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Children’s Sleep and Mental Health During the COVID-19 Pandemic

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Abstract

Purpose of Review

The COVID-19 pandemic and protracted home confinement required adjustments to schedules and routines generating concern about children’s sleep. This review describes general considerations regarding children’s sleep, changes and disturbances in their sleep during the pandemic, and the association of sleep measures with health and psychological outcomes in general and in the context of the pandemic.

Recent Findings

A number of studies found an increase in the duration of children’s sleep with later bedtimes and waketimes for some children. The research also documented sleep disturbances and associations between children’s sleep and psychological outcomes.

Summary

The extent to which increased sleep duration and changed sleep behaviors translated into improved sleep quality and/or a change in sleep disturbances remains unclear. This review suggests the importance of considering children’s sleep in other mass trauma situations including, for example, natural and man-made disasters, as well as pandemics.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Chaput JP, Carson V, Gray CE, Tremblay MS. Importance of all movement behaviors in a 24 hour period for overall health. Int J Environ Res Public Health. 2014;11(12):12575–81. https://doi.org/10.3390/ijerph111212575.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Dahl RE. Sleep and the developing brain. Sleep. 2007;30(9):1079–80. https://doi.org/10.1093/sleep/30.9.1079.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Morin CM, Carrier J, Bastien C, Godbout R, Canadian Sleep and Circadian Network. Sleep and circadian rhythm in response to the COVID-19 pandemic. Can J Public Health. 2020;111:654–7. https://doi.org/10.17269/s41997-020-00382-7.

  4. • Altena E, Baglioni C, Espie CA, Ellis J, Gavriloff D, Holzinger B, 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. 2020;29(4): e13052. https://doi.org/10.1111/jsr.13052. This paper summarized what is known about the link between stress and sleep in the context of the COVID-19 pandemic and addressed changes in sleep patterns in youth during home confinement noting that these changes may be more consistent with their natural endogenous circadian rhythms.

    Article  PubMed  Google Scholar 

  5. Fricke-Oerkermann L, Plück J, Schredl M, Heinz K, Mitschke A, Wiater A, Lehmkul G. Prevalence and course of sleep problems in childhood. Sleep. 2007;30(10):1371–7. https://doi.org/10.1093/sleep/30.10.1371.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Lewien C, Genuneit J, Meigen C, Kiess W, Poulain T. Sleep-related difficulties in healthy children and adolescents. BMC Pediatr. 2021;21:82. https://doi.org/10.1186/s12887-021-02529-y.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Agostini A, Centofanti S. Normal sleep in children and adolescence. Child Adolesc Psychiatr Clin N Am. 2021;30(1):1–14. https://doi.org/10.1016/j.chc.2020.08.011.

    Article  PubMed  Google Scholar 

  8. National Institute of General Medical Sciences. Circadian rhythms [Internet]. 2020 [cited 22 April 2023]. Available from: https://www.nigms.nih.gov/education/fact-sheets/Documents/fact-sheet-circadian-rhythms.pdf.

  9. Serin Y, Acar TN. Effect of circadian rhythm on metabolic processes and the regulation of energy balance. Ann Nutr Metab. 2019;74(4):322–30. https://doi.org/10.1159/000500071.

    Article  CAS  PubMed  Google Scholar 

  10. Crowley SJ, Acebo C, Carskadon MA. Sleep, circadian rhythms, and delayed phase in adolescence. Sleep Med. 2007;8(6):602–12. https://doi.org/10.1016/j.sleep.2006.12.002.

    Article  PubMed  Google Scholar 

  11. Jenni OG, Carskadon MA. Sleep behavior and sleep regulation from infancy through adolescence normative aspects. Sleep Med Clin. 2012;7(3):529–38. https://doi.org/10.1016/j.jsmc.2012.06.002.

    Article  Google Scholar 

  12. Jenni OG, LeBourgeois MK. Understanding sleep-wake behavior and sleep disorders in children: the value of a model. Curr Opin Psychiatry. 2006;19(3):282–7. https://doi.org/10.1097/01.yco.0000218599.32969.03.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Potter GD, Skene DJ, Arendt J, Cade JE, Grant PJ, Hardie LJ. Circadian rhythm and sleep disruption: causes, metabolic consequences, and countermeasures. Endocr Rev. 2016;37(6):584–608. https://doi.org/10.1210/er.2016-1083.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Paruthi S, Brooks LJ, D’Ambrosio C, Hall WA, Kotagal S, Lloyd RM, et al. Recommended amount of sleep for pediatric populations: a consensus statement of the American Academy of Sleep Medicine. J Clin Sleep Med. 2016;12(6):785–6. https://doi.org/10.5664/jcsm.5866.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Tremblay MS, Carson V, Chaput JP, Connor Gorber S, Dinh T, Duggan M, et al. Canadian 24-hour movement guidelines for children and youth: an integration of physical activity, sedentary behaviour, and sleep. Appl Physiol Nutr Metab. 2016;41(6 Suppl 3):S311–27. https://doi.org/10.1139/apnm-2016-0151.

    Article  PubMed  Google Scholar 

  16. Canadian Society for Exercise Physiology. Canadian 24-Hour Movement Guidelines for the Children and Youth (5–17 years): an integration of physical activity, sedentary behaviour, and sleep. [Internet] 2021 [cited April 22, 2023]. Available from: https://csepguidelines.ca/guidelines/children-youth/.

  17. Canadian Society for Exercise Physiology. Canadian 24-Hour Movement Guidelines for the Early Years (0–4 years): an integration of physical activity, sedentary behaviour, and sleep. [Internet] 2021 [cited April 22, 2023]. Available from: https://csepguidelines.ca/guidelines/early-years/.

  18. Hawkins SS, Takeuchi DT. Social determinants of inadequate sleep in US children and adolescents. Public Health. 2016;138:119–26. https://doi.org/10.1016/j.puhe.2016.03.036.

    Article  CAS  PubMed  Google Scholar 

  19. Singh GK, Kenney MK. Rising prevalence and neighborhood, social, and behavioral determinants of sleep problems in US children and adolescents, 2003–2012. Sleep Disorders. 2013;2013: 394320. https://doi.org/10.1155/2013/394320.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Belmon LS, van Stralen MM, Busch V, Harmsen IA, Chinapaw MJM. Sleep Med Rev. 2019;43:60–70. https://doi.org/10.1016/j.smrv.2018.09.007.

    Article  PubMed  Google Scholar 

  21. Hale L, Emanuele E, James S. Recent updates in the social and environmental determinants of sleep health. Curr Sleep Medicine Rep. 2015;1:212–7. https://doi.org/10.1007/s40675-015-0023-y.

    Article  Google Scholar 

  22. Neville RD, Lakes KD, Hopkins WG, Tarantino G, Draper CE, Beck R, Madigan S. Global changes in child and adolescent physical activity during the COVID-19 pandemic: a systematic review and meta-analysis. JAMA Pediatr. 2022;176(9):886–94. https://doi.org/10.1001/jamapediatrics.2022.2313.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Pfefferbaum B, Van Horn RL. Physical activity and sedentary behavior in children during the COVID-19 pandemic: Implications for mental health. Curr Psychiatry Rep. 2022;24(10):493–501. https://doi.org/10.1007/s11920-022-01366-9.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Cloonan SA, Taylor EC, Persich MR, Dailey NS, Killgore WDS. Sleep and resilience during the COVID-19 pandemic. In: Gabrielli F, Irtelli, F, editors. Anxiety, Uncertainty, and Resilience During the Pandemic Period. Anthropological and Psychological Perspectives. London: InTechOpen, Ltd.: 2021. https://doi.org/10.5772/intechopen.98298.

  25. Crowley SJ, Wolfson AR, Tarokh L, Carskadon MA. An update on adolescent sleep: new evidence informing the perfect storm model. J Adolesc. 2018;67:55–65. https://doi.org/10.1016/j.adolescence.2018.06.001.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Maume DJ. Social ties and adolescent sleep disruption. J Health Soc Behav. 2013;54(4):498–515. https://doi.org/10.1177/0022146513498512.

    Article  PubMed  Google Scholar 

  27. •• Paterson DC, Ramage K, Moore SA, Riazi N, Tremblay MS, Faulkner G. Exploring the impact of COVID-19 on the movement behaviors of children and youth: a scoping review of evidence after the first year. J Sport Health Sci. 2021;10(6):675–89. https://doi.org/10.1016/j.jshs.2021.07.001. This review of studies of movement behaviors in children (aged 5 to 11 years) and youth (aged 12 to 17 years) during the first year of the COVID-19 pandemic included 55 studies examining sleep. The results consistently revealed decreased physical activity and increased total sedentary behavior (e.g., screen time, sitting time) and sleep duration with a shift to later bedtimes and waketimes.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Stockwell S, Trott M, Tully M, Shin J, Barnett Y, Butler L, et al. Changes in physical activity and sedentary behaviours from before to during the COVID-19 pandemic lockdown: a systematic review. BMJ Open Sport Exerc Med. 2021;7: e000960. https://doi.org/10.1136/bmjsem-2020-000960.

    Article  PubMed  Google Scholar 

  29. • Moore SA, Faulkner G, Rhodes RE, Brussoni M, Chulak-Bozzer T, Ferguson LJ, et al. Impact of the COVID-19 virus outbreak on movement and play behaviours of Canadian children and youth: a national survey. Int J Behav Nutr Phys Act. 2020;17(1):85. https://doi.org/10.1186/s12966-020-00987-8. This study of parents in a nationally representative Canadian sample, conducted 1 month after the World Health Organization declared COVID-19 a global pandemic, found that very few children met the Canadian 24-Hour Movement Guidelines for Children and Youth recommendations for combined physical activity, sedentary behavior, and sleep; that the proportion who met guidelines was much lower than the proportion in prior national samples assessed before the pandemic; and that most of the children met sleep, but not physical activity or screen time, recommendations.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Yu S, Choe C. The COVID-19 pandemic and sustainable life of Korean adolescents: exploring gender differences. Sustainability. 2021;13(16):8821. https://doi.org/10.3390/su13168821.

    Article  CAS  Google Scholar 

  31. Okely AD, Kariippanon KE, Guan H, Taylor EK, Suesse T, Cross PL, et al. Global effect of COVID-19 pandemic on physical activity, sedentary behaviour and sleep among 3- to 5-year-old children: a longitudinal study of 14 countries. BMC Public Health. 2021;21(1):940. https://doi.org/10.1186/s12889-021-10852-3.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Dragun R, Veček NN, Marendić M, Pribisalić A, Đivić G, Cena H, et al. Have lifestyle habits and psychological well-being changed among adolescents and medical students due to COVID-19 lockdown in Croatia? Nutrients. 2021;13(1):97. https://doi.org/10.3390/nu13010097.

    Article  Google Scholar 

  33. Liao S, Luo B, Liu H, Zhao L, Shi W, Lei Y, Jia P. Bilateral associations between sleep duration and depressive symptoms among Chinese adolescents before and during the COVID-19 pandemic. Sleep Med. 2021;84:289–93. https://doi.org/10.1016/j.sleep.2021.06.007.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Choi J, Park Y, Kim HE, Song J, Lee D, Lee E, et al. Daily life changes and life satisfaction among Korean school-aged children in the COVID-19 pandemic. Int J Environ Res Public Health. 2021;18(6):3324. https://doi.org/10.3390/ijerph18063324.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Dubuc MM, Berrigan F, Goudreault M, Beaudoin S, Turcotte S. COVID-19 impact on adolescent 24 h movement behaviors. Int J Environ Res Public Health. 2021;18(17):9256. https://doi.org/10.3390/ijerph18179256.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Ventura PS, Ortigoza AF, Castillo Y, Bosch Z, Casals S, Girbau C, et al. Children’s health habits and COVID-19 lockdown in Catalonia: implications for obesity and non-communicable diseases. Nutrients. 2021;13(5):1657. https://doi.org/10.3390/nu13051657.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Sabaoui I, Lotfi S, Talbi M. Variations in circadian rhythmicity and students’ gender-related psychological conditions during the COVID-19 lockdown. Education Sciences. 2021;11(7):355. https://doi.org/10.3390/educsci11070355.

    Article  Google Scholar 

  38. Pigaiani Y, Zoccante L, Zocca A, Arzenton A, Menegolli M, Fadel S, et al. Adolescent lifestyle behaviors, coping strategies and subjective wellbeing during the COVID-19 pandemic: an online student survey. Healthcare (Basel). 2020;8(4):472. https://doi.org/10.3390/healthcare8040472.

    Article  PubMed  Google Scholar 

  39. Gruber R, Saha S, Somerville G, Boursier J, Wise MS. The impact of COVID-19 related school shutdown on sleep in adolescents: a natural experiment. Sleep Med. 2020;76:33–5. https://doi.org/10.1016/j.sleep.2020.09.015.

    Article  PubMed  PubMed Central  Google Scholar 

  40. • AMHSI Research Team, Milken Research Team, Roitblat Y, Burger J, Leit A, Nehuliaieva L, Umarva GS, Kaliberdenko VB, et al. Stay-at-home circumstances do not produce sleep disorders: an international survey during the COVID-19 pandemic. J Psychosom Res. 2020;139:110282. https://doi.org/10.1016/j.jpsychores.2020.110282. This prospective international study used questionnaires, daily logs, and interviews to examine changes in sleep duration and habits during COVID-19-related home confinement. For the adolescent group (aged 15 to 18 years), sleep duration increased during home confinement while the use of alarm clocks and midday napping decreased.

  41. Kahn M, Gradisar M. Sleeping through COVID-19: a longitudinal comparison of 2019 and 2020 infant auto-videosomnography metrics. J Child Psychol Psychiatry. 2022;63(6):693–700. https://doi.org/10.1111/jcpp.13509.

    Article  PubMed  Google Scholar 

  42. Zreik G, Asraf K, Haimov I, Tikotzky L. Maternal perceptions of sleep problems among children and mothers during the coronavirus disease 2019 (COVID-19) pandemic in Israel. J Sleep Res. 2021;30(1): e13201. https://doi.org/10.1111/jsr.13201.

    Article  PubMed  Google Scholar 

  43. •• Sharma M, Aggarwal S, Madaan P, Saini L, Bhutani M. Impact of COVID-19 pandemic on sleep in children and adolescents: a systematic review and meta-analysis. Sleep Med. 2021;84:259–67. https://doi.org/10.1016/j.sleep.2021.06.002. This review and meta-analysis examined sleep disturbances in children during the COVID-19 pandemic. Most of the 16 studies identified in the review assessed children and adolescents; 5 studies assessed preschool-aged children, and 2 assessed children with pre-existing neurobehavioral disorders. The prevalence of any sleep disturbance was 54% and the prevalence of children who did not meet sleep recommendations was 49%.

    Article  PubMed  PubMed Central  Google Scholar 

  44. •• Bussières EL, Malboeuf-Hurtubise C, Meilleur A, Mastine T, Hérault E, Chadi N, et al. Consequences of the COVID-19 Pandemic on children’s mental health: a meta-analysis. Front Psychiatry. 2021;12: 691659. https://doi.org/10.3389/fpsyt.2021.691659. This review and meta-analysis of 28 studies on children (aged 5 to 13 years) found that sleep duration (9 studies) increased relative to pre-pandemic levels while sleep disturbance (21 studies) worsened though the effect was of small magnitude. Results did not differ between general and clinical (e.g., those with chronic health conditions, neurodevelopmental disorders, obesity) populations.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Panda PK, Gupta J, Chowdhury SR, Kumar R, Meena AK, Madaan P, et al. Psychological and behavioral impact of lockdown and quarantine measures for COVID-19 pandemic on children, adolescents and caregivers: a systematic review and meta-analysis. J Trop Pediatr. 2021;67(1). https://doi.org/10.1093/tropej/fmaa122.

  46. Bruni O, Malorgio E, Doria M, Finotti E, Spruyt K, Melegari MG, et al. Changes in sleep patterns and disturbances in children and adolescents in Italy during the COVID-19 outbreak. Sleep Med. 2022;91:166–74. https://doi.org/10.1016/j.sleep.2021.02.003.

    Article  PubMed  Google Scholar 

  47. Pieh C, Plener PL, Probst T, Dale R, Humer E. Assessment of mental health of high school students during social distancing and remote schooling during the COVID-19 pandemic in Austria. JAMA Netw Open. 2021;4(6): e2114866. https://doi.org/10.1001/jamanetworkopen.2021.14866.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Segre G, Campi R, Scarpellini F, Clavenna A, Zanetti M, Cartabia M, Bonati M. Interviewing children: the impact of the COVID-19 quarantine on children’s perceived psychological distress and changes in routine. BMC Pediatr. 2021;21(1):231. https://doi.org/10.1186/s12887-021-02704-1.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  49. Top FU, Cam HH. Sleep disturbances in school-aged children 6–12 years during the COVID-19 pandemic in Turkey. J Pediatr Nurs. 2022; 63:125–30. https://doi.org/10.1016/j.pedn.2021.11.008.

  50. Li Y, Zhou Y, Ru T, Niu J, He M, Zhou G. How does the COVID-19 affect mental health and sleep among Chinese adolescents: a longitudinal follow-up study. Sleep Med. 2021;85:246–58. https://doi.org/10.1016/j.sleep.2021.07.008.

    Article  PubMed  PubMed Central  Google Scholar 

  51. Liu Z, Tang H, Jin Q, Wang G, Yang Z, Chen H, et al. Sleep of preschoolers during the coronavirus disease 2019 (COVID-19) outbreak. J Sleep Res. 2021;30(1): e13142. https://doi.org/10.1111/jsr.13142.

    Article  PubMed  Google Scholar 

  52. Saunders TJ, Gray CE, Poitras VJ, Chaput JP, Janssen I, Katzmarzyk PT, et al. Combinations of physical activity, sedentary behaviour and sleep: relationships with health indicators in school-aged children and youth. Appl Physiol Nutr Metab. 2016;41(6 Suppl 3):S283–93. https://doi.org/10.1139/apnm-2015-0626.

    Article  PubMed  Google Scholar 

  53. Julian V, Haschke F, Fearnbach N, Gomahr J, Pixner T, Furthner D, et al. Effects of movement behaviors on overall health and appetite control: current evidence and perspectives in children and adolescents. Curr Obes Rep. 2022;11(1):10–22. https://doi.org/10.1007/s13679-021-00467-5.

    Article  PubMed  PubMed Central  Google Scholar 

  54. Hale L, Guan S. Screen time and sleep among school-aged children and adolescents: a systematic literature review. Sleep Med Rev. 2015;21:50–8. https://doi.org/10.1016/j.smrv.2014.07.007.

    Article  PubMed  Google Scholar 

  55. Bates LC, Zieff G, Stanford K, Moore JB, Kerr ZY, Hanson ED, et al. COVID-19 impact on behaviors across the 24-hour day in children and adolescents: physical activity, sedentary behavior, and sleep. Children (Basel). 2020;7(9):138. https://doi.org/10.3390/children7090138.

    Article  PubMed  Google Scholar 

  56. Chastin SF, Palarea-Albaladejo J, Dontje ML, Skelton DA. Combined effects of time spent in physical activity, sedentary behaviors and sleep on obesity and cardio-metabolic health markers: a novel compositional data analysis approach. PLoS ONE. 2015;10(10): e0139984. https://doi.org/10.1371/journal.pone.0139984.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  57. Fomby P, Goode JA, Truong-Vu KP, Mollborn S. Adolescent technology, sleep, and physical activity time in two US cohorts. Youth Soc. 2021;53(4):585–609. https://doi.org/10.1177/0044118x19868365.

    Article  PubMed  Google Scholar 

  58. Rodriguez-Ayllon M, Cadenas-Sánchez C, Estévez-López F, Muñoz NE, Mora-Gonzalez J, Migueles JH, et al. Role of physical activity and sedentary behavior in the mental health of preschoolers, children and adolescents: a systematic review and meta-analysis. Sports Med. 2019;49(9):1383–410. https://doi.org/10.1007/s40279-019-01099-5.

    Article  PubMed  Google Scholar 

  59. Walker WH II, Walton JC, DeVries AC, Nelson RJ. Circadian rhythm disruption and mental health. Transl Psychiatry. 2020;10:28. https://doi.org/10.1038/s41398-020-0694-0.

    Article  PubMed  PubMed Central  Google Scholar 

  60. Shochat T, Cohen-Zion M, Tzischinsky O. Functional consequences of inadequate sleep in adolescents: a systematic review. Sleep Med Rev. 2014;18(1):75–87. https://doi.org/10.1016/j.smrv.2013.03.005.

    Article  PubMed  Google Scholar 

  61. Kovachy B, O’Hara R, Hawkins N, Gershon A, Primeau MM, Madej J, et al. Sleep disturbance in pediatric PTSD: current findings and future directions. J Clin Sleep Med. 2013;9(5):501–10. https://doi.org/10.5664/jcsm.2678.

    Article  PubMed  PubMed Central  Google Scholar 

  62. Lai BS, La Greca AM, Colgan CA, Herge W, Chan S, Medzhitova J, et al. Sleep problems and posttraumatic stress: children exposed to a natural disaster. J Pediatr Psychol. 2020;45(9):1016–26. https://doi.org/10.1093/jpepsy/jsaa061.

    Article  PubMed  PubMed Central  Google Scholar 

  63. Zhou X, Wu X, An Y, Fu F. Longitudinal relationships between posttraumatic stress symptoms and sleep problems in adolescent survivors following the Wenchuan earthquake in China. PLoS ONE. 2014;9(8): e104470. https://doi.org/10.1371/journal.pone.0104470.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  64. Zhao J, Xu J, He Y, Xiang M. Children and adolescents’ sleep patterns and their associations with mental health during the COVID-19 pandemic in Shanghai. China J Affect Disord. 2022;301:337–44. https://doi.org/10.1016/j.jad.2021.12.123.

    Article  CAS  PubMed  Google Scholar 

  65. Li W, Wang Z, Wang G, Ip P, Sun X, Jiang Y, et al. Socioeconomic inequality in child mental health during the COVID-19 pandemic: first evidence from China. J Affect Disord. 2021;287:8–14. https://doi.org/10.1016/j.jad.2021.03.009.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  66. Olive LS, Sciberras E, Berkowitz TS, Hoare E, Telford RM, O’Neil A, et al. Child and parent physical activity, sleep, and screen time during COVID-19 and associations with mental health: implications for future psycho-cardiological disease? Front Psychiatry. 2022;12: 774858. https://doi.org/10.3389/fpsyt.2021.774858.

    Article  PubMed  PubMed Central  Google Scholar 

  67. Chen X, Qi H, Liu R, Feng Y, Li W, Xiang M, et al. Depression, anxiety and associated factors among Chinese adolescents during the COVID-19 outbreak: a comparison of two cross-sectional studies. Transl Psychiatry. 2021;11(1):148. https://doi.org/10.1038/s41398-021-01271-4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  68. Wang W, Guo Y, Du X, Li W, Wu R, Guo L, et al. Associations between poor sleep quality, anxiety symptoms, and depressive symptoms among Chinese adolescents before and during COVID-19: a longitudinal study. Front Psychiatry. 2022;12: 786640. https://doi.org/10.3389/fpsyt.2021.786640.

    Article  PubMed  PubMed Central  Google Scholar 

  69. Zhou C, Li R, Yang M, Duan S, Yang C. Psychological status of high school students 1 year after the COVID-19 emergency. Front Psychiatry. 2021;12: 729930. https://doi.org/10.3389/fpsyt.2021.729930.

    Article  PubMed  PubMed Central  Google Scholar 

  70. Palmer CA, Oosterhoff B, Massey A, Bawden H. Daily associations between adolescent sleep and socioemotional experiences during an ongoing stressor. J Adolesc Health. 2022;70:970–7. https://doi.org/10.1016/j.jadohealth.2022.01.127.

    Article  PubMed  PubMed Central  Google Scholar 

  71. Albrecht JN, Werner H, Rieger N, Widmer N, Janisch D, Huber R, et al. Association between homeschooling and adolescent sleep duration and health during COVID-19 pandemic high school closures. JAMA Netw Open. 2022;5(1): e2142100. https://doi.org/10.1001/jamanetworkopen.2021.42100.

    Article  PubMed  PubMed Central  Google Scholar 

  72. Siste K, Hanafi E, Sen LT, Murtani BJ, Christian H, Limawan AP, et al. Implications of COVID-19 and lockdown on internet addiction among adolescents: data from a developing country. Front Psychiatry. 2021;12: 665675. https://doi.org/10.3389/fpsyt.2021.665675.

    Article  PubMed  PubMed Central  Google Scholar 

  73. Becker SP, Dvorsky MR, Breaux R, Cusick CN, Taylor KP, Langberg JM. Prospective examination of adolescent sleep patterns and behaviors before and during COVID-19. Sleep. 2021;44(8):1–11. https://doi.org/10.1093/sleep/zsab054.

    Article  Google Scholar 

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Acknowledgements

The editors would like to thank Dr. Milangel Concepcion for taking the time to review this manuscript.

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Pfefferbaum, B., Tucker, P., Ekambaram, V. et al. Children’s Sleep and Mental Health During the COVID-19 Pandemic. Curr Psychiatry Rep 25, 847–856 (2023). https://doi.org/10.1007/s11920-023-01475-z

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