Prevalence of Insomnia in the Early Post-COVID-19 Recovery Period

Pudło, Robert; Jaworska, Izabela; Szczegielniak, Anna; Niedziela, Jacek; Kułaczkowska, Zofia; Nowowiejska‐Wiewióra, Alicja; Jaroszewicz, Jerzy; Gąsior, Mariusz

doi:10.3390/ijerph192114224

Cited by 9 publications

(8 citation statements)

References 36 publications

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“…They concluded that the prevalence of insomnia in the early post-COVID19 recovery period was quite high, with one in five having the clinical criteria for the diagnosis. Another important finding was that persistent COVID-19 symptoms were positively correlated with the development of insomnia to a greater extent than the number of symptoms observed in the acute phase of the disease [14]. In our study, we did not include information regarding the persistence of COVID-19 symptoms to verify if there are links between "Long COVID" syndrome and altered sleep quality.…”

Section: Discussionmentioning

confidence: 89%

Sleep Quality Aspects in Post-COVID-19 Patients

Munteanu,

Marc,

Gheorghevici

et al. 2023

JPM

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In this observational cohort study, sleep quality in post-COVID-19 patients was assessed using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. This study aimed to examine aspects of sleep quality in patients who have undergone SARS-CoV-2 infection and if there is a pattern of progression or regression over time (6 months). We also observed and analyzed the results in order to identify any possible links between the severity of COVID-19 and sleep quality as measured by the PSQI questionnaire. The study group consisted of 65 adult patients with confirmed SARS-CoV-2 infection who were referred to a pulmonologist for evaluation. Sleep quality was impacted at a high rate in post-COVID-19 patients, quantified by a PSQI score ≥5. Out of 65 patients, 51% of them had scores greater than or equal to 5. Sleep was subjectively reported as unsatisfactory predominantly in mild and moderate COVID-19 patients. According to the PSQI score and a 6-month follow-up, many patients presented persistency in poor sleep quality. Investigation and individualized treatment of sleep disorders in post-COVID-19 patients should be part of the routine pneumological control, as improvement in sleep quality has an impact not only on the health but also on the psychological state of patients. Educating patients about the importance of sleep and sleep quality impairment should be a primary concern.

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Section: Discussionmentioning

confidence: 89%

Sleep Quality Aspects in Post-COVID-19 Patients

Munteanu,

Marc,

Gheorghevici

et al. 2023

JPM

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“…When comparing the AIS results of men and women, the latter scored higher. A significant sex difference was also found when comparing individual questions: women had worse rates of total sleep duration, well-being, physical and mental readiness the following day, and sleepiness during the day [ 21 ].…”

Section: Resultsmentioning

confidence: 99%

“…However, we did not find a single risk factor identified by several studies, underlying the need for expanding research on sex differences and insomnia. The risk factors that we considered include very different aspects: cerebrovascular and cardiometabolic factors, infections, and shift work [ 19 , 20 , 21 ]. One of the risk factors increasing the occurrence of insomnia is ischemic stroke.…”

Section: Discussionmentioning

confidence: 99%

Sex Differences in Insomnia and Circadian Rhythm Disorders: A Systematic Review

Pajėdienė,

Urbonavičiūtė,

Ramanauskaitė

et al. 2024

Medicina

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Insomnia and circadian rhythm disorders are increasingly common in modern society and lead to significant challenges for people’s health and well-being. Some studies suggests that men and women differ in neurohormonal secretion, biological processes, and brain morphology. Thus, such differences may affect the etiology, manifestation, and course of sleep disorders, including insomnia and circadian rhythm. This systematic review aims to synthesize the existing literature on sex differences in insomnia and circadian rhythm disorders. PubMed, MEDLINE, Epistemonikos, and Cochrane databases were searched for articles published from inception until 5 September 2023, not older than five years. We performed a systematic search using MESH and non-MESH queries: (sex differences) or (male and female differences) or (men and women differences) or (men and women) AND (insomnia) or (sleep wake disorder*) or (sleep wake rhythm disorder*) or (circadian rhythm disorder*) or (sleep cycle disruption) or (sleep cycle disorder*). Out off 2833 articles screened, 11 studies were included. The prevalence of insomnia is higher among women, and their sleep is more regular and stable compared to men. Studies evaluating the impact of the stressful situation associated with the lockdown on women’s and men’s insomnia present discordant results concerning sex differences. Women’s circadian rhythm was found to be more stable and less fragmented than men’s. However, the progression of peak activity time with age was more pronounced in men. The current literature suggests that risk factors for insomnia and circadian rhythm disorders affect men and women differently. These include cerebrovascular and cardiometabolic factors, shift work, and infections. The long-term effects of insomnia seem to be more relevant for the male sex, shortening lifespan more than in women. By summarizing and analyzing existing studies, we highlight the need for further research to improve understanding of the interaction between sex and sleep.

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“…Immune system activation can result in disturbed sleep patterns, and conversely, abnormal sleep patterns can alter immune system efficacy. For example, observations have been reported linking COVID-19 to increased sleep disturbance and lower sleep quality ( 8 , 9 ). Chronic fatigue is also a common PASC-CVS symptom ( 8 , 9 ).…”

mentioning

confidence: 99%

“…For example, observations have been reported linking COVID-19 to increased sleep disturbance and lower sleep quality ( 8 , 9 ). Chronic fatigue is also a common PASC-CVS symptom ( 8 , 9 ). However, lower sleep duration has also been correlated with a greater risk of COVID-19 infection ( 10 ).…”

mentioning

confidence: 99%