0684 Improving Psychological Distress for Better Sleep During the Covid-19 Pandemic: Analyses of Data From a Pilot Randomized Controlled Trial

Abstract Introduction Psychological distress has been associated with sleep problems. Emerging evidence suggests positive psychological well-being is better sleep. However, most of these studies are cross-sectional and do not provide information on the effect that changes in outcomes have The aim this secondary analysis was to test whether following a 7-week intervention improve mental health were among adults reporting poor quality (Pittsburgh Sleep Quality Index [PSQI]>5) moderate (Perceived Stress Scale [PSS]≥14) during COVID-19 pandemic. Methods Thirty individuals (age 40.7±12.9y, 80% female, 50% racial/ethnic minority) completed pilot study testing hygiene vs. alone. Questionnaires administered at baseline post-intervention assess (PSS Symptom Questionnaire), (Psychological Well-Being scales), (PSQI Insomnia Severity Index). A diary collect total time (TST), variability TST, onset latency, wake after onset, bedtime, bedtime. Change scores calculated for each variable as difference between baseline. Separate linear regression models estimated variables predictors outcomes. Analyses adjusted group, outcomes, age, sex. Results Reductions anxiety improvements insomnia (B=0.6±0.2 (SE), p=0.008) TST (B=-10.1±3.5, p=0.009); reductions depression, somatization, hostility (B=0.2±0.1, p=0.007), (B=-10.3±4.5, p=0.03), earlier bedtime (B=8.8±3.0, p=0.008), respectively; perceived stress p=0.005) (B=0.3±0.1, p=0.02). No associations found Conclusion Our findings suggest or alone interventions predict Focusing improving may be relevant ameliorate context distress. association should further delineated determine role promotion. Support (If Any)