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. 2025 May 26;13(11):1255. doi: 10.3390/healthcare13111255

Table 2.

Group DSQ item composite score means by symptom domain.

Sleep Reversal No Sleep Reversal
Symptom Domain (N = 327) (N = 1986) p-Value
Symptom M (SD) M (SD)
Sleep
Unrefreshing Sleep 86.9 (15.1) 74.7 (20.9) <0.01
Needing to Nap 69.2 (27.5) 53.3 (30.5) <0.01
Difficulty Falling Asleep 75.1 (26.3) 54.2 (30.7) <0.01
Difficulty Staying Asleep 69.4 (28.9) 54.4 (30.6) <0.01
Waking up Early 59.0 (33.2) 47.0 (31.6) <0.01
Sleep Reversal 66.3 (15.6) 9.04 (15.8) <0.01
PEM <0.01
Heavy Feeling 75.9 (25.8) 65.6 (28.7) <0.01
Mental Fatigue 74.1 (22.3) 62.0 (25.3) <0.01
Minimum Exercise 82.2 (18.6) 71.4 (23.9) <0.01
Feeling Drained 77.4 (20.4) 67.2 (25.2) <0.01
Fatigue 86.0 (13.8) 76.9 (17.8) <0.01
Muscle Weakness 70.7 (25.8) 57.3 (29.1) <0.01
Neurocognitive <0.01
Difficulty Remembering 72.1 (25.1) 59.5 (26.6) <0.01
Trouble Paying Attention 75.4 (24.4) 65.9 (25.8) <0.01
Trouble Forming Words 68.8 (24.6) 57.2 (26.1) <0.01
Difficulty Understanding 56.2 (26.4) 44.9 (27.1) <0.01
Difficulty Focusing 71.5 (25.0) 60.8 (28.4) <0.01
Slowness of Thought 64.8 (26.6) 54.2 (27.3) <0.01
Sensitivity to Noise 65.1 (28.4) 53.2 (29.5) <0.01
Sensitivity to Light 63.4 (27.9) 48.7 (31.1) <0.01
Sensitivity to Smells 55.3 (34.2) 42.2 (34.0) <0.01
Unable to Focus Vision 59.4 (28.1) 46.0 (27.6) <0.01
Loss of Depth Perception 33.2 (31.9) 21.1 (28.1) <0.01
Twitching 50.7 (29.9) 31.3 (25.8) <0.01
Absent Mindedness 67.9 (26.3) 54.4 (27.2) <0.01
Immune <0.01
Sore Throats 47.3 (26.9) 35.4 (26.1) <0.01
Lymph Nodes 45.5 (30.4) 33.7 (28.7) <0.01
Fever 27.3 (26.6) 17.6 (22.5) <0.01
High Temperature 45.8 (29.8) 28.1 (28.0) <0.01
Flu 56.1 (27.7) 44.6 (28.1) <0.01
Neuroendocrine <0.01
Cold Limbs 59.1 (29.5) 49.7 (30.4) <0.01
Chills 43.8 (27.6) 31.7 (27.1) <0.01
Feeling Hot/Cold 62.2 (28.0) 43.7 (28.4) <0.01
Night Sweats 47.9 (29.8) 30.6 (28.8) <0.01
Sweating Hands 29.5 (31.2) 12.4 (22.8) <0.01
Weight Change 49.4 (35.1) 32.3 (33.6) <0.01
Loss of Appetite 39.4 (27.4) 23.2 (24.9) <0.01
Low Temperature 36.9 (30.5) 25.3 (28.4) <0.01
Pain <0.01
Muscle Pain 75.8 (24.1) 62.9 (27.6) <0.01
Headaches 57.5 (25.6) 47.5 (26.4) <0.01
Eye Pain 45.1 (29.1) 30.0 (28.1) <0.01
Soreness 80.7 (17.9) 69.5 (23.4) <0.01
Joint Pain 70.2 (28.3) 52.4 (32.0) <0.01
Gastrointestinal <0.01
Bloating 52.0 (29.7) 39.2 (28.9) <0.01
Bladder Issues 44.2 (33.5) 30.6 (31.8) <0.01
Sensitivity to Alcohol 39.6 (37.6) 36.3 (36.3) 0.22
Stomach Pain 50.2 (27.9) 37.3 (28.2) <0.01
Irregular Bowels 52.6 (33.3) 41.7 (33.3) <0.01
Orthostatic <0.01
Nausea 38.8 (26.4) 29.0 (25.8) <0.01
Chest Pain 38.1 (27.9) 24.1 (25.1) <0.01
Feeling Unsteady 57.9 (29.8) 40.2 (27.9) <0.01
Shortness of Breath 50.2 (29.0) 35.7 (27.7) <0.01
Dizziness 47.3 (27.5) 34.9 (26.4) <0.01

DSQ item composite scores for all symptom domains were determined to be significantly higher in the Sleep Reversal group than the No Sleep Reversal Group (except for the symptom of alcohol sensitivity) using two-sample independent t-tests at the p < 0.01 level.