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Investigation on sleep and mental health of patients with Parkinson's disease during the Coronavirus disease 2019 pandemic.


ABSTRACT:

Background

The coronavirus disease 2019 (COVID-19) pandemic is adversely affecting sleep quality and mental health, especially in individuals with chronic disease such as Parkinson's disease (PD).

Methods

We conducted a quantitative study, which included 119 Chinese PD patients who had been treated in an outpatient neurology clinic in Wuhan and 169 age- and sex-matched healthy controls. The questionnaire survey focused on the impact of the COVID-19 pandemic on sleep, mental status, symptoms, and daily life and medical treatment of PD patients.

Results

Compared to healthy controls, PD patients had significantly higher scores in both the Pittsburgh Sleep Quality Index (PSQI) (8.13 vs 5.36, p < 0.001) and the Hospital Anxiety and Depression Scale (HADS) -Depression (4.89 vs 3.82, p = 0.022), as well as a higher prevalence of sleep disturbances with PSQI > 5 points (68.9% vs 44.4%, p < 0.001). Sleep disturbance was identified in 68.9% of PD patients. A logistic regression analysis showed that sleep disturbance of PD patients was independently associated with exacerbation of PD symptoms (OR = 3.616, 95%CI= (1.479, 8.844), p = 0.005) and anxiety (OR = 1.379, 95%CI= (1.157, 1.642), p < 0.001). Compared to male PD patients, female ones had higher PSQI scores (9.28 ± 4.41 vs 7.03 ± 4.01, p = 0.009) and anxiety (32.8% vs 0.1%, p = 0.002) and depression prevalence (34.5% vs 11.5%, p = 0.003).

Conclusion

The findings of the present study emphasize the importance of mental and sleep health interventions in PD patients during the COVID-19 pandemic. Additional attention should be paid to the difficulty encountered by PD patients in seeking medical treatment.

SUBMITTER: Xia Y 

PROVIDER: S-EPMC7481072 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature

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Investigation on sleep and mental health of patients with Parkinson's disease during the Coronavirus disease 2019 pandemic.

Xia Yun Y   Kou Liang L   Zhang Guoxin G   Han Chao C   Hu Junjie J   Wan Fang F   Yin Sijia S   Sun Yadi Y   Wu Jiawei J   Li Yunna Y   Zhang Zhentao Z   Huang Jinsha J   Xiong Nian N   Wang Tao T  

Sleep medicine 20200910


<h4>Background</h4>The coronavirus disease 2019 (COVID-19) pandemic is adversely affecting sleep quality and mental health, especially in individuals with chronic disease such as Parkinson's disease (PD).<h4>Methods</h4>We conducted a quantitative study, which included 119 Chinese PD patients who had been treated in an outpatient neurology clinic in Wuhan and 169 age- and sex-matched healthy controls. The questionnaire survey focused on the impact of the COVID-19 pandemic on sleep, mental status  ...[more]

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