ArticleSleep medicine2021
Pre-sleep arousal and sleep quality during the COVID-19 lockdown in Italy.
Article in Sleep medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 31 citations in OpenAlex.
- Beneficial Effects of an Online Mindfulness-Based Intervention on Sleep Quality in Italian Poor Sleepers during the COVID-19 Pandemic: A Randomized Trial.International journal of environmental research and public health · 2023Trial
- Too Aroused to Sleep: The Role of Tilt in Playing Online Poker and First-Person Shooter Games.Journal of gambling studies · 2025Article
- From Lockdowns to Long COVID-Unraveling the Link Between Sleep, Chronotype, and Long COVID Symptoms.Brain sciences · 2025Article
- Prediction of Sleep Quality in Cancer Survivors Based on Arousal, Pain, and Worry: The Mediating Role of Dysfunctional Beliefs and Attitudes About Sleep.Cancer medicine · 2025Article
- Not All Workers Experience Equal Sleep Changes: Insights from the "WorkInCovid" Project.Clocks & sleep · 2025Article
- The Factors Affecting Sleep Quality in Community-Dwelling Older Adults, Based on Spielman's 3P Model of Insomnia.Iranian journal of public health · 2024Article
- Association Between Sleep-related Cognitions, Sleep-related Behaviors, and Insomnia in Patients with Anxiety and Depression: A Cross-sectional Study.Indian journal of psychological medicine · 2024Article
- Dreaming while awake: The beneficial effects of yoga Nidra on mental and physical recovery in two elite karate athletes.Heliyon · 2024Article
- Association Between Sleep Reactivity, Pre-Sleep Arousal State, and Neuroendocrine Hormones in Patients with Chronic Insomnia Disorder.Nature and science of sleep · 2024Article
- Personalized interpretable prediction of perceived sleep quality: Models with meaningful cardiovascular and behavioral features.PloS one · 2024Article
- Effect of the decreased frequency of going out on the association between anxiety and sleep disorder during the COVID-19 pandemic: a mediation analysis.Annals of general psychiatry · 2023Article
- Impact of COVID-19 pandemic on insomnia and sleep efficiency in parents and caregivers of young children.Frontiers in sleep · 2023Article
- Mediation analysis of chronotype, sleep-related factors, and depressive symptoms among workers: a cross-sectional study.Annals of occupational and environmental medicine · 2023Article
- Age-Based Differences in Sleep Quality, Pre-Sleep Arousal, and Psychosocial Factors during the Second Wave Lockdown of the COVID-19 Pandemic in Georgia-A Higher Vulnerability of Younger People.International journal of environmental research and public health · 2022Article
- The Emotional Anatomy of the Wuhan Lockdown: Sentiment Analysis Using Weibo Data.JMIR formative research · 2022Article
- The Effect of COVID-19 on Sleep Quality and Mental Health: Adolescents Are More at Risk Than the Elderly.Brain sciences · 2022Article
- Dreaming during the COVID-19 pandemic: A narrative review.Neuroscience and biobehavioral reviews · 2022Review
- 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
- Decreased Transition Rate From Situational Insomnia to Chronic Insomnia by One-Week Internet Cognitive Behavioral Treatments for Insomnia During the COVID-19 Pandemic.Frontiers in psychiatry · 2022Article
- Insomnia, Pre-Sleep Arousal, Psychosocial Factors and Changes in Sleep Pattern during the Second Wave Lockdown of the COVID-19 Pandemic in Georgia.Brain sciences · 2021Article
Corrections and comments
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Authors and funding
11 authors at 8 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe COVID-19 pandemic has strongly affected daily habits and psychological wellbeing, and many studies point to large modifications in several sleep and sleep-related domains. Nevertheless, pre-sleep arousal during the pandemic has been substantially overlooked. Since hyperarousal represents one of the main factors for the development and the perpetuation of chronic insomnia disorder, the assessment of variables associated with high levels of pre-sleep arousal during the pandemic is clinically relevant. The study aimed to assess the prevalence and predictors of perceived sleep quality and pre-sleep arousal in an Italian sample during the COVID-19 lockdown.
methodsWe used an online survey to collect self-reported sociodemographic, environmental, clinical, sleep, and sleep-related data. Our final sample included 761 participants.
resultsBeyond a high frequency of poor sleep quality, depressive and stress symptoms, our results show that almost half of the sample suffered from clinically relevant levels of at least one component (ie, cognitive, somatic) of pre-sleep arousal. Subjects with greater pre-sleep arousal exhibited poorer sleep quality. Also, sleep quality was strongly associated with somatic and cognitive pre-sleep arousal. Regarding the predictors of sleep and sleep-related measures, depressive and event-related stress symptoms were the main factors associated with both poor sleep quality and pre-sleep arousal components. Moreover, specific sociodemographic and environmental variables were uniquely related to sleep quality, cognitive or somatic pre-sleep arousal.
conclusionsThese findings suggest that the assessment of specific sleep-related factors (ie, pre-sleep arousal), together with more global measures of sleep quality, may be crucial to depict the complex impact of the pandemic on sleep, and to help prevent and counteract the spread of insomnia symptoms.
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Registered trials
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.