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. 2020 Oct:74:248-253.
doi: 10.1016/j.sleep.2020.07.045. Epub 2020 Aug 12.

Sleep quality and mental health in the context of COVID-19 pandemic and lockdown in Morocco

Abdelkrim Janati Idrissi  1 , Abdelaziz Lamkaddem  2 , Abdelilah Benouajjit  2 , Manar Ben El Bouaazzaoui  2 , Farah El Houari  2 , Mohammed Alami  2 , Sanae Labyad  3 , Abderrahman Chahidi  2 , Meryem Benjelloun  3 , Samira Rabhi  4 , Najib Kissani  5 , Benaissa Zarhbouch  6 , Reda Ouazzani  7 , Fouzia Kadiri  8 , Rachid Alouane  9 , Mohamed Elbiaze  10 , Said Boujraf  2 , Samira El Fakir  11 , Zouhayr Souirti  12
Affiliations

Sleep quality and mental health in the context of COVID-19 pandemic and lockdown in Morocco

Abdelkrim Janati Idrissi et al. Sleep Med. 2020 Oct.

Abstract

Background: The lockdown of COVID-19 (Coronavirus Disease 2019) is associated with several stressful factors that can negatively affect peoples' sleep quality and mental health.

Objectives: We conducted this study to evaluate sleep disorders and psychological impact associated with the spread of the COVID-19 and the lockdown on the Moroccan population. We also aimed to study the effects of respondents' beliefs and attitudes about sleep on sleep disorders, anxiety-related symptoms, and depressive symptoms.

Material and methods: We used a questionnaire enclosing respondents' sociodemographic information, five psychological and behavioral tests including Dysfunctional Beliefs and Attitudes about Sleep (DBAS-16), Athens Insomnia Scale (AIS), Epworth Sleepiness Scale (ESS), Hamilton Anxiety Rating Scale (HARS) and Beck Depression Inventory (BDI) test.

Results: Our results highlighted widespread false beliefs about sleep and the prevalence of sleep disorders, anxiety, and depression-related symptoms within the Moroccan population. Nearly 82.3% of respondents revealed false beliefs about sleep. Furthermore, we confirmed a strong positive correlation between knowledge and attitudes about sleep and the prevalence of sleep disorders, anxiety, and depression-related symptoms. However, we found no significant difference in the prevalence of sleep and psychological disorders, between healthcare workers and other professions workers.

Conclusion: Our study revealed a high prevalence of sleep disorders, anxiety, and depressive symptoms in the Moroccan population during the COVID-19 lockdown period. Moreover, false beliefs on sleep understanding were prevalent and were presenting a risk factor leading to sleep disorders, anxiety, and depressive symptoms.

Keywords: Anxiety; COVID-19; Depressive symptoms; Insomnia; Mental health; Morocco; Sleep knowledge; Sleep quality.

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Conflict of interest statement

The authors declared no conflict of interest.

The ICMJE Uniform Disclosure Form for Potential Conflicts of Interest associated with this article can be viewed by clicking on the following link: https://doi.org/10.1016/j.sleep.2020.07.045.

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COMMUNITY 2
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