{"doi":"10.1016/j.jad.2021.10.033","title":"The association between sleep and psychological distress among New York City healthcare workers during the COVID-19 pandemic","abstract":"BACKGROUND: Healthcare workers (HCWs) treating patients with COVID-19 report psychological distress. We examined whether disturbed sleep was associated with psychological distress in New York City (NYC) HCWs during the initial peak of the COVID-19 pandemic (April-May 2020). METHODS: HCWs completed a survey screening for acute stress (4-item Primary Care PTSD screen), depressive (Patient Health Questionaire-2), and anxiety (2-item Generalized Anxiety Disorder scale) symptoms. Insomnia symptoms (modified item from the Insomnia Severity Index) and short sleep (SS, sleep duration <6 h/day) were assessed. Poisson regression analyses predicting psychological distress from SS and insomnia symptoms, adjusting for demographics, clinical role/setting, redeployment status, shifts worked, and multiple comparisons were performed. RESULTS: Among 813 HCWs (80.6% female, 59.0% white) mean sleep duration was 5.8 ± 1.2 h/night. Prevalence of SS, insomnia, acute stress, depressive, and anxiety symptoms were 38.8%, 72.8%, 57.9%, 33.8%, and 48.2%, respectively. Insomnia symptoms was associated with acute stress (adjusted prevalence ratio [PR]: 1.51, 95% CI: 1.35, 1.69), depressive (PR: 2.04, 95% CI: 1.78, 2.33), and anxiety (PR: 1.74, 95% CI: 1.55, 1.94) symptoms. SS was also associated with acute stress (PR: 1.17, 95% CI: 1.07, 1.29), depressive (PR: 1.36, 95% CI: 1.233, 1.51), and anxiety (PR: 1.38, 95% CI: 1.26, 1.50) symptoms. LIMITATIONS: Our cross-sectional analysis may preclude the identification of temporal associations and limit causal claims. CONCLUSIONS: In our study, SS and insomnia were associated with psychological distress symptoms in NYC HCWs during the COVID-19 pandemic. Sleep may be a target for interventions to decrease psychological distress among HCWs.","journal":"Journal of Affective Disorders","year":2021,"id":156117,"datarank":2.029797110697332,"base_score":4.04305126783455,"endowment":4.04305126783455,"self_citation_contribution":0.6064576901751826,"citation_network_contribution":1.4233394205221495,"self_endowment_contribution":0.6064576901751826,"citer_contribution":1.4233394205221495,"corpus_percentile":null,"corpus_rank":null,"citation_count":56,"citer_count":52,"citers_with_citation_signal":39,"citers_with_endowment":39,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9629,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2021-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":106980,"name":"Talea Cornelius","orcid":"0000-0001-7181-0981","position":1,"is_corresponding":false},{"id":660083,"name":"Sean Bramley","orcid":"0000-0002-3269-1526","position":2,"is_corresponding":false},{"id":661009,"name":"Hadiah Venner","orcid":null,"position":3,"is_corresponding":false},{"id":106995,"name":"Kaitlin Shaw","orcid":"0000-0002-6464-8290","position":4,"is_corresponding":false},{"id":106982,"name":"Melissa Dong","orcid":null,"position":5,"is_corresponding":false},{"id":106991,"name":"Patrick Pham","orcid":null,"position":6,"is_corresponding":false},{"id":106989,"name":"Cara L. McMurry","orcid":null,"position":7,"is_corresponding":false},{"id":106978,"name":"Diane E. Cannone","orcid":"0009-0009-1855-2798","position":8,"is_corresponding":false},{"id":106996,"name":"Alexandra Sullivan","orcid":null,"position":9,"is_corresponding":false},{"id":106986,"name":"Sung A. J. Lee","orcid":"0009-0007-3975-8168","position":10,"is_corresponding":false},{"id":106993,"name":"Joseph E. Schwartz","orcid":"0000-0002-8944-3566","position":11,"is_corresponding":false},{"id":106971,"name":"Ari Shechter","orcid":"0000-0001-8243-0247","position":12,"is_corresponding":false},{"id":107000,"name":"Marwah Abdalla","orcid":"0000-0002-2725-505X","position":13,"is_corresponding":false},{"id":106972,"name":"Franchesca Diaz","orcid":"0000-0001-5412-9393","position":0,"is_corresponding":true}],"reference_count":56,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-18T23:44:08.368845Z","pmid":"34695497","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}