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      Maladaptive coping with the infodemic and sleep disturbance in the COVID‐19 pandemic

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          Abstract

          COVID‐19 is caused by a novel virus with an unknown aetiology. People across the globe are dealing with not only a health crisis but also an ‘infodemic’, a term coined by the World Health Organization to refer to the avalanche of contradictory information that is arousing widespread confusion and anxiety. This study aimed to examine the prevalence of anxiety and sleep disturbance at the early stage of the pandemic, and unveil the information coping process underlying differential susceptibility to COVID‐19 infection anxiety and sleep disturbance. The participants were 1,270 adults (47% men, M age = 42.82) from the UK and US who completed initial (Time 1) and follow‐up (Time 2) surveys from 16 to 22 March and 18 to 24 May 2020, respectively. The prevalence of probable clinically relevant anxiety was 61% and 45% at the first and second time points, and more than half of the participants in this anxiety group also reported mild to severe sleep disturbance. Moreover, 41% of the participants perceived themselves as not having enough COVID‐19‐related information and reported higher levels of COVID‐19 infection anxiety and sleep disturbance over time than those who perceived themselves as having enough of such information. Moderated mediation analysis identified two groups who were more vulnerable to both psychological problems: high blunters who sought COVID‐19‐related information online more frequently and high monitors who sought such information offline less frequently. These findings highlight the importance of a good match between information coping style and strategy deployment in dealing with an infodemic surrounding a novel disease.

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          Covid-19: risk factors for severe disease and death

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            Changes in sleep pattern, sense of time and digital media use during COVID‐19 lockdown in Italy

            Abstract Italy is one of the major COVID‐19 hotspots. To reduce the spread of the infections and the pressure on Italian healthcare systems, since March 10, 2020, Italy has been under a total lockdown, forcing people into home confinement. Here we present data from 1,310 people living in the Italian territory (M age = 23.91 ± 3.60 years, 880 females, 501 workers, 809 university students), who completed an online survey from March 24 to March 28, 2020. In the survey, we asked participants to think about their use of digital media before going to bed, their sleep pattern and their subjective experience of time in the previous week (March 17–23, which was the second week of the lockdown) and up to the first week of February (February 3–10, before any restriction in any Italian area). During the lockdown, people increased the usage of digital media near bedtime, but this change did not affect sleep habits. Nevertheless, during home confinement, sleep timing markedly changed, with people going to bed and waking up later, and spending more time in bed, but, paradoxically, also reporting a lower sleep quality. The increase in sleep difficulties was stronger for people with a higher level of depression, anxiety and stress symptomatology, and associated with the feeling of elongation of time. Considering that the lockdown is likely to continue for weeks, research data are urgently needed to support decision making, to build public awareness and to provide timely and supportive psychosocial interventions.
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              Systematic Literature Review on the Spread of Health-related Misinformation on Social Media

              Contemporary commentators describe the current period as “an era of fake news” in which misinformation, generated intentionally or unintentionally, spreads rapidly. Although affecting all areas of life, it poses particular problems in the health arena, where it can delay or prevent effective care, in some cases threatening the lives of individuals. While examples of the rapid spread of misinformation date back to the earliest days of scientific medicine, the internet, by allowing instantaneous communication and powerful amplification has brought about a quantum change. In democracies where ideas compete in the marketplace for attention, accurate scientific information, which may be difficult to comprehend and even dull, is easily crowded out by sensationalized news. In order to uncover the current evidence and better understand the mechanism of misinformation spread, we report a systematic review of the nature and potential drivers of health-related misinformation. We searched PubMed, Cochrane, Web of Science, Scopus and Google databases to identify relevant methodological and empirical articles published between 2012 and 2018. A total of 57 articles were included for full-text analysis. Overall, we observe an increasing trend in published articles on health-related misinformation and the role of social media in its propagation. The most extensively studied topics involving misinformation relate to vaccination, Ebola and Zika Virus, although others, such as nutrition, cancer, fluoridation of water and smoking also featured. Studies adopted theoretical frameworks from psychology and network science, while co-citation analysis revealed potential for greater collaboration across fields. Most studies employed content analysis, social network analysis or experiments, drawing on disparate disciplinary paradigms. Future research should examine susceptibility of different sociodemographic groups to misinformation and understand the role of belief systems on the intention to spread misinformation. Further interdisciplinary research is also warranted to identify effective and tailored interventions to counter the spread of health-related misinformation online.
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                Author and article information

                Contributors
                ceci-cheng@hku.hk
                Journal
                J Sleep Res
                J Sleep Res
                10.1111/(ISSN)1365-2869
                JSR
                Journal of Sleep Research
                John Wiley and Sons Inc. (Hoboken )
                0962-1105
                1365-2869
                27 November 2020
                : e13235
                Affiliations
                [ 1 ] The University of Hong Kong Hong Kong Hong Kong
                [ 2 ] University of Oslo Oslo Norway
                [ 3 ] Modum Bad Psychiatric Hospital Vikersund Norway
                [ 4 ] University College London London UK
                Author notes
                [*] [* ] Correspondence

                Cecilia Cheng, Department of Psychology, The University of Hong Kong, Pokfulam Road, Hong Kong, Hong Kong.

                Email: ceci-cheng@ 123456hku.hk

                Author information
                https://orcid.org/0000-0002-7250-2224
                https://orcid.org/0000-0002-8335-2217
                Article
                JSR13235
                10.1111/jsr.13235
                7744904
                33247519
                b08c29f1-4200-49c6-a100-c99a160b0683
                © 2020 European Sleep Research Society

                This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.

                History
                : 27 June 2020
                : 08 October 2020
                : 23 October 2020
                Page count
                Figures: 5, Tables: 3, Pages: 10, Words: 14655
                Funding
                Funded by: The Hong Kong Research Grants Council's General Research Fund
                Award ID: 17400714
                Funded by: The University of Hong Kong's Seed Fund for Basic Research
                Award ID: 201711159216
                Categories
                Regular Research Paper
                Regular Research Papers
                Custom metadata
                2.0
                corrected-proof
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.9.5 mode:remove_FC converted:17.12.2020

                epidemic,mental health,outbreak,psychological distress,sleep health

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