Insomnia, Pre-Sleep Arousal, Psychosocial Factors and Changes in Sleep Pattern during the Second Wave Lockdown of the COVID-19 Pandemic in Georgia
Studies performed across the COVID-19 pandemic waves point to the persistent impact of the pandemic on sleep and mental health. We expand these data by examining insomnia, pre-sleep arousal, psychosocial factors, and retrospective changes in sleep pattern during the COVID-19 second wave lockdown per...
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MDPI AG
2021-12-01
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author | Tamar Basishvili Nikoloz Oniani Irine Sakhelashvili Marine Eliozishvili Manana Khizanashvili Mariam Arabidze Mariam Tsaava Tinatini Charekishvili Nino Tsertsvadze Nato Darchia |
author_facet | Tamar Basishvili Nikoloz Oniani Irine Sakhelashvili Marine Eliozishvili Manana Khizanashvili Mariam Arabidze Mariam Tsaava Tinatini Charekishvili Nino Tsertsvadze Nato Darchia |
author_sort | Tamar Basishvili |
collection | DOAJ |
description | Studies performed across the COVID-19 pandemic waves point to the persistent impact of the pandemic on sleep and mental health. We expand these data by examining insomnia, pre-sleep arousal, psychosocial factors, and retrospective changes in sleep pattern during the COVID-19 second wave lockdown period in Georgia. Data were collected through an online survey (<i>n</i> = 1117). The prevalence rate of probable insomnia disorder was 24.2%. Clinically relevant somatic and cognitive pre-sleep arousal was present in 49.8% and 58.0% of participants, and high levels of anxiety, depression and social isolation were found in 47.0%, 37.3%, 47.2% of respondents, respectively. We observed high prevalence rates of worse sleep quality, delayed bedtimes and risetimes, longer sleep latencies, higher awakenings and shorter sleep durations, relative to the pre-pandemic period. COVID-19-infected participants showed more severe sleep and mental problems. Specific predictors differentially affected insomnia, somatic and cognitive pre-sleep arousal. Depression and COVID-19 infection emerged as vulnerability factors for pre-sleep arousal, which, in turn, was associated with a higher predisposition to insomnia disorder. We confirm the strong deteriorating impact of the COVID-19 pandemic on sleep and psychosocial well-being during the second wave lockdown period. The specific association between pre-sleep arousal, insomnia, and psychosocial factors is of clinical relevance for the prevention of severity and persistence of sleep and mental problems across the repeated lockdown/reopening waves. Modulation of pre-sleep arousal may prove beneficial to implement targeted interventions. |
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issn | 2076-3425 |
language | English |
last_indexed | 2024-03-10T01:49:37Z |
publishDate | 2021-12-01 |
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series | Brain Sciences |
spelling | doaj.art-f3b0627514fe4882a0f1d802ff0367d72023-11-23T13:08:47ZengMDPI AGBrain Sciences2076-34252021-12-011211710.3390/brainsci12010017Insomnia, Pre-Sleep Arousal, Psychosocial Factors and Changes in Sleep Pattern during the Second Wave Lockdown of the COVID-19 Pandemic in GeorgiaTamar Basishvili0Nikoloz Oniani1Irine Sakhelashvili2Marine Eliozishvili3Manana Khizanashvili4Mariam Arabidze5Mariam Tsaava6Tinatini Charekishvili7Nino Tsertsvadze8Nato Darchia9Tengiz Oniani Laboratory of Sleep-Wakefulness Cycle Study, Ilia State University, Tbilisi 0162, GeorgiaTengiz Oniani Laboratory of Sleep-Wakefulness Cycle Study, Ilia State University, Tbilisi 0162, GeorgiaTengiz Oniani Laboratory of Sleep-Wakefulness Cycle Study, Ilia State University, Tbilisi 0162, GeorgiaTengiz Oniani Laboratory of Sleep-Wakefulness Cycle Study, Ilia State University, Tbilisi 0162, GeorgiaTengiz Oniani Laboratory of Sleep-Wakefulness Cycle Study, Ilia State University, Tbilisi 0162, GeorgiaTengiz Oniani Laboratory of Sleep-Wakefulness Cycle Study, Ilia State University, Tbilisi 0162, GeorgiaTengiz Oniani Laboratory of Sleep-Wakefulness Cycle Study, Ilia State University, Tbilisi 0162, GeorgiaTengiz Oniani Laboratory of Sleep-Wakefulness Cycle Study, Ilia State University, Tbilisi 0162, GeorgiaTengiz Oniani Laboratory of Sleep-Wakefulness Cycle Study, Ilia State University, Tbilisi 0162, GeorgiaTengiz Oniani Laboratory of Sleep-Wakefulness Cycle Study, Ilia State University, Tbilisi 0162, GeorgiaStudies performed across the COVID-19 pandemic waves point to the persistent impact of the pandemic on sleep and mental health. We expand these data by examining insomnia, pre-sleep arousal, psychosocial factors, and retrospective changes in sleep pattern during the COVID-19 second wave lockdown period in Georgia. Data were collected through an online survey (<i>n</i> = 1117). The prevalence rate of probable insomnia disorder was 24.2%. Clinically relevant somatic and cognitive pre-sleep arousal was present in 49.8% and 58.0% of participants, and high levels of anxiety, depression and social isolation were found in 47.0%, 37.3%, 47.2% of respondents, respectively. We observed high prevalence rates of worse sleep quality, delayed bedtimes and risetimes, longer sleep latencies, higher awakenings and shorter sleep durations, relative to the pre-pandemic period. COVID-19-infected participants showed more severe sleep and mental problems. Specific predictors differentially affected insomnia, somatic and cognitive pre-sleep arousal. Depression and COVID-19 infection emerged as vulnerability factors for pre-sleep arousal, which, in turn, was associated with a higher predisposition to insomnia disorder. We confirm the strong deteriorating impact of the COVID-19 pandemic on sleep and psychosocial well-being during the second wave lockdown period. The specific association between pre-sleep arousal, insomnia, and psychosocial factors is of clinical relevance for the prevention of severity and persistence of sleep and mental problems across the repeated lockdown/reopening waves. Modulation of pre-sleep arousal may prove beneficial to implement targeted interventions.https://www.mdpi.com/2076-3425/12/1/17insomniasomatic pre-sleep arousalcognitive pre-sleep arousalmental problemsCOVID-19 pandemic waves |
spellingShingle | Tamar Basishvili Nikoloz Oniani Irine Sakhelashvili Marine Eliozishvili Manana Khizanashvili Mariam Arabidze Mariam Tsaava Tinatini Charekishvili Nino Tsertsvadze Nato Darchia Insomnia, Pre-Sleep Arousal, Psychosocial Factors and Changes in Sleep Pattern during the Second Wave Lockdown of the COVID-19 Pandemic in Georgia Brain Sciences insomnia somatic pre-sleep arousal cognitive pre-sleep arousal mental problems COVID-19 pandemic waves |
title | Insomnia, Pre-Sleep Arousal, Psychosocial Factors and Changes in Sleep Pattern during the Second Wave Lockdown of the COVID-19 Pandemic in Georgia |
title_full | Insomnia, Pre-Sleep Arousal, Psychosocial Factors and Changes in Sleep Pattern during the Second Wave Lockdown of the COVID-19 Pandemic in Georgia |
title_fullStr | Insomnia, Pre-Sleep Arousal, Psychosocial Factors and Changes in Sleep Pattern during the Second Wave Lockdown of the COVID-19 Pandemic in Georgia |
title_full_unstemmed | Insomnia, Pre-Sleep Arousal, Psychosocial Factors and Changes in Sleep Pattern during the Second Wave Lockdown of the COVID-19 Pandemic in Georgia |
title_short | Insomnia, Pre-Sleep Arousal, Psychosocial Factors and Changes in Sleep Pattern during the Second Wave Lockdown of the COVID-19 Pandemic in Georgia |
title_sort | insomnia pre sleep arousal psychosocial factors and changes in sleep pattern during the second wave lockdown of the covid 19 pandemic in georgia |
topic | insomnia somatic pre-sleep arousal cognitive pre-sleep arousal mental problems COVID-19 pandemic waves |
url | https://www.mdpi.com/2076-3425/12/1/17 |
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