ArticleJournal of affective disorders2022
The association between sleep and psychological distress among New York City healthcare workers during the COVID-19 pandemic.
Article in Journal of affective disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 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
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- The associations between PTSD symptom clusters, insomnia, and depressive symptoms in Chinese adolescents with low and high levels of internet addiction: A cross-lagged network analysis.Psychological trauma : theory, research, practice and policy · 2026Article
- Mental health outcomes among U.S. healthcare workers before, during, and after the 2019 global respiratory pandemic: A population-based study.Journal of affective disorders · 2026Article
- Psychological resilience to trauma and longitudinal sleep outcomes among current and former nurses.Journal of psychosomatic research · 2025Article
- Psychosocial Risk Factors at Work and Sleep Quality in Healthcare Workers - A Cross-Sectional Study.Sleep science (Sao Paulo, Brazil) · 2024Article
- Validation and cutoff score for the single-item sleep quality scale.Sleep & breathing = Schlaf & Atmung · 2024Article
- Protocol for a personalized (N-of-1) trial for testing the effects of a mind-body intervention on sleep duration in middle-aged women working in health care.Contemporary clinical trials communications · 2024Article
- Self-care practices among professional nurses employed in primary health care clinics.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Article
- Impact of COVID-19-Induced Academic Stress on Insomnia and Suicidal Ideation among Taiwanese Health Trainees and Junior Doctors.Medical science monitor : international medical journal of experimental and clinical research · 2024Article
- The effect of social support and resource support on emotional exhaustion, insomnia, and suicidal ideation among allied health trainees and post-graduate year doctors in Taiwan.BMC psychology · 2024Article
- Mental Health Service Use, Barriers, and Service Preferences During COVID-19 among Low-Income Housing and Market-Rate Housing Residents of Harlem in New York City.Journal of community health · 2024Article
- Prevalence and associated factors of depression, anxiety and stress among clinical therapists in China in the context of early COVID-19 pandemic.Frontiers in psychiatry · 2024Article
- Mental health symptoms and associated factors among primary healthcare workers in China during the post-pandemic era.Frontiers in public health · 2024Article
- Progressive muscle relaxation alleviates anxiety and improves sleep quality among healthcare practitioners in a mobile cabin hospital: a pre-post comparative study in China.Frontiers in psychology · 2024Article
- Work-Family Conflict and Depression Among Healthcare Workers: The Role of Sleep and Decision Latitude.Workplace health & safety · 2023Article
- Article
- COVID-19 Fear, Sleep Quality, Anxiety and Depression: A Moderated Mediation Model.Journal of child & adolescent trauma · 2023Article
- Leading Predictors of COVID-19-Related Poor Mental Health in Adult Asian Indians: An Application of Extreme Gradient Boosting and Shapley Additive Explanations.International journal of environmental research and public health · 2022Article
- Article
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Authors and funding
14 authors at 4 institutions in 1 country.
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Abstract
backgroundHealthcare workers (HCWs) treating patients with COVID-19 report psychological distress. We examined whether disturbed sleep was associated with psychological distress in New York City (NYC) HCWs during the initial peak of the COVID-19 pandemic (April-May 2020).
methodsHCWs completed a survey screening for acute stress (4-item Primary Care PTSD screen), depressive (Patient Health Questionaire-2), and anxiety (2-item Generalized Anxiety Disorder scale) symptoms. Insomnia symptoms (modified item from the Insomnia Severity Index) and short sleep (SS, sleep duration <6 h/day) were assessed. Poisson regression analyses predicting psychological distress from SS and insomnia symptoms, adjusting for demographics, clinical role/setting, redeployment status, shifts worked, and multiple comparisons were performed.
resultsAmong 813 HCWs (80.6% female, 59.0% white) mean sleep duration was 5.8 ± 1.2 h/night. Prevalence of SS, insomnia, acute stress, depressive, and anxiety symptoms were 38.8%, 72.8%, 57.9%, 33.8%, and 48.2%, respectively. Insomnia symptoms was associated with acute stress (adjusted prevalence ratio [PR]: 1.51, 95% CI: 1.35, 1.69), depressive (PR: 2.04, 95% CI: 1.78, 2.33), and anxiety (PR: 1.74, 95% CI: 1.55, 1.94) symptoms. SS was also associated with acute stress (PR: 1.17, 95% CI: 1.07, 1.29), depressive (PR: 1.36, 95% CI: 1.233, 1.51), and anxiety (PR: 1.38, 95% CI: 1.26, 1.50) symptoms. LIMITATIONS: Our cross-sectional analysis may preclude the identification of temporal associations and limit causal claims.
conclusionsIn our study, SS and insomnia were associated with psychological distress symptoms in NYC HCWs during the COVID-19 pandemic. Sleep may be a target for interventions to decrease psychological distress among HCWs.
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