Sleep Disturbances and Their Association With Quality of Life in Older Psychiatric Patients During the COVID-19 Pandemic

Xiuying Xu; Wen Li; Siyun Zou; Yulong Li; Huan Wang; Xiaona Yan; Xiangdong Du; Lan Zhang; Qinge Zhang; Teris Cheung; Gabor S. Ungvari; Yu Tao Xiang

doi:10.1177/08919887221078565

Sleep Disturbances and Their Association With Quality of Life in Older Psychiatric Patients During the COVID-19 Pandemic

Xiuying Xu, Wen Li, Siyun Zou, Yulong Li, Huan Wang, Xiaona Yan, Xiangdong Du, Lan Zhang, Qinge Zhang, Teris Cheung, Gabor S. Ungvari, Yu Tao Xiang

Research output: Journal article publication › Journal article › Academic research › peer-review

2 Citations (Scopus)

Abstract

Aims: The negative effect of the COVID-19 pandemic on sleep quality of clinically stable psychiatric patients is unknown. This study examined the prevalence of sleep disturbances and their association with quality of life (QOL) in clinically stable older psychiatric patients during the COVID-19 pandemic. Methods: This multicenter, cross-sectional study involved older patients attending maintenance treatment at outpatient departments of four major psychiatric hospitals in China. Patients’ socio-demographic and clinical characteristics were collected. Sleep disturbances, depressive symptoms, and QOL were assessed with the Insomnia Severity Index, the 9-item Patient Health Questionnaire, and 2 items of the World Health Organization Quality of Life-Brief version, respectively. Binary logistic regression analysis was conducted to examine the independent associations of socio-demographic and clinical variables with sleep disturbances, while the association between sleep disturbances and QOL was explored with analysis of covariance. Results: A total of 941 patients were recruited. The prevalence of sleep disturbances was 57.1% (95% CI: 53.9–60.2%). Analysis of covariance revealed that QOL was significantly lower in patients with sleep disturbances compared to those without. Multivariate logistic regression analysis showed that sleep disturbances were positively and independently associated with more severe depressive symptoms (OR = 1.32, 95% CI: 1.26–1.37). Compared to patients with major depressive disorder, those with other psychiatric diagnoses had a significantly higher prevalence of sleep disturbances (OR = 1.44, 95% CI: 1.00–2.08). Conclusion: Sleep disturbances were common among clinically stable older psychiatric patients during the COVID-19 pandemic. Considering the negative association with QOL, this subpopulation needs regular assessment and timely treatment to reduce their sleep disturbances and improve their QOL.

Original language	English
Pages (from-to)	229-236
Number of pages	8
Journal	Journal of Geriatric Psychiatry and Neurology
Volume	35
Issue number	2
DOIs	https://doi.org/10.1177/08919887221078565
Publication status	Published - Mar 2022

Keywords

COVID-19
older patients
psychiatric disorder
quality of life
sleep disturbances

ASJC Scopus subject areas

Clinical Neurology
Geriatrics and Gerontology
Psychiatry and Mental health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1177/08919887221078565

Cite this

@article{82e04e4baebb432181091d6f2f041a27,

title = "Sleep Disturbances and Their Association With Quality of Life in Older Psychiatric Patients During the COVID-19 Pandemic",

abstract = "Aims: The negative effect of the COVID-19 pandemic on sleep quality of clinically stable psychiatric patients is unknown. This study examined the prevalence of sleep disturbances and their association with quality of life (QOL) in clinically stable older psychiatric patients during the COVID-19 pandemic. Methods: This multicenter, cross-sectional study involved older patients attending maintenance treatment at outpatient departments of four major psychiatric hospitals in China. Patients{\textquoteright} socio-demographic and clinical characteristics were collected. Sleep disturbances, depressive symptoms, and QOL were assessed with the Insomnia Severity Index, the 9-item Patient Health Questionnaire, and 2 items of the World Health Organization Quality of Life-Brief version, respectively. Binary logistic regression analysis was conducted to examine the independent associations of socio-demographic and clinical variables with sleep disturbances, while the association between sleep disturbances and QOL was explored with analysis of covariance. Results: A total of 941 patients were recruited. The prevalence of sleep disturbances was 57.1% (95% CI: 53.9–60.2%). Analysis of covariance revealed that QOL was significantly lower in patients with sleep disturbances compared to those without. Multivariate logistic regression analysis showed that sleep disturbances were positively and independently associated with more severe depressive symptoms (OR = 1.32, 95% CI: 1.26–1.37). Compared to patients with major depressive disorder, those with other psychiatric diagnoses had a significantly higher prevalence of sleep disturbances (OR = 1.44, 95% CI: 1.00–2.08). Conclusion: Sleep disturbances were common among clinically stable older psychiatric patients during the COVID-19 pandemic. Considering the negative association with QOL, this subpopulation needs regular assessment and timely treatment to reduce their sleep disturbances and improve their QOL.",

keywords = "COVID-19, older patients, psychiatric disorder, quality of life, sleep disturbances",

author = "Xiuying Xu and Wen Li and Siyun Zou and Yulong Li and Huan Wang and Xiaona Yan and Xiangdong Du and Lan Zhang and Qinge Zhang and Teris Cheung and Ungvari, {Gabor S.} and Xiang, {Yu Tao}",

note = "Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Universidade de Macau grant number MYRG2019-00066-FHS, Suzhou Key Medical Center for Psychiatric Diseases grant number Szzx201509, The National Science and Technology Major Project for investigational new drug grant number 2018ZX09201-014 and the Beijing Municipal Science and Technology Commission grant number Z181100001518005. Publisher Copyright: {\textcopyright} The Author(s) 2022.",

year = "2022",

month = mar,

doi = "10.1177/08919887221078565",

language = "English",

volume = "35",

pages = "229--236",

journal = "Journal of Geriatric Psychiatry and Neurology",

issn = "0891-9887",

publisher = "SAGE Publications Inc.",

number = "2",

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TY - JOUR

T1 - Sleep Disturbances and Their Association With Quality of Life in Older Psychiatric Patients During the COVID-19 Pandemic

AU - Xu, Xiuying

AU - Li, Wen

AU - Zou, Siyun

AU - Li, Yulong

AU - Wang, Huan

AU - Yan, Xiaona

AU - Du, Xiangdong

AU - Zhang, Lan

AU - Zhang, Qinge

AU - Cheung, Teris

AU - Ungvari, Gabor S.

AU - Xiang, Yu Tao

N1 - Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Universidade de Macau grant number MYRG2019-00066-FHS, Suzhou Key Medical Center for Psychiatric Diseases grant number Szzx201509, The National Science and Technology Major Project for investigational new drug grant number 2018ZX09201-014 and the Beijing Municipal Science and Technology Commission grant number Z181100001518005. Publisher Copyright: © The Author(s) 2022.

PY - 2022/3

Y1 - 2022/3

N2 - Aims: The negative effect of the COVID-19 pandemic on sleep quality of clinically stable psychiatric patients is unknown. This study examined the prevalence of sleep disturbances and their association with quality of life (QOL) in clinically stable older psychiatric patients during the COVID-19 pandemic. Methods: This multicenter, cross-sectional study involved older patients attending maintenance treatment at outpatient departments of four major psychiatric hospitals in China. Patients’ socio-demographic and clinical characteristics were collected. Sleep disturbances, depressive symptoms, and QOL were assessed with the Insomnia Severity Index, the 9-item Patient Health Questionnaire, and 2 items of the World Health Organization Quality of Life-Brief version, respectively. Binary logistic regression analysis was conducted to examine the independent associations of socio-demographic and clinical variables with sleep disturbances, while the association between sleep disturbances and QOL was explored with analysis of covariance. Results: A total of 941 patients were recruited. The prevalence of sleep disturbances was 57.1% (95% CI: 53.9–60.2%). Analysis of covariance revealed that QOL was significantly lower in patients with sleep disturbances compared to those without. Multivariate logistic regression analysis showed that sleep disturbances were positively and independently associated with more severe depressive symptoms (OR = 1.32, 95% CI: 1.26–1.37). Compared to patients with major depressive disorder, those with other psychiatric diagnoses had a significantly higher prevalence of sleep disturbances (OR = 1.44, 95% CI: 1.00–2.08). Conclusion: Sleep disturbances were common among clinically stable older psychiatric patients during the COVID-19 pandemic. Considering the negative association with QOL, this subpopulation needs regular assessment and timely treatment to reduce their sleep disturbances and improve their QOL.

AB - Aims: The negative effect of the COVID-19 pandemic on sleep quality of clinically stable psychiatric patients is unknown. This study examined the prevalence of sleep disturbances and their association with quality of life (QOL) in clinically stable older psychiatric patients during the COVID-19 pandemic. Methods: This multicenter, cross-sectional study involved older patients attending maintenance treatment at outpatient departments of four major psychiatric hospitals in China. Patients’ socio-demographic and clinical characteristics were collected. Sleep disturbances, depressive symptoms, and QOL were assessed with the Insomnia Severity Index, the 9-item Patient Health Questionnaire, and 2 items of the World Health Organization Quality of Life-Brief version, respectively. Binary logistic regression analysis was conducted to examine the independent associations of socio-demographic and clinical variables with sleep disturbances, while the association between sleep disturbances and QOL was explored with analysis of covariance. Results: A total of 941 patients were recruited. The prevalence of sleep disturbances was 57.1% (95% CI: 53.9–60.2%). Analysis of covariance revealed that QOL was significantly lower in patients with sleep disturbances compared to those without. Multivariate logistic regression analysis showed that sleep disturbances were positively and independently associated with more severe depressive symptoms (OR = 1.32, 95% CI: 1.26–1.37). Compared to patients with major depressive disorder, those with other psychiatric diagnoses had a significantly higher prevalence of sleep disturbances (OR = 1.44, 95% CI: 1.00–2.08). Conclusion: Sleep disturbances were common among clinically stable older psychiatric patients during the COVID-19 pandemic. Considering the negative association with QOL, this subpopulation needs regular assessment and timely treatment to reduce their sleep disturbances and improve their QOL.

KW - COVID-19

KW - older patients

KW - psychiatric disorder

KW - quality of life

KW - sleep disturbances

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JO - Journal of Geriatric Psychiatry and Neurology

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ER -

Sleep Disturbances and Their Association With Quality of Life in Older Psychiatric Patients During the COVID-19 Pandemic

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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