Associations between Sleep Hygiene and Mental Complaints in a French Healthcare Worker Population during the COVID-19 Crisis: A Cross-Sectional Analysis to Personalize Sleep Health Interventions
Abstract
1. Introduction
2. Results
3. Discussion
4. Materials and Methods
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Variables | n (%) | Mean ± SD {Min–Max} |
Age
| 1562 (100%) 358 (22.9%) 681 (43.6%) 494 (31.6%) 29 (1.9%) | 40.0 ± 11.2 {18–75} |
Gender
| 1562 (100%) 1258 (80.5%) 304 (19.5%) | |
IMC
| 1562 (100%) 36 (2.3%) 968 (62.0%) 377 (24.1%) 159 (10.2%) 22 (1.4%) | 24.5 ± 6.0 {8–100} |
Literacy
| 1562 (100%) 138 (8.8%) 1096 (70.2%) 328 (21.0%) | |
Living environment
| 1562 (100%) 425 (27.2%) 1137 (72.8%) | |
Work schedules
| 1562 (100%) 840 (53.8%) 514 (32.9%) 208 (13.3%) | |
Work in COVID-19 unit
| 1562 (100%) 265 (17.0%) 1297 (83.0%) | |
Mean sleep duration (hours)
| 1562 (100%) 405 (25.9%) 484 (31.0%) 673 (43.1%) | 6 h45 ± 54′ {5 h–9 h30} |
Time-in-bed (hours)
| 1562 (100%) 93 (6.0%) 280 (17.9%) 1189 (76.1%) | 7 h37 ± 54′ {5 h–14 h} |
Sleep efficiency (%)
| 1562 (100%) 379 (24.3%) 756 (48.4%) 427 (27.3%) | 89% ± 10% {48%–100%} |
Time-awake-in-bed
| 1562 (100%) 487 (33.9%) 460 (32.0%) 491 (34.1%) | 52′ ± 46′ {0–8 h} |
Sleep rebound
| 1562 (100%) 427 (27.3%) 1135 (72.7%) | 1 h36 ± 1 h26 {−6 h30–10 h} |
Social jetlag
| 1562 (100%) 179 (11.5%) 1383 (88.5%) | 23′ ± 2 h38 {−11 h30–5 h30} |
Insomnia (ISI)
| 1562 (100%) 530 (33.9%) 1032 (66.1%) | 11.9 ± 5.6 {0–28} |
Excessive daytime sleepiness (ESS)
| 1562 (100%) 704 (45.1%) 858 (54.9%) | 10.1 ± 4.7 {0–24} |
Sleep apnea (NOSAS)
| 1562 (100%) 142 (9.1%) 1420 (90.9%) | |
Fatigue
| 1562 (100%) 205 (13.1%) 1357 (86.9%) | |
Burnout
| 1562 (100%) 217 (13.9%) 1345 (86.1%) | |
Anxiety (PHQ-4)
| 1562 (100%) 557 (35.7%) 1005 (64.3%) | 2.4 ± 1.8 {0–6} |
Depression (PHQ-4)
| 1562 (100%) 257 (16.5%) 1305 (83.6%) | 1.4 ± 1.4 {0–6} |
Variable | Insomnia p OR [CI] | EDS p OR [CI] | Fatigue p OR [CI] | Depression p OR [CI] | Anxiety p OR [CI] |
Mean sleep duration (hours)
| p < 0.001 Ref 1.7 [1.3–2.2] 3.8 [2.8–5.0] | p = 0.031 Ref 1.1 [0.9–1.5] 1.4 [1.1–1.8] | p = 0.646 Ref 1.2 [0.8–1.7] 1.1 [0.8–1.7] | p < 0.001 Ref 1.9 [1.3–2.6] 1.7 [1.1–2.4] | p < 0.001 Ref 2.0 [1.5–2.5] 2.0 [1.5–2.6] |
Sleep efficiency (%)
| p < 0.001 Ref 1.9 [1.5–2.5] 0.8 [0.6–1.1] | p = 0.026 Ref 1.4 [1.1–1.8] 1.0 [0.8–1.3] | p = 0.003 Ref 1.9 [1.3–2.7] 1.4 [0.9–2.0] | p = 0.022 Ref 1.5 [1.1–2.1] 0.9 [0.6–1.3] | p = 0.004 Ref 1.5 [1.2–2.0] 1.0 [0.8–1.3] |
Sleep rebound
| p = 0.001 Ref 1.5 [1.2–2.0] | p = 0.907 Ref 1.0 [0.8–1.3] | p = 0.026 Ref 1.5 [1.1–2.1] | p = 0.557 Ref 1.1 [0.8–1.5] | p = 0.074 Ref 1.3 [1.0–1.6] |
Social jetlag
| p < 0.001 Ref 1.9 [1.3–2.7] | p = 0.254 Ref 0.8 [0.6–1.2] | p = 0.249 Ref 1.4 [0.8–2.2] | p = 0.726 Ref 0.9 [0.6–1.5] | p = 0.079 Ref 1.4 [1.0–2.0] |
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Coelho, J.; Micoulaud-Franchi, J.-A.; Philip, P. Associations between Sleep Hygiene and Mental Complaints in a French Healthcare Worker Population during the COVID-19 Crisis: A Cross-Sectional Analysis to Personalize Sleep Health Interventions. Clocks & Sleep 2024, 6, 246-254. https://doi.org/10.3390/clockssleep6020017
Coelho J, Micoulaud-Franchi J-A, Philip P. Associations between Sleep Hygiene and Mental Complaints in a French Healthcare Worker Population during the COVID-19 Crisis: A Cross-Sectional Analysis to Personalize Sleep Health Interventions. Clocks & Sleep. 2024; 6(2):246-254. https://doi.org/10.3390/clockssleep6020017
Chicago/Turabian StyleCoelho, Julien, Jean-Arthur Micoulaud-Franchi, and Pierre Philip. 2024. "Associations between Sleep Hygiene and Mental Complaints in a French Healthcare Worker Population during the COVID-19 Crisis: A Cross-Sectional Analysis to Personalize Sleep Health Interventions" Clocks & Sleep 6, no. 2: 246-254. https://doi.org/10.3390/clockssleep6020017
APA StyleCoelho, J., Micoulaud-Franchi, J.-A., & Philip, P. (2024). Associations between Sleep Hygiene and Mental Complaints in a French Healthcare Worker Population during the COVID-19 Crisis: A Cross-Sectional Analysis to Personalize Sleep Health Interventions. Clocks & Sleep, 6(2), 246-254. https://doi.org/10.3390/clockssleep6020017