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Children and adolescents’ sleep patterns and their associations with mental health during the COVID-19 pandemic in Shanghai, China
BACKGROUND: School closures and home confinement due to the ongoing COVID-19 pandemic may lead to disrupted sleep patterns. Consequently, it could increase the risk of children and adolescents’ mental health disorders. METHODS: In this prospective study, we randomly selected ten schools in Shanghai...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier B.V.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8743792/ https://www.ncbi.nlm.nih.gov/pubmed/35016913 http://dx.doi.org/10.1016/j.jad.2021.12.123 |
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author | Zhao, Jian Xu, Jiawei He, Yaping Xiang, Mi |
author_facet | Zhao, Jian Xu, Jiawei He, Yaping Xiang, Mi |
author_sort | Zhao, Jian |
collection | PubMed |
description | BACKGROUND: School closures and home confinement due to the ongoing COVID-19 pandemic may lead to disrupted sleep patterns. Consequently, it could increase the risk of children and adolescents’ mental health disorders. METHODS: In this prospective study, we randomly selected ten schools in Shanghai and conducted cluster sampling of students from each school. The first wave of the survey was conducted between January 3 and 21, 2020. Approximately two months after the COVID-19 outbreak declared, a second wave of the survey was conducted. In total, 2427 individuals were surveyed in both waves using the same sampling method. Participants’ mental health status (depression, anxiety and stress), sleep patterns and other demographic information were measured in both waves. Multivariate regression analysis was used to examine the associations between sleep patterns and mental health status. RESULTS: During the COVID-19 pandemic, a total of 873 participants (19.9%), 1100 participants (25.1%), and 670 participants (15.3%) reported depression, anxiety, and stress symptoms, respectively. Significant changes of both sleep duration and sleep-wake cycle patterns were observed before and during the COVID-19 pandemic. Moreover, shorter sleep duration and late to rise patterns (including early to bed late to rise and late to bed late to rise) were found to be associated with higher odds of having mental illnesses during the pandemic. CONCLUSION: These results suggest there is a pressing need to monitor children's and adolescents’ health behavior and mental health and develop timely evidence‐based strategies and interventions to mitigate adverse behavioral and psychological impacts caused by these unprecedented challenges. |
format | Online Article Text |
id | pubmed-8743792 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier B.V. |
record_format | MEDLINE/PubMed |
spelling | pubmed-87437922022-01-10 Children and adolescents’ sleep patterns and their associations with mental health during the COVID-19 pandemic in Shanghai, China Zhao, Jian Xu, Jiawei He, Yaping Xiang, Mi J Affect Disord Research Paper BACKGROUND: School closures and home confinement due to the ongoing COVID-19 pandemic may lead to disrupted sleep patterns. Consequently, it could increase the risk of children and adolescents’ mental health disorders. METHODS: In this prospective study, we randomly selected ten schools in Shanghai and conducted cluster sampling of students from each school. The first wave of the survey was conducted between January 3 and 21, 2020. Approximately two months after the COVID-19 outbreak declared, a second wave of the survey was conducted. In total, 2427 individuals were surveyed in both waves using the same sampling method. Participants’ mental health status (depression, anxiety and stress), sleep patterns and other demographic information were measured in both waves. Multivariate regression analysis was used to examine the associations between sleep patterns and mental health status. RESULTS: During the COVID-19 pandemic, a total of 873 participants (19.9%), 1100 participants (25.1%), and 670 participants (15.3%) reported depression, anxiety, and stress symptoms, respectively. Significant changes of both sleep duration and sleep-wake cycle patterns were observed before and during the COVID-19 pandemic. Moreover, shorter sleep duration and late to rise patterns (including early to bed late to rise and late to bed late to rise) were found to be associated with higher odds of having mental illnesses during the pandemic. CONCLUSION: These results suggest there is a pressing need to monitor children's and adolescents’ health behavior and mental health and develop timely evidence‐based strategies and interventions to mitigate adverse behavioral and psychological impacts caused by these unprecedented challenges. Elsevier B.V. 2022-03-15 2022-01-10 /pmc/articles/PMC8743792/ /pubmed/35016913 http://dx.doi.org/10.1016/j.jad.2021.12.123 Text en © 2022 Elsevier B.V. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Research Paper Zhao, Jian Xu, Jiawei He, Yaping Xiang, Mi Children and adolescents’ sleep patterns and their associations with mental health during the COVID-19 pandemic in Shanghai, China |
title | Children and adolescents’ sleep patterns and their associations with mental health during the COVID-19 pandemic in Shanghai, China |
title_full | Children and adolescents’ sleep patterns and their associations with mental health during the COVID-19 pandemic in Shanghai, China |
title_fullStr | Children and adolescents’ sleep patterns and their associations with mental health during the COVID-19 pandemic in Shanghai, China |
title_full_unstemmed | Children and adolescents’ sleep patterns and their associations with mental health during the COVID-19 pandemic in Shanghai, China |
title_short | Children and adolescents’ sleep patterns and their associations with mental health during the COVID-19 pandemic in Shanghai, China |
title_sort | children and adolescents’ sleep patterns and their associations with mental health during the covid-19 pandemic in shanghai, china |
topic | Research Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8743792/ https://www.ncbi.nlm.nih.gov/pubmed/35016913 http://dx.doi.org/10.1016/j.jad.2021.12.123 |
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