Evidence map›Paper›PMID 35988374›Full record

ArticleComprehensive psychiatry2022

Insomnia and related factors in patients with pre-existing psychiatric disorders compared to the general population during the COVID-19 lockdown: Findings from the multicentric COMET study.

Bernardo Dell'Osso, Caterina Viganò, Dario Conti, Carolina Scarpa, Lorenzo Casati, Umberto Albert, Claudia Carmassi, Giuseppe Carrà, Francesca Cirulli, Maria Giulia Nanni and 6 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Comprehensive psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. The Short-Term Consequences of COVID-19 on Mental Health: State of the Art from Available Studies.International journal of environmental research and public health · 2022
    Article
  4. Article
  5. Article
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

16 authors at 11 institutions in 2 countries.

Bernardo Dell'OssoASST Fatebenefratelli-Sacco, Luigi Sacco University Hospital, Psychiatry 2 Unit, University of Milan, Italy; "Aldo Ravelli" Center for Nanotechnology and Neurostimulation, University of Milan, Milan, Italy; Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA. Electronic address: bernardo.dellosso@unimi.it.
Caterina ViganòASST Fatebenefratelli-Sacco, Luigi Sacco University Hospital, Psychiatry 2 Unit, University of Milan, Italy.
Dario ContiASST Fatebenefratelli-Sacco, Luigi Sacco University Hospital, Psychiatry 2 Unit, University of Milan, Italy.
Carolina ScarpaASST Fatebenefratelli-Sacco, Luigi Sacco University Hospital, Psychiatry 2 Unit, University of Milan, Italy.
Lorenzo CasatiASST Fatebenefratelli-Sacco, Luigi Sacco University Hospital, Psychiatry 2 Unit, University of Milan, Italy.
Umberto AlbertDepartment of Medicine, Surgery and Health Sciences, University of Trieste and Department of Mental Health, Azienda Sanitaria Universitaria Giuliano Isontina - ASUGI, Trieste, Italy.
Claudia CarmassiDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Giuseppe CarràDepartment of Medicine and Surgery, University of Milan Bicocca, Milan, Italy.
Francesca CirulliCenter for Behavioral Sciences and Mental Health, National Institute of Health, Rome, Italy.
Maria Giulia NanniInstitute of Psychiatry, Department of Biomedical and Specialty Surgical Sciences, University of Ferrara, Ferrara, Italy.
Maurizio PompiliDepartment of Neurosciences, Mental Health and Sensory Organs, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.
Gaia SampognaDepartment of Psychiatry, University of Campania "L. Vanvitelli", Naples, Italy.
Gabriele SaniDepartment of Neuroscience, Section of Psychiatry, University Cattolica del Sacro Cuore, Rome, Italy; Department of Psychiatry, Fondazione Policlinico Agostino Gemelli IRCCS, Rome, Italy.
Alfonso TortorellaDepartment of Psychiatry, University of Perugia, Perugia, Italy.
Umberto VolpeClinical Psychiatry Unit, Department of Clinical Neurosciences, Università Politecnica delle Marche, Ancona, Italy.
Andrea FiorilloDepartment of Psychiatry, University of Campania "L. Vanvitelli", Naples, Italy.
University of Milan · ITASST Fatebenefratelli Sacco · ITUniversity of Campania "Luigi Vanvitelli" · ITAgostino Gemelli University Polyclinic · ITMarche Polytechnic University · ITSapienza University of Rome · ITUniversity of Ferrara · ITUniversity of Milano-Bicocca · ITUniversity of Perugia · ITUniversity of Pisa · ITUniversity of Trieste · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has heavily impacted social, economic and health systems worldwide. Necessary confinement measures have, in turn, contributed to the occurrence of several stress-related conditions and deterioration of pre-existing mental conditions, including insomnia.

objectiveThe present study sought to investigate the occurrence and severity of insomnia during the COVID-19 lockdown among psychiatric patients and in the general population in the largest Italian sample examined to date. Potential factors associated with a risk of developing insomnia in the global sample were examined as well.

methodsA sample of 20,720 people (5.5% of them being psychiatric patients) was assessed through an online survey conducted during lockdown between March and May 2020. To investigate the occurrence and severity of sleep related issues, the Insomnia Severity Index (ISI) was used. In order to evaluate factors associated with the severity of insomnia in the global sample, multivariate linear regression models were performed.

resultsDuring the lockdown, patients with pre-existing mental disorders reported a mean higher score on the ISI scale (p < 0.001) compared to the general population. According to the multivariate regression models, the first three weeks of lockdown were significantly associated with a higher risk of insomnia, but the risk disappeared in the fourth week. Other associated factors included: the presence of a pre-existing mental disorder, ages 24 to 64 years old, and/or being female (p < 0.001).

conclusionsAlthough containment measures represent essential public health strategies to avoid the spread of the COVID-19 pandemic, sleep was one of the aspects affected during the early stages of the lockdown in both people with pre-existing mental disorders and general population. As an integral part of COVID-19 intervention, it is useful to raise awareness about these issues and to adopt both preventive and therapeutic interventions.

Indexed as

COVID-19Sleep Initiation and Maintenance DisordersSleep Wake DisordersAdultCommunicable Disease ControlFemaleHumansMaleMiddle AgedPandemicsSARS-CoV-2Young AdultCOVID-19 pandemicLockdownPsychiatric patientsSARS-Cov-2Sleep disorders

Identifiers

PMID35988374
PMCPMC9364932
OpenAlexW4292411671

What OpenQuestion holds

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Registered trials

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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.