CC BY-NC-ND 4.0 · Sleep Sci 2021; 14(S 01): 56-62
DOI: 10.5935/1984-0063.20200079
ORIGINAL ARTICLES

Prevalence of sleep disturbance and anxiety due to the COVID-19 pandemic in Saudi Arabia

Shazia Iqbal
1   Alfarabi College of Medicine, Medical Education Unit - Riyadh - Alfarabi - Saudi Arabia.
,
Reem Fahad Alanazi
1   Alfarabi College of Medicine, Medical Education Unit - Riyadh - Alfarabi - Saudi Arabia.
,
Ali Hussain Alahmed
1   Alfarabi College of Medicine, Medical Education Unit - Riyadh - Alfarabi - Saudi Arabia.
,
Anwar Faleh Alnakhli
1   Alfarabi College of Medicine, Medical Education Unit - Riyadh - Alfarabi - Saudi Arabia.
,
Mohammed Hejji Alghanim
1   Alfarabi College of Medicine, Medical Education Unit - Riyadh - Alfarabi - Saudi Arabia.
,
Manal Abdullah Ali Alghamdi
1   Alfarabi College of Medicine, Medical Education Unit - Riyadh - Alfarabi - Saudi Arabia.
,
Shahzad Ahmad
2   FMH College of Medicine and Dentistry, Dentistry Department - Lahore - Pakistan - Pakistan.
› Author Affiliations

ABSTRACT

Introduction: In the COVID-19 pandemic, physical and psychological health are of immense concern for the governing bodies and health policymakers in the period of lockdown and self-isolation. An in-depth analysis is required to recognize the changes in mental health among the public of different geographical areas.

Objective: The study aimed to investigate the sleep quality and anxiety among the population in Saudi Arabia during the lockdown period from March to June 2020.

Material and Methods: We conducted a cross-sectional study and surveyed the population in Saudi Arabia during the lockdown. We analyzed the anxiety and sleep quality in a population with variable socio-demographic profiles. We assessed anxiety using the self-rating anxiety scale (SAS) questionnaire and tested the sleep quality by using the Pittsburgh sleep quality index (PSQI) questionnaire. We analysed the questionnaire responses to determine the relationships between anxiety, stress, sleep disturbances by using SPSS, and considered the p-value<0.05 statistically significant.

Results: We collected 397 questionnaires from the participants. The respondents were mostly of youth age (19-24 years), 66.5% of respondents were male, while there were 33.5% females. Most of the participants did not contact any COVID-19 patients (75.1%, n=298). The finding revealed that most people did not consider associated anxiety as a worrying disorder as the vast majority were normal with only 12.6% had mild-to-moderate anxiety and almost 1% had moderate-to-severe anxiety. While correlating the sleep patterns disturbance in individuals who had contact with COVID-19 patients, there was a significant sleep disturbance. The disturbance of sleep was in having problems falling sleep (p-value=0.024), having bad/horrible dreams (p-value=0.017), feeling cold at sleeping (p-value=0.038), and difficulty staying active during eating or driving (p-value=0.012). There was a significant correlation with anxiety related to the COVID-19 contact and problems affecting the routine work (p-value=0.001).

Conclusion: There is a significant correlation with anxiety related to the contact with COVID-19 positive patients and problems affecting the routine work among operational professionals. The sleep quality is poor due to the stay-at-home order, having a disorganized working schedule, and deprived lifestyle. The awareness regarding the publics’ mental health related to the pandemic needs to be implemented and psychological guidelines ought to be available for the public. Health measures through the promotion of lifestyle modifications, mindful body practices, meditation, and home exercise can reduce stress and improve the quality of sleep.



Publication History

Received: 06 August 2020

Accepted: 30 November 2020

Article published online:
30 November 2023

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  • REFERENCES

  • 1 Forte G, Favieri F, Tambelli R, Casagrande M. COVID-19 pandemic in the Italian population: validation of a post-traumatic stress disorder questionnaire and prevalence of PTSD symptomatology. Int J Environ Res Public Health. 2020 Jun;17(11):4151.
  • 2 Guo J, Feng XL, Wang XH, Van Ijzendoorn MH. Coping with COVID-19: exposure to COVID-19 and negative impact on livelihood predict elevated mental health problems in Chinese adults. Int J Environ Res Public Health. 2020 Jun;17(11):3857.
  • 3 Janeway D. The role of psychiatry in treating burnout among nurses during the Covid-19 pandemic. J Radiol Nurs. 2020 Sep;39(3):176-8.
  • 4 Kang L, Ma S, Chen M, Yang J, Wang Y, Li R, et al. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: a cross-sectional study. Brain Behav Immun. 2020 Jul;87:11-7.
  • 5 Gualano MR, Lo Moro G, Voglino G, Bert F, Siliquini R. Effects of Covid-19 lockdown on mental health and sleep disturbances in Italy. Int J Environ Res Public Health. 2020 Jul;17(13):4779.
  • 6 Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res. 2020 Jun;288:112954.
  • 7 Yang L, Yu Z, Xu Y, Liu W, Liu L, Mao H. Mental status of patients with chronic insomnia in China during COVID-19 epidemic. Int J Soc Psychiatry. 2020 Dec;66(8):821-6.
  • 8 Preti E, Di Mattei V, Perego G, Ferrari F, Mazzetti M, Taranto P, et al. The psychological impact of epidemic and pandemic outbreaks on healthcare workers: rapid review of the evidence. Curr Psychiatry Rep. 2020;22(8):43.
  • 9 Li DJ, Ko NY, Chen YL, Wang PW, Chang YP, Yen CF, et al. COVID-19-related factors associated with sleep disturbance and suicidal thoughts among the Taiwanese public: a Facebook survey. Int J Environ Res Public Health. 2020;17(12):4479.
  • 10 Zambrelli E, Canevini M, Gambini O, D’Agostino A. Delirium and sleep disturbances in COVID-19: a possible role for melatonin in hospitalized patients?. Sleep Med. 2020 Jun;70:111.
  • 11 Zachary Z, Brianna F, Brianna L, Garrett P, Jade W, Alyssa D, et al. Self-quarantine and weight gain related risk factors during the COVID-19 pandemic. Obes Res Clin Pract. 2020 May/Jun;14(3):210-6.
  • 12 Li W, Yang Y, Liu ZH, Zhao YJ, Zhang Q, Zhang L, et al. Progression of mental health services during the COVID-19 outbreak in China. Int J Biol Sci. 2020;16(10):1732-8.
  • 13 Dunstan DA, Scott N. Norms for Zung’s self-rating anxiety scale. BMC Psychiatry. 2020 Feb;20:90.
  • 14 Fu W, Wang C, Zou L, Guo Y, Lu Z, Yan S, et al. Psychological health, sleep quality, and coping styles to stress facing the COVID-19 in Wuhan, China. Transl Psychiatry. 2020 Jul;10(1):225.
  • 15 Parodi IC, Poeta MG, Assini A, Schirinzi E, Del Sette P. Impact of quarantine due to COVID infection on migraine: a survey in Genova, Italy. Neurol Sci. 2020 Aug;41(8):2025-7.
  • 16 Varshney M, Parel JT, Raizada N, Sarin SK. Initial psychological impact of COVID-19 and its correlates in Indian Community: an online (FEEL-COVID) survey. PLoS One. 2020 May;15(5):e0233874.
  • 17 Becker S P, Gregory AM. Editorial perspective: perils and promise for child and adolescent sleep and associated psychopathology during the COVID-19 pandemic. J Child Psychol Psychiatry. 2020 Jul;61(7):757-9.
  • 18 Beck F, Léger D, Fressard L, Peretti-Watel P, Verger P. Covid-19 health crisis and lockdown associated with high level of sleep complaints and hypnotic uptake at the population level. J Sleep Res. 2020 Jun 28; [Epub ahead of print]. DOI: https://doi.org/10.1111/jsr.13119
  • 19 Sher L. COVID-19, anxiety, sleep disturbances and suicide. Sleep Med. 2020;70:124.
  • 20 Tu ZH, He J W, Zhou N. Sleep quality and mood symptoms in conscripted frontline nurse in Wuhan, China during COVID-19 outbreak: a cross-sectional study. Medicine (Baltimore). 2020 Jun;99(26):e20769.
  • 21 Wang S, Xie L, Xu Y, Yu S, Yao B, Xiang D. Sleep disturbances among medical workers during the outbreak of COVID-2019. Occup Med (Lond). 2020 Jul;70(5):364-9.
  • 22 Lin K, Yang BX, Luo D, Liu Q, Ma S, Huang R, et al. The mental health effects of COVID-19 on health care providers in China. Am J Psychiatry. 2020 Jul;177(7):635-6.
  • 23 Sun S, Lin D, Operario D. Need for a population health approach to understand and address psychosocial consequences of COVID-19. Psychol Trauma. 2020 Aug;12(S1):S25-S7.
  • 24 Sheng X, Liu F, Zhou J, Liao R. Psychological status and sleep quality of nursing interns during the outbreak of COVID-19. Nan Fang Yi Ke Da Xue Xue Bao. 2020 Mar;40(3):346-50.
  • 25 Xue Z, Lin L, Zhang S, Gong J, Liu J, Lu J. Sleep problems and medical isolation during the SARS-CoV-2 outbreak. Sleep Med. 2020 Jun;70:112-5.
  • 26 Yadav SR, Kumar R, Kumar A, Ish P, Gupta N, Chakrabarti S. Sleepless in COVID-19: how not to lose sleep in lockdowns. Monaldi Arch Chest Dis. 2020 Jun;90(2).
  • 27 ltena 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 Aug;29(4):e13052.
  • 28 Hall H. The effect of the COVID-19 pandemic on healthcare workers’ mental health. JAAPA. 2020 Jul;33(7):45-8.
  • 29 Liu K, Chen Y, Wu D, Lin R, Wang Z, Pan L. Effects of progressive muscle relaxation on anxiety and sleep quality in patients with COVID-19. Complement Ther Clin Pract. 2020 May;39:101132.
  • 30 Wu L, Guo X, Shang Z, Sun Z, Jia Y, Sun L, et al. China experience from COVID-19: mental health in mandatory quarantine zones urgently requires intervention. Psychol Trauma. 2020 Aug;12(Suppl 1):S3-S5.
  • 31 Xiao H, Zhang Y, Kong D, Li S, Yang N. Social capital and sleep quality in individuals who isolation for 14 days during the coronavirus disease 2019 (COVID-19) outbreak in January 2020 in China. Med Sci Monit. 2020 Mar;26:e923921.
  • 32 Hao F, Tan W, Jiang L, Zhang L, Zhao X, Zou Y, et al. Do psychiatric patients experience more psychiatric symptoms during COVID-19 pandemic and lockdown? A case-control study with service and research implications for immunopsychiatry. Brain Behav Immun. 2020 Jul;87:100-6.
  • 33 La Torre G, Raffone A, Peruzzo M, Calabrese L, Cocchiara RA, D’Egidio V, et al. Yoga and mindfulness as a tool for influencing affectivity, anxiety, mental health, and stress among healthcare workers: results of a single-arm clinical trial. J Clin Med. 2020 Apr;9(4):1037.
  • 34 Wu K, Wei X. Analysis of psychological and sleep status and exercise rehabilitation of front-line clinical staff in the fight against COVID-19 in China. Med Sci Monit Basic Res. 2020 May;26:e924085.