CC BY-NC-ND 4.0 · Sleep Sci 2021; 14(04): 394-395
DOI: 10.5935/1984-0063.20210001
CORRESPONDENCE

How COVID-19 pandemic restrictions might have led to a more promising year throughout a positive thinking and a good night sleep?

Miguel Meira e Cruz
1   Centro Cardiovascular da Universidade de Lisboa, Lisbon School of Medicine, Sleep Unit - Lisbon - Lisbon - Portugal.
2   Faculdade São Leopoldo Mandic, Neuroimmune Pain Interface Lab - Campinas - São Paulo - Brazil.
3   International Center of Clinical Sleep Medicine and Research, Escola Bahiana de Medicina e Saúde Pública - Salvador - Bahia - Brasil.
4   Centro Europeu do Sono, Lisbon - Portugal.
› Author Affiliations
 

Positive thinking is an important emotional resource leading to better face life adversities and to maintain a good mental health either during acute stressful events or lifetime challenges. The difficult times of COVID-19 pandemic have moved the way we understand the world itself as well as associated populational dynamics. Those changes implied ability and resilience from the individual point of view but also from the social and community perspectives. However, as individuals have different vulnerabilities[1] and distinct degrees of tolerance[2], the impact of adversities in any of those factors, would be dependent of particular characteristics eventually associated to specific phenotypes and the existence of pathological conditions. Nevertheless, those peculiarities will mostly rely in common psycho-functional matrixes and therefore will have a common physiological basis. Yet, several restrictive critical measures which were imposed by health policies during the COVID-19 pandemic, impacted on people life’s, increasing the probability of behaviorally guided psychosocial dysfunctional patterns associated to stress[3].

Our team, as other authors, have shown that sleep has been affected worldwide during these times[4], which has been attributed to different aspects mainly regarding to the lack of exposure to sun light and lack of exercise but also to the changes of daily routines and schedules, online working, and increased psychosocial stress (e.g., anxiety, depression, sensation of injustice, etc.) leading to the disruption of the circadian timing system and sleep. Arguably, positive thinking would contribute to a better resilience allowing better facing and managing the stress of some political, economical, social, and health-related constraints taking part of the current pandemic crisis. Also, arguably, positive thinking could, either directly (e.g., by reducing sleep threshold) and indirectly (e.g., by modulating the stress responses evoked by the above-mentioned factors) impact sleep.

An appreciable amount of behavioral and neurobiological evidence has linked sleep and emotional health. Hence, a particular mediation role was recently stablished between prior-night sleep, current-day events, and positive affect[5]. This relationship is observed in adult and pediatric ages and have been also associated to some chronobiological parameters[6]. A link between human prefrontal cortex activity and the positive affective processing of safety signals can probably be added as an explanatory mechanism for a great number of risky behaviors in patients with insufficient or inadequate sleep[7]. The plausibility of this hypothesis lay on the fact that this brain region is negatively affected by sleep loss[8]. Interestingly it has been argued that inadequate sleep and excessive alcohol consumption are directly related as a feed-forward drive to a putative allostatic load throughout the addiction[9].

The end of the year transition usually favors risky behaviors associated to increased alcohol consumption and sleep deprivation, which ultimately lead to some persistent constraints regarding emotional control, including positive affect processing. Interestingly, whenever started, such hazardous behavioral pattern seems to have a trend to facilitate the persistence of a deleterious cycle impairing mood and sleep and jeopardizing wellbeing. In the pandemic critical context, this would be a plausible mechanism enhancing it toward a more severe condition ([Scheme 1]). However, COVID-19 pandemic restrictions imposed by governments around the world, particularly those implemented during the end-of-the-year transition, limited the extended periods of vigilance usually observed by this time of the year, as well as the alcohol consumption and other commonly reported risky behaviors. This may actually corroborate the belief on a better sleep from 31st of December to 1st of January among the general population.

Zoom Image
Scheme 1 Ciclic cascate of interactive processes leading to sleep disturbance, emotional impairment, and psychosocial stress.

Further, there is also little doubt that more cautious behaviors might have improved emotional processing networks related to positive thinking on this end-off-the-year transition. Still, this punctual and apparently innocent incursion of a “forced sleep hygienic behavior” on emotional processing have been promising in hampering the deleterious effect of the neurobiological and behavior related mechanisms contributing to stress persistence in the very next days as well as a prosocial enrolment[10]. It could also have been acting on different neurobehavioral networks promoting the perpetuation of positive psychophysiological processing, which ultimately lead to improved emotional affective outcomes. At the end of the day, this was probably a good start. Wasn’t it?


#

Conflict of Interests

The authors have no conflict of interests to declare.

  • REFERENCES

  • 1 Martin-Soelch C, Schnyder U. Editorial: resilience and vulnerability factors in response to stress. Front Psychiatry. 2019 Oct;10:732. DOI: https://doi.org/10.3389/fpsyt.2019.00732
  • 2 Lecic-Tosevski D, Vukovic O, Stepanovic J. Stress and personality. Psychiatriki. 2011 Oct/Dec;22(4):290-7.
  • 3 Szcześniak D, Gładka A, Misiak B, Cyran A, Rymaszewska J. The SARS-CoV-2 and mental health: from biological mechanisms to social consequences. Prog Neuropsychopharmacol Biol Psychiatry. 2021 Jan;104:110046. DOI: https://doi.org/10.1016/j.pnpbp.2020.110046
  • 4 Mandelkorn U, Genzer S, Choshen-Hillel S, Reiter J, Meira e Cruz M, Hochner H, et al. Escalation of sleep disturbances amid the COVID-19 pandemic: a cross-sectional international study. J Clin Sleep Med. 2021 Jan;17(1):45-53. DOI: https://doi.org/10.5664/jcsm.8800
  • 5 Sin NL, Wen JH, Klaiber P, Buxton OM, Almeida DM. Sleep duration and affective reactivity to stressors and positive events in daily life. Health Psychol. 2020 Dec;39(12):1078-88. DOI: https://doi.org/10.1037/hea0001033
  • 6 Carciofo R. Morning affect, eveningness, and amplitude distinctness: associations with negative emotionality, including the mediating roles of sleep quality, personality, and metacognitive beliefs. Chronobiol Int. 2020 Nov;37(11):1565-79. DOI: https://doi.org/10.1080/07420528.2020.1798978
  • 7 Harrison BJ, Fullana MA, Via E, Soriano-Mas C, Vervliet B, Martínez- Zalacaín I, et al. Human ventromedial prefrontal cortex and the positive affective processing of safety signals. Neuroimage. 2017 May;152:12-8. DOI: https://doi.org/10.1016/j.neuroimage.2017.02.080
  • 8 Whitney P, Hinson JM, Nusbaum AT. A dynamic attentional control framework for understanding sleep deprivation effects on cognition. Prog Brain Res. 2019;246:111-26. DOI: https://doi.org/10.1016/ bs.pbr.2019.03.015
  • 9 Koob GF, Colrain IM. Alcohol use disorder and sleep disturbances: a feed-forward allostatic framework. Neuropsychopharmacology. 2020 Jan;45(1):141-65. DOI: https://doi.org/10.1038/s41386-019-0446-0
  • 10 Aknin LB, Van de Vondervoort JW, Hamlin JK. Positive feelings reward and promote prosocial behavior. Curr Opin Psychol. 2018 Apr;20:55-9. DOI: https://doi.org/10.1016/j.copsyc.2017.08.017

Corresponding author:

Miguel Meira-e-Cruz

Publication History

Received: 02 January 2021

Accepted: 12 March 2021

Article published online:
30 November 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

  • REFERENCES

  • 1 Martin-Soelch C, Schnyder U. Editorial: resilience and vulnerability factors in response to stress. Front Psychiatry. 2019 Oct;10:732. DOI: https://doi.org/10.3389/fpsyt.2019.00732
  • 2 Lecic-Tosevski D, Vukovic O, Stepanovic J. Stress and personality. Psychiatriki. 2011 Oct/Dec;22(4):290-7.
  • 3 Szcześniak D, Gładka A, Misiak B, Cyran A, Rymaszewska J. The SARS-CoV-2 and mental health: from biological mechanisms to social consequences. Prog Neuropsychopharmacol Biol Psychiatry. 2021 Jan;104:110046. DOI: https://doi.org/10.1016/j.pnpbp.2020.110046
  • 4 Mandelkorn U, Genzer S, Choshen-Hillel S, Reiter J, Meira e Cruz M, Hochner H, et al. Escalation of sleep disturbances amid the COVID-19 pandemic: a cross-sectional international study. J Clin Sleep Med. 2021 Jan;17(1):45-53. DOI: https://doi.org/10.5664/jcsm.8800
  • 5 Sin NL, Wen JH, Klaiber P, Buxton OM, Almeida DM. Sleep duration and affective reactivity to stressors and positive events in daily life. Health Psychol. 2020 Dec;39(12):1078-88. DOI: https://doi.org/10.1037/hea0001033
  • 6 Carciofo R. Morning affect, eveningness, and amplitude distinctness: associations with negative emotionality, including the mediating roles of sleep quality, personality, and metacognitive beliefs. Chronobiol Int. 2020 Nov;37(11):1565-79. DOI: https://doi.org/10.1080/07420528.2020.1798978
  • 7 Harrison BJ, Fullana MA, Via E, Soriano-Mas C, Vervliet B, Martínez- Zalacaín I, et al. Human ventromedial prefrontal cortex and the positive affective processing of safety signals. Neuroimage. 2017 May;152:12-8. DOI: https://doi.org/10.1016/j.neuroimage.2017.02.080
  • 8 Whitney P, Hinson JM, Nusbaum AT. A dynamic attentional control framework for understanding sleep deprivation effects on cognition. Prog Brain Res. 2019;246:111-26. DOI: https://doi.org/10.1016/ bs.pbr.2019.03.015
  • 9 Koob GF, Colrain IM. Alcohol use disorder and sleep disturbances: a feed-forward allostatic framework. Neuropsychopharmacology. 2020 Jan;45(1):141-65. DOI: https://doi.org/10.1038/s41386-019-0446-0
  • 10 Aknin LB, Van de Vondervoort JW, Hamlin JK. Positive feelings reward and promote prosocial behavior. Curr Opin Psychol. 2018 Apr;20:55-9. DOI: https://doi.org/10.1016/j.copsyc.2017.08.017

Zoom Image
Scheme 1 Ciclic cascate of interactive processes leading to sleep disturbance, emotional impairment, and psychosocial stress.