<strong>2019</strong>冠状病毒病爆发期间城市居民午睡与抑郁情绪的关系研究

doi:10.3724/zdxbyxb-2021-0296

浙江大学学报（医学版）

2021, Vol. 50

Issue (6): 741-747 DOI: 10.3724/zdxbyxb-2021-0296

2019冠状病毒病

2019冠状病毒病爆发期间城市居民午睡与抑郁情绪的关系研究

林文慧¹,白冠男²,何威¹,杨菲¹,李伟¹,闵燕³,LU Ying⁴,HSING Ann³,朱善宽^1,*(

)

1.浙江大学公共卫生学院，浙江杭州 310058
2.浙江大学医学院附属儿童医院国家儿童健康与疾病临床医学研究中心国家儿童区域医疗中心，浙江杭州 310052
3.美国斯坦福大学医学院流行病学与人口健康学系，美国斯坦福 94305
4.美国斯坦福大学医学院生物医学数据科学系，美国斯坦福 94305

Association between napping status and depressive symptoms in urban residents during the COVID-19 epidemic

LIN Wenhui¹,BAI Guannan²,HE Wei¹,YANG Fei¹,LI Wei¹,MIN Yan³,LU Ying⁴,HSING Ann³,ZHU Shankuan^1,*(

)

1. School of Public Health, Zhejiang University, Hangzhou 310058, China;
2. Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, National Children’s Regional Medical Center, Hangzhou 310052, China;
3. Department of Epidemiology and Population Health, Stanford University School of Medicine, Stanford 94305, USA;
4. Department of Biomedical Data Science, Stanford University School of Medicine, Stanford 94305, USA

全文: PDF(2158 KB)

HTML( 8 )

摘要：

目的：探索2019冠状病毒病（COVID-19）爆发期间城市居民午睡与抑郁情绪的关系，为突发公共卫生事件期间城市居民抑郁情绪的预防提供科学依据。方法：基于WELL中国队列人群，于2020年4月8日至2020年5月29日通过电话访谈获取COVID-19爆发期间被调查者的健康与生活方式信息，最终纳入3075名18~80岁杭州市拱墅区城市居民的调查资料。采用世界卫生组织五项身心健康指标测量抑郁情绪，多元logistic回归模型分析调查对象午睡状况与抑郁情绪的关系。结果：COVID-19爆发期间约有20.6%的城市居民出现抑郁情绪；在一般人群中，有午睡行为尤其是午睡时长不超过30?min与抑郁情绪发生风险（OR=0.61，95%CI：0.47~0.79，P<0.01）、新发抑郁情绪风险（OR=0.66，95%CI：0.50~0.88，P<0.01）较低相关；在有抑郁情绪的城市居民中，仅午睡时长不超过30?min有利于抑郁情绪改善（OR=0.42，95%CI：0.21~0.82，P<0.05）。结论：2019冠状病毒病爆发期间，约有1/5的城市居民存在抑郁情绪，短时间的午睡可能是抑郁情绪的保护因素。

关键词： 2019冠状病毒病; 抑郁情绪; 午睡; 城市居民; 队列研究

Abstract:

Objective: To explore the association between napping status and depressive symptoms in urban residents during the coronavirus disease 2019 (COVID-19) epidemic. Methods: The survey was embedded in the Wellness Living Laboratory-China (WELL China) cohort study. Health and lifestyle information during the COVID-19 epidemic were obtained via the telephone interview from April 8, 2020 to May 29, 2020. A total of 3075 residents aged 18 to 80?years from Gongshu district of Hangzhou city with complete data were included in the analyses. The World Health Organization-Five Well-being Index (WHO-5) was used to measure depressive symptoms. Multiple logistic regression model was used to assess the association between napping status and depressive symptoms in the participants. Results: The prevalence of depressive symptoms was 20.6% in the participants during the COVID-19 epidemic. Daytime napping behavior, especially napping time ≤30?min, was associated with a lower risk of prevalent depressive symptoms (OR=0.61, 95%CI: 0.47–0.79, P<0.01) and incident depressive symptoms in the population (OR=0.66, 95%CI: 0.50–0.88, P<0.01). Among those with depressive symptoms at baseline, napping time ≤ 30?min was beneficial for the outcome of depressive symptoms (OR=0.42, 95%CI: 0.21–0.82, P<0.05).Conclusion: One in five urban residents have depressive symptoms during the COVID-19 epidemic, and a short nap during the day may be a protective factor against depressive symptoms.

Key words: Coronavirus disease 2019 Depressive symptoms Daytime napping Urban residents Cohort study

收稿日期: 2021-09-27 出版日期: 2022-03-22

CLC:

R183.3

基金资助: 纽崔莱斯坦福大学WELL项目基金（519000-X11501）；浙江大学教育基金（100000-11320）；唐仲英基金（419600-11102）；Hsun K Chou基金（419600-11107）

通讯作者: 朱善宽 E-mail: zsk@zju.edu.cn

	服务
	把本文推荐给朋友
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	林文慧
	白冠男
	何威
	杨菲
	李伟
	闵燕
	LU Ying
	HSING Ann
	朱善宽

引用本文:

林文慧,白冠男,何威,杨菲,李伟,闵燕,LU Ying,HSING Ann,朱善宽. 2019冠状病毒病爆发期间城市居民午睡与抑郁情绪的关系研究[J]. 浙江大学学报（医学版）, 2021, 50(6): 741-747.

LIN Wenhui,BAI Guannan,HE Wei,YANG Fei,LI Wei,MIN Yan,LU Ying,HSING Ann,ZHU Shankuan. Association between napping status and depressive symptoms in urban residents during the COVID-19 epidemic. J Zhejiang Univ (Med Sci), 2021, 50(6): 741-747.

链接本文:

https://www.zjujournals.com/med/CN/10.3724/zdxbyxb-2021-0296 或 https://www.zjujournals.com/med/CN/Y2021/V50/I6/741

表 1 调查对象一般情况及COVID-19爆发期间午睡状况分布

表 2 2019冠状病毒病爆发期间居民午睡状况与抑郁情绪的多元logistic回归分析结果

表 3 2019冠状病毒病爆发期间午睡状况与新发抑郁情绪的多元logistic回归分析结果

表 4 2019冠状病毒病爆发期间午睡状况与持续抑郁情绪的多元logistic回归分析结果

1	XUS, LIY. Beware of the second wave of COVID-19[J]Lancet, 2020, 395( 10233): 1321-1322. doi: 10.1016/S0140-6736(20)30845-X
2	HOSSAINM M, TASNIMS, SULTANAA, et al.Epidemiology of mental health problems in COVID-19: a review[J]F1000Res, 2020, 636. doi: 10.12688/f1000research.24457.1
3	XIONGJ, LIPSITZO, NASRIF, et al.Impact of COVID-19 pandemic on mental health in the general population: a systematic review[J]J Affective Disord, 2020, 55-64. doi: 10.1016/j.jad.2020.08.001
4	AFONSOP, FONSECAM, TEODOROT. Evaluation of anxiety, depression and sleep quality in full-time teleworkers[J]J Public Health, 2021, online, doi: 10.1093/pubmed/fdab164
5	MISHRAR, PARKC, YORKM K, et al.Decrease in mobility during the COVID-19 pandemic and its association with increase in depression among older adults: a longitudinal remote mobility monitoring using a wearable sensor[J]Sensors, 2021, 21( 9): 3090. doi: 10.3390/s21093090
6	AL MUTAIRA, AL MUTAIRIA, AMBANIZ, et al.The impact of COVID-19 pandemic on the level of depression among health care workers: cross-sectionalstudy[J/OL]PeerJ, 2021, e11469. doi: 10.7717/peerj.11469
7	MILNERC E, COTEK A. Benefits of napping in healthy adults: impact of nap length, time of day, age, and experience with napping[J]J Sleep Res, 2009, 18( 2): 272-281. doi: 10.1111/j.1365-2869.2008.00718.x
8	DHAND R, SOHAL H. Good sleep, bad sleep! The role of daytime naps in healthy adults[J]. Curr Opin Pulm Med, 2006, 12(6): 379-382
9	TIETZELA J, LACKL C. The recuperative value of brief and ultra-brief naps on alertness and cognitive performance[J]J Sleep Res, 2002, 11( 3): 213-218. doi: 10.1046/j.1365-2869.2002.00299.x
10	BROOKSA, LACKL. A brief afternoon nap following nocturnal sleep restriction: which nap duration is most recuperative?[J]Sleep, 2006, 29( 6): 831-840. doi: 10.1093/sleep/29.6.831
11	MINY, ZHAOX, STAFFORDR S, et al.Cohort Profile: WELL living laboratory in China (WELL-China)[J]Int J Epidemiol, 2021, 50( 5): 1432-1443. doi: 10.1093/ije/dyaa283
12	世界卫生组织. WHO 世界卫生组织五项身心健康指标(1998年版)[EB/OL]. [2021-07-12]. https://www.psykiatri-regionh.dk/who-5/Documents/WHO5_Chinese_PR.pdf World Health Organization. WHO-Five Well-Being Index(1998 edition)[EB/OL]. [2021-07-12]. https://www.psykiatri-regionh.dk/who-5/Documents/WHO5_Chinese_PR. pdf. (in Chinese)
13	TOPPC W, ?STERGAARDS D, S?NDERGAARDS, et al.The WHO-5 Well-Being Index: a systematic review of the literature[J]Psychother Psychosom, 2015, 84( 3): 167-176. doi: 10.1159/000376585
14	SHI L, LU Z A, QUE J Y, et al. Prevalence of and risk factors associated with mental health symptoms among the general population in China during the coronavirus disease 2019 pandemic[J/OL]. JAMA Netw Open, 2020, 3(7): e2014053
15	LIUY, PENGT, ZHANGS, et al.The relationship between depression, daytime napping, daytime dysfunction, and snoring in 0.5 million Chinese populations: exploring the effects of socio-economic status and age[J]BMC Public Health, 2018, 18( 1): 759. doi: 10.1186/s12889-018-5629-9
16	THEADOMA, CROPLEYM, KANTERMANNT. Daytime napping associated with increased symptom severity in fibromyalgia syndrome[J]BMC Musculoskelet Disord, 2015, 16( 1): 13. doi: 10.1186/s12891-015-0464-y
17	黄满仙, 沈郁, 夏木斯叶·木依都力, 等. 孕早期午睡和夜间睡眠质量对焦虑抑郁的关联研究[J]. 中国妇幼保健, 2020, 35(10): 1781-1785 HUANG Manxian, SHEN Yu, XIAMUSIYE Muyiduli, et al. Study on the correlations between the quality of afternoon nap, nocturnal sleep during the first trimester of pregnancy and anxiety, depression[J]. Maternal and Child Health Care of China, 2020, 35(10): 1781-1785. (in Chinese)
18	TAMAKIM, SHIROTAA, TANAKAH, et al.Effects of a daytime nap in the aged[J]Psychiatry Clin Neuroscis, 1999, 53( 2): 273-275. doi: 10.1046/j.1440-1819.1999.00548.x
19	CHELLAPPAS L, SCHR?DERC, CAJOCHENC. Chronobiology, excessive daytime sleepiness and depression: Is there a link?[J]Sleep Med, 2009, 10( 5): 505-514. doi: 10.1016/j.sleep.2008.05.010
20	LAGROTTEC, FERNANDEZ-MENDOZAJ, CALHOUNS L, et al.The relative association of obstructive sleep apnea, obesity and excessive daytime sleepiness with incident depression: a longitudinal, population-based study[J]Int J Obes, 2016, 40( 9): 1397-1404. doi: 10.1038/ijo.2016.87

[1]	刘飞,冯春月,毛建华,傅海东. 2019冠状病毒病疫苗接种相关新发及复发肾小球病研究进展[J]. 浙江大学学报（医学版）, 2021, 50(4): 524-528.
[2]	董是,崔秩玮,潘潇雄,王建伟,高超. 基于系统动力学模型的 2019冠状病毒病早期防控机制研究[J]. 浙江大学学报（医学版）, 2021, 50(1): 41-51.
[3]	王思思,叶元庆,徐小林,王思聪,徐欣,袁长征,李舒,曹淑殷,李文渊,陈辰,胡可嘉,雷浩,朱慧,祝勇,吴息凤. 基于社会经济水平、人口流动和疫情防控措施评估我国主要城市应对 2019冠状病毒病的策略[J]. 浙江大学学报（医学版）, 2021, 50(1): 52-60.
[4]	王思聪,叶元庆,胡可嘉,雷浩,陈辰,徐小林,李文渊,袁长征,曹淑殷,王思思,李舒,贾君麟,王秦川,卞子龙,吴息凤. 基于人口流动数据研究武汉“封城”对中国 2019冠状病毒病疫情态势的影响[J]. 浙江大学学报（医学版）, 2021, 50(1): 61-67.
[5]	叶元庆,雷浩,陈辰,胡可嘉,徐小林,袁长征,曹淑殷,王思思,王思聪,李舒,应智峻,贾君麟,王秦川,Sten H.VERMUND,许正平,吴息凤. 利用人口流动数据以及两阶段模型预测2019冠状病毒病流行趋势[J]. 浙江大学学报（医学版）, 2021, 50(1): 68-73.
[6]	程丽丽,祝海香,潘红英,黄素素,庄一渝,朱陈萍,袁玉华,朱红芳,陈慧颖,徐虹霞. 综合医院重点部门 2019冠状病毒病防控质量核查表的设计与应用[J]. 浙江大学学报（医学版）, 2021, 50(1): 74-80.
[7]	沈美萍,童琳,傅藏藏,董帅,汪天林,祝国红,徐红贞. 智能三合一预检在2019冠状病毒病疫情期间儿童医院门诊的应用[J]. 浙江大学学报（医学版）, 2020, 49(5): 656-661.
[8]	莫军军,黄芳,吕蓓,沈红梅,王群,许骁玮,柴秦明. 正压送风过滤式防护头罩复用处理流程的建立[J]. 浙江大学学报（医学版）, 2020, 49(5): 603-608.
[9]	王群,莫军军,黄芳,蒲瑛,吕蓓. 医用护目镜三种清洗方法比较[J]. 浙江大学学报（医学版）, 2020, 49(5): 609-613.
[10]	秦建芬,潘红英,张熔熔,汤磊雯,毛霞文. 实施标准化痰标本采集法可提高人群痰标本获取率[J]. 浙江大学学报（医学版）, 2020, 49(5): 614-617.
[11]	马贻芳,孟海燕,王莺,孙新星,陈竹. 2019冠状病毒病老年患者双肺移植围手术期感染防护策略[J]. 浙江大学学报（医学版）, 2020, 49(5): 618-622.
[12]	王维丹,徐方忠,徐松泉,章健民,张宁. 突发公共卫生事件对公众心理的影响:2019冠状病毒病疫情期间浙江省心理援助热线来电分析[J]. 浙江大学学报（医学版）, 2020, 49(4): 409-418.
[13]	霍现洛,薛小花,袁淑绘,张佃春,高庆娥,巩涛. 胸部CT在2019冠状病毒病和支原体肺炎患者早期鉴别诊断中的价值[J]. 浙江大学学报（医学版）, 2020, 49(4): 468-473.
[14]	熊明洁,刘翔,游莉,陈晓琳. 城市居民睡眠质量与骨量异常关系的调查分析[J]. 浙江大学学报（医学版）, 2020, 49(4): 431-438.
[15]	王金英,何江娟,朱建美,裘江英,王华芬,徐红贞. 2019冠状病毒病患者照护护士工作体验的质性研究[J]. 浙江大学学报（医学版）, 2020, 49(4): 480-486.

Viewed

Full text

Abstract

Cited

Shared

Discussed