Psychological and illness-related correlates of insomnia in mildly symptomatic Nigerian COVID-19 adult patients during self-isolation

O. Aloba, T. Opakunle
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Abstract

Background: Globally, the advent of the COVID-19 pandemic has severely impacted the sleep quality of healthcare workers and healthy subjects. There is a dearth of studies on the extent and factors associated with insomnia among COVID-19 patients in Nigeria and Sub-Saharan Africa. Our aim in this study is to assess the extent and the illness-related and psychological correlates of insomnia in a cross-sectional sample of mildly symptomatic Nigerian COVID-19 adult patients. Methods: Nigerian COVID-19 patients (n=498) aged 18 years and above completed an online survey that consisted of sociodemographic and illness-related details, the Insomnia Severity Index (ISI), the Generalized Anxiety Disorder Scale (GAD-7), the Patient Health Questionnaire (PHQ-8), suicidal ideation (item 9 of the PHQ-9) and the Brief Symptoms Rating Scale (BSRS-5). Results: Insomnia of varying degrees was present in 22.5%. Hierarchical linear regression analysis showed that the combination of psychological distress, suicidal ideation, and duration of self-isolation were significantly associated with insomnia (accounts for 86% of the variance on ISI scores). Conclusions: Our study revealed that insomnia is relatively common among the mildly symptomatic COVID-19 Nigerian adult patients. The associated factors may serve as a template for the development of insomnia improving interventions for mildly symptomatic Nigerian COVID-19 patients.
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尼日利亚COVID-19轻度症状成年患者自我隔离期间失眠的心理和疾病相关因素
背景:在全球范围内,COVID-19大流行的到来严重影响了医护人员和健康受试者的睡眠质量。目前缺乏对尼日利亚和撒哈拉以南非洲地区COVID-19患者失眠的程度和相关因素的研究。本研究的目的是评估尼日利亚轻度症状COVID-19成年患者的横截面样本中失眠的程度、疾病相关因素和心理相关因素。方法:尼日利亚498例18岁及以上的COVID-19患者完成了一项在线调查,包括社会人口学和疾病相关细节、失眠严重程度指数(ISI)、广泛焦虑障碍量表(GAD-7)、患者健康问卷(PHQ-8)、自杀意念(PHQ-9第9项)和简短症状评定量表(bsr -5)。结果:22.5%的患者存在不同程度的失眠。层次线性回归分析显示,心理困扰、自杀意念和自我隔离持续时间与失眠显著相关(占ISI得分方差的86%)。结论:我们的研究显示,在轻度症状的尼日利亚COVID-19成年患者中,失眠是相对常见的。相关因素可作为针对尼日利亚轻度症状COVID-19患者制定改善失眠干预措施的模板。
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