Circadian rhythm abnormalities during the COVID-19 outbreak related to mental health in China: a nationwide university-based survey.

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  • Additional Information
    • Source:
      Publisher: Elsevier Science Country of Publication: Netherlands NLM ID: 100898759 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-5506 (Electronic) Linking ISSN: 13899457 NLM ISO Abbreviation: Sleep Med Subsets: MEDLINE
    • Publication Information:
      Original Publication: Amsterdam ; New York : Elsevier Science, c2000-
    • Subject Terms:
      COVID-19* ; Universities*; Adolescent ; Adult ; Anxiety ; China/epidemiology ; Circadian Rhythm ; Cross-Sectional Studies ; Depression ; Disease Outbreaks ; Female ; Humans ; Mental Health ; SARS-CoV-2 ; Surveys and Questionnaires ; Young Adult
    • Abstract:
      Objective/background: School closure and home quarantine has been implemented worldwide during the coronavirus disease 2019 (COVID-19) outbreak. The study aims to assess the associations of circadian rhythm abnormalities (CRA) during the COVID-19 outbreak with mental health in Chinese undergraduates.
      Methods: A nationwide cross-sectional university-based survey was conducted from 4th February to 12th, 2020. Based on different geographical locations and purposive sampling approach, 19 universities from 16 provinces or municipalities in the mainland of China were selected. A total of 14,789 participants were recruited by using multistage stratified random sampling. The data of CRA were collected by self-reported questionnaires consist of four items involved rest-activity cycle, diet rhythm, wake up rhythm and sleep rhythm. The Patient Health Questionnaire and the Generalized Anxiety Disorder were applied to evaluate the symptoms of depression and anxiety. Chi-square test and ordinal logistic regression models were used to describe the distributions and associations of CRA and mental health.
      Results: A total of 11,787 students [female: 6731(57.1%)] aged 15-26 years old (M = 20.45, SD = 1.76) were analyzed (response rate: 79.7%). The results showed the percentage of CRA were 17.5-28.7%. The prevalence of depression and anxiety were significantly higher in students with single CRA. Students who reported the coexistence of four CRA were more likely to be with the symptoms of depression (OR: 4.43, 95% CI: 3.91-5.03) and anxiety (OR: 3.11, 95% CI: 2.70-3.60). Dose-response relationships were found between multiple CRA and mental problems.
      Conclusion: Circadian rhythm abnormalities are positively associated with mental health among university studies. Mental health care is needed for college students during the COVID-19 epidemic period.
      (Copyright © 2021 Elsevier B.V. All rights reserved.)
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    • Contributed Indexing:
      Keywords: COVID-19; Circadian rhythm; Cross-sectional; Home quarantine; Mental health
    • Publication Date:
      Date Created: 20210621 Date Completed: 20210812 Latest Revision: 20221221
    • Publication Date:
      20240628
    • Accession Number:
      PMC9760406
    • Accession Number:
      10.1016/j.sleep.2021.05.028
    • Accession Number:
      34153799