Evidence map›Paper›PMID 34432058›Full record

ArticleSleep2022

Evening-types show highest increase of sleep and mental health problems during the COVID-19 pandemic-multinational study on 19 267 adults.

Ilona Merikanto, Laura Kortesoja, Christian Benedict, Frances Chung, Jonathan Cedernaes, Colin A Espie, Charles M Morin, Yves Dauvilliers, Markku Partinen, Luigi De Gennaro and 10 more

Open access · hybridAbstract read
In one paragraph

Article in Sleep, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
10.6field-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

35 citing papers in PubMed, 72 citations in OpenAlex.

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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

20 authors at 17 institutions in 13 countries.

Ilona MerikantoSleepWell Research Program Unit, Faculty of Medicine, University of Helsinki, Helsinki, Finland.ORCID 0000-0002-1222-6678
Laura KortesojaCentre for Educational Assessment, University of Helsinki, Helsinki, Finland.
Christian BenedictDepartment of Neuroscience, Sleep Science (BMC), Uppsala University, Uppsala, Sweden.ORCID 0000-0002-8911-4068
Frances ChungDepartment of Anesthesia and Pain Medicine, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON, Canada.
Jonathan CedernaesDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden.
Colin A EspieSleep and Circadian Neuroscience Institute, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
Charles M MorinÉcole de Psychologie, Centre d'étude des troubles du sommeil, Centre de recherche CERVO/Brain Research Center, Université Laval, Québec, QC, Canada.
Yves DauvilliersSleep-Wake Disorders Center, Department of Neurology, Gui-de-Chauliac Hospital, Institute for Neurosciences of Montpellier INM, INSERM, University of Montpellier, Montpellier, France.ORCID 0000-0003-0683-6506
Markku PartinenHelsinki Sleep Clinic, Vitalmed Research Center, and Department of Neurosciences, Clinicum, University of Helsinki, Helsinki, Finland.
Luigi De GennaroDepartment of Psychology, Sapienza University of Rome, Rome, Italy.ORCID 0000-0003-3613-6631
Yun Kwok WingDepartment of Psychiatry, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.ORCID 0000-0002-5745-5474
Ngan Yin ChanLi Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.
Yuichi InoueDepartment of Somnology, Tokyo Medical University, Tokyo, Japan.
Kentaro MatsuiDepartment of Laboratory Medicine, National Center Hospital, National Center of Neurology and Psychiatry, Tokyo, Japan.
Brigitte HolzingerInstitute for Dream and Consciousness Research, Medical University of Vienna, Vienna, Austria.
Giuseppe PlazziIRCCS-Institute of the Neurological Sciences of Bologna, Bologna, Italy.
Sérgio Arthuro Mota-RolimBrain Institute, Physiology and Behaviour Department, and Onofre Lopes University Hospital-Federal University of Rio Grande do Norte, Natal, Brazil.ORCID 0000-0003-0196-5421
Damien LegerHopital Hotel-Dieu de Paris, Sleep and Vigilance Center, Universite de Paris, VIFASOM (EA 7331 Vigilance Fatigue Sommeil et Santé Publique), Paris, France.
Thomas PenzelSleep Medicine Center, Charite Universitätsmedizin Berlin, Berlin, Germany.ORCID 0000-0002-4304-0112
Bjørn BjorvatnDepartment of Global Public Health and Primary Care, University of Bergen, and Norwegian Competence Center for Sleep Disorders, Haukeland University Hospital, Bergen, Norway.
University of Helsinki · FIChinese University of Hong Kong · HKCharité - Universitätsmedizin Berlin · DEFondazione Santa Lucia · ITHaukeland University Hospital · NOInserm · FRMedical University of Vienna · ATNational Center of Neurology and Psychiatry · JPNorthwestern University · USTokyo Medical University · JPUniversidade Federal do Rio Grande do Norte · BRUniversité Laval · CAUniversité Paris Cité · FRUniversity Health Network · CAUniversity of Modena and Reggio Emilia · ITUniversity of Oxford · GBUppsala University · SE

Funding

Academy of Finland 322312
6 · The paper itself

Abstract

STUDY

objectivesIndividual circadian type is a ubiquitous trait defining sleep, with eveningness often associated with poorer sleep and mental health than morningness. However, it is unknown whether COVID-19 pandemic has differentially affected sleep and mental health depending on the circadian type. Here, the differences in sleep and mental health between circadian types are examined globally before and during the COVID-19 pandemic.

methodsThe sample collected between May and August 2020 across 12 countries/regions consisted of 19 267 adults with information on their circadian type. Statistical analyses were performed by using Complex Sample procedures, stratified by country and weighted by the number of inhabitants in the country/area of interest and by the relative number of responders in that country/area.

resultsEvening-types had poorer mental health, well-being, and quality of life or health than other circadian types during the pandemic. Sleep-wake schedules were delayed especially on working days, and evening-types reported an increase in sleep duration. Sleep problems increased in all circadian types, but especially among evening-types, moderated by financial suffering and confinement. Intermediate-types were less vulnerable to sleep changes, although morningness protected from most sleep problems. These findings were confirmed after adjusting for age, sex, duration of the confinement, or socio-economic status during the pandemic.

conclusionsThese findings indicate an alarming increase in sleep and mental health problems, especially among evening-types as compared to other circadian types during the pandemic.

Indexed as

COVID-19PandemicsAdultCircadian RhythmHumansMental HealthQuality of LifeSARS-CoV-2SleepSurveys and Questionnaireschronotypecircadian rhythmscoronavirusdepressioneveningnessinsomniasleep qualitystress

Identifiers

PMID34432058
PMCPMC8499764
OpenAlexW3193952991

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.