Sleep quality and COVID-19-related stress in relation to mental health symptoms among Israeli and U.S. adults
Abstract
Objectives The COVID-19 virus has resulted not only in high rates of morbidity and mortality across the globe, but in widespread mental health problems and sleep disruption, likely as a result of pandemic-related stressors. The current study examines associations among COVID-related stress, sleep quality, and mental health.Design Cross-sectional data were collected via online surveys in May 2020.Participants were 2541 community adults ages 18-70 from Israel (N = 1969) and the U.S. (N = 572).Measurement Participants completed measures of COVID-related stress, sleep quality, and symptoms of anxiety, depression and adjustment disorder.Results Participants reported high rates of depression and anxiety symptoms, adjustment difficulties, and poor sleep quality. In both countries, COVID-related stressors were associated with both anxiety and depression, and these associations were mediated by sleep disturbances.Conclusions These results support the role of sleep in mental health difficulties. Widespread, accessible, evidence-based interventions are urgently needed to improve health and mental health and to promote resilience in preparation for future global crises.
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Coiro et al found a statistically significant association (P<.05) between COVID-19-related stressors (namely sleep quality, depression, and anxiety).
“The authors found a statistically significant association (P<.05) between COVID-19–related stressors (namely sleep quality, depression, and anxiety).”
In a recent study by Coiro et al, participants reported high rates of anxiety and depression during the COVID-19 pandemic and poor sleep quality.
“in a recent study by Coiro et al [87], not only did participants report high rates of anxiety and depression during the COVID-19 pandemic but they also reported poor sleep quality.”
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- Authors
- Coiro, M. J., Asraf, K., Tzischinsky, O., Hadar-Shoval, D., Tannous-Haddad, L., & Wolfson, A. R.
- Affiliations
- Loyola University Maryland (US)
- The Max Stern Yezreel Valley College (IL)
- Corresponding author
- Coiro, Mary Jo
- Venue
- Sleep Health
- Publisher
- Elsevier BV
- Published
- 2021-04
- Volume
- 7
- Issue
- 2
- Pages
- 127-133
- ISSN
- 2352-7218 (ISSN-L)
- OpenAlex
- W3134046281
- Cited by
- 58
- References
- 51
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 7 · 2023: 15 · 2022: 17 · 2021: 12
- FWCI
- 8.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sleep Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ministry of Science and Technology, Israel
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- COVID-19 pandemic, pandemic stress, sleep quality, sleep disorders, anxiety symptoms, depressive symptoms, adjustment disorder, mental health, mediation, cross-national comparison, Israel, United States
- MeSH terms
- COVID-19, Adjustment Disorders, Adolescent, Adult, Aged, Anxiety, Cross-Sectional Studies, Depression, Female, Humans, Israel, Male, Middle Aged, Sleep, Stress, Psychological, United States, Young Adult
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