O'Regan David, Jackson Melinda L, Young Allan H, Rosenzweig Ivana
Sleep Disorders Centre, Guy's and St Thomas' Hospital, GSTT NHS, London, UK.
Faculty of Life and Sciences Medicine, King's College London, London, UK.
Nat Sci Sleep. 2021 Nov 11;13:2053-2064. doi: 10.2147/NSS.S266240. eCollection 2021.
The uncertain, ever-changing and an ongoing nature of the COVID-19 pandemic means that it may take some time before we can fully appreciate the negative effect of the pandemic and lockdown on our sleep and mental health. It is increasingly recognised that in the aftermath of pandemic, several persistent sleep, neuropsychiatric and physical sequelae may continue long after the pandemic is over. A body of evidence to date also highlights a significant disparity in sleep and mental health difficulties in specific vulnerable groups in the community, with different temporal profiles and sleep issues that are reported. In this perspective, we argue for a possible mechanistic impact of the COVID-19 pandemic, with its imposed restrictions and social isolation on sleep quality. We similarly discuss some of the potential international differences, as well as similarities, behind reported idiosyncratic biological vulnerabilities that may have contributed to the genesis of sleep issues. Lastly, we propose some possible implementations and innovations that may be needed in restructuring of sleep disorders services in order to benefit recovering COVID-19 patients.
新冠疫情具有不确定性、不断变化且持续存在的特点，这意味着我们可能需要一段时间才能充分认识到疫情和封锁对我们睡眠及心理健康的负面影响。人们越来越认识到，在疫情之后，即使疫情结束很久，一些持续存在的睡眠、神经精神和身体后遗症可能仍会持续。迄今为止的一系列证据还凸显了社区中特定弱势群体在睡眠和心理健康问题上存在显著差异，报告的时间模式和睡眠问题各不相同。从这个角度来看，我们认为新冠疫情及其实施的限制措施和社会隔离对睡眠质量可能产生机制性影响。我们同样讨论了一些潜在的国际差异以及相似之处，这些差异和相似之处存在于所报告的可能导致睡眠问题产生的特殊生物脆弱性背后。最后，我们提出了一些在重组睡眠障碍服务方面可能需要的实施方法和创新举措，以便让康复中的新冠患者受益。
