Self-reported sleep quality and dysfunctional sleep-related beliefs in young and older adults: changes in times of COVID-19 lockdown

• Published in: Sleep medicine 2021-05, Vol.81, p.127-135
• Main Authors: Sella, Enrico, Carbone, Elena, Toffalini, Enrico, Borella, Erika
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; COVID-19 - epidemiology; COVID-19 - prevention & control; COVID-19 lockdown; Dysfunctional sleep-related beliefs; Health Knowledge, Attitudes, Practice; Humans; Older adults; Original; Quarantine - psychology; Self Report; Sleep; Sleep Initiation and Maintenance Disorders; Sleep quality; Young Adult
• ISSN: 1389-9457; 1878-5506; 1878-5506
• DOI: 10.1016/j.sleep.2021.02.017

This study examined changes due to COVID-19 lockdown in young and older adults’ self-reported sleep quality and dysfunctional sleep-related beliefs. Adults involved in studies prior to the pandemic were contacted during the COVID-19 lockdown. Seventeen young adults (age range: 18–35 years) and 21 older adults (age range: 65–90 years) agreed to participate. Participants were interviewed by phone (between 27th April and 4th May, 2020) to complete the Pittsburgh Sleep Quality Index (PSQI) and the Dysfunctional Beliefs About Sleep (DBAS) questionnaire they had been administered before the pandemic. In terms of mean changes, the results showed null effect sizes for changes in self-reported sleep quality for both age groups. In young adults, a medium effect size emerged for changes in sleep latency, which increased during lockdown. No changes in any of the self-reported sleep quality dimensions emerged in older adults. In both age groups, the effect sizes for changes in dysfunctional sleep-related beliefs were negligible. In older adults, however, changes in self-reported sleep quality were largely associated with changes in dysfunctional sleep-related beliefs. Our results suggest that self-reported sleep quality and dysfunctional sleep-related beliefs were not affected by the COVID-19 lockdown in young or older adults. They also suggest that it might be useful to consider changes in dysfunctional sleep-related beliefs to better capture the impact of stressful events (such as a period of quarantine) on sleep quality, especially where older adults are concerned. •This study examined COVID-19 lockdown changes in young and older adults' sleep quality and dysfunctional beliefs about sleep.•In terms of mean changes, self-reported sleep quality was not affected by the COVID-19 lockdown in young and older adults.•Changes in sleep quality were largely associated with changes in dysfunctional sleep-related beliefs in older adults.