Efeitos da quarentena durante a pandemia de COVID-19 no padrão do sono em uma população com narcolepsia
Autor(a) principal: | |
---|---|
Data de Publicação: | 2021 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | https://repositorio.unifesp.br/xmlui/handle/11600/64025 |
Resumo: | Study Objectives: To the best of our knowledge, there has not as yet been any study on the effects of the COVID-19 pandemic on patients with narcolepsy; in particular in relation to its impact on sleep schedules, symptoms, the need for medication, work, income, and quality of life. This study therefore aimed to explore these factors and their possible influence on sleep, circadian timing and narcolepsy symptoms during the pandemic. Methods: Patients with narcolepsy who had been in quarantine for at least three months completed an online questionnaire. Questions targeted the conditions of the quarantine, sleep-related behaviors, and factors known to affect sleep and circadian rhythms (work status, income, appetite, narcolepsy symptoms, and medication), as well as the quality of life during the quarantine period. Results: The routines of the participants had been altered by quarantine, with changes in their place of work, and an increase in narcolepsy symptoms such as cataplexy, sleep paralysis, hallucinations, nocturnal awakenings, and sleepiness. Sleep and wake times changed, resulting in altered sleep patterns in the majority of the sample. No association between changes in the place of work and narcolepsy symptoms was found. Regarding medication, the participants used fewer antidepressant pills but took more stimulants. Appetite was increased and self-reported quality of life decreased during the period. Conclusions: During the quarantine the patients with narcolepsy reported worsening of narcolepsy symptoms and increased use of stimulants, furthermore was observed changes in their bedtime and waking-up schedules, suggesting a tendency to circadian misalignment. In Brazil, the effects of the COVID-19 outbreak have gone beyond the direct action of the virus, because of the collateral damage it has caused in respect of unemployment and financial hardship. These impacts have been amplified in Brazil because of the level of social inequality found in the country, and they have particularly affected vulnerable patients with rare diseases, such as the narcolepsy population. |
id |
UFSP_6fb0663e0bd9b9c99c41994e161c0288 |
---|---|
oai_identifier_str |
oai:repositorio.unifesp.br:11600/64025 |
network_acronym_str |
UFSP |
network_name_str |
Repositório Institucional da UNIFESP |
repository_id_str |
3465 |
spelling |
Aguilar, Ana Carolina Rodrigues [UNIFESP]http://lattes.cnpq.br/7290211396937157http://lattes.cnpq.br/4520146294812879http://lattes.cnpq.br/5507825991578153Coelho, Fernando Morgadinho Santos [UNIFESP]Frange, Cristina Mattos PereiraSão Paulo2022-06-30T13:28:51Z2022-06-30T13:28:51Z2021-09-10AGUILAR, Ana Carolina Rodrigues. Efeitos da quarentena durante a pandemia de COVID-19 no padrão do sono em uma população com narcolepsia. São Paulo, 2021. 85 f. Dissertação (Mestrado em Psicobiologia) – Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, 2021.https://repositorio.unifesp.br/xmlui/handle/11600/64025Study Objectives: To the best of our knowledge, there has not as yet been any study on the effects of the COVID-19 pandemic on patients with narcolepsy; in particular in relation to its impact on sleep schedules, symptoms, the need for medication, work, income, and quality of life. This study therefore aimed to explore these factors and their possible influence on sleep, circadian timing and narcolepsy symptoms during the pandemic. Methods: Patients with narcolepsy who had been in quarantine for at least three months completed an online questionnaire. Questions targeted the conditions of the quarantine, sleep-related behaviors, and factors known to affect sleep and circadian rhythms (work status, income, appetite, narcolepsy symptoms, and medication), as well as the quality of life during the quarantine period. Results: The routines of the participants had been altered by quarantine, with changes in their place of work, and an increase in narcolepsy symptoms such as cataplexy, sleep paralysis, hallucinations, nocturnal awakenings, and sleepiness. Sleep and wake times changed, resulting in altered sleep patterns in the majority of the sample. No association between changes in the place of work and narcolepsy symptoms was found. Regarding medication, the participants used fewer antidepressant pills but took more stimulants. Appetite was increased and self-reported quality of life decreased during the period. Conclusions: During the quarantine the patients with narcolepsy reported worsening of narcolepsy symptoms and increased use of stimulants, furthermore was observed changes in their bedtime and waking-up schedules, suggesting a tendency to circadian misalignment. In Brazil, the effects of the COVID-19 outbreak have gone beyond the direct action of the virus, because of the collateral damage it has caused in respect of unemployment and financial hardship. These impacts have been amplified in Brazil because of the level of social inequality found in the country, and they have particularly affected vulnerable patients with rare diseases, such as the narcolepsy population.85 f.porUniversidade Federal de São PauloSonoNarcolepsiaRitmo circadianoQualidade de vidaCovid-19QuarentenaPandemiaIsolamento socialEfeitos da quarentena durante a pandemia de COVID-19 no padrão do sono em uma população com narcolepsiaThe influence of pandemic era of COVID-19 in narcolepsy patientsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPEscola Paulista de Medicina (EPM)PsicobiologiaMedicina do SonoPesquisa clínica em medicina do sono, ênfase em sonolência excessiva diurnaORIGINALDissertação_Ana Carolina Rodrigues Aguilar 2903.pdfDissertação_Ana Carolina Rodrigues Aguilar 2903.pdfDissertaçãoapplication/pdf9484106${dspace.ui.url}/bitstream/11600/64025/1/Disserta%c3%a7%c3%a3o_Ana%20Carolina%20Rodrigues%20Aguilar%202903.pdf66b12bc32a5fc72f9f028e2adbdb41e1MD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-85854${dspace.ui.url}/bitstream/11600/64025/2/license.txt6ca1ebc7518ecebda758525cb1c570f6MD52open accessTEXTDissertação_Ana Carolina Rodrigues Aguilar 2903.pdf.txtDissertação_Ana Carolina Rodrigues Aguilar 2903.pdf.txtExtracted texttext/plain100808${dspace.ui.url}/bitstream/11600/64025/3/Disserta%c3%a7%c3%a3o_Ana%20Carolina%20Rodrigues%20Aguilar%202903.pdf.txtd6215c2ddb39513e5ee13cd6252c1631MD53open accessTHUMBNAILDissertação_Ana Carolina Rodrigues Aguilar 2903.pdf.jpgDissertação_Ana Carolina Rodrigues Aguilar 2903.pdf.jpgIM Thumbnailimage/jpeg3929${dspace.ui.url}/bitstream/11600/64025/5/Disserta%c3%a7%c3%a3o_Ana%20Carolina%20Rodrigues%20Aguilar%202903.pdf.jpg3b22e23b97455070aa0f23f6913319b0MD55open access11600/640252023-05-12 01:05:51.42open accessoai:repositorio.unifesp.br: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Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652023-05-12T04:05:51Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.pt_BR.fl_str_mv |
Efeitos da quarentena durante a pandemia de COVID-19 no padrão do sono em uma população com narcolepsia |
dc.title.alternative.en.fl_str_mv |
The influence of pandemic era of COVID-19 in narcolepsy patients |
title |
Efeitos da quarentena durante a pandemia de COVID-19 no padrão do sono em uma população com narcolepsia |
spellingShingle |
Efeitos da quarentena durante a pandemia de COVID-19 no padrão do sono em uma população com narcolepsia Aguilar, Ana Carolina Rodrigues [UNIFESP] Sono Narcolepsia Ritmo circadiano Qualidade de vida Covid-19 Quarentena Pandemia Isolamento social |
title_short |
Efeitos da quarentena durante a pandemia de COVID-19 no padrão do sono em uma população com narcolepsia |
title_full |
Efeitos da quarentena durante a pandemia de COVID-19 no padrão do sono em uma população com narcolepsia |
title_fullStr |
Efeitos da quarentena durante a pandemia de COVID-19 no padrão do sono em uma população com narcolepsia |
title_full_unstemmed |
Efeitos da quarentena durante a pandemia de COVID-19 no padrão do sono em uma população com narcolepsia |
title_sort |
Efeitos da quarentena durante a pandemia de COVID-19 no padrão do sono em uma população com narcolepsia |
author |
Aguilar, Ana Carolina Rodrigues [UNIFESP] |
author_facet |
Aguilar, Ana Carolina Rodrigues [UNIFESP] |
author_role |
author |
dc.contributor.authorLattes.pt_BR.fl_str_mv |
http://lattes.cnpq.br/7290211396937157 |
dc.contributor.advisorLattes.pt_BR.fl_str_mv |
http://lattes.cnpq.br/4520146294812879 |
dc.contributor.advisor-coLattes.pt_BR.fl_str_mv |
http://lattes.cnpq.br/5507825991578153 |
dc.contributor.author.fl_str_mv |
Aguilar, Ana Carolina Rodrigues [UNIFESP] |
dc.contributor.advisor1.fl_str_mv |
Coelho, Fernando Morgadinho Santos [UNIFESP] |
dc.contributor.advisor-co1.fl_str_mv |
Frange, Cristina Mattos Pereira |
contributor_str_mv |
Coelho, Fernando Morgadinho Santos [UNIFESP] Frange, Cristina Mattos Pereira |
dc.subject.por.fl_str_mv |
Sono Narcolepsia Ritmo circadiano Qualidade de vida Covid-19 Quarentena Pandemia Isolamento social |
topic |
Sono Narcolepsia Ritmo circadiano Qualidade de vida Covid-19 Quarentena Pandemia Isolamento social |
description |
Study Objectives: To the best of our knowledge, there has not as yet been any study on the effects of the COVID-19 pandemic on patients with narcolepsy; in particular in relation to its impact on sleep schedules, symptoms, the need for medication, work, income, and quality of life. This study therefore aimed to explore these factors and their possible influence on sleep, circadian timing and narcolepsy symptoms during the pandemic. Methods: Patients with narcolepsy who had been in quarantine for at least three months completed an online questionnaire. Questions targeted the conditions of the quarantine, sleep-related behaviors, and factors known to affect sleep and circadian rhythms (work status, income, appetite, narcolepsy symptoms, and medication), as well as the quality of life during the quarantine period. Results: The routines of the participants had been altered by quarantine, with changes in their place of work, and an increase in narcolepsy symptoms such as cataplexy, sleep paralysis, hallucinations, nocturnal awakenings, and sleepiness. Sleep and wake times changed, resulting in altered sleep patterns in the majority of the sample. No association between changes in the place of work and narcolepsy symptoms was found. Regarding medication, the participants used fewer antidepressant pills but took more stimulants. Appetite was increased and self-reported quality of life decreased during the period. Conclusions: During the quarantine the patients with narcolepsy reported worsening of narcolepsy symptoms and increased use of stimulants, furthermore was observed changes in their bedtime and waking-up schedules, suggesting a tendency to circadian misalignment. In Brazil, the effects of the COVID-19 outbreak have gone beyond the direct action of the virus, because of the collateral damage it has caused in respect of unemployment and financial hardship. These impacts have been amplified in Brazil because of the level of social inequality found in the country, and they have particularly affected vulnerable patients with rare diseases, such as the narcolepsy population. |
publishDate |
2021 |
dc.date.issued.fl_str_mv |
2021-09-10 |
dc.date.accessioned.fl_str_mv |
2022-06-30T13:28:51Z |
dc.date.available.fl_str_mv |
2022-06-30T13:28:51Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
AGUILAR, Ana Carolina Rodrigues. Efeitos da quarentena durante a pandemia de COVID-19 no padrão do sono em uma população com narcolepsia. São Paulo, 2021. 85 f. Dissertação (Mestrado em Psicobiologia) – Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, 2021. |
dc.identifier.uri.fl_str_mv |
https://repositorio.unifesp.br/xmlui/handle/11600/64025 |
identifier_str_mv |
AGUILAR, Ana Carolina Rodrigues. Efeitos da quarentena durante a pandemia de COVID-19 no padrão do sono em uma população com narcolepsia. São Paulo, 2021. 85 f. Dissertação (Mestrado em Psicobiologia) – Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, 2021. |
url |
https://repositorio.unifesp.br/xmlui/handle/11600/64025 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
85 f. |
dc.coverage.spatial.pt_BR.fl_str_mv |
São Paulo |
dc.publisher.none.fl_str_mv |
Universidade Federal de São Paulo |
publisher.none.fl_str_mv |
Universidade Federal de São Paulo |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
bitstream.url.fl_str_mv |
${dspace.ui.url}/bitstream/11600/64025/1/Disserta%c3%a7%c3%a3o_Ana%20Carolina%20Rodrigues%20Aguilar%202903.pdf ${dspace.ui.url}/bitstream/11600/64025/2/license.txt ${dspace.ui.url}/bitstream/11600/64025/3/Disserta%c3%a7%c3%a3o_Ana%20Carolina%20Rodrigues%20Aguilar%202903.pdf.txt ${dspace.ui.url}/bitstream/11600/64025/5/Disserta%c3%a7%c3%a3o_Ana%20Carolina%20Rodrigues%20Aguilar%202903.pdf.jpg |
bitstream.checksum.fl_str_mv |
66b12bc32a5fc72f9f028e2adbdb41e1 6ca1ebc7518ecebda758525cb1c570f6 d6215c2ddb39513e5ee13cd6252c1631 3b22e23b97455070aa0f23f6913319b0 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
|
_version_ |
1802764227213000704 |