Perceived risk of COVID‐19 exposure and poor COVID‐19 prognosis impair sleep: The mediating and moderating roles of COVID‐19‐related anxiety and knowledge

Zerbini, Giulia; Taflinger, Shannon; Reicherts, Philipp; Kunz, Miriam; Sattler, Sebastian

doi:10.1111/jsr.13569

Cited by 14 publications

(14 citation statements)

References 50 publications

(56 reference statements)

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“…Several possible causes for disturbed sleep in post‐COVID syndrome have been discussed. These include stress and anxiety caused by the social consequences of the pandemic [15]. Fernández‐de‐las‐Peñas et al.…”

Section: Discussionmentioning

confidence: 99%

“…Several possible causes for disturbed sleep in post-COVID syndrome have been discussed. These include stress and anxiety caused by the social consequences of the pandemic [15]. Fernández-de-las-Peñas et al [7] showed an association between anxiety and depression scores and sleep quality measured by the PSQI in patients with post-COVID syndrome.…”

Section: Sleep and Covid-19mentioning

confidence: 99%

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Undiagnosed obstructive sleep apnea syndrome as a treatable cause of new‐onset sleepiness in some post‐COVID patients

Menzler,

Mayr,

Knake

et al. 2023

Euro J of Neurology

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Background and purposeInfection with COVID‐19 can lead to persistent sequelae, such as fatigue, daytime sleepiness or disturbed sleep, that can remain for more than 12 weeks and that are summarized as post‐COVID syndrome. The causes remain unclear. The present study investigated the presence of sleep disorders in patients with post‐COVID syndrome using polysomnography.MethodsThirty‐four patients with post‐COVID syndrome and new‐onset fatigue and sleepiness after a SARS‐CoV2 infection underwent polysomnography in accordance with American Association of Sleep Medicine (AASM) standards as part of their clinical workup. Analysis was performed visually based on AASM criteria (scoring manual version 2.6, 2020).ResultsPolysomnography revealed a sleep efficiency of <80% in 50% of patients and a mean respiratory disturbance index (RDI) of 9.9 ± 15.4/h. Excluding central apneas, 12 patients (35%) had an RDI of ≥5/h, pointing to obstructive sleep apnea syndrome (OSAS; AASM 2014). Patients with a high RDI were significantly older (p = 0.01) and showed a trend towards a higher body mass index (p = 0.08) than patients with a normal RDI but had no other risk factors for OSAS. Six patients agreed to long‐term treatment of their OSAS and all reported discontinuation of daytime symptoms.ConclusionsPost‐COVID symptoms such as daytime sleepiness, fatigue and memory and concentration problems may in part be a result of reduced sleep efficiency and sleep apnea in a relevant percentage of patients. This possibly treatable cause of the symptoms should be kept in mind in patients presenting with post‐COVID syndrome.

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Section: Discussionmentioning

confidence: 99%

Section: Sleep and Covid-19mentioning

confidence: 99%

Undiagnosed obstructive sleep apnea syndrome as a treatable cause of new‐onset sleepiness in some post‐COVID patients

Menzler,

Mayr,

Knake

et al. 2023

Euro J of Neurology

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“…65 With the impact of the COVID-19 pandemic on negative affect and bedtime procrastination of Chinese college students, the present findings supported these suggestions from the literature and highlight that the COVID-19 outbreak is a common risk factor for mental health and sleep problems across different populations and contexts. 14,[66][67][68][69] The Relationship Between COVID-19 Related Emotional Stress and Bedtime Procrastination First, the study found that COVID-19 related emotional stress was related to bedtime procrastination. It was consistent with existing research, indicating that lockdown was associated with later bedtime across different continents.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Related Emotional Stress and Bedtime Procrastination Among College Students in China: A Moderated Mediation Model

Deng¹,

Ye²,

Yang³

2022

NSS

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Although bedtime procrastination is prevalent during the COVID-19 pandemic, little is known about the relationship between COVID-19 related emotional stress and bedtime procrastination. Therefore, we investigated the correlation between COVID-19 related emotional stress and bedtime procrastination and examined the mediating role of negative affect and the moderating role of rumination among Chinese college students. Methods: A multicenter, cross-sectional, and quantitative research was conducted in China from August 11, 2021, to August 27, 2021, during the COVID-19 pandemic. The sampling method used in the study is the convenience sampling method. A total of 913 college students (aged 18-24 years) participated and completed online self-reported questionnaires. Their levels of COVID-19 related emotional stress, negative affect, rumination, and bedtime procrastination were measured by the Coronavirus Stress Measure, the Depression Anxiety Stress Scale, the Ruminative Responses Scale, and the Bedtime Procrastination Scale, respectively. The data were analyzed using Pearson correlations and moderated mediation analysis. Results: COVID-19 related emotional stress was positively associated with bedtime procrastination. Meanwhile, the association could be mediated by negative affect (Effect = 0.33, Boot 95% CI = [0.26, 0.39]) and moderated by rumination (Effect = 0.05, Boot 95% CI = [0.03, 0.07]) through its moderation in the link between COVID-19 related emotional stress and negative affect. This indicated that the mediation effect of negative affect was stronger in college students with high levels of rumination than in those with low levels of rumination. Conclusion:The findings of this study shed light on a correlation between COVID-19 related emotional stress and bedtime procrastination. Moreover, this study suggests that interventions could be targeted at alleviating negative affect and rumination to reduce the bedtime procrastination of college students with high levels of COVID-19 related emotional stress.

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“…All items are divided into two dimensions, sleep problems, and daytime functioning, and can be calculated for both subscales and the total scale score, with higher scores indicating more severe sleep quality problems ( Sattler, Seddig & Zerbini, 2021 ). The scale has been used in studies of sleep related to COVID-19 and has demonstrated good utilization ( Zerbini et al, 2022 ). The Chinese version of the questionnaire used by the participants consists of six items, constituting the two dimensions.…”

Section: Methodsmentioning

confidence: 99%

Psychological changes in athletes infected with Omicron after return to training: fatigue, sleep, and mood

Tan

Wang

Cao

et al. 2023

PeerJ

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Background This study aims to analyze the changes of approximately 1 month in fatigue, sleep, and mood in athletes after returning to training following infection with the COVID-19 Omicron strain and provide recommendations for returning to training after infection. Methods Two hundred and thirty professional athletes who had returned to training after being infected with COVID-19 in December 2022 were recruited to participate in three tests conducted from early January 2023. The second test was completed approximately 1 week after the first, and the third was completed about 2 weeks after the second. Each test consisted of completing scales and the exercise-induced fatigue measure. The scales included a visual analog scale, the Athens Insomnia Scale for non-clinical application, and the Depression-Anxiety-Stress scale. The exercise task was a six-minute stair climb test, and athletes evaluated subjective fatigue levels before and after exercise using another Visual Analog Scale and the Karolinska Sleepiness Scale. Results After returning to training, athletes’ physical fatigue decreased initially but increased as training progressed. Cognitive fatigue did not change significantly. The exercise task led to elevated levels of physical fatigue after a longer duration of training. Sleep quality problems decreased rapidly after the start of training but remained stable with prolonged training. Depression levels continued to decline, while anxiety levels only reduced after a longer duration of training. Stress levels decreased rapidly after the start of training but did not change with prolonged training. Conclusion Athletes who return to training after recovering from COVID-19 experience positive effects on their fatigue, sleep, and mood. It is important to prioritize anxiety assessment and interventions during the short period after returning and to continue monitoring fatigue levels and implementing recovery interventions over a longer period of time.

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Perceived risk of COVID‐19 exposure and poor COVID‐19 prognosis impair sleep: The mediating and moderating roles of COVID‐19‐related anxiety and knowledge

Cited by 14 publications

References 50 publications

Undiagnosed obstructive sleep apnea syndrome as a treatable cause of new‐onset sleepiness in some post‐COVID patients

Undiagnosed obstructive sleep apnea syndrome as a treatable cause of new‐onset sleepiness in some post‐COVID patients

COVID-19 Related Emotional Stress and Bedtime Procrastination Among College Students in China: A Moderated Mediation Model

Psychological changes in athletes infected with Omicron after return to training: fatigue, sleep, and mood

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