ArticleNature and science of sleep2021
Social Jetlag Changes During the COVID-19 Pandemic as a Predictor of Insomnia - A Multi-National Survey Study.
Article in Nature and science of sleep, 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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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Prevalence of sleep disturbances in children and adolescents during COVID-19 pandemic: a meta-analysis and systematic review of epidemiological surveys.Translational psychiatry · 2024Pooled it
- Sleep patterns during the pandemic and covid-related stress: a large-scale study in the general population of Serbia and Republic of Srpska (Bosnia and Herzegovina).Population health metrics · 2026Article
- Sleepless in America: A social sensing study of pandemic-era sleeplessness using nighttime social media data.PloS one · 2026Article
- Sleep, psychological symptoms, and cannabis use before, during, and after COVID-19 "stay-at-home" orders: a structural equation modeling approach.Journal of cannabis research · 2025Article
- Article
- COVID-19-Related Brief Insomnia in a 13-Year-Old Adolescent Girl.Sleep science (Sao Paulo, Brazil) · 2024Article
- Estimation bias and agreement limits between two common self-report methods of habitual sleep duration in epidemiological surveys.Scientific reports · 2024Article
- Impact of Gender on Insomnia.Brain sciences · 2023Article
- Social jetlag and quality of life among nursing students during the COVID-19 pandemic: a cross-sectional study.BMC nursing · 2023Article
- Insomnia symptoms predict longer COVID-19 symptom duration.Sleep medicine · 2023Article
- Effects of dysfunctional beliefs about sleep on sleep quality and mental health among patients with COVID-19 treated in Fangcang shelter hospitals.Frontiers in public health · 2023Article
- Changes in Sleep Regularity and Perceived Life Stress across the COVID-19 Pandemic: A Longitudinal Analysis of a Predominately Female United States Convenience Sample.Clocks & sleep · 2022Article
- A Data-Informed Perspective on Public Preferences for Retaining or Abolishing Biannual Clock Changes.Journal of biological rhythms · 2022Article
- The Oneiric Activity during and after the COVID-19 Total Lockdown in Italy: A Longitudinal Study.International journal of environmental research and public health · 2022Article
- Editorial: Effects of COVID-19 on sleep and circadian rhythms: Searching for evidence of reciprocal interactions.Frontiers in neuroscience · 2022Article
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Authors and funding
23 authors at 19 institutions in 13 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLifestyle and work habits have been drastically altered by restrictions due to the COVID-19 pandemic. Whether the associated changes in sleep timing modulate the risk of suffering from symptoms of insomnia, the most prevalent sleep disorder, is however incompletely understood. Here, we evaluate the association between the early pandemic-associated change in 1) the magnitude of social jetlag (SJL) - ie, the difference between sleep timing on working vs free days - and 2) symptoms of insomnia. PATIENTS AND
methodsA total of 14,968 anonymous participants (mean age: 40 years; 64% females) responded to a standardized internet-based survey distributed across 14 countries. Using logistic multivariate regression, we examined the association between the degree of social jetlag and symptoms of insomnia, controlling for important confounders like social restriction extension, country specific COVID-19 severity and psychological distress, for example.
resultsIn response to the pandemic, participants reported later sleep timing, especially during workdays. Most participants (46%) exhibited a reduction in their SJL, whereas 20% increased it; and 34% reported no change in SJL. Notably, we found that both increased and decreased SJL, as a result of the COVID-19 pandemic, were associated with later sleep midpoint (indicating a later chronotype) as well as more recurrent and moderate-to-severe symptoms of insomnia (about 23-54% higher odds ratio than subjects with unchanged SJL). Primarily those with reduced SJL shifted their bedtimes to a later timepoint, compared with those without changes in SJL.
conclusionOur findings offer important insights into how self-reported changes to the stability of sleep/wake timing, as reflected by changes in SJL, can be a critical marker of the risk of experiencing insomnia-related symptoms - even when individuals manage to reduce their social jetlag. These findings emphasize the clinical importance of analyzing sleep-wake regularity.
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