Trial reportPloS one2021
The effect of mental health on sleep quality of front-line medical staff during the COVID-19 outbreak in China: A cross-sectional study.
Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- Subjective sleep alterations in healthy subjects worldwide during COVID-19 pandemic: A systematic review, meta-analysis and meta-regression.Sleep medicine · 2022Pooled it
- Associations between early-life mental health and abnormal sleep duration in midlife: findings from a prospective cohort study in Great Britain.European journal of epidemiology · 2026Article
- Relationship between dysfunctional beliefs and attitudes about sleep and mental health in medical staff: the mediating role of sleep quality.Sleep & breathing = Schlaf & Atmung · 2025Article
- Factors Associated with Poor Sleep Quality in Postpartum Women: A Crossectional Study.Sleep science (Sao Paulo, Brazil) · 2024Article
- Mental health problems of front-line medical staff in the early stage of public health emergencies.Frontiers in psychiatry · 2024Review
- Prevalence and factors associated with insomnia among medical students in China during the COVID-19 pandemic: characterization and associated factors.BMC psychiatry · 2023Article
- Validation of the Chinese version of the COVID-19 Phobia Scale among Chinese college students.Heliyon · 2023Article
- Reliability and Validity of Chinese Version of the Perceived Competence Scale for Disaster Mental Health Workforce: A Cross-Sectional Study.Psychiatry investigation · 2023Article
- Sleep Quality, Insomnia, and Perceived Stress among Colombian Healthcare Workers during the COVID-19 Pandemic.Sleep science (Sao Paulo, Brazil) · 2023Article
- Mental health survey among front-line medical workers after 2 years of supporting COVID-19 efforts in Hubei Province.PloS one · 2023Article
- Psychophysical Risk Perceptions and Sleep Quality of Medical Assistance Team Members in Square Cabin Hospitals: A Repeated Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2022Article
- COVID-somnia: Sleep disturbance among Indian nurses during COVID-19 pandemic.Journal of family medicine and primary care · 2022Article
- The Relationship between Personality Traits and COVID-19 Anxiety: A Mediating Model.Behavioral sciences (Basel, Switzerland) · 2022Article
- Access to Mental Health Care during the First Wave of the COVID-19 Pandemic in Italy: Results from the COMET Multicentric Study.Brain sciences · 2021Article
- Sleep Quality and the Depression-Anxiety-Stress State of Frontline Nurses Who Perform Nucleic Acid Sample Collection During COVID-19: A Cross-Sectional Study.Psychology research and behavior management · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe 2019 coronavirus disease (COVID-19) pandemic is a public health emergency of international concern and poses a challenge to the mental health and sleep quality of front-line medical staff (FMS). The aim of this study was to investigate the sleep quality of FMS during the COVID-19 outbreak in China and analyze the relationship between mental health and sleep quality of FMS.
methodsFrom February 24, 2020 to March 22, 2020, a cross-sectional study was performed with 543 FMS from a medical center in Western China. A self-reported questionnaire was used to collect data anonymously. The following tests were used: The Self-Rating Anxiety Scale (SAS) for symptoms of anxiety, the Beck Depression Inventory (BDI) for depressive symptoms, and the Pittsburgh Sleep Quality Index (PSQI) for sleep quality assessment.
resultsOf the 543 FMS, 216 (39.8%) were classified as subjects with poor sleep quality. Anxiety (P<0.001), depression (P<0.001), and the prevalence of those divorced or widowed (P<0.05) were more common in FMS with poor sleep quality than in participants with good sleep quality. The FMS exhibiting co-occurrence of anxiety and depression were associated with worse scores on sleep quality than those medical staff in the other three groups/categories. The difference in sleep quality between the FMS with only depression and the FMS experiencing co-occurrence of anxiety and depression was statistically significant (P<0.05). However, there was no significant difference in sleep quality between the FMS experiencing only anxiety and the FMS with co-occurrence of anxiety and depression (P > 0.05).
conclusionsDuring the COVID-19 pandemic, there was a noteworthy increase in the prevalence of negative emotions and sentiments among the medical staff, along with poor overall sleep quality. We anticipate that this study can stimulate more research into the mental state of FMS during outbreaks and other public health emergencies. In addition, particular attention must be paid to enhance the sleep quality of FMS, along with better planning and support for FMS who are continuously exposed to the existing viral epidemic by virtue of the nature of their profession.
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