Sleep problems among Chinese adolescents and young adults during the coronavirus-2019 pandemic
Open accessAbstract
Objective To assess the prevalence and sociodemographic correlates of insomnia symptoms among Chinese adolescents and young adults affected by the outbreak of coronavirus disease-2019 (COVID-19).Methods This cross-sectional study included Chinese adolescents and young adults 12-29 years of age during part of the COVID-19 epidemic period. An online survey was used to collect demographic data, and to assess recognition of COVID-19, insomnia, depression, and anxiety symptoms using the Pittsburgh Sleep Quality Index (PSQI), the Patient Health Questionnaire (PHQ-9), and the Generalized Anxiety Disorder (GAD-7) questionnaires, respectively. The Social Support Rate Scale was used to assess social support.Results Among 11,835 adolescents and young adults included in the study, the prevalence of insomnia symptoms during part of the COVID-19 epidemic period was 23.2%. Binomial logistic regression analysis revealed that female sex and residing in the city were greater risk factors for insomnia symptoms. Depression or anxiety were risk factors for insomnia symptoms; however, social support, both subjective and objective, was protective factors against insomnia symptoms. Furthermore, anxiety and depression symptoms were mediators of social support and insomnia symptoms.Conclusions Results of this study revealed a high prevalence of sleep problems among adolescents and young adults during the COVID-19 epidemic, especially senior high school and college students, which were negatively associated with students' projections of trends in COVID-19. The adverse impact of COVID-19 was a risk factor for insomnia symptoms; as such, the government must devote more attention to sleep disorders in this patient population while combating COVID-19.
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Reports from China suggest that depression and anxiety are associated with higher levels of insomnia in adolescents and young adults during the pandemic.
“In particular, reports from China suggest that depression and anxiety are associated with higher levels of insomnia in adolescents and young adult during the pandemic.(Zhou et al., 2020)”
From Younger people are more vulnerable to stress, anxiety and depression during COVID-19 pandemic: a global cross-sectional survey (2021) · cites this paper as Zhou et al., 2020
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- Authors
- Zhou, S.-J., Wang, L.-L., Yang, R., Yang, X.-J., Zhang, L.-G., Guo, Z.-C., Chen, J.-C., Wang, J.-Q., & Chen, J.-X.
- Affiliations
- Peking University (CN)
- Capital Medical University (CN)
- Corresponding author
- Chen, Jing-Xu
- Venue
- Sleep Medicine
- Publisher
- Elsevier BV
- Published
- 2020-10
- Volume
- 74
- Pages
- 39-47
- ISSN
- 1389-9457 (ISSN-L)
- PMC
- PMC7274988
- OpenAlex
- W3033214140
- Cited by
- 316
- References
- 61
- Citations by year
- 2026: 7 · 2025: 31 · 2024: 36 · 2023: 61 · 2022: 97 · 2021: 71 · 2020: 13
- FWCI
- 58.49
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Sleep Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Beijing Municipal Administration of Hospitals
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Keywords
- insomnia, sleep disorders, COVID-19 pandemic, adolescents, young adults, depression, anxiety, social support, sex differences, urban residence, sleep quality
- MeSH terms
- Betacoronavirus, COVID-19, SARS-CoV-2, Adolescent, Adult, Anxiety, Child, China, Cross-Sectional Studies, Depression, Female, Humans, Male, Pneumonia, Viral, Surveys and Questionnaires, Sleep Wake Disorders, Social Support, Coronavirus Infections, Young Adult, Pandemics
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