COVID-19 Pandemisi Sürecinde Uyku Polikliniğine Başvuru Nedeni: Uykusuzluk

Year 2020, Volume: 22 Issue: Special Issue, 29 - 33, 30.11.2020

Esra Aydın Sünbül , Rahşan Karacı , Füsun Mayda Domaç

https://doi.org/10.18678/dtfd.782300

Cited By: 2

Abstract

Amaç: Uyku, koronavirüs hastalığı 2019 (coronavirus disease 2019, COVID-19) pandemisi döneminde sosyal izolasyon, çevrimiçi eğitim, vardiyalı çalışma gibi çeşitli nedenlerle etkilenebilir. Pandemiden önce eşlik eden psikiyatrik veya uyku bozukluğu olan kişilerin bu durumdan daha fazla etkilendiği düşünülmektedir. Bu çalışmanın amacı COVID-19 pandemisinin uyku kalitesi ve uykusuzluk üzerine etkisini araştırmaktır.
Gereç ve Yöntemler: Çalışmamız geriye dönük bir çalışma olup COVID-19 pandemisi sürecinde uyku polikliniğine uykusuzluk yakınmasıyla başvuran hastalar çalışmaya dahil edilmiştir. Hastaların başvuru şikâyetleri, sosyo-demografik özellikleri ve tanıları tıbbi kayıtlardan elde edildi.
Bulgular: Uluslararası Uyku Bozuklukları Sınıflandırmasının üçüncü baskısı (International Classification of Sleep Disorders third edition, ICSD-3)’na göre uykusuzluk tanısı almış 53 hasta çalışmaya dâhil edildi. Pandemiden önceki ortalama uyku süresi 6,8±1,2 saat iken, pandemiden sonra ortalama uyku süresi 5,9±1,7 saat idi. Pandemiden sonra 13 (%24,5) hastanın uyku süresi kısalmıştı. Pandemi sürecinde uyku süresi azalan ve değişmeyenler arasında klinik özellikler açısından fark yoktu. Yirmi (%37,7) hastanın uykusuzluk şikâyeti pandemi döneminde başlamıştı. Pandemi sırasında yakınmaları başlayan hastaların çoğu (n=12, %60,0) erkekti. Başlıca şikâyetleri uykuya dalmada güçlüktü (n=18, %90,0). Şikâyetleri arasında anksiyete belirtileri dikkat çekiciydi.
Sonuç: Pandemi sırasındaki uyku problemleri herkes için önemli bir sorundur. Ancak bazı bireylerin uyku problemi geliştirme riski diğerlerinden daha yüksektir. Bu nedenle, çalışmamızın sonuçları pandemi dönemlerinde uyku kalitesini artırmaya yönelik bazı müdahalelerin uygulanmasına destek sağlayabilir.

Keywords

COVID-19, uykusuzluk, pandemi

A Reason for Admission to the Sleep Outpatient Clinic during COVID-19 Pandemic: Insomnia

Abstract

Aim: Sleep can be affected for various reasons such as social isolation, online education, shift work, etc. during the coronavirus disease 2019 (COVID-19) pandemic. People who have comorbid psychiatric or sleep disorders before the pandemic are thought to be more affected. The aim of this study was to investigate the effect of the COVID-19 pandemic on sleep quality and insomnia.
Material and Methods: Our study was a retrospective study, and patients who admitted to the sleep outpatient clinic with insomnia complaints during the COVID-19 pandemic were included. The complaints, sociodemographic characteristics, and diagnosis of the patients were obtained from medical records.
Results: Fifty-three patients diagnosed with insomnia according to the International Classification of Sleep Disorders third edition (ICSD-3) were included in the study. The mean sleep time before the pandemic was 6.8±1.2 hours, while it was 5.9±1.7 hours after the pandemic. After the pandemic, 13 (24.5%) patients had shortened sleep duration. There was no difference in clinical features between those whose sleep duration decreased and did not change during the pandemic. Twenty (37.7%) patients' complaints of insomnia started during the pandemic. Most of the patients whose complaints started during the pandemic were male (n=12, 60.0%). Their main complaint was difficulty in falling asleep (n=18, 90.0%). The anxiety symptoms were remarkable.
Conclusion: Sleep disorders during the pandemic are an important problem for everyone. However, some individuals have a higher risk of sleep problems. Therefore, the results of our study may contribute to the interventions aimed at improving sleep quality during pandemic.

Keywords

COVID-19;, insomnia, pandemic

References

• Budak F, Korkmaz Ş. An overall evaluation for the COVID-19 pandemic process: the case of Turkey. Journal of Social Research and Management. 2020;1:62-79.
• Giallonardo V, Sampogna G, Del Vecchio V, Luciano M, Albert U, Carmassi C, et al. The impact of quarantine and physical distancing following COVID-19 on mental health: study protocol of a Multicentric Italian Population Trial. Front Psychiatry. 2020;11:533.
• Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019-nCoV epidemic: address mental health care to empower society. Lancet. 2020;395(10224):e37-8.
• Fuller PM, Gooley JJ, Saper CB. Neurobiology of the sleep-wake cycle: Sleep architecture, circadian regulation, and regulatory feedback. J Biol Rhythms. 2006;21(6):482-93.
• Taylor DJ, Lichstein KL, Durrence HH. Insomnia as a health risk factor. Behav Sleep Med. 2003;1(4):227-47.
• Altena E, Micoulaud-Franchi JA, Geoffroy PA, Sanz-Arigita E, Bioulac S, Philip P. The bidirectional relation between emotional reactivity and sleep: From disruption to recovery. Behav Neurosci. 2016;130(3):336-50.
• Akerstedt T, Kecklund G, Axelsson J. Impaired sleep after bedtime stress and worries. Biol Psychol. 2007;76(3):170-3.
• Gehrman P, Seelig AD, Jacobson IG, Boyko EJ, Hooper TI, Gackstetter GD, et al. Predeployment sleep duration and insomnia symptoms as risk factors for new-onset mental health disorders following military deployment. Sleep. 2013;36(7):1009-18.
• Miller KE, Brownlow JA, Woodward S, Gehrman PR. Sleep and dreaming in posttraumatic stress disorder. Curr Psychiatry Rep. 2017;19(10):71.
• Hawryluck L, Gold WL, Robinson S, Pogorski S, Galea S, Styra R. SARS control and psychological effects of quarantine, Toronto, Canada. Emerg Infect Dis. 2004;10(7):1206-12.
• Wu KK, Chan SK, Ma TM. Posttraumatic stress after SARS. Emerg Infect Dis. 2005;11(8):1297-300.
• Mak IW, Chu CM, Pan PC, Yiu MG, Ho SC, Chan VL. Risk factors for chronic post-traumatic stress disorder (PTSD) in SARS survivors. Gen Hosp Psychiatry. 2010;32(6):590-8.
• Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 epidemic in China: A web-based cross-sectional survey. Psychiatry Res. 2020;288:112954.
• Liu N, Zhang F, Wei C, Jia Y, Shang Z, Sun L, et al. Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender differences matter. Psychiatry Res. 2020;287:112921.
• Taylor MR, Agho KE, Stevens GJ, Raphael B. Factors influencing psychological distress during a disease epidemic: data from Australia's first outbreak of equine influenza. BMC Public Health. 2008;8:347.
• Jeong H, Yim HW, Song YJ, Ki M, Min JA, Cho J, et al. Mental health status of people isolated due to Middle East Respiratory Syndrome. Epidemiol Health. 2016;38:e2016048.
• Cohen S, Doyle WJ, Alper CM, Janicki-Deverts D, Turner RB. Sleep habits and susceptibility to the common cold. Arch Intern Med. 2009;169(1):62-7.
• Prather AA, Janicki-Deverts D, Hall M, Cohen S. Behaviorally assessed sleep and susceptibility to the common cold. Sleep. 2015;38(9):1353-9.
• Altena E, Baglioni C, Espie CA, Ellis J, Gavriloff D, Holzinger B, 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;[Epub ahead of print]. doi: 10.1111/jsr.13052.
• Cellini N, Canale N, Mioni G, Costa S. Changes in sleep pattern, sense of time and digital media use during COVID-19 lockdown in Italy. J Sleep Res. 2020;[Epub ahead of print]. doi: 10.1111/jsr.13074.
• Li Y, Qin Q, Sun Q, Sanford LD, Vgontzas AN, Tang X. Insomnia and psychological reactions during the COVID-19 outbreak in China. J Clin Sleep Med. 2020;16(8):1417-8.
• Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912-20.