Fourth Department of Internal Medicine, Hippokration General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
ICU, Hippokration General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Curr Psychiatry Rep. 2022 Nov;24(11):635-643. doi: 10.1007/s11920-022-01371-y. Epub 2022 Oct 4.
We reviewed current evidence on the impact of coronavirus disease 2019 (COVID-19) pandemic on sleep of different populations.
Several studies demonstrated that sleep deprivation may cause immune system dysregulation, which deteriorates the course of COVID-19. The increased prevalence of sleep disorders among COVID-19 patients has been associated with more severe disease and worse clinical outcomes. Healthcare workers who were subjected to atypical workload and more nightshifts developed sleep disorders which associated with work-related errors and COVID-19 infection susceptibility. In general population, circadian misalignment and excessive stressors impaired sleep quality. Sleep dysfunction has been recorded due to the pandemic. It is essential to implement interventions in order to alleviate pandemic-related sleep disorders. Telemedicine, cognitive behavioral therapy, and sleep hygiene practices appear to be helpful. Psychotropic medication should be cautiously administered, while other pharmacological agents, such as melatonin, have shown promising results.
本文回顾了新冠疫情对不同人群睡眠的影响的现有证据。
几项研究表明,睡眠剥夺可能导致免疫系统失调,从而使新冠疫情恶化。新冠患者中睡眠障碍的发病率增加与疾病更严重和临床结局更差有关。承受非典型工作量和更多夜班的医护人员出现睡眠障碍,与工作相关的错误和新冠易感性有关。在一般人群中,昼夜节律紊乱和过多的应激源会损害睡眠质量。由于大流行,已经记录到睡眠功能障碍。实施干预措施以减轻与大流行相关的睡眠障碍至关重要。远程医疗、认知行为疗法和睡眠卫生实践似乎有所帮助。应谨慎使用精神药物,而褪黑素等其他药物已显示出有希望的结果。