Insomnia symptoms during the early and late stages of the COVID-19 pandemic in China: a systematic review and meta-analysis
| Autor: | Maria Basta, Zhuoting Hong, Yun Li, Qimeng Sun, Qingsong Qin, Baixin Chen, Yanyuan Dai, Xiangdong Tang |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
China
ISI Insomnia Severity Index Pediatrics medicine.medical_specialty Insomnia PSQI Pittsburgh Sleep Quality Index MERS Middle East Respiratory Syndrome Population Disease Anxiety SARS Severe Acute Respiratory Syndrome Sleep Initiation and Maintenance Disorders CNKI China National Knowledge Infrastructure Pandemic Prevalence medicine Humans education Adverse effect Pandemics Depression (differential diagnoses) 2019-nCoV/SARS-CoV-2 2019 Novel Coronavirus education.field_of_study AIS Athens Insomnia Scale Depression business.industry COVID-19 General Medicine CI Confidence Interval SRSS Self-Rating Scale of Sleep COVID-19 Coronavirus Disease 2019 Meta-analysis Chronic Disease Original Article AHRQ Agency for Healthcare Research and Quality medicine.symptom Sleep business |
| Zdroj: | Sleep Medicine |
| ISSN: | 1389-9457 |
| DOI: | 10.1016/j.sleep.2021.09.014 |
| Popis: | Background Evidence suggests that the outbreak of the coronavirus disease 2019 (COVID-19) and the prevention/control measures for COVID-19 may cause insomnia during the acute phase of COVID-19 pandemic in China. However, it is unclear whether insomnia sustains during the later phases of the pandemic. Methods We searched PubMed/Medline, EMBASE, PsycINFO and China National Knowledge Infrastructure from the 27th December 2019 to the 2nd February 2021. As early stage studies on COVID-19 pandemic in China were defined as those conducted prior to April 1st, 2020, while late stage studies were those conducted after April 1st, 2020. Results A total of 98 studies with 193,889 participants were included. The pooled prevalence of insomnia symptoms among all populations was 39.1% (95% CI 36.2–42.0%); the pooled prevalence of insomnia symptoms during the early and late stages of COVID-19 in China were 37.0% (95% CI 34.1–39.9%) and 41.8% (95% CI 33.6–50.0%), respectively. Importantly, there was no significant difference regarding the prevalence of insomnia symptoms between the early and late stages of COVID-19. Meta-regression showed that healthcare workers, COVID-19 patients, patients with chronic medical conditions and patients with mental disorders had a higher prevalence of insomnia symptoms compared to the general population. This association remained significant in healthcare workers and patients with chronic medical conditions after adjusting for age, gender, areas of high or low prevalence of COVID-19 cases, anxiety and depression. Conclusions Over one third of our sample present insomnia symptoms during the early stage of COVID-19 pandemic in China. Interestingly, prevalence of insomnia symptoms sustains high during the late stage of the pandemic despite the control of the disease and the amelioration of its adverse effects. Our findings suggest that insomnia symptoms related to COVID-19 appear to persist of over time. |
| Databáze: | OpenAIRE |
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