.org/10.1111/jsr.13231
Romero-Blanco, C., Rodríguez-Almagro, J., Onieva-Zafra, M. D., Parra-Fernández, M. L., Prado-Laguna, M. D. C., & Hernández-Martínez, A. (2020). Physical activity and sedentary lifestyle in university students: Changes during confinement due to the covid-19 pandemic. International Journal of Environmental Research and Public Health, 17(18), 1–13. https://doi.org/10.3390/ijerph17186567
Santillán-Marroquín, W. (2020). El teletrabajo en el COVID-19. CienciAmérica, 9(2), 65. https://doi.org/10.33210/ca.v9i2.289
Sañudo, B., Fennell, C., & Sánchez-Oliver, A. J. (2020). Objectively-assessed physical activity, sedentary behavior, smartphone use, and sleep patterns preand during-COVID-19 quarantine in young adults from Spain. Sustainability (Switzerland), 12(15), 1–12. https://doi.org/10.3390/SU12155890
Schimmenti, A., Billieux,J., & Starcevic, V. (2020). Thefour horsemen of fear: An integrated model of understanding fear experiences during the COVID-19 pandemic. Clinical Neuropsychiatry: Journal of Treatment Evaluation, 17(2), 41–45. https://doi.org/10.36131/CN20200202
Schluter, M. G., Hodgins, D. C., Wolfe, J., & Wild, T. C. (2018). Can one simple questionnaire assess substance related and behavioural addiction problems? Results of a proposed new screener for community epidemiology. Addiction, 113(8), 1528-1537. https://doi.org/10.1111/add.14166
Soehner, A. M., & Harvey, A. G. (2012). Prevalence and functional consequences of severe insomnia symptoms in mood and anxiety disorders: Results from a nationally representative sample. Sleep, 35(10), 1367–1375. https://doi.org/10.5665/sleep.2116
Solhan, M. B., Trull, T. J., Jahng, S., & Wood, P. K. (2009). Clinical assessment of affective instability: Comparing EMA indices, questionnaire reports, and retrospective recall. Psychological Assessment, 21(3), 425–436. https://doi.org/10.1037/a0016869
Tranmer, J. E., Minard, J., Fox, L. A., & Rebelo, L. (2003). The sleep experience of medical and surgical patients. Clinical nursing research, 12(2), 159-173. https://doi.org/10.1177/1054773803012002004
Vgontzas, A. N., Liao, D., Pejovic, S., Calhoun, S., Karataraki, M., & Bixler, E. O. (2009). Insomnia with objective short sleep duration is associated with type 2 diabetes: A population-based study. Diabetes Care, 32(11), 1980–1985. https://doi.org/10.2337/dc09-0284
Wang, H., & Fan, X. (2023). Academic Stress and Sleep Quality among Chinese Adolescents: Chain Mediating Effects of Anxiety and School Burnout. International journal of environmental research and public health, 20(3), 2219. https://doi.org/10.3390/ijerph20032219
Weller, J. (2020). La pandemia del COVID-19 y su efecto en las tendencias de los mercados laborales. Comisión Económica Para América Latina y El Caribe (CEPAL), 31. Retrieved from https://repositorio.cepal.org/bitstream/handle/11362/45759/S2000387_es.pdf?sequence=1&isAllowed=y
World Health Organization. (2020). WHO Director-General’s opening remarks at the media briefing on COVID-19 - 11 March 2020. Retrieved from https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19—-11-march-2020
Zarco-Alpuente, A., Ciudad-Fernández, V., Ballester-Arnal, R., Billieux, J., Gil-Llario, M.D., King, D.L., MontoyaCastilla, I., Samper, P. & Castro-Calvo, J. (2021). Problematic internet use prior to and during the COVID-19 pandemic. Cyberpsychology: Journal of Psychosocial Research on Cyberspace, 15(4), Article 1. https://doi.org/10.5817/CP2021-4-1
Zhang, B., & Wing, Y. K. (2006). Sex differences in insomnia: A meta-analysis. Sleep, 29(1), 85–93. https://doi.org/10.1093/sleep/29.1.85
Zhang, Y., Zhang, H., Ma, X., & Di, Q. (2020). Mental health problems during the COVID-19 pandemics and the mitigation effects of exercise: A longitudinal study of college students in China. International Journal of Environmental Research and Public Health, 17(10). https://doi.org/10.3390/ijerph17103722