Sleep health among people with severe mental ill health during the COVID-19 pandemic: Results from a linked UK population cohort study
ObjectivesSleep problems are a transdiagnostic feature of nearly all psychiatric conditions, and a strong risk factor for initial and recurrent episodes. However, people with severe mental ill health (SMI) are often excluded from general population surveys, and as such the extent and associates of p...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-10-01
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| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.975593/full |
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| author | Paul N. Heron Lisa M. Henderson Suzanne Crosland Simon M. Gilbody Simon M. Gilbody Gordon A. Johnston Andrew S. Moriarty Andrew S. Moriarty Elizabeth Newbronner Alastair Paterson Panagiotis Spanakis Panagiotis Spanakis Panagiotis Spanakis Ruth Wadman Lauren Walker Emily Peckham |
| author_facet | Paul N. Heron Lisa M. Henderson Suzanne Crosland Simon M. Gilbody Simon M. Gilbody Gordon A. Johnston Andrew S. Moriarty Andrew S. Moriarty Elizabeth Newbronner Alastair Paterson Panagiotis Spanakis Panagiotis Spanakis Panagiotis Spanakis Ruth Wadman Lauren Walker Emily Peckham |
| author_sort | Paul N. Heron |
| collection | DOAJ |
| description | ObjectivesSleep problems are a transdiagnostic feature of nearly all psychiatric conditions, and a strong risk factor for initial and recurrent episodes. However, people with severe mental ill health (SMI) are often excluded from general population surveys, and as such the extent and associates of poor sleep in this population are less well understood. This study explores sleep health in an SMI sample during the COVID-19 pandemic, using multiple regression to identify risk factors, including daily routine, wellbeing and demographics.MethodsAn existing cohort of people with an SMI diagnosis were sampled. Participants were invited to complete a self-report survey about their health and the impacts of COVID-19 and associated public health measures. Sleep duration, efficiency, and quality were measured using items from the Pittsburgh Sleep Quality Index (PSQI).ResultsTwo hundred forty-nine adults (aged 21–84 years) completed the survey. Mean sleep duration and efficiency were similar to general population estimates, at 7 h 19 min and 78%, respectively. However, 43% reported “bad” sleep quality that was associated with being younger in age as well as disturbed routine and declined wellbeing. Indeed, 37% reported a disturbed routine during the pandemic.ConclusionsHigh estimates of perceived poor sleep quality in the SMI population align with previous findings. Supporting people with SMI to maintain routine regularity may work to protect sleep quality and wellbeing. Future research should more closely examine sleep health in people with SMI, using accessible and scalable measures of objective and subjective sleep, examining longitudinal trends. |
| first_indexed | 2024-04-12T13:46:31Z |
| format | Article |
| id | doaj.art-3c6bb871ab9c4c5680300d6ff4d5fe07 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-12T13:46:31Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-3c6bb871ab9c4c5680300d6ff4d5fe072022-12-22T03:30:39ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-10-011310.3389/fpsyt.2022.975593975593Sleep health among people with severe mental ill health during the COVID-19 pandemic: Results from a linked UK population cohort studyPaul N. Heron0Lisa M. Henderson1Suzanne Crosland2Simon M. Gilbody3Simon M. Gilbody4Gordon A. Johnston5Andrew S. Moriarty6Andrew S. Moriarty7Elizabeth Newbronner8Alastair Paterson9Panagiotis Spanakis10Panagiotis Spanakis11Panagiotis Spanakis12Ruth Wadman13Lauren Walker14Emily Peckham15Mental Health and Addictions Research Group, Department of Health Science, University of York, York, United KingdomDepartment of Psychology, University of York, York, United KingdomMental Health and Addictions Research Group, Department of Health Science, University of York, York, United KingdomMental Health and Addictions Research Group, Department of Health Science, University of York, York, United KingdomHull York Medical School, York, United KingdomIndependent Peer Researcher, Stirling, United KingdomMental Health and Addictions Research Group, Department of Health Science, University of York, York, United KingdomHull York Medical School, York, United KingdomMental Health and Addictions Research Group, Department of Health Science, University of York, York, United KingdomFaculty of Medical and Human Sciences, Manchester University, Manchester, United KingdomMental Health and Addictions Research Group, Department of Health Science, University of York, York, United KingdomDepartment of Psychology, University of Crete, Rethymmon, GreeceSchool of Psychology, Mediterranean College, Athens, GreeceMental Health and Addictions Research Group, Department of Health Science, University of York, York, United KingdomMental Health and Addictions Research Group, Department of Health Science, University of York, York, United KingdomMental Health and Addictions Research Group, Department of Health Science, University of York, York, United KingdomObjectivesSleep problems are a transdiagnostic feature of nearly all psychiatric conditions, and a strong risk factor for initial and recurrent episodes. However, people with severe mental ill health (SMI) are often excluded from general population surveys, and as such the extent and associates of poor sleep in this population are less well understood. This study explores sleep health in an SMI sample during the COVID-19 pandemic, using multiple regression to identify risk factors, including daily routine, wellbeing and demographics.MethodsAn existing cohort of people with an SMI diagnosis were sampled. Participants were invited to complete a self-report survey about their health and the impacts of COVID-19 and associated public health measures. Sleep duration, efficiency, and quality were measured using items from the Pittsburgh Sleep Quality Index (PSQI).ResultsTwo hundred forty-nine adults (aged 21–84 years) completed the survey. Mean sleep duration and efficiency were similar to general population estimates, at 7 h 19 min and 78%, respectively. However, 43% reported “bad” sleep quality that was associated with being younger in age as well as disturbed routine and declined wellbeing. Indeed, 37% reported a disturbed routine during the pandemic.ConclusionsHigh estimates of perceived poor sleep quality in the SMI population align with previous findings. Supporting people with SMI to maintain routine regularity may work to protect sleep quality and wellbeing. Future research should more closely examine sleep health in people with SMI, using accessible and scalable measures of objective and subjective sleep, examining longitudinal trends.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.975593/fullsleepsevere mental ill health (SMI)bipolar disorderpsychosisschizophreniawellbeing |
| spellingShingle | Paul N. Heron Lisa M. Henderson Suzanne Crosland Simon M. Gilbody Simon M. Gilbody Gordon A. Johnston Andrew S. Moriarty Andrew S. Moriarty Elizabeth Newbronner Alastair Paterson Panagiotis Spanakis Panagiotis Spanakis Panagiotis Spanakis Ruth Wadman Lauren Walker Emily Peckham Sleep health among people with severe mental ill health during the COVID-19 pandemic: Results from a linked UK population cohort study Frontiers in Psychiatry sleep severe mental ill health (SMI) bipolar disorder psychosis schizophrenia wellbeing |
| title | Sleep health among people with severe mental ill health during the COVID-19 pandemic: Results from a linked UK population cohort study |
| title_full | Sleep health among people with severe mental ill health during the COVID-19 pandemic: Results from a linked UK population cohort study |
| title_fullStr | Sleep health among people with severe mental ill health during the COVID-19 pandemic: Results from a linked UK population cohort study |
| title_full_unstemmed | Sleep health among people with severe mental ill health during the COVID-19 pandemic: Results from a linked UK population cohort study |
| title_short | Sleep health among people with severe mental ill health during the COVID-19 pandemic: Results from a linked UK population cohort study |
| title_sort | sleep health among people with severe mental ill health during the covid 19 pandemic results from a linked uk population cohort study |
| topic | sleep severe mental ill health (SMI) bipolar disorder psychosis schizophrenia wellbeing |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.975593/full |
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