Evidence map›Paper›PMID 33618965›Full record

ArticleSleep medicine2022

Changes in sleep patterns and disturbances in children and adolescents in Italy during the Covid-19 outbreak.

Oliviero Bruni, Emanuela Malorgio, Mattia Doria, Elena Finotti, Karen Spruyt, Maria Grazia Melegari, Maria Pia Villa, Raffaele Ferri

Open access · greenAbstract read
In one paragraph

Article in Sleep medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed, 5 pooled it
27.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

94 citing papers in PubMed, 5 syntheses or guidelines pooled it, 199 citations in OpenAlex.

  1. Pooled it
  2. Emotions in Times of Pandemic Crisis among Italian Children: A Systematic Review.International journal of environmental research and public health · 2023
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  6. Advancing adolescent bedtime by motivational interviewing and text message: a randomized controlled trial.Journal of child psychology and psychiatry, and allied disciplines · 2025
    Trial
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  9. Night Owls and Early Birds: The Role of Adolescents' Chronotype on Educational Identity Trajectories.International journal of psychology : Journal international de psychologie · 2025
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34 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Oliviero BruniDepartment of Developmental and Social Psychology, Sapienza University of Rome, Italy. Electronic address: oliviero.bruni@uniroma1.it.
Emanuela MalorgioItalian Federation of Primary Care Pediatricians (Federazione Italiana Medici Pediatri, FIMP), Expert on Sleep Disorders AIMS, Torino, Italy.
Mattia DoriaItalian Federation of Primary Care Pediatricians (Federazione Italiana Medici Pediatri, FIMP), Venice, Italy.
Elena FinottiDepartment of Rehabilitation, Child and Adolescent Neuropsychiatry Unit, ULSS 6, Vicenza, Italy.
Karen SpruytLyon Neuroscience Research Center, INSERM U1028-CNRS UMR 5292, University Claude Bernard, School of Medicine, Lyon, France.
Maria Grazia MelegariDepartment of Developmental and Social Psychology, Sapienza University of Rome, Italy.
Maria Pia VillaChair of Pediatrics, NESMOS Department, Sapienza University, Sant'Andrea Hospital, Rome, Italy.
Raffaele FerriSleep Research Centre, Oasi Research Institute - IRCCS, Troina, Italy.
Sapienza University of Rome · ITAzienda Ospedaliera Sant'Andrea · ITCentre National de la Recherche Scientifique · FRIstituti di Ricovero e Cura a Carattere Scientifico · ITSocietà Italiana di Medicina Generale · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the impact of home confinement during the COVID-19 pandemic on the sleep patterns and sleep disturbances in Italian children and adolescents.

methodsParticipants completed an anonymous online survey, shared via social media and targeting children and adolescents aged 1-18 years, subdivided into age groups: 1-3, 4-5, 6-12, and 13-18 years. Caregivers completed a modified version of the Sleep Disturbance Scale for Children (SDSC), along with demographic information.

resultsThe final sample consisted of 4314 subjects: 2217 males (50.4%) and 2097 females (49.6%). Age group distribution was: 1-3 years 1263 (29.3%), 4-5 years 893 (20.7%), 6-12 years 1848 (42.8%) and 13-18 years 310 (7.2%). We found a significant delay in bedtime and risetime in all age groups. School-age children and adolescents experienced the most significant delay: weekday bedtime ≥23 was reported by 28.4% of 6- to 12-year-old children during lockdown vs. 0.9% before and by 63.5% vs. 12.3% of 13- to 18-year-old adolescents. Risetime was also delayed with most subjects waking up after 8 in all age groups and sleep duration increased in all groups but not in the younger group. The screen time (excluding online lessons) boosted during the lockdown, mainly in older children but also in younger children. Sleep disorders increased in all groups but not in adolescents. Younger groups had an increased prevalence of difficulty falling asleep, anxiety at bedtime, night awakenings, nightmares and sleep terrors.

conclusionOur study demonstrates that confinement due to COVID-19 determined a big delay in sleep/wake schedule of children in all age groups as well as an increase of sleep disturbances in all groups but adolescents.

Indexed as

COVID-19Sleep Wake DisordersAdolescentChildCommunicable Disease ControlFemaleHumansInfantItalyMaleMiddle AgedPandemicsSleepSurveys and QuestionnairesAdolescentsChildrenCovid-19Screen timeSleepSleep disturbances

Identifiers

PMID33618965
PMCPMC7871805
OpenAlexW3126370548

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.