Comparison of sleep quality among COVID-19 patients and non-COVID-19 population in Pakistan: A cross sectional study during the COVID-19 pandemic

Malik, Muna; Atiq, Ayesha; Tahir, Muhammad Junaid; Akhtar, Fahd Kamal; Malik, Muhammad Irfan; Hassan, Wardah; Khan, Fatima; Akram, Iqra; Manha, Noraiz; Ullah, Irfan; Asghar, Muhammad Sohaib

doi:10.1016/j.amsu.2022.103894

Cited by 4 publications

(6 citation statements)

References 29 publications

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“…Furthermore, they had worse subjective sleep quality. These results are similar to those published by Malik et al, (2022) , but they only showed significant differences in sleep disturbances, daytime dysfunction and the use of sleep medications. Chhajer and Shukla also found significant differences in all PSQI components except for sleep duration and sleep efficiency ( Chhajer and Shukla 2022 ).…”

Section: Discussionsupporting

confidence: 91%

“…In general, the PSQI global score in the majority of the studies is above 5 points, which indicates poor quality of sleep. Malik et al, (2022) found that the PSQI global score in COVID-19-positive participants was 6.96 (SD 3.770) while that in COVID-19-negative participants was 5.82 (SD 3.38), which was statistically significant. In our sample, the results for the HCs were quite similar, with a PSQI global score of 5.43 (SD 3.27), but in COVID-19 patients, the scores were slightly higher, ranging from 8.04 to 9.13, which is closer to the results of Al-Meri et al, who found a PSQI global score of 8.77 in PCC patients ( Al-Ameri et al 2022 ).…”

Section: Discussionmentioning

confidence: 77%

“…Furthermore, this relationship between mental health problems and sleep quality has been proven in many countries, such as China ( Hu et al, 2020 ; Zhang et al, 2020 ), Greece ( Voitsidis et al, 2020 ), Italy ( Cellini et al, 2020 ), France ( Kokou-Kpolou et al, 2020 ), Iraq ( Al-Ameri et al 2022 ), and Iran ( Karimi et al 2022 ). Malik et al did not analyse anxiety or depression as a predictor of poor quality of sleep, but they did show that female sex and a primary education level were significant risk factors for poorer quality of sleep ( Malik et al, 2022 ). Hu et al also showed that female sex was a robust risk factor for insomnia, anxiety and depression ( Hu et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

“…A second group of studies focused on sleep disturbances in COVID-19 patients. All of these studies concluded that COVID-19 patients had poorer sleep quality, both subjects who had been hospitalized ( Akıncı and Melek Başar 2021 ; Samushiya et al, 2022 ; Al-Ameri et al 2022 ; Tanriverdi et al, 2022 ) and those who had not ( Karimi et al 2022 ; Malik et al, 2022 ). Only a few studies differentiated the effects regarding the severity of COVID-19, such as that by Chhajer et al ( Chhajer and Shukla 2022 ), which showed a poorer quality of sleep in the severe COVID-19 group (intensive care unit (ICU) admission).…”

Section: Introductionmentioning

confidence: 99%

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Sleep quality in individuals with post-COVID-19 condition: Relation with emotional, cognitive and functional variables

Carnes-Vendrell,

Piñol-Ripoll,

Ariza

et al. 2024

Brain, Behavior, & Immunity - Health

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Sleep quality in individuals with post-COVID-19 condition: Relation with emotional, cognitive and functional variables

Carnes-Vendrell,

Piñol-Ripoll,

Ariza

et al. 2024

Brain, Behavior, & Immunity - Health

View full text Add to dashboard Cite

“…and non-COVID-19 population supported our results, which found significant differences in daytime dysfunction rather than nocturnal symptoms including sleep latency, sleep duration, and sleep efficacy between the two groups(36).Further large-scale studies in COVID-19 survivors were needed to verify our findings. In addition, daytime dysfunction and other sleep-related symptoms such as low sleep quality displayed substantial negative associations with QOL, which was in line with the study of Bai et al (37) among Macau residents during the COVID-19 pandemic.…”

supporting

confidence: 84%

A network analysis of the long-term quality of life and mental distress of COVID-19 survivors 1 year after hospital discharge

Peng

Wang

et al. 2023

Front. Public Health

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ObjectivesCOVID-19 survivors suffer from persistent mental distress and impaired quality of life (QOL) after recovery from the infection. However, the symptom-symptom interaction between these psychological variables remained unexplored. The present study aimed to determine the symptom network of mental distress (depression, anxiety, sleep disturbance, fatigue, and post-traumatic stress disorder) and their association with QOL among 535 COVID-19 survivors 1 year after hospital discharge.Methods9-item Patient Health Questionnaire, 7-item Generalized Anxiety Disorder Scale, Chalder fatigue scale, Impact of Event Scale-Revised, Pittsburgh Sleep Quality Index, and 36-Item Short-Form Health Survey were applied to measure depression, anxiety, fatigue, PTSD, sleep disturbances, and QOL, respectively. Two networks were estimated using Gaussian graphical model. Network 1 consisted of mental symptoms to determine the central and bridge symptoms. Network 2 additionally included QOL to determine which mental symptoms were mostly related to QOL.Results60% of the COVID-19 survivors experienced mental distress 1 year after hospital discharge. Uncontrollable and excessive worry, psychomotor symptoms, intrusion, and daytime dysfunction were the most central symptoms. Daytime dysfunction and fatigue (especially mental fatigue and loss of energy) served as the bridge symptoms across the mental distress network and exhibited the most substantial association with QOL.ConclusionOur study demonstrated several key symptoms that played a vital role in mental distress and QOL among COVID-19 survivors. Prompt screening and targeted interventions for these symptoms might hold great promise in preventing mental distress and improving QOL in COVID-19 survivors.

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Poor sleep quality may trigger cognitive deficits after recovery from COVID-19

Carnes-Vendrell,

Piñol-Ripoll,

Ariza

et al. 2024

Front. Psychol.

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ObjectiveIn the present study, we aimed to assess the cognition of post-COVID-19 condition (PCC) participants in relation to their subjective sleep quality (Pittsburgh Sleep Quality Index, PSQI) and to analyse possible moderators of this effect, such as quality of life (European Quality of Life-5 Dimensions, EQ-5D), fatigue (Chadler Fatigue Questionnaire, CFQ), cognitive reserve (Cognitive Reserve Questionnaire, CRC), and subjective cognitive complaints (Memory Failures of Everyday Questionnaire, MFE-30).MethodsWe included 373 individuals with PCC and 126 healthy controls (HCs) from the NAUTILUS Project (NCT05307549 and NCT05307575) who were assessed with a comprehensive neuropsychological battery and various questionnaires.ResultsWe found that PCC participants with poor sleep quality had a 4.3% greater risk of immediate verbal memory deficits than those with good sleep quality, as indicated by the greater odds ratio (OR) of 1.043 and confidence interval (CI) of 1.023–1.063. Additionally, their risk of immediate verbal memory disorders was multiplied by 2.4 when their EQ-5D score was low (OR 0.33; CI 0.145–0.748), and they had a lower risk of delayed visual memory deficits with a greater CRC (OR 0.963; CI 0.929–0.999). With respect to processing speed, PCC participants with poor sleep quality had a 6.7% greater risk of deficits as the MFE increased (OR 1.059; CI 1.024–1.096), and the risk of slowed processing speed tripled with a lower EQ-5D (OR 0.021; CI 0.003–0.141).ConclusionThese results indicate that poor subjective sleep quality is a potential trigger for cognitive deficits. Therapeutic strategies to maximize sleep quality could include reducing sleep disturbances and perhaps cognitive impairment in PCC individuals.

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Comparison of sleep quality among COVID-19 patients and non-COVID-19 population in Pakistan: A cross sectional study during the COVID-19 pandemic

Cited by 4 publications

References 29 publications

Sleep quality in individuals with post-COVID-19 condition: Relation with emotional, cognitive and functional variables

Sleep quality in individuals with post-COVID-19 condition: Relation with emotional, cognitive and functional variables

A network analysis of the long-term quality of life and mental distress of COVID-19 survivors 1 year after hospital discharge

Poor sleep quality may trigger cognitive deficits after recovery from COVID-19

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