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. 2021 Apr;7(2):127-133.
doi: 10.1016/j.sleh.2021.02.006. Epub 2021 Mar 7.

Sleep quality and COVID-19-related stress in relation to mental health symptoms among Israeli and U.S. adults

Mary Jo Coiro  1 , Kfir Asraf  2 , Orna Tzischinsky  3 , Dorit Hadar-Shoval  2 , Lubna Tannous-Haddad  3 , Amy R Wolfson  4
Affiliations

Sleep quality and COVID-19-related stress in relation to mental health symptoms among Israeli and U.S. adults

Mary Jo Coiro et al. Sleep Health. 2021 Apr.

Abstract

Objectives: The COVID-19 virus has resulted not only in high rates of morbidity and mortality across the globe, but in widespread mental health problems and sleep disruption, likely as a result of pandemic-related stressors. The current study examines associations among COVID-related stress, sleep quality, and mental health.

Design: Cross-sectional data were collected via online surveys in May 2020.

Participants: were 2541 community adults ages 18-70 from Israel (N = 1969) and the U.S. (N = 572).

Measurement: Participants completed measures of COVID-related stress, sleep quality, and symptoms of anxiety, depression and adjustment disorder.

Results: Participants reported high rates of depression and anxiety symptoms, adjustment difficulties, and poor sleep quality. In both countries, COVID-related stressors were associated with both anxiety and depression, and these associations were mediated by sleep disturbances.

Conclusions: These results support the role of sleep in mental health difficulties. Widespread, accessible, evidence-based interventions are urgently needed to improve health and mental health and to promote resilience in preparation for future global crises.

Keywords: COVID-19; adjustment; anxiety; depression; sleep health; stress.

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