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CC BY-NC-ND 4.0 · Sleep Sci 2022; 15(01): 26-33
DOI: 10.5935/1984-0063.20210023
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Social outbreak and its association with insomnia and daytime sleepiness in Chile

Rafael Andrés Pizarro-Mena 
1   Facultad de Ciencias de la Salud, Universidad San Sebastián, Los Leones, Santiago, Chile.
,
Samuel Duran-Aguero
2   Facultad de Ciencias para el Cuidado de la Salud, Universidad San Sebastián, Los Leones, Santiago, Chile.
,
Andrés Silva
3   Universidad Central de Chile, Facultad de Economía, Gobierno y Comunicaciones, Santiago, Chile.
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ABSTRACT

Objectives: To associate the effects of the social outbreak with insomnia and daytime sleepiness according to the distance from the riots.

Material and Methods: Cross-sectional analytical study; a non-probabilistic sampling was carried out at a national level. The Google Forms tool was used; a document was submitted using a national database. The instrument consisted of four sections: socio-demographic data, biopsychosocial symptoms, insomnia severity index (ISI), and the Epworth sleepiness scale (ESS). The data were analyzed using descriptive statistics and the zero-inflated negative binomial model.

Results: Of a total of 2,532 surveyed people, 29% were male; 43% was younger than 30 years old. The 50% of the sample suffers from sleepiness and 71% shows some type of insomnia. The marginal effects of the zero-inflated negative binomial model show that women, people aged 51 or older, who are neither studying a healthcare degree nor working in the healthcare sector, that are exposed to 4 or more hours per day to the news and that live in areas near or very near the riots, have significantly higher ISI (marginal effect 1.356, SE 0.381, p-value 0.000) and ESS scores (marginal effect 0.693, SE 0.320, p-value 0.030). To live/work in rioting areas has the greater marginal effect compared to other determinants. Finally, neither employment status nor educational level are associated with significant effects in the aforementioned scales.

Conclusion: The riots occurred during the social outbreak of October 2019 in Chile had an effect on insomnia and daytime sleepiness. Particularly, to live/work in rioting areas has the greater marginal effect compared to other determinants.

Keywords:

Insomnia - Sleepiness - Riots - Social Outbreak - Sleep

Funding source

Self-funding.




Publication History

Article published online:
01 December 2023

© 2022. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • REFERENCES

  • 1 Krug E, Dahlberg L, Mercy J, Zwi AB, Lozano R. World report on violence and health. Geneva: World Health Organization (WHO); 2002.
  • 2 Larizgoitia I, Izarzugaza I, Markez I, Fernández I, Iraurgi I, Larizgoitia A, et al. ¿Cómo influye la violencia colectiva en la salud? Modelo conceptual y diseño del estudio ISAVIC. Gac Sanit. 2011 May/Jun;25(3):246-53.
  • 3 Alonson IM, Martín FM, Izarzugaza I. La violencia colectiva: un problema de salud pública pendiente de ser investigado. Norte Salud Ment [Internet]. 2006. Available from: https://dialnet.unirioja.es/servlet/articulo?codigo=4830353
  • 4 Reyes V. Nervios, insomnio y estrés: 81,4% de trabajadores asegura sufrir problemas emocionales por la crisis. Biobiochile [Internet]. 2019; [cited 2019 Nov 20]. Available from: https://www.biobiochile.cl/noticias/economia/negocios-y-empresas/2019/11/12/nervios-insomnio-y-estres-814-de-trabajadores-han-sufrido-problemas-emocionales-por-la-crisis.shtml
  • 5 National Institutes of Health (NIH). National Institutes of Health state of the science conference statement: manifestations and management of chronic insomnia in adults June 13-15, 2005. Sleep. 2005 Sep;28(9):1049-57.
  • 6 Ohayon M. Epidemiology of insomnia: what we know and what we still need to learn. Sleep Med Rev. 2002 Apr;6(2):97-111.
  • 7 Etindele-Sosso FA. Insomnia, excessive daytime sleepiness, anxiety, depression andsocioeconomicstatusamongcustomerserviceemployees in Canada. Sleep Sci. 2020;13(1):54-64.
  • 8 Pujasari H, Culbert GJ, Levy JA, Steffen A, Carley DW, Kapella MC. Prevalence and correlates of insomnia in people living with HIV in Indonesia: a descriptive, cross-sectional study. J Assoc Nurses AIDS Care. 2020 Sep;31(5):606-14.
  • 9 Durán S, Férnandez-Godoy E, Fuentes J, Hidalgo A, Quintana C, Yunge W, et al. Sueño, insomnio y somnolencia en estudiantes de nutrición. Rev Esp Nutr Comunitaria. 2016 Jul/Sep;22(3):14-9.
  • 10 Durán S, Rosales-Soto G, Moya CA, Milla PG. Insomnia, sleep latency and quantity of sleep in chilean university students during a periods of classes and exam. Salud Uninorte. 2017 May;33(2):75-85.
  • 11 American Psychiatric Association (APA). Diagnostic and statistical manual of mental disorders. 5th ed. Washington DC: APA; 2013.
  • 12 LeBlanc M, Beaulieu-Bonneau S, Mérette C, Savard J, Ivers H, Morin C. Psychological and health-related quality of life factors associated with insomnia in a population-based sample. J Psychosom Res. 2007 Aug;63(2):157-66.
  • 13 Léger D, Guilleminault C, Bader G, Lévy E, Paillard M. Medical and socio-professional impact of insomnia. Sleep. 2002 Sep;25(6):625-9.
  • 14 Ford DE, Kamerow DB. Epidemiologic study of sleep disturbances and psychiatric disorders: an opportunity for prevention? J Am Med Assoc. 1989 Sep;262(11):1479-84.
  • 15 Morin CM, Jarrin DC. Epidemiology of insomnia: prevalence, course, risk factors, and public health burden. Sleep Med Clin. 2013 Sep;8(3):281-97.
  • 16 Jackson M, Howard M, Barnes M. Cognition and daytime functioning in sleep-related breathing disorders. Prog Brain Res. 2011;190:53-68.
  • 17 Bernert RA, Turvey CL, Conwell Y, Joiner Junior TE. Association of poor subjective sleep quality with risk for death by suicide during a 10-year period a longitudinal, population-based study of late life. JAMA Psychiatry. 2014 Oct;71(10):1129-37.
  • 18 Bjørngaard J, Bjerkeset O, Romundstad P, Gunnell D. Sleeping problems and suicide in 75,000 Norwegian adults: a 20 year follow-up of the HUNT I study. Sleep. 2011 Sep;34(9):1155-9.
  • 19 Bryant R, Creamer M, O’Donnell M, Silove D, McFarlane AC. Sleep disturbance immediately prior to trauma predicts subsequent psychiatric disorder. Sleep. 2010 Jan;33(1):69-74.
  • 20 Hall T, Akeeb A, Mellman TA. The role of trauma type in the risk for insomnia. J Clin Sleep Med. 2015 Jul;11(7):735-9.
  • 21 Hagiwara Y, Sekiguchi T, Sugawara Y, Yabe Y, Koide M, Itaya N, et al. Association between sleep disturbance and new-onset subjective knee pain in Great East Japan Earthquake survivors: a prospective cohort study in the Miyagi prefecture. J Orthop Sci. 2018 Mar;23(2):334-40.
  • 22 Lazaratou H, Paparrigopoulos T, Anomitri C, Alexandropoulou N, Galanos G, Papageorgiou C. Sleep problems six-months after continuous earthquake activity in a Greek island. Psychiatriki. 2018 Jan;29(1):25-33.
  • 23 Sierra JC, Guillén-Serrano V, Santos-Iglesias P. Insomnia severity index: some indicators about its reliability and validity on an older adults sample. Rev Neurol [Internet]. 2008 Dec; [cited 2018 Dec 27]; 47(11):566-70. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19048535
  • 24 Chica-Urzola HL, Escobar-Córdoba F, Eslava-Schmalbach J. Validating the Epworth sleepiness scale. Rev Salud Publica (Bogota) [Internet]. 2007 Oct/Dec. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18209822
  • 25 Leger D, Poursain B. An international survey of insomnia: under-recognition and under-treatment of a polysymptomatic condition. Curr Med Res Opin. 2005 Nov;21(11):1785-92.
  • 26 Al Karaki G, Hallit S, Malaeb D, Kheir N, Sacre H, Salameh P, et al. Prevalence and factors associated with insomnia among a representative sample of the lebanese population: results of a cross-sectional study. J Epidemiol Glob Health. 2020 Jun;10(2):124-30.
  • 27 Salo P, Ala-Mursula L, Rod NH, Tucker P, Pentti J, Kivimäki M, et al. Work time control and sleep disturbances: Prospective cohort study of finnish public sector employees. Sleep. 2014 Jul;37(7):1217-25.
  • 28 Vedaa Ø, Harris A, Bjorvatn B, Waage S, Sivertsen B, Tucker P, et al. Systematic review of the relationship between quick returns in rotating shift work and health-related outcomes. Ergonomics. 2015 Jun;59(1):1-45.
  • 29 Chazelle E, Chastang JF, Niedhammer I. Psychosocial work factors and sleep problems: findings from the French national SIP survey. Int Arch Occup Environ Health. 2016 Apr;89(3):485-95.
  • 30 Van Dalfsen J, Markus CR. The influence of sleep on human hypothalamic-pituitary-adrenal (HPA) axis reactivity: a systematic review. Sleep Med Rev. 2018 Jun;39:187-94.
  • 31 McRae K, Gross J. Emotion regulation. Emotion. 2020 Feb;20(1):1-9.
  • 32 Goldstein AN, Walker MP. The role of sleep in emotional brain function. Annu Rev Clin Psychol. 2014;10:679-708.
  • 33 Gould C, Spira A, Liou-Johnson V, Cassidy-Eagle E, Kawai M, Mashal N, et al. Association of anxiety symptom clusters with sleep quality and daytime sleepiness. J Gerontol B Psychol Sci Soc Sci. 2018 Mar;73(3):413-20.
  • 34 Mantua J, Helms SM, Weymann KB, Capaldi VF, Lim MM. Sleep quality and emotion regulation interact to predict anxiety in veterans with PTSD. Behav Neurol. 2018;2018:7940832.
  • 35 Kahn M, Sheppes G, Sadeh A. Sleep and emotions: bidirectional links and underlying mechanisms. Int J Psychophysiol. 2013 Aug;89(2):218-28.
  • 36 Nutt D, Wilson S, Paterson L. Sleep disorders as core symptoms of depression. Dialogues Clin Neurosci. 2008 Sep;10(3):329-36.
  • 37 Shen J, Zhang H, Wang Y, Abdulai T, Niu M, Luo Z, et al. Dose-response association of sleep quality with anxiety symptoms in Chinese rural population: The Henan rural cohort. BMC Public Health. 2020 Aug;20(1):1297.
  • 38 Alvaro PK, Roberts RM, Harris JK. A systematic review assessing bidirectionality between sleep disturbances, anxiety, and depression. Sleep. 2013 Jul;36(7):1059-68.
  • 39 Werneck A, Vancampfort D, Oyeyemi A, Stubbs B, Silva D. Associations between TV viewing, sitting time, physical activity and insomnia among 100,839 Brazilian adolescents. Psychiatry Res. 2018 Nov;269:700-6.
  • 40 Xie YJ, Cheung DSK, Loke AY, Nogueira BOCB, Liu KM, Leung A, et al. Relationships between the usage of televisions, computers, and mobile phones and the quality of sleep in a Chinese population: community-based cross-sectional study. J Med Internet Res. 2020 Apr;22(7):e18095.
  • 41 Lavie P, Carmeli A, Mevorach L, Liberman N. Sleeping under the threat of the Scud: war-related environmental insomnia. Isr J Med Sci [Internet]. 1991 Nov/Dec; 27(11-12):681-6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/1757247
  • 42 Ayappa I, Chen Y, Bagchi N, Sanders H, Black K, Twumasi A, et al. The association between health conditions in world trade center responders and sleep-related quality of life and sleep complaints. Int J Environ Res Public Health. 2019 Apr;16(7):1229.
  • 43 Danker-Hopfe H, Sauter C, Kowalski J, Kropp S, Ströhle A, Wesemann U, et al. Effect of deployment related experiences on sleep quality of German soldiers after return from an International Security Assistance Force (ISAF) mission to Afghanistan. Psychiatry Res. 2018 Dec;270:560-7.
  • 44 Ohayon MM, Roth T. Place of chronic insomnia in the course of depressive and anxiety disorders. J Psychiatr Res. 2003 Jan/Feb;37(1):9-15.
  • 45 Pattinson C, Guedes V, Edwards K, Mithani S, Yun S, Taylor P, et al. Excessive daytime sleepiness is associated with altered gene expression in military personnel and veterans with posttraumatic stress disorder: an RNA sequencing study. Sleep. 2020 Sep;43(9):zsaa036.
  • 46 Schäfer S, Sopp MR, Schanz CG, Staginnus M, Göritz A, Michael T. Impact of COVID-19 on public mental health and the buffering effect of a sense of coherence. Psychother Psychosom. 2020 Aug;89(6):386-92.
  • 47 Evanoff B, Strickland J, Dale AM, Hayibor L, Page E, Duncan J, et al. Work-related and personal factors associated with mental well-being during the COVID-19 response: survey of health care and other workers. J Med Internet Res. 2020 Aug;22(8):e21366.
  • 48 Olding J, Zisman S, Olding C, Fan K. Penetrating trauma during a global pandemic: changing patterns in interpersonal violence, self-harm and domestic violence in the Covid-19 outbreak. Surgeon. 2021 Feb;19(1):e9-e13.
  • 49 Erokhin V, Gao T. Impacts of COVID-19 on trade and economic aspects of food security: evidence from 45 developing countries. Int J Environ Res Public Health. 2020 Aug;17(16):5775.