Exploring the Relationship Between Anxiety Levels and Sleep Quality During the Covid-19 Pandemic; A cross-sectional Survey
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Abstract
Background: The COVID-19 pandemic has exerted unprecedented stress on global health, with significant implications for mental health and sleep quality. Prior research has established a link between anxiety levels and sleep disturbances, yet the pandemic's full impact on these aspects remains underexplored, particularly among university students.
Objective: This study aims to investigate the relationship between anxiety levels and sleep quality among university students during the COVID-19 pandemic, providing insights into the prevalence of sleep-related issues and anxiety and their interconnection.
Methods: A cross-sectional survey was conducted at the South City Institute of Physical Therapy and Rehabilitation, involving 281 participants aged between 17 and 25 years. Data collection was facilitated through self-administered, online questionnaires, employing the Beck Anxiety Inventory and the Insomnia Severity Index to measure anxiety levels and sleep quality, respectively. The study utilized a convenience sampling technique, with SPSS version 25.0 employed for data analysis, including Pearson correlation tests to examine the relationship between sleep quality and anxiety levels.
Results: The study revealed that 82.9% of participants were female, with a significant portion of the population aged between 24 and 26 years. Regarding COVID-19 impact, 23.49% reported being affected by the virus. A majority (44%) reported obtaining 8-10 hours of sleep, while 55.2% exhibited moderate anxiety levels. A notable negative correlation (r = -0.510, p < 0.01) between anxiety levels and sleep quality was identified, indicating that higher anxiety was associated with poorer sleep quality.
Conclusion: The findings underscore a significant negative correlation between anxiety levels and sleep quality among university students during the COVID-19 pandemic. These results highlight the necessity for mental health and sleep hygiene interventions aimed at mitigating the adverse effects of pandemics on student populations.
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References
Jimenez JC, Su K, Goldberg AR, Luna VM, Biane JS, Ordek G, et al. Anxiety cells in a hippocampal-hypothalamic circuit. 2018;97(3):670-83. e6.
Grandner MAJSmc. Sleep, health, and society. 2022;17(2):117-39.
Zu ZY, Jiang MD, Xu PP, Chen W, Ni QQ, Lu GM, et al. Coronavirus disease 2019 (COVID-19): a perspective from China. 2020;296(2):E15-E25.
Zhao X, Lan M, Li H, Yang JJSm. Perceived stress and sleep quality among the non-diseased general public in China during the 2019 coronavirus disease: a moderated mediation model. 2021;77:339-45.
Rothan HA, Byrareddy SNJJoa. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. 2020;109:102433.
Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. 2020;54(24):1451-62.
Xiao H, Zhang Y, Kong D, Li S, Yang NJMsmimjoe, research c. Social capital and sleep quality in individuals who self-isolated for 14 days during the coronavirus disease 2019 (COVID-19) outbreak in January 2020 in China. 2020;26:e923921-1.
Tu Z-h, He J-w, Zhou NJM. Sleep quality and mood symptoms in conscripted frontline nurse in Wuhan, China during COVID-19 outbreak: A cross-sectional study. 2020;99(26):e20769.
Veqar Z, Hussain MEJIjoam, health. Validity and reliability of insomnia severity index and its correlation with pittsburgh sleep quality index in poor sleepers among Indian university students. 2020;32(1).
Wang Y, Zhu L-Y, Ma Y-F, Bo H-X, Deng H-B, Cao J, et al. Association of insomnia disorder with sociodemographic factors and poor mental health in COVID-19 inpatients in China. 2020;75:282-6.
Wu K, Wei XJMsmbr. Analysis of psychological and sleep status and exercise rehabilitation of front-line clinical staff in the fight against COVID-19 in China. 2020;26:e924085-1.
Kripke DF, Garfinkel L, Wingard DL, Klauber MR, Marler MRJAogp. Mortality associated with sleep duration and insomnia. 2002;59(2):131-6.
Sher LJSm. COVID-19, anxiety, sleep disturbances and suicide. 2020;70:124.
Simonetti V, Durante A, Ambrosca R, Arcadi P, Graziano G, Pucciarelli G, et al. Anxiety, sleep disorders and self‐efficacy among nurses during COVID‐19 pandemic: A large cross‐sectional study. 2021;30(9-10):1360-71.
Stanton R, To QG, Khalesi S, Williams SL, Alley SJ, Thwaite TL, et al. Depression, anxiety and stress during COVID-19: associations with changes in physical activity, sleep, tobacco and alcohol use in Australian adults. 2020;17(11):4065.
Taber KSJRise. The use of Cronbach’s alpha when developing and reporting research instruments in science education. 2018;48:1273-96.
Elbay RY, Kurtulmuş A, Arpacıoğlu S, Karadere EJPr. Depression, anxiety, stress levels of physicians and associated factors in Covid-19 pandemics. 2020;290:113130.
Plichta SB, Kelvin EA. Munro’s statistical methods for health care research. 2013.
Rosen Z, Weinberger-Litman SL, Rosenzweig C, Rosmarin DH, Muennig P, Carmody ER, et al. Anxiety and distress among the first community quarantined in the US due to COVID-19: Psychological implications for the unfolding crisis. 2020.
Saraswathi I, Saikarthik J, Kumar KS, Srinivasan KM, Ardhanaari M, Gunapriya RJP. Impact of COVID-19 outbreak on the mental health status of undergraduate medical students in a COVID-19 treating medical college: a prospective longitudinal study. 2020;8:e10164.
Sheng X, Liu F, Zhou J, Liao RJNFykdxxbJoSMU. Psychological status and sleep quality of nursing interns during the outbreak of COVID-19. 2020;40(3):346-50.
Marelli S, Castelnuovo A, Somma A, Castronovo V, Mombelli S, Bottoni D, et al. Impact of COVID-19 lockdown on sleep quality in university students and administration staff. 2021;268:8-15.
Huang Y, Zhao NJPr. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. 2020;288:112954.
Killgore WD, Cloonan SA, Taylor EC, Fernandez F, Grandner MA, Dailey NSJPr. Suicidal ideation during the COVID-19 pandemic: the role of insomnia. 2020;290:113134.