The Effect of COVID-19 History on Anxiety Levels and Sleep Quality in Patients Hospitalized in the Neurology Service During the Pandemic Period

Year 2024, , 360 - 367, 28.08.2024

Tuba Can Akman , Feride Yarar , Ayşenur Yılmaz , Selma Tekin

https://doi.org/10.53424/balikesirsbd.1209471

Abstract

Aim: COVID-19, which emerged in the city of Wuhan, China, brought new living conditions with it by affecting the whole world in a short time. This study aimed to determine the anxiety level and sleep quality of neurology patients hospitalized in the neurology service according to their COVID-19 status during the pandemic period. Materials and Methods: Research data were collected as face-to-face questions and answers between March 20 and May 20, 2021. One hundred (55 Female, 45 Male) patients participated in the study. The patients were divided into two groups according to whether they had COVID-19 or not. Patients who had COVID-19 were designated as the COVID-19 group, and those who did not were designated as the non-COVID-19 group. The Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality and the Coronavirus Anxiety Scale (COAS) was used to assess anxiety level. Results: A significant difference was found between the COVID-19 group and non-COVID-19 group for anxiety scale mean scores, total PSQI score averages, and sub-parameters sleep latency, sleep duration, and sleep disturbance (p<0.05). There was a positive moderate correlation between anxiety level and sleep quality (p=0.000, r=0.472). A moderate positive relationship was detected between anxiety level and subjective sleep quality which is one of the sub-parameters of sleep quality (p=0.000, r=0.439). Conclusion: COVID-19 disease has negative effects on the anxiety level and sleep quality of individuals. The extent of these effects should be examined. It is important to consider these effects in treatments.

Keywords

COVID-19, Pandemic, Anxiety, sleep quality

Supporting Institution

Destekleyen kurum yok

Project Number

-

Thanks

-

References

• Abzhandadze, T., Forsberg-Wärleby, G., Holmegaard L. Redfors, P., Jern, C., Blomstrand, C., et al. (2017). Life satisfaction in spouses of stroke survivors and control subjects: A 7-year follow-up of participants in the sahlgrenska academy study on ischaemic stroke. Journal of Rehabilitation Medicine, 49, 550–557.
• Ağargün, M. Y., Kara, H., ve Anlar, O. (1996). Pittsburgh Uyku Kalitesi İndeksi’nin geçerliği ve güvenirliği. Türk Psikiyatri Dergisi, 7, 107-111.
• Archer, G., Kuh, D., Hotopf, M., Stafford, M., Richards, M. (2020). Association between lifetime affective symptoms and premature mortality. JAMA Psychiatry, 77, 806–813. https://doi.org/10.1001/jamapsychiatry.2020.0316.
• Azizi, A., Khatiban, M., Mollai, Z., Mohammadi, Y. (2020). Effect of informational support on anxiety in family caregivers of patients with hemiplegic stroke. Journal of Stroke Cerebrovasculer Disease, 29, 105020. https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105020.
• Biçer, İ., Çakmak, C., Demir, H., & Kurt, M. E. (2020). Koronavirüs anksiyete ölçeği kısa formu: Türkçe geçerlik ve güvenirlik çalışması. Anadolu Kliniği Tıp Bilimleri Dergisi, 25(Supplement 1), 216-225. https://doi.org/10.21673/anadoluklin.731092.
• Brooks, S. K., Dunn, R., Amlôt, R., Rubin, G. J., Greenberg, N. A. (2018). Systematic, thematic review of social and occupational factors associated with psychological outcomes in healthcare employees during an infectious disease outbreak. Journal of Occupational and Environmental Medicine, 60(3), 248-57. https://doi.org/10.1097/JOM.0000000000001235.
• Buysse, D. J., Reynolds, C. F., & Monk, T. H. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research, 28:193- 213
• Caminero, A., & Bartolomé, M. (2011). Sleep disturbances in multiple sclerosis. Journal of the Neurological Sciences, 309(1-2): 86-91.
• Choi, E. P. H., Hui, B. P. H., & Wan, E. Y. F. (2020). Depression and anxiety in Hong Kong during COVID-19. International Journal of Environmental Research and Public Health, 17(10), 3740.
• Costa-Frossard, L., Moreno-Torres, I., Meca-Lallana, V., García-Domínguez J., de Estudio E. R. (2020). EMCAM (Multiple Sclerosis Autonomous Community of Madrid) document for the management of patients with multiple sclerosis during the SARS-CoV-2 pandemic. Revue Neurologique, 70(9), 329-40. https://doi.org/10.33588/rn.7009.2020155.
• Dai, L. L., Wang, X., Jiang, T. C., Li, P. F., Wang, Y., Wu, S. J., et al. (2020). Anxiety and depressive symptoms among COVID19 patients in Jianghan Fangcang Shelter Hospital in Wuhan, China. Plos one ,15(8), e0238416. https://doi.org/10.1371/journal.pone.0238416.
• Garcia, R. (2017). Neurobiology of fear and specific phobias. Learning & Memory. 24(9), 462-471. https://doi.org/10.1101/lm.044115.116.
• Guay, C., Auger, C., Demers, L., Mortenson, W. B., Miller, W. C., Gélinas-Bronsard, D., et al. (2017). Components and outcomes of internet-based interventions for caregivers of older adults: Systematic review. Journal of Medical Internet Research, 19(9), e313. https://doi.org/10.2196/jmir.7896
• Huang, Y., & Zhao, N. (2020). Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Research, 288, 112954. https://doi.org/10.1016/j.psychres.2020.112954.
• İyigün, G., Angın, E., Kırmızıgil, B., Öksüz, S., Özdil, A., Malkoç, M. (2017). Üniversite öğrencilerinde uyku kalitesinin mental sağlık, fiziksel sağlık ve yaşam kalitesi ile ilişkisi. Journal of Exercise Therapy and Rehabilitation, 4(3), 125-133.
• Lee, S. A. (2020) Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety. Death Studies 44(7), 393-401. https://doi.org/10.1080/07481187.2020.1748481.
• Ma, M., Dorstyn, D., Ward, L., Prentice, S. (2018). Alzheimers′ disease and caregiving: A meta-analytic review comparing the mental health of primary carers to controls. Aging and Mental Health, 22, 1395–1405. https://doi.org/10.1080/13607863.2017.1370689.
• Morin, C. M., Rodrigue, S., Ivers, H. (2003). Role of stress, arousal, and coping skills in primary insomnia. Psychosomatic Medicine, 65(2), 259-67. https://doi.org/10.1097/01.PSY.0000030391.09558.A3.
• Sateia, M. J. (2014). International classification of sleep disorders. Chest, 146(5), 1387-94. https://doi.org/10.1378/chest.14-0970.
• Shigemura, J., Ursano, R. J., Morganstein, J. C., Kurosawa, M., & Benedek, D. M. (2020). Public responses to the novel 2019 coronavirus (2019‐nCoV) in Japan: Mental health consequences and target populations. Psychiatry and Clinical Neurosciences, 74(4), 281. https://doi.org/10.1111/pcn.12988
• Shin, L. M., & Liberzon, I. (2010). The neurocircuitry of fear, stress, and anxiety disorders. Neuropsychopharmacology, 35(1), 169-191. https://doi.org/10.1038/npp.2009.83
• Reardon S. (2015). Ebola's mental-health wounds linger in Africa. Nature. 519: 13e4. https://doi.org/10.1038/519013a
• Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., et al. (2020). Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. International Journal of Environmental Research and Public Health, 17, 1729.
• World Health Organisation. (2022). Coronavirus. https://www.who.int/health-topics/coronavirus. Erişim tarihi: 19 Ekim, 2022.
• Yuan, S., Liao, Z., Huang, H., Jiang, B., Zhang, X., Wang, Y., et al. (2020). Comparison of the indicators of psychological stress in the population of Hubei Province and non-endemic provinces in China during two weeks during the coronavirus disease 2019 (COVID-19) outbreak in February 2020. Medical Science Monitor 26, e923767-1-e923767-10. https://doi.org/10.12659/MSM.923767.
• Zhang, C., Yang, L., Liu, S., Ma, S., Wang, Y., Cai, Z., et al. (2020). Survey of insomnia and related social psychological factors among medical staff involved in the 2019 novel coronavirus disease outbreak. Frontiers in Psychiatry, 11, 306. https://doi.org/10.3389/fpsyt.2020.00306.