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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Main Authors: Tamar Basishvili, Nikoloz Oniani, Irine Sakhelashvili, Marine Eliozishvili, Manana Khizanashvili, Mariam Arabidze, Mariam Tsaava, Tinatini Charekishvili, Nino Tsertsvadze, Nato Darchia
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/12/1/17
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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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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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