TY  - JOUR
T1  - Sleep Disturbances and Mental Health Outcomes in Chinese Youth Following COVID-19 Policy Changes
A1  - Peter Nathan Caldwell
A1  - Brian Scott Reynolds
JF  - Journal of Medical Sciences and Interdisciplinary Research
JO  - J Med Sci Interdiscip Res
SN  - 3108-4826
Y1  - 2021
VL  - 1
IS  - 1
DO  - 10.51847/Zq17ucHdR0
SP  - 137
EP  - 151
N2  - Sleep disturbances have become a significant issue among adolescents and young adults in China after the relaxation of COVID-19 control measures. This research sought to examine the occurrence rate, contributing elements, and connections to psychological well-being related to sleep difficulties in student populations during this transition phase. An online-based cross-sectional study involved 82,873 participants from educational institutions in Sichuan Province, China, utilizing a custom questionnaire alongside validated scales. Statistical approaches, including chi-square testing, one-way ANOVA followed by post-hoc comparisons, and multivariate logistic regression, were applied to determine occurrence rates, related elements, and links to psychological conditions. Overall, 28,178 (34.0%) participants indicated experiencing sleep difficulties. Factors linked to increased likelihood included prior reported psychiatric conditions, indifferent parental styles, and starting alcohol use amid the outbreak, while reduced likelihood was tied to contentment with educational environment, complete resumption of normal activities, markedly better familial bonds, unchanged peer relations, and elevated maternal educational attainment (p < 0.001). Intense sleep disturbances showed robust links to depressive symptoms, anxious states, and posttraumatic stress disorder (PTSD; ORs: 17.55, 3.35, and 17.45, respectively). Moderating influences appeared between lesser to intermediate sleep issues and COVID-19 contraction regarding depressive, anxious, and PTSD outcomes. After easing COVID-19 controls, sleep disturbances continued to affect a substantial portion of Chinese adolescent and young adult learners. Existing psychiatric histories, unsupportive upbringing, and outbreak-linked unhealthy habits elevate risks, whereas beneficial changes in daily habits, consistent social ties, and advanced maternal schooling offer safeguards. Strong ties exist between the intensity of sleep problems and indicators of depression, anxiety, and PTSD. Results underscore ongoing interconnections between societal, habitual, and personal characteristics with rest and psychological health, stressing the need for interventions targeting rest issues post the health emergency.
UR  - https://smerpub.com/article/sleep-disturbances-and-mental-health-outcomes-in-chinese-youth-following-covid-19-policy-changes-68xlzxpbrwjaeto
ER  -