Background and aim: COVID-19 pandemic hit India in January 2020. To curb the spread of the virus, a nationwide lockdown was instated on March 24. The lockdown has had an adverse psychological impact on the general population. Sleep is essential because of its many benefits for mental and physical health. Lack of sleep can impair both mental and physical functioning like decision-making, mood changes, anxiety symptoms, jeopardize immune response, increase accidents and increase medical expenditures. The current study was aimed at assessing sleep patterns during the pandemic in the general public.
Materials and methods: This was a cross-sectional, observational descriptive survey study conducted through social media platforms. Sociodemographic data such as age, gender, marital status, etc. along with sleep schedules, and working routine was assessed using a semi-structured pro forma. Insomnia severity index (ISI) and patient health questionnaire-4 (PHQ-4) were tools used to assess insomnia; depression and anxiety respectively.
Results: A total of 124 subjects were included in the study. Sleep patterns revealed a delay in routine bedtimes, with a reduction in sleep quality and an increase in total sleep duration. Moderate to severe insomnia was seen in 9% of patients and 29% had subthreshold insomnia. Anxiety was found in 19 and 22% had depressive symptoms.
Conclusion: Lockdown due to the COVID-19 pandemic was associated with changes in sleep patterns, quantity, and quality of night-time sleep and had also led to the manifestation of emotional symptoms in the general population.
Borges do Nascimento IJ, Cacic N, Abdulazeem HM, et al. Novel Coronavirus infection (COVID-19) in humans: A scoping review and meta-analysis. J Clin Med 2020;9(4):941. DOI: 10.3390/jcm9040941.
Singh KD, Goel V, Kumar H, et al. India, Day 1: World's largest Coronavirus lockdown begins. The New York Times; 2020. Available from: https://www.nytimes.com/2020/03/25/world/asia/india-lockdown-coronavirus.html.
Altena E, Baglioni C, Espie CA, et al. 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. J Sleep Res 2020;29(4):e13052. Available from: http://dx.doi.org/10.1111/jsr.13052.
Jakovljevic M, Bjedov S, Jaksic N, et al. COVID-19 pandemia and public and global mental health from the perspective of global health security. Psychiatr Danub 2020;32(1):6–14. DOI: 10.24869/psyd.2020.6.
Medic G, Wille M, Hemels ME. Short- and long-term health consequences of sleep disruption. Nat Sci Sleep 2017;9:151–161. Available from: http://dx.doi.org/10.2147/NSS.S134864.
Zakay D. Psychological time as information: The case of boredom. Front Psychol 2014;5:917. Available from: http://dx.doi.org/10.3389/fpsyg.2014.00917.
Goethals L, Barth N, Guyot J, et al. Impact of home quarantine on physical activity among older adults living at home during the COVID-19 pandemic: Qualitative interview study. JMIR Aging 2020;3(1):e19007. DOI: 10.2196/19007.
Galli F, Reglero G, Bartolini D, et al. Better prepare for the next one. Lifestyle lessons from the COVID-19 pandemic. PharmaNutrition 2020;12:100193. Available from: http://dx.doi.org/10.1016/j.phanu.2020.100193.
Bastien CH, Vallières A, Morin CM. Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med 2001;2(4):297–307. Available from: http://dx.doi.org/10.1016/s1389-9457(00)00065-4.
Kroenke K, Spitzer RL, Williams JB, et al. An ultra-brief screening scale for anxiety and depression: The PHQ-4. Psychosomatics 2009;50(6):613–621. DOI: 10.1176/appi.psy.50.6.613.
Panda S, Taly AB, Sinha S, et al. Sleep-related disorders among a healthy population in South India. Neurol India 2012;60(1):68–74. Available from: http://dx.doi.org/10.4103/0028-3886.93601.
Voitsidis P, Gliatas I, Bairachtari V, et al. Insomnia during the COVID-19 pandemic in a Greek population. Psychiatry Res 2020;289:113076. Available from: http://dx.doi.org/10.1016/j.psychres.2020.113076.
Gualano MR, Lo Moro G, Voglino G, et al. Effects of COVID-19 lockdown on mental health and sleep disturbances in Italy. Int J Environ Res Public Health 2020;17(13):4779. Available from: http://dx.doi.org/10.3390/ijerph17134779.
Gupta R, Grover S, Basu A, et al. Changes in sleep pattern and sleep quality during COVID-19 lockdown. Indian J Psychiatry 2020;62(4):370–378. Available from: http://dx.doi.org/10.4103/psychiatry.IndianJPsychiatry_523_20.
Singh P, Nathiya D, Suman S, et al. Mental health problems and impact on youth minds during the COVID-19 outbreak: Cross-sectional (RED-COVID) survey. Soc Health Behav 2020;3(3):83–88. Available from: http://dx.doi.org/10.4103/shb.shb_32_20.
Gooding PA, Hurst A, Johnson J, et al. Psychological resilience in young and older adults: Resilience in the young and the older adults. Int J Geriatr Psychiatry 2012;27(3):262–270. Available from: http://dx.doi.org/10.1002/gps.2712.
Chichra A, Abhijnhan A, Tharyan P. Job stress and satisfaction in faculty of a teaching hospital in south India: A cross-sectional survey. J Postgrad Med 2019;65(4):201–206. Available from: http://dx.doi.org/10.4103/jpgm.JPGM_489_18.
Cellini N, Canale N, Mioni G, et al. Changes in sleep pattern, sense of time and digital media use during COVID-19 lockdown in Italy. J Sleep Res 2020;29(4):e13074. Available from: http://dx.doi.org/10.1111/jsr.13074.
Gradisar M, Crowley SJ. Delayed sleep phase disorder in youth. Curr Opin Psychiatry 2013;26(6):580–585. DOI: 10.1097/YCO.0b013e328365a1d4.
Sinha M, Pande B, Sinha R. Impact of COVID-19 lockdown on sleep-wake schedule and associated lifestyle related behavior: A national survey. J Public Health Res 2020;9(3):1826. Available from: http://dx.doi.org/10.4081/jphr.2020.1826.
Blume C, Schmidt MH, Cajochen C. Effects of the COVID-19 lockdown on human sleep and rest-activity rhythms. Curr Biol 2020;30(14):R795–R797. Available from: http://dx.doi.org/10.1016/j.cub.2020.06.021.
Jr W, Linton KP, Withrow SK, et al. Sleep in university students prior to and during COVID-19 stay-at-home orders. Current Biology 2020;30(14):R797–R798. DOI: https://doi.org/10.1016/j.cub.2020.06.022.
Rafique N, Al-Asoom LI, Alsunni AA, et al. Effects of mobile use on subjective sleep quality. Nat Sci Sleep 2020;12:357–364. Available from: http://dx.doi.org/10.2147/NSS.S253375.
Shechter A, Kim EW, St-Onge M-P, et al. Blocking nocturnal blue light for insomnia: A randomized controlled trial. J Psychiatr Res 2018;96:196–202. Available from: http://dx.doi.org/10.1016/j.jpsychires.2017.10.015.
Maras D, Flament MF, Murray M, et al. Screen time is associated with depression and anxiety in Canadian youth. Prev Med 2015;73:133–138. Available from: http://dx.doi.org/10.1016/j.ypmed.2015.01.029.
Jain A, Sharma R, Gaur KL, et al. Study of internet addiction and its association with depression and insomnia in university students. J Family Med Prim Care 2020;9(3):1700–1706. Available from: http://dx.doi.org/10.4103/jfmpc.jfmpc_1178_19.
Ross CE. Reconceptualizing marital status as a continuum of social attachment. J Marriage Fam 1995;57(1):129–140. Available from: http://dx.doi.org/10.2307/353822.
Maiti T, Singh S, Innamuri R, et al. Marital distress during COVID-19 pandemic and lockdown: A brief narrative. International Journal of Indian Psychology 2020;8(2):426–433. DOI: 10.25215/0802.257.
Vloo A, Alessie RJM, Mierau JO, et al. Gender differences in the mental health impact of the COVID-19 lockdown: Longitudinal evidence from the Netherlands. SSM Popul Health 2021;15:100878. Available from: http://dx.doi.org/10.1016/j.ssmph.2021.100878.