公衆衛生86巻1号

2022年01月発行

特集 働く人々の睡眠改革—健康と安全の確保のために

COVID-19パンデミックから学ぶ睡眠・生活リズムの在り方

著者： 小笠原正弥¹ 三島和夫¹

所属機関： ¹秋田大学大学院医学系研究科精神科学講座

ページ範囲：P.35 - P.42

ポイント
◆COVID-19パンデミックは心理的、社会的、生物学的な側面から不眠症のみならず悪夢や概日リズムの変化に影響を及ぼした。
◆働き方・睡眠・生活リズムの変容は睡眠時間の増加や社会時刻の多様性といったポジティブな側面も指摘されている。
◆パンデミックで得た教訓やスキルをどのように活用しCOVID-19収束後の社会をより良きものにしていくかが問われている。

参考文献

1）Bhat S, et al: Sleep disorders and COVID-19. Sleep Med S1389-9457（21）00403-2, 2021［Epub ahead of print］

2）Xiong J, et al: Impact of COVID-19 pandemic on mental health in the general population: A systematic review. J Affect Disord 277: 55-64, 2020

3）NHK：特設サイト 新型コロナウイルス—日本国内の感染者数，日本国内の死者数．　https://www3.nhk.or.jp/news/special/coronavirus/data-all/

4）Cai Z, et al: Nurses endured high risks of psychological problems under the epidemic of COVID-19 in a longitudinal study in Wuhan China. J Psychiatr Res 131: 132-137, 2020

5）Kecklund G, et al: Health consequences of shift work and insufficient sleep. Bmj 355: i5210, 2016

6）Pappa S, et al: Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain Behav Immun 88: 901-907, 2020

7）Musse FCC, et al: Mental Violence: The COVID-19 Nightmare. Front Psychiatry 11: 579289, 2020

8）Jennifer Couzin-Franke: From ‘brain fog’ to heart damage, COVID-19's lingering problems alarm scientists. Science, July 31, 2020. DOI: 10.1126/science.abe1147

9）Xu F, et al: Depression and insomnia in COVID-19 survivors: a cross-sectional survey from Chinese rehabilitation centers in Anhui province. Sleep Med S1389-9457（21）00093-9, 2021［Epub ahead of print］

10）Huang C, et al: 6-month consequences of COVID-19 in patients discharged from hospital: a cohort study. Lancet 397: 220-232, 2021

11）Korman M, et al: COVID-19-mandated social restrictions unveil the impact of social time pressure on sleep and body clock. Sci Rep 10: 22225, 2020

compared with polysomnography in adults. Chronobiol Int 35: 465-476, 2018

13）Curtis RG, et al: Changes in diet, activity, weight, and wellbeing of parents during COVID-19 lockdown. PLoS One 16: e0248008, 2021

14）Rezaei N, et al: Changes in sleep duration, timing, and variability during the COVID-19 pandemic: Large-scale Fitbit data from 6 major US cities. Sleep Health 7: 303-313, 2021

15）Altena E, et al: Dealing with sleep problems during home confinement due to the COVID-19 outbreak: Practical recommendations from a task force of the European CBT-I Academy. J Sleep Res 29: e13052, 2020

16）Boullin PC, et al: Group vs. Individual Treatment for Acute Insomnia: A Pilot Study Evaluating a “One-Shot” Treatment Strategy. Brain Sci 7: 1, 2016

17）Randall CS, et al: Managing Acute Insomnia in Prison: Evaluation of a “One-Shot” Cognitive Behavioral Therapy for Insomnia（CBT-I）Intervention. Behav Sleep Med 17: 827-836, 2019

18）三島和夫（睡眠薬の適正使用及び減量・中止のための診療ガイドラインに関する研究班）編：睡眠薬の適正使用・休薬ガイドライン．じほう，2014