Sleep problems during the COVID-19 pandemic by population: a systematic review and meta-analysis

Jahrami, Haitham; BaHammam, Ahmed S.; Bragazzi, Nicola Luigi; Saif, Zahra; Faris, MoezAlIslam E.; Vitiello, Michael V.

doi:10.5664/jcsm.8930

Cited by 525 publications

(568 citation statements)

References 67 publications

(158 reference statements)

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“…In addition, during the COVID-19 pandemic, the prevalence of clinical insomnia has been reported to reach the upper limit of the worldwide prevalence [ 5 , 6 , [14] , [15] , [16] , [17] ]. A recent meta-analysis covering data from 13 countries showed a high global prevalence rate of sleep problems (35.7%); with CoVID-19 patients being the most affected group [ 18 ]. In a survey conducted on 18,147 individuals in Italy, 1301 (7.3%) were reportedly having insomnia within three to four weeks into the CoVID-19 lockdown measures [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

People with dyssomnia showed increased vulnerability to CoVID-19 pandemic: a questionnaire-based study exploring the patterns and predictors of sleep quality using the latent class analysis technique in Indian population

et al. 2021

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Section: Introductionmentioning

confidence: 99%

People with dyssomnia showed increased vulnerability to CoVID-19 pandemic: a questionnaire-based study exploring the patterns and predictors of sleep quality using the latent class analysis technique in Indian population

et al. 2021

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“…Many studies have shown a worsening of sleep quality and a high prevalence of sleep disorders during the first phase of the COVID-19 pandemic spread. 8 , 11 , 16 , 25 Lower sleep quality and increased sleep disturbances were confirmed by Italian 15 , 16 , 19 , 24 , 28 and international 8 , 13 , 25 studies. However, no study has clarified whether this impairment of sleep quality was directly determined by the variables associated with COVID-19 (eg, the risk of infection; the confinement at home) or whether it was due to the altered psychological condition caused by the pandemic.…”

Section: Discussionmentioning

confidence: 75%

“…One of the aspects highly affected by the pandemic was sleep. 16 , 24 , 25 Different studies evidenced alteration in both sleep quality and quantity. A recent meta-analysis reported a prevalence of 32.2% of sleep disorders among the general population.…”

Section: Introductionmentioning

confidence: 99%

“… 26 During the pandemic, modifications in sleep patterns, such as increased sleep medication use, higher prevalence of insomnia, and a general decrease of perceived sleep quality were reported in association with lifestyle changes due to the confinement. 16 , 24 , 25 . Moreover, sleep disturbances were associated with higher levels of anxiety and depression and a greater incidence of psychiatric disorders.…”

Section: Introductionmentioning

confidence: 99%

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The Coronavirus Pandemic: A Possible Model of the Direct and Indirect Impact of the Pandemic on Sleep Quality in Italians

Casagrande¹,

Forte²,

Tambelli³

et al. 2021

NSS

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Purpose This study aimed to assess the direct and indirect impact of COVID-19-related aspects on self-reported sleep quality, considering the moderator role of some psychological variables. Methods During the first weeks of the lockdown in Italy, 2286 respondents (1706 females and 580 males; age range: 18–74 years) completed an online survey that collected sociodemographic information and data related to the experience with the COVID-19 pandemic. Some questionnaires assessed sleep quality, psychological well-being, general psychopathology, Post-Traumatic Stress Disorders symptoms, and anxiety. The path analysis was adopted. Results The study confirms a direct effect of some aspects ascribable to the pandemic, with a mediator role of the psychological variables. Lower sleep quality was directly related to the days spent at home in confinement and the knowledge of people affected by the COVID-19. All the other aspects related to the COVID-19 pandemic influenced sleep quality through the mediator effect of psychological variables. Conclusion This study highlighted that the psychological condition of the population has been influenced by the COVID-19 pandemic and the government actions taken to contain it, but it has also played an important role in mediating the quality of sleep, creating a vicious circle on people’s health. The results suggest that a health emergency must be accompanied by adequate social support programs to mitigate the fear of infection and promote adequate resilience to accept confinement and social distancing. Such measures would moderate psychological distress and improve sleep quality.

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“… 4 , 5 The major comorbidities of SDB, including obesity, hypertension, cardiovascular diseases, diabetes, and poor sleep quality, are considered to be major risk factors for adverse outcomes of the COVID-19 disease. 6 , 7 China is one of the first nations to experience the early surge and later subsidence of this pandemic in the current stage. As in many other fields, sleep health delivery is resuming gradually to satisfy the ongoing health needs that have been postponed.…”

Section: Introductionmentioning

confidence: 99%

Sleep Disordered Breathing Diagnosis and Treatment During the COVID-19 Pandemic: A Nationwide Survey in China

Zhang¹,

Wang²,

Xiao³

2021

NSS

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Background and Objective:The coronavirus disease 2019 (COVID-19) pandemic has markedly impacted the distribution of medical resources and healthcare delivery systems. The objective of this study was to investigate the influence of the pandemic on the diagnosis and treatment of sleep-disordered breathing (SDB) in China. Methods: A retrospective online survey of sleep centers from the assembly of SDB of the Chinese Thoracic Society was conducted from July 1 to July 20, 2020. The questionnaire focused on four main aspects: 1) general information about the centers; 2) changes in SDB management activities, including patient volumes, diagnostic and positive airway pressure (PAP) titration procedures, and follow-up methods, from February to June 2020, compared with before; 3) the application of telemedicine and sleep specialists' self-assessments of knowledge and their perspectives on telemedicine; and 4) changes in medical staff active in sleep services during the pandemic compared with before. Results: Fifty-three (96%) of the sleep centers responded to the survey. During the early stage of the outbreak, SDB medical services were dramatically reduced to 5-10% of the preepidemic level, and laboratory-based polysomnograms and manual titration were almost cancelled. With the subsidence of COVID-19, SDB medical services gradually resumed to approximately half of the pre-pandemic level by June. However, a second wave of COVID-19 in Beijing significantly reduced the recovery of SDB services. The application of polygraphy has increased significantly. Home-initiated PAP and telemedicine still accounted for a small part of SDB management during the pandemic. Conclusion:The COVID-19 pandemic has greatly challenged SDB management in China. Polygraphy played a major role in SDB diagnosis during the pandemic. Home-based SDB management and telemedicine have not been well implemented. The second surge of COVID-19 in Beijing cut back on the recovering SDB service to the early outbreak level, which may give us an impetus to restructure our sleep health service.

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Sleep problems during the COVID-19 pandemic by population: a systematic review and meta-analysis

Cited by 525 publications

References 67 publications

People with dyssomnia showed increased vulnerability to CoVID-19 pandemic: a questionnaire-based study exploring the patterns and predictors of sleep quality using the latent class analysis technique in Indian population

People with dyssomnia showed increased vulnerability to CoVID-19 pandemic: a questionnaire-based study exploring the patterns and predictors of sleep quality using the latent class analysis technique in Indian population

The Coronavirus Pandemic: A Possible Model of the Direct and Indirect Impact of the Pandemic on Sleep Quality in Italians

Sleep Disordered Breathing Diagnosis and Treatment During the COVID-19 Pandemic: A Nationwide Survey in China

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