Was there a significant difference in sleep shifts in the high school population due to the COVID-19 pandemic depending on chronotype? A nationwide cross-sectional study

Chronobiol Int. 2023 Oct 3;40(10):1387-1394. doi: 10.1080/07420528.2023.2265473. Epub 2023 Nov 3.

Abstract

The aim of this study was to detect whether the COVID-19 pandemic has caused changes in the sleep cycle (subjective sleep shifts) of high school students divided into a sample of young women - W (n = 1999, age = 17.65 ± 2.39 y) and young men - M (n = 1094, age = 17.49 ± 1.74 y) in Slovakia depending on circadian preference in comparison with the term before COVID-19. The present cross-sectional study employed a self-reported standardized questionnaire (Morningness-Eveningness Questionnaire) to study circadian preference, which was complemented by a question focused on subjective sleep shifts before and during the pandemic. The results revealed significant strong dependence between circadian preference and subjective sleep shift in both W (χ2(8) = 153.1, p < .01, Cramer's V = .20, p < .01) and M (χ2(8) = 98.3, p < .01, Cramer's V =.21, p < .01). The delay of the sleep cycle has mainly become apparent in the case of definite evening types (W: 75.7%; M: 71.8%) and moderate evening types (W: 83.1%; M: 70.3%). The delay also prevailed in the intermediate types (W: 61.9%; M: 53.8%). Subjective sleep shifts were not confirmed (W: 93.8%; M: 35.3%) in the definite morning type. The sleep cycle was changed to earlier hours of definite morning types (W: 6.3%; M: 52.9%). It is necessary to focus on definite and moderate evening types and regulate the unsuitable state to time shift of the sleep cycle.

Keywords: COVID-19 pandemic; Circadian preference; Morningness-Eveningness Questionnaire; adolescence; sleep-wake behaviour.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • COVID-19*
  • Chronotype
  • Circadian Rhythm* / physiology
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Pandemics
  • Sleep / physiology
  • Surveys and Questionnaires
  • Young Adult