Chronic non‑communicable diseases and poor sleep quality during the COVID‑19 pandemic : an analysis of mediation by anxiety and depression symptoms.

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Autor(es): dc.creatorMenezes Júnior, Luiz Antônio Alves de-
Autor(es): dc.creatorAlmeida, Frederico Machado-
Autor(es): dc.creatorBarbosa, Bruna Carolina Rafael-
Autor(es): dc.creatorCoelho, George Luiz Lins Machado-
Autor(es): dc.creatorMeireles, Adriana Lúcia-
Data de aceite: dc.date.accessioned2026-08-11T11:23:25Z-
Data de disponibilização: dc.date.available2026-08-11T11:23:25Z-
Data de envio: dc.date.issued2025-12-11-
Data de envio: dc.date.issued2024-
Fonte completa do material: dc.identifierhttps://www.repositorio.ufop.br/handle/123456789/21184-
Fonte completa do material: dc.identifierhttps://doi.org/10.1186/s41606-024-00124-5-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/capes/1187752-
Descrição: dc.descriptionBackground Sleep plays a crucial role in physical and mental health, and its lack is associated with chronic non-communicable diseases (CNCDs). To investigate how anxiety and depression influence this relationship, especially during the pandemic, is essential. Objectives To evaluate the association of CNCDs with sleep quality, and mediation by anxiety and depression symptoms during the COVID-19 pandemic. Design and setting Population-based cross-sectional serological survey of 1,511 adults in the Iron Quadrangle region, Brazil. Methods The exposure variable was CNCDs. The outcome variable was sleep quality evaluated through the Pittsburgh Sleep Quality Index (PSQI). Anxiety and depression symptoms were assessed using General Anxiety Disorder 7 (GAD-7) and Patient Health Questionnaire 9 (PHQ-9), respectively. For testing the mediator factors, the path analysis was conducted. Results Poor sleep quality was found in 52.5% of the population; 23.4% had symptoms of anxiety, and 15.0% of depression. Furthermore, 39.8% reported at least one CNCD, with a maximum of five. In multivariate analysis, we found for each unit increase in the number of CNCDs, the chance of poor sleep quality increases by 39% (OR: 1.39; CI95%: 1.09–1.76). In mediation analysis, the presence of anxiety and depression symptoms explained 6.5% and 36.1% of the association between CNCDs and poor sleep quality, respectively. Conclusions Individuals with CNCDs had poor sleep quality during the COVID-19 pandemic. Furthermore, symptoms of anxiety and depression explained part of the association. Therefore, our study highlights the importance of evaluating the sleep quality and mental health of individuals with CNCDs during pandemics.-
Formato: dc.formatapplication/pdf-
Idioma: dc.languageen-
Direitos: dc.rightsaberto-
Direitos: dc.rightsThis article is under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. Fonte: PDF do artigo.-
Palavras-chave: dc.subjectComorbidity-
Palavras-chave: dc.subjectMental health-
Palavras-chave: dc.subjectCOVID-19-
Palavras-chave: dc.subjectSleep disturbance-
Título: dc.titleChronic non‑communicable diseases and poor sleep quality during the COVID‑19 pandemic : an analysis of mediation by anxiety and depression symptoms.-
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