Hormonal
High psychological distress (stress, anxiety, depression) during COVID-19 lockdown significantly increases the probability of poor sleep quality in adults.
If you are experiencing high levels of stress, anxiety, or depression during a crisis, prioritize sleep hygiene immediately. The data shows that severe distress drastically increases the odds of poor sleep. Managing your mental state is not just about mood; it is a direct physiological lever for protecting your sleep quality.
The multiple binary logistic regression results of poor sleepers revealed several risk factors during the outbreak restrictions: ... extremely severe levels of stress, anxiety, and depression.
Why this rating
Large sample size (n=6,439) and multivariate logistic regression controlling for confounders, though cross-sectional design limits causal inference.
Source
Poor Sleep Quality and Its Consequences on Mental Health During the COVID-19 Lockdown in Italy
Christian Franceschini et al. · Frontiers in Psychology · 2020
DOI 10.3389/fpsyg.2020.574475
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