Le sommeil des étudiants français en période de COVID-19 : Influence des deux premiers confinements sur la quantité et la qualité de sommeil

The COVID-19 pandemic resulted in two periods of confinement during the year 2020 that led to changes in lifestyle patterns. The purpose of our study was to assess the impact of the lockdowns on the quantity (i.e., schedule and time in bed) and quality (i.e., difficulties and parasomnias) of sleep in French college students. During the first and second lockdowns, students were asked to answer an online questionnaire consisting of 23 questions. This questionnaire gathered information on the real and ideal schedules of getting up and going to bed, the time in bed, as well as the parasomnias and difficulties related to sleep (difficulties in falling asleep, waking up, lack of sleep feeling). The results showed that students slept later and spent more time in bed on week-ends than during the week, with these effects being more pronounced during the first confinement than during the second. The majority of students reported poor sleep quality, difficulty falling asleep, early awakening, and a feeling of sleep deprivation. The most common parasomnias were episodes of nightmares and sleepiness. Sleep difficulties and reported parasomnias were greater during the second confinement than during the first. Sleep debt, was still present during the lockdowns. The reported sleep difficulties and parasomnias reflect poor sleep quality, despite the reduction in social constraints. Explanatory hypotheses as well as prevention perspectives regarding sleep hygiene were considered.     

Travail cognitivo-émotionnel chez des patients en soins palliatifs : étude du vécu,de la réminiscence et du silence

IntroductionFacing one's own mortality allows one to be more aware of one's life history, to make the link between one's different personal experiences and to open up to introspection, be it in exchange or in silence.ObjectiveTo collect the cognitive-emotional work taking place in palliative care patients and to appreciate the use and contribution of reminiscence as well as the place of silence in the discourse.MethodOur study is cross-sectional, exploratory and qualitative. The interviews were conducted by the psychologist using an interview guide previously defined for this study. Non-verbal elements were taken into account following the interview. Nine patients, exclusively women, with an average age of 71 years, suffering from cancer, hospitalized and who were told that their curative treatments were over, were included.FindingsAfter a thematic analysis, it appears that the patients’ concerns are mainly focused on their relationship with their end of life and death. We observe a majority of negative reminiscences as well as a diversity in their contributions. The main function of silence is emotional when the themes of the end of life and illness are discussed.ConclusionIt seems necessary to support questions about the end of life and the reminiscences that may be activated following the proximity of death. Recognition of the different types of silence must also be part of the listening skills of professionals.