Keywords
anxiety
depression
sleep quality
stress
adolescent
Indonesia
How to Cite
Abstract
Background: To prevent the spread of COVID-19, authorities implemented health protocols such as quarantine, large-scale social restrictions, and lockdowns. Data on the psychological effects and sleep quality as a result of these health protocols are still limited.
Objective: This study was aimed to determine the association between depression, anxiety, and stress with sleep quality during the COVID-19 pandemic in Indonesia.
Methods: An online survey was used to do a cross-sectional study among students in Indonesia. Sociodemographic information, including age, gender, religion, level of education, and regions, was analyzed. Levels of depression, anxiety, and stress were measured using the DASS-21 questionnaire. Sleep quality was determined using Pittsburgh Sleeping Quality Index (PSQI) questionnaire. Chi-square was used to evaluate the variables for bivariate analysis and logistic regression for multivariate analysis.
Results: A total of 913 participants from across Indonesia included to this study. Adolescent (OR=0.367, 95% CI=0.199-0.679), female (OR=1.437, 95% CI=1.095-1.886), and high school students (OR= 0.737, 95% CI=0.544-0.999) had a higher risk for having poor sleep quality. In the multivariate analysis there were significant relationship between sleep quality with depression (Adjusted OR= 1.887, 95% CI=1.330-2.679), anxiety (Adjusted OR=1.731, 95% CI=1.221-2.455), stress (Adjusted OR= 2.577, 95% CI=1.617-4.107), use of sleeping medication (Adjusted OR=9.070, 95% CI=2.062-39.896) and age (Adjusted OR= 0.414, 95% CI= 0.205-0.837).
Conclusion: There was an association between depression, anxiety, stress, consumption of sleeping medication, age, and poor sleep quality during the pandemic in Indonesia.
References
Adella Halim, D., Kurniawan, A., Agung, F. H., Angelina, S., Jodhinata, C., Winata, S., . . . Agatha, C. M. (2020). Understanding of young people about COVID-19 during early outbreak in Indonesia. Asia Pacific Journal of Public Health, 32(6-7), 363-365. https://doi.org/10.1177/1010539520940933
Apresian, S. R. (2020). Responding to the COVID-19 Outbreak in Indonesia: Lessons from European Countries and South Korea. Jurnal Ilmiah Hubungan Internasional, 53-57. https://doi.org/10.26593/jihi.v0i0.3868.53-57
Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet, 395(10227), 912-920. https://doi.org/10.1016/S0140-6736(20)30460-8
Center for Disease Control and Prevention. (2021). Mental health and coping during COVID-19. Retrieved from https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/managing-stress-anxiety.html
Duran, S., & Erkin, í–. (2021). Psychologic distress and sleep quality among adults in Turkey during the COVID-19 pandemic. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 107, 110254. https://doi.org/10.1016/j.pnpbp.2021.110254
Fernanda, E., & Kurniawan, A. (2020). Factors affecting irritable bowel syndrome in medical students. The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy, 21(2), 95-98. http://10.24871/212202095-98
Franceschini, C., Musetti, A., Zenesini, C., Palagini, L., Scarpelli, S., Quattropani, M. C., . . . Vegni, E. (2020). Poor sleep quality and its consequences on mental health during the COVID-19 lockdown in Italy. Frontiers in Psychology, 11, 3072. https://doi.org/10.3389/fpsyg.2020.574475
Guadagni, V., Umilta, A. M., & Iaria, G. (2020). Sleep quality, empathy and mood during the isolation period of the COVID-19 Pandemic in the Canadian population: Females and women suffered the most. Frontiers in Global Women's Health, 1, 13. https://doi.org/10.3389/fgwh.2020.585938
Jamie, A. H. (2020). Knowledge, attitude and practice of healthcare workers towards Novel Corona Virus (COVID-19) In Jugal Hospital, Harari Regional State, Ethiopia. Public Health of Indonesia, 6(3), 72-77. http://dx.doi.org/10.36685/phi.v6i3.341
Javed, B., Sarwer, A., Soto, E. B., & Mashwani, Z. u. R. (2020). The coronavirus (COVID"19) pandemic's impact on mental health. The International Journal of Health Planning and Management, 35(5), 993-996. https://doi.org/10.1002/hpm.3008
Karia, R., Gupta, I., Khandait, H., Yadav, A., & Yadav, A. (2020). COVID-19 and its modes of transmission. SN Comprehensive Clinical Medicine, 1-4. https://doi.org/10.1007/s42399-020-00498-4
Madrid-Valero, J. J., Martínez-Selva, J. M., Couto, B. R. d., Sánchez-Romera, J. F., & Ordoñana, J. R. (2017). Age and gender effects on the prevalence of poor sleep quality in the adult population. Gaceta Sanitaria, 31, 18-22. https://doi.org/10.1016/j.gaceta.2016.05.013
Mandelkorn, U., Genzer, S., Choshen-Hillel, S., Reiter, J., Meira e Cruz, M., Hochner, H., . . . Gileles-Hillel, A. (2021). Escalation of sleep disturbances amid the COVID-19 pandemic: a cross-sectional international study. Journal of Clinical Sleep Medicine, 17(1), 45-53. https://doi.org/10.5664/jcsm.8800
Marelli, S., Castelnuovo, A., Somma, A., Castronovo, V., Mombelli, S., Bottoni, D., . . . Ferini-Strambi, L. (2021). Impact of COVID-19 lockdown on sleep quality in university students and administration staff. Journal of Neurology, 268(1), 8-15. https://doi.org/10.1007/s00415-020-10056-6
Medic, G., Wille, M., & Hemels, M. E. (2017). Short-and long-term health consequences of sleep disruption. Nature and Science of Sleep, 9, 151. https://doi.org/10.2147/NSS.S134864
Michigan Medicine Department of Psychiatry. (2020). Depression & managing stress during the COVID-19 pandemic: Psychiatry: Michigan Medicine. Retrieved from https://medicine.umich.edu/dept/psychiatry/michigan-psychiatry-resources-covid-19/specific-mental-health-conditions/depression-managing-stress-during-covid-19-pandemic
Mien, M., Ananda, S. H., Indriastuti, D., & Tahiruddin, T. (2021). Experiences of midwives in implementing the fifth stage of function in the integrated service posts to prevent anemia in pregnant women during the COVID-19 pandemic in Indonesia. Public Health of Indonesia, 7(1), 48-57. http://dx.doi.org/10.36685/phi.v7i1.380
Oei, T. P., Sawang, S., Goh, Y. W., & Mukhtar, F. (2013). Using the depression anxiety stress scale 21 (DASS"21) across cultures. International Journal of Psychology, 48(6), 1018-1029. https://doi.org/10.1080/00207594.2012.755535
Okano, K., Kaczmarzyk, J. R., Dave, N., Gabrieli, J. D., & Grossman, J. C. (2019). Sleep quality, duration, and consistency are associated with better academic performance in college students. NPJ Science of Learning, 4(1), 1-5. https://doi.org/10.1038/s41539-019-0055-z
Onie, S., Kirana, A. C., Mustika, N. P., Adesla, V., & Ibrahim, R. (2020). Assessing the predictive validity and reliability of the DASS-21, PHQ-9 and GAD-7 in an Indonesian Sample. https://doi.org/10.31234/osf.io/eqcm9
Psychology Foundation of Australia. (2018). Overview of the DASS and its uses. Retrieved from http://www2.psy.unsw.edu.au/dass/over.htm
Setiati, S., & Azwar, M. K. (2020). COVID-19 and Indonesia. Acta Medica Indonesiana, 52(1), 84-89.
Setyowati, A., & Chung, M. H. (2020). Validity and reliability of the Indonesian version of the Pittsburgh Sleep Quality Index in adolescents. International Journal of Nursing Practice, e12856. https://doi.org/10.1111/ijn.12856
Tosepu, R., Effendy, D. S., & Ahmad, L. (2020). The first confirmed cases of COVID-19 In Indonesian Citizens. Public Health of Indonesia, 6(2), 70-71. https://dx.doi.org/10.36685/phi.v6i2.337
U.S. Department of Health and Human Service. (2020). Get enough sleep. Retrieved from https://health.gov/myhealthfinder/topics/everyday-healthy-living/mental-health-and-relationships/get-enough-sleep#panel-2
World Health Organization. (2020a). Coronavirus disease 2019 (COVID-19): Situation report - 1. Retrieved from https://www.who.int/docs/default-source/searo/indonesia/covid19/who-indonesia-situation-report-1.pdf?sfvrsn=6be5b359_0
World Health Organization. (2020b). WHO director-general's opening remarks at the media briefing on COVID-19. Retrieved from https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020
Zhong, Q.-Y., Gelaye, B., Sánchez, S. E., & Williams, M. A. (2015). Psychometric properties of the Pittsburgh Sleep Quality Index (PSQI) in a cohort of Peruvian pregnant women. Journal of Clinical Sleep Medicine, 11(8), 869-877. https://doi.org/10.5664/jcsm.4936
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