{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T01:35:42Z","timestamp":1778117742639,"version":"3.51.4"},"reference-count":36,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T00:00:00Z","timestamp":1699574400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>College Students\u2019 sleep quality and daytime dysfunction have become worse since the COVID-19 outbreak, the purpose of this study was to explore the relationship between sleep quality and daytime dysfunction among college students during the COVID-19 (Corona Virus Disease 2019) period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This research adopts the form of cluster random sampling of online questionnaires. From April 5 to 16 in 2022, questionnaires are distributed to college students in various universities in Fujian Province, China and the general information questionnaire and PSQI scale are used for investigation. SPSS26.0 was used to conduct an independent sample t-test and variance analysis on the data, multi-factorial analysis was performed using logistic regression analysis. The main outcome variables are the score of subjective sleep quality and daytime dysfunction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the COVID-19 period, the average PSQI score of the tested college students was 6.17\u2009\u00b1\u20093.263, and the sleep disorder rate was 29.6%, the daytime dysfunction rate was 85%. Being female, study liberal art\/science\/ engineering, irritable (due to limited outdoor), prolong electronic entertainment time were associated with low sleep quality (<jats:italic>p<\/jats:italic> &amp;lt;\u20090.001), and the occurrence of daytime dysfunction was higher than other groups (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001). Logistics regression analysis showed that sleep quality and daytime dysfunction were associated with gender, profession, irritable (due to limited outdoor), and prolonged electronic entertainment time (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>During the COVID-19 epidemic, the sleep quality of college students was affected, and different degrees of daytime dysfunction have appeared, both are in worse condition than before the COVID-19 outbreak. Sleep quality may was inversely associated with daytime dysfunction.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2023.1253834","type":"journal-article","created":{"date-parts":[[2023,11,13]],"date-time":"2023-11-13T10:52:06Z","timestamp":1699872726000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":7,"title":["The relationship between sleep quality and daytime dysfunction among college students in China during COVID-19: a cross-sectional study"],"prefix":"10.3389","volume":"11","author":[{"given":"Wei","family":"Ji","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liyong","family":"Shi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xinjun","family":"Lin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhiyong","family":"Shen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qingquan","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Duanhong","family":"Song","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pengxiang","family":"Huang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhihuang","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jimin","family":"Fan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yiming","family":"Hu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mianmian","family":"Xie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiaohong","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoyang","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2023,11,10]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1111\/sbr.12063","article-title":"Effects of comprehensive sleep management on sleep quality in university students in mainland China","volume":"12","author":"Gao","year":"2014","journal-title":"Sleep Biol Rhythms"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1728","DOI":"10.13342\/j.cnki.cjhp.2022.11.023","article-title":"Impcat of social network upward social comparison on sleep quality in college students:the effect of online social anxiety and optimistic personality","volume":"30","author":"Zhang","year":"2022","journal-title":"Chin J Health Psychol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"2980","DOI":"10.1080\/14767058.2017.1359831","article-title":"Determinants of sleep quality among pregnant women in China: a cross-sectional survey","volume":"31","author":"Yang","year":"2018","journal-title":"J Matern Fetal Neonatal Med"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1007\/s41782-020-00087-4","article-title":"Importance of sleep for health and wellbeing amidst COVID-19 pandemic","volume":"4","author":"Gulia","year":"2020","journal-title":"Sleep Vigil"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"222","DOI":"10.3390\/healthcare9020222","article-title":"Assessing the psychological impact of COVID-19 among college students: an evidence of 15 countries","volume":"9","author":"Batra","year":"2021","journal-title":"Healthcare (Basel)"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"608","DOI":"10.13342\/j.cnki.cjhp.2021.04.028","article-title":"Relations of sleep quality to depression and anxiety in college students","volume":"29","author":"Chen","year":"2021","journal-title":"Chin J Health Psychol"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"32","DOI":"10.13874\/j.cnki.62-1171\/g4.2022.02.005","article-title":"A study on the correlation between sleep quality and depression in college students:taking a University in Gansu Province as an example","volume":"38","author":"Yang","year":"2022","journal-title":"J Hexi University"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1016\/0165-1781(89)90047-4","article-title":"The Pittsburgh sleep quality index","volume":"28","author":"Buysse","year":"1989","journal-title":"New Instrument for Psychiatric Prac Res Psychiatry Res"},{"key":"ref9","first-page":"103","article-title":"Reliability and validity of the Pittsburgh sleep quality index","volume":"29","author":"Liu","year":"1996","journal-title":"Chinese J Psychiatry"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1126","DOI":"10.3389\/fpsyg.2016.01126","article-title":"Structural validity of the Pittsburgh sleep quality index in Chinese undergraduate students","volume":"7","author":"Guo","year":"2016","journal-title":"Front Psychol"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"e45721","DOI":"10.2196\/45721","article-title":"Prediction models for sleep quality among college students during the COVID-19 outbreak: cross-sectional study based on the internet new media","volume":"25","author":"Zheng","year":"2023","journal-title":"J Med Internet Res"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"567","DOI":"10.2147\/NSS.S353141","article-title":"The concomitant pattern of association between subjective global sleep quality and daytime dysfunction in hypnotic-treated older adults: the Yilan study","volume":"14","author":"Lin","year":"2022","journal-title":"Taiwan Nat Sci Sleep"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1038\/npp.2016.148","article-title":"Sleep health: reciprocal regulation of sleep and innate immunity","volume":"42","author":"Irwin","year":"2017","journal-title":"Neuropsychopharmacology"},{"key":"ref14","article-title":"International classification of sleep disorders","volume-title":"Diagnostic and coding mutual","year":"2005"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"1701","DOI":"10.5664\/jcsm.8658","article-title":"Indirect effect of sleep on abdominal pain through daytime dysfunction in adults with irritable bowel syndrome","volume":"16","author":"Yang","year":"2020","journal-title":"J Clin Sleep Med"},{"key":"ref16","first-page":"3553","article-title":"Meta-analysis to results on the sleep quality of college students in China during recent 2 decades","volume":"47","author":"Fang","year":"2020","journal-title":"Modern Preven Med"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"942","DOI":"10.19405\/j.cnki.issn1000-1492.2019.06.022","article-title":"Canonical correlation analysis on sleep quality and quality of life among college students","volume":"54","author":"Li","year":"2019","journal-title":"Acta Universitatis Medicinalis Anhui"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"e45736","DOI":"10.1371\/journal.pone.0045736","article-title":"Irregular bedtime and nocturnal cellular phone usage as risk factors for being involved in bullying: a cross-sectional survey of Japanese adolescents","volume":"7","author":"Tochigi","year":"2012","journal-title":"PloS One"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1556\/2006.4.2015.010","article-title":"Relationship of smartphone use severity with sleep quality, depression, and anxiety in university students","volume":"4","author":"Demirci","year":"2015","journal-title":"J Behav Addict"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"757","DOI":"10.1111\/jcpp.13278","article-title":"Editorial perspective: perils and promise for child and adolescent sleep and associated psychopathology during the COVID-19 pandemic","volume":"61","author":"Becker","year":"2020","journal-title":"J Child Psychol Psychiatry"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1007\/s00415-020-10056-6","article-title":"Impact of COVID-19 lockdown on sleep quality in university students and administration staff","volume":"268","author":"Marelli","year":"2021","journal-title":"J Neurol"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"1060","DOI":"10.16128\/j.cnki.1005-3611.2021.05.034","article-title":"Mobile phone addiction and sleep quality in college students: the roles of anxiety and ruminant Thinking.Chinese","volume":"29","author":"Wang","year":"2021","journal-title":"J Clin Psychol"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"588604","DOI":"10.3389\/fpsyg.2020.588604","article-title":"Changes in diet, sleep, and physical activity are associated with differences in negative mood during COVID-19 lockdown","volume":"11","author":"Ingram","year":"2020","journal-title":"Front Psychol"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1209","DOI":"10.5664\/jcsm.7228","article-title":"Use of Actigraphy for the evaluation of sleep disorders and circadian rhythm sleep-wake disorders: an American Academy of sleep medicine systematic review, Meta-analysis, and GRADE assessment","volume":"14","author":"Smith","year":"2018","journal-title":"J Clin Sleep Med"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"727","DOI":"10.5665\/sleep.1846","article-title":"Boards of directors of the American Academy of sleep medicine and the Sleep Research Society. Sleep: a health imperative","volume":"35","author":"Luyster","year":"2012","journal-title":"Sleep"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"2567","DOI":"10.1177\/0033294120965477","article-title":"Psychological resilience of healthcare professionals during COVID-19 pandemic","volume":"124","author":"Bozda\u011f","year":"2021","journal-title":"Psychol Rep"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"113216","DOI":"10.1016\/j.psychres.2020.113216","article-title":"Psychological resilience during the COVID-19 lockdown","volume":"291","author":"Killgore","year":"2020","journal-title":"Psychiatry Res"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1016\/j.jad.2014.10.054","article-title":"The prevalence and correlates of depression, anxiety, and stress in a sample of college students","volume":"173","author":"Beiter","year":"2015","journal-title":"J Affect Disord"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"570017","DOI":"10.3389\/fpsyg.2020.570017","article-title":"Influence of COVID-19 on the perception of academic self-Efficacy,State Anxiety,and trait anxiety in college students","volume":"11","author":"Alemany-Arrebola","year":"2020","journal-title":"Front Psychol"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1186\/s12882-021-02349-3","article-title":"Fatigue, anxiety, depression and sleep quality in patients undergoing haemodialysis","volume":"22","author":"al Naamani","year":"2021","journal-title":"BMC Nephrol"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1186\/s12889-023-15211-y","article-title":"High rates of observed face mask use at Colorado universities align with students' opinions about masking and support the safety and viability of in-person higher education during the COVID-19 pandemic","volume":"23","author":"Clark","year":"2023","journal-title":"BMC Public Health"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"2000038","DOI":"10.1002\/gch2.202000038","article-title":"Impact of COVID-19 on psychology among the university students","volume":"4","author":"Dhar","year":"2020","journal-title":"Glob Chall"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"1116","DOI":"10.1093\/heapro\/daaa147","article-title":"Psychological impacts of COVID-19 pandemic on the university students in Egypt","volume":"36","author":"Ghazawy","year":"2021","journal-title":"Health Promot Int"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"1319","DOI":"10.1007\/s11325-020-02238-3","article-title":"Assessing the effect of nicotine dose in cigarette smoking on sleep quality","volume":"25","author":"AlRyalat","year":"2021","journal-title":"Sleep Breath"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"zsab269","DOI":"10.1093\/sleep\/zsab269","article-title":"Losing sleep by staying up late leads adolescents to consume more carbohydrates and a higher glycemic load","volume":"45","author":"Duraccio","year":"2022","journal-title":"Sleep"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"619","DOI":"10.1097\/GME.0000000000001744","article-title":"Associations of sleep and female sexual function: good sleep quality matters","volume":"28","author":"Kling","year":"2021","journal-title":"Menopause"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2023.1253834\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,13]],"date-time":"2023-11-13T10:52:19Z","timestamp":1699872739000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2023.1253834\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,10]]},"references-count":36,"alternative-id":["10.3389\/fpubh.2023.1253834"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2023.1253834","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,10]]},"article-number":"1253834"}}