Alimoradi Zainab, Broström Anders, Tsang Hector W H, Griffiths Mark D, Haghayegh Shahab, Ohayon Maurice M, Lin Chung-Ying, Pakpour Amir H
Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden.
EClinicalMedicine. 2021 Jun;36:100916. doi: 10.1016/j.eclinm.2021.100916. Epub 2021 Jun 10.
The emerging novel coronavirus disease 2019 (COVID-19) has become one of the leading cause of deaths worldwide in 2020. The present systematic review and meta-analysis estimated the magnitude of sleep problems during the COVID-19 pandemic and its relationship with psychological distress.
Five academic databases ( and ) were searched. Observational studies including case-control studies and cross-sectional studies were included if relevant data relationships were reported (i.e., sleep assessed utilizing the Pittsburgh Sleep Quality Index or Insomnia Severity Index). All the studies were English, peer-reviewed papers published between December 2019 and February 2021. PROSPERO registration number: CRD42020181644.
168 cross-sectional, four case-control, and five longitudinal design papers comprising 345,270 participants from 39 countries were identified. The corrected pooled estimated prevalence of sleep problems were 31% among healthcare professionals, 18% among the general population, and 57% among COVID-19 patients (all -values < 0.05). Sleep problems were associated with depression among healthcare professionals, the general population, and COVID-19 patients, with Fisher's Z scores of -0.28, -0.30, and -0.36, respectively. Sleep problems were positively (and moderately) associated with anxiety among healthcare professionals, the general population, and COVID-19 patients, with Fisher's z scores of 0.55, 0.48, and 0.49, respectively.
Sleep problems appear to have been common during the ongoing COVID-19 pandemic. Moreover, sleep problems were found to be associated with higher levels of psychological distress. With the use of effective programs treating sleep problems, psychological distress may be reduced. Vice versa, the use of effective programs treating psychological distress, sleep problems may be reduced.
The present study received no funding.
2019年新型冠状病毒病（COVID-19）已成为2020年全球主要死因之一。本系统评价和荟萃分析估计了COVID-19大流行期间睡眠问题的严重程度及其与心理困扰的关系。
检索了五个学术数据库（以及）。如果报告了相关数据关系（即使用匹兹堡睡眠质量指数或失眠严重程度指数评估睡眠），则纳入包括病例对照研究和横断面研究在内的观察性研究。所有研究均为2019年12月至2021年2月发表的英文同行评审论文。PROSPERO注册号：CRD42020181644。
共识别出168篇横断面、4篇病例对照和5篇纵向设计论文，涉及来自39个国家的345270名参与者。医护人员中睡眠问题的校正合并估计患病率为31%，普通人群中为18%，COVID-19患者中为57%（所有 -值<0.05）。睡眠问题与医护人员、普通人群和COVID-19患者的抑郁相关，Fisher's Z分数分别为-0.28、-0.30和-0.36。睡眠问题与医护人员、普通人群和COVID-19患者的焦虑呈正（且中等程度）相关，Fisher's z分数分别为0.55、0.48和0.49。
在当前的COVID-19大流行期间，睡眠问题似乎很常见。此外，发现睡眠问题与更高水平的心理困扰相关。通过使用有效的治疗睡眠问题的方案，可能会减轻心理困扰。反之，使用有效的治疗心理困扰的方案，可能会减少睡眠问题。
本研究未获得资金支持。
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