ArticleJournal of psychosomatic research2022
Longitudinal trajectories of insomnia symptoms among college students during the COVID-19 lockdown in China.
Article in Journal of psychosomatic research, 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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30 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 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
- Changes in eating disorder symptoms and influential factors among Chinese college students: a four-wave longitudinal study.Journal of eating disorders · 2026Article
- Mental Health Symptoms Among Chinese College Students Following the Lifting of COVID-19 Restrictions: A Serial Cross-Sectional Study in Guangdong Province, China.Healthcare (Basel, Switzerland) · 2026Article
- Disentangling Heterogeneity in the Co-Developmental of Anxiety and Depression During the COVID-19 Pandemic: Insights From Cross-Lagged Panel Network.Depression and anxiety · 2026Article
- Trajectories of sleep disturbance among school teachers in Shenzhen, China: patterns, predictors, and mental health correlates.BMC psychiatry · 2025Article
- The effect of sleep disturbance trajectories on psychotic-like experiences among adolescents: the mediating role of depressive symptoms.European child & adolescent psychiatry · 2025Article
- The impact of COVID-19 quarantine on college students' mental health.BMC public health · 2025Article
- Longitudinal trajectories and risk factors of insomnia symptoms among Chinese bus drivers.Frontiers in public health · 2025Article
- Bidirectional associations between short sleep duration, insomnia symptoms, and psychotic-like experiences in adolescents.European child & adolescent psychiatry · 2025Article
- Emotion regulation strategies and mental wellbeing among Chinese college students during COVID-19: the moderating roles of confinement and attentional bias.Frontiers in psychology · 2025Article
- Trajectories of Nonrestorative Sleep in First-year College Students: The Roles of Childhood Emotional Abuse and Resilience.Nature and science of sleep · 2025Article
- Individual, social, and environmental predictors of insomnia symptom trajectories in a population cohort of Australian adolescents aged 13 to 17 years.Sleep advances : a journal of the Sleep Research Society · 2025Article
- Changes in insomnia symptoms among compulsory education students in China after the "Double Reduction" policy: a two-wave longitudinal study.BMC psychiatry · 2024Article
- Trajectory of adolescents' nightmares in relation to depression and post-traumatic stress disorder in young adulthood: a 10-year cohort of Chinese Wenchuan earthquake survivors.Social psychiatry and psychiatric epidemiology · 2024Article
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- Three measures of internet use, social media use and video game playing as predictors of insomnia during the pandemic among students.Scientific reports · 2024Article
- Recovery trajectories of mental health symptoms among Chinese adolescents following the end of COVID-19.Frontiers in public health · 2024Article
- A longitudinal study on the change in sleep across three waves of the COVID-19 outbreaks in Hong Kong.Sleep and biological rhythms · 2024Article
- Prevalence and associated factors of insomnia symptoms among doctors and nurses under the context of high prevalence of multiple infectious diseases: a cross-sectional study.Frontiers in public health · 2024Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aimed to examine the patterns and predictors of the trajectories of college students' insomnia symptoms across different stages of the COVID-19 pandemic.
methodsA total of 35,516 college students completed three online surveys during the COVID-19 outbreak period (3-10 February 2020), initial remission period (24 March-3 April 2020), and effective control period (1-15 June 2020), respectively. These surveys measured the participants' socio-demographic and pandemic related factors, insomnia symptoms, mental health status, and psychosocial factors. Multivariate logistic regressions were used to examine predictors for trajectory membership.
resultsThe prevalence of insomnia symptoms increases during home quarantine. Five insomnia symptoms trajectories were observed: resistance (82.8% of the sample), recovery (5.0%), delayed-dysfunction (5.8%), chronic-dysfunction (1.8%), and relapsing/remitting (4.6%). Female gender, residence location in urban, has history of sleep problems, smoking, alcohol use, community or village has confirmed COVID-19 cases, current poor mental health, higher negative coping were related to higher risk of developing insomnia symptoms in at least one time point, whereas better family function increased the possibility of recovery relative to chronic dysfunction. Lower social support and positive coping could also cause insomnia chronicity.
conclusionAdolescents have different trajectories of insomnia symptoms during pandemic lockdown. Although most adolescents did not experience insomnia or recovered over time, some adolescents, especially those with the risk factors noted above, exhibit delayed or chronic symptoms. These findings could inform mental health professionals regarding how to provide individualized and appropriate intervention for college students after their return to school.
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