Insomnia symptoms predict longer COVID-19 symptom duration

Vargas, Iván; Muench, Alexandria; Grandner, Michael; Irwin, Michael R.; Perlis, Michael L.

doi:10.1016/j.sleep.2022.11.019

Cited by 11 publications

(5 citation statements)

References 40 publications

(49 reference statements)

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“…The prevalence of sleep disturbances has increased in more recent surveys, which is consistent with the findings of prospective studies on insomnia symptoms among college students in China [ 36 ] and adults living in the United States [ 37 ]. Most of the included studies were conducted in 2020 and the first half of the year 2021, during the first peak of the pandemic wave.…”

Section: Discussionsupporting

confidence: 76%

Prevalence of sleep disturbances in children and adolescents during COVID-19 pandemic: a meta-analysis and systematic review of epidemiological surveys

Cai,

Chen,

Jin

et al. 2024

Transl Psychiatry

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The COVID-19 pandemic and the ensuing widespread lockdown measures have had a negative impact on the mental health of children and adolescents. We thus conducted a meta-analysis of the worldwide prevalence of sleep disturbances in children and adolescents during the COVID-19 pandemic. We performed a systematic literature search of the major international (PubMed, PsycINFO, Web of Science) and Chinese (Chinese Nation Knowledge Infrastructure (CNKI) and WANFANG) databases from their commencement dates to 27 December 2022. Altogether, 57 articles covering 206,601 participants were included in the meta-analysis. The overall prevalence of sleep disturbances was 34.0% (95% confidence interval (CI): 28–41%). The prevalence of parent-reported sleep disturbances during the COVID-19 pandemic was significantly higher than that of self-reported (p = 0.005) sleep disturbances. Epidemiological studies jointly conducted across Asia and Europe had a higher prevalence of sleep disturbances compared to those conducted in Asia, Europe, America, Oceania, or South America alone (p < 0.001). Children had a significantly higher prevalence of sleep disturbances compared to adolescents alone or a mixed cohort of children and adolescents (p = 0.022). Meta-regression analyses revealed that mean age (p < 0.001), quality evaluation score (p < 0.001), and percentage of men (p < 0.001) showed negative associations, while time of survey (B = 1.82, z = 34.02, p < 0.001) showed a positive association with the prevalence of sleep disturbances. Sleep disturbances were common in children and adolescents during the COVID-19 pandemic.

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Section: Discussionsupporting

confidence: 76%

Prevalence of sleep disturbances in children and adolescents during COVID-19 pandemic: a meta-analysis and systematic review of epidemiological surveys

Cai,

Chen,

Jin

et al. 2024

Transl Psychiatry

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“…The association was stronger for poor sleep quality than for insomnia, and the former was also linked to a higher risk of COVID-19-related hospitalization. Vargas et al [36] confirmed that insomnia may be associated with longer-lasting chronic COVID-19 symptoms. Patients suffering from insomnia at the beginning of the study (62.8%) were more likely to undergo COVID-19 testing than those without insomnia (57.4%).…”

Section: Discussionmentioning

confidence: 96%

Sleep Disturbances as a Consequence of Long COVID-19: Insights from Actigraphy and Clinimetric Examinations—An Uncontrolled Prospective Observational Pilot Study

Tański,

Tomasiewicz,

Jankowska-Polańska

2024

JCM

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The COVID-19 pandemic represents a global health and social challenge. However, the impact of a SARS-CoV-2 infection itself on mental health and sleep quality remains poorly understood. The purpose of the present uncontrolled prospective observational pilot study was to evaluate the impact of past COVID-19 disease on the incidence of quantitative and qualitative sleep disturbances. A group of 61 subjects (37 female, 24 male) reported sleep disturbances that had lasted for at least one month and had started after recovery from COVID-19. The study used self-reported instruments: the Epworth Sleepiness Scale (ESS) and Insomnia Severity Index (ISI), as well as an objective method—actigraphy—for quantitative analysis of sleep architecture. It was shown that sleep disturbances most commonly started after recovery (68.3%, n = 41) and lasted for more than one month (83.6%, n = 51). ESS scores of 7.8 ± 5.0 points indicate moderate daytime sleepiness, and ISI scores of 16.3 ± 5.8 points denote moderate insomnia. ESS scores were negatively correlated with total time in bed (r = −0.3780, p = 0.003), total sleep time (r = −0.2969, p = 0.020), and wakefulness after sleep onset (r = −0.2654, p = 0.039). In addition, ESS scores were correlated negatively with the respondents’ age (B = −0.17, p = 0.000) and time from COVID-19 onset. A positive correlation was found between wakefulness after sleep onset and ESS scores (B = −0.05, p = 0.039). ISI scores were positively correlated with time in bed (r = 0.3275, p = 0.010). Female gender was found to be a significant predictor of insomnia’s severity (B = 2.159, t = 3.04, p = 0.004). In conclusion, patients with a history of COVID-19 report long-lasting sleep disturbances that do not subside spontaneously. In the patient group studied, moderate levels of daytime sleepiness and insomnia were found. The most frequently reported problems included irregular sleep, frequent awakenings, and difficulty maintaining sleep, while normal sleep duration was preserved. These findings underscore the need for continued attention to the long-term consequences of COVID-19 on sleep health and emphasize the importance of targeted interventions to address these enduring sleep disturbances in affected individuals.

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“… 65 Additionally, SARS-CoV-2-positive participants were found to sleep 60·9 min longer than SARS-CoV-2-negative participants, 66 and those with prolonged COVID-19 symptoms were more likely to have insomnia. 67 The International COVID sleep study, involving 16 countries and 13 628 participants, revealed a high prevalence of fatigue (61·3%), insomnia symptoms (49·6%), and excessive daytime sleepiness (35·8%) among individuals with long COVID. 68 Lastly, the COVID-19 pandemic disproportionately affected frontline health-care workers 69 and minoritised racial and ethnic groups, 70 further worsening global sleep health disparities.…”

Section: Consequences Of Sleep Deficiency Are a Threat To Healthmentioning

confidence: 99%

The need to promote sleep health in public health agendas across the globe

Lim,

Najafi,

Afifi

et al. 2023

The Lancet Public Health

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Insomnia symptoms predict longer COVID-19 symptom duration

Cited by 11 publications

References 40 publications

Prevalence of sleep disturbances in children and adolescents during COVID-19 pandemic: a meta-analysis and systematic review of epidemiological surveys

Prevalence of sleep disturbances in children and adolescents during COVID-19 pandemic: a meta-analysis and systematic review of epidemiological surveys

Sleep Disturbances as a Consequence of Long COVID-19: Insights from Actigraphy and Clinimetric Examinations—An Uncontrolled Prospective Observational Pilot Study

The need to promote sleep health in public health agendas across the globe

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