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Persistence of the effects of the covid-19 lockdown on sleep: A longitudinal study

Title: Persistence of the effects of the covid-19 lockdown on sleep: A longitudinal study
Authors: Gorgoni M.; Scarpelli S.; Mangiaruga A.; Alfonsi V.; Bonsignore M. R.; Fanfulla F.; Ferini-Strambi L.; Nobili L.; Plazzi G.; De Gennaro L.
Contributors: Gorgoni, M.; Scarpelli, S.; Mangiaruga, A.; Alfonsi, V.; Bonsignore, M. R.; Fanfulla, F.; Ferini-Strambi, L.; Nobili, L.; Plazzi, G.; De Gennaro, L.
Publisher Information: MDPI
Publication Year: 2021
Subject Terms: COVID-19; Depression; Insomnia; Lockdown; Pandemic; Pre-sleep arousal; Sleep; Stress
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.
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/wos/WOS:000726231300001; volume:11; issue:11; journal:BRAIN SCIENCES; https://hdl.handle.net/20.500.11768/136560
DOI: 10.3390/brainsci11111520
Availability: https://hdl.handle.net/20.500.11768/136560; https://doi.org/10.3390/brainsci11111520; https://www.mdpi.com/2076-3425/11/11/1520
Rights: info:eu-repo/semantics/openAccess ; license:Creative commons ; license uri:http://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.9F05C50
Database: BASE