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. 2021 Jun 8;12(2):221–241. doi: 10.1007/s13167-021-00245-2

Table 1.

Sleep disorders in the COVID-19 patient cohorts

Author, year Title Sample size (N) Sample (date) Country Study design Data interpretation
Dai, Wang et al., 2020 [52] Anxiety and depressive symptoms among COVID-19 patients in Jianghan Fangcang Shelter Hospital in Wuhan, China 307 Hospitalised COVID-19 patients (February 2020) China Cross-sectional study Prevalence of anxiety, depressive symptoms and poor sleep quality: 18.6%, 13.4% and 84.7%, respectively, poor sleep quality and having two physical symptoms as risk factors for anxiety symptoms (p < 0.05), female sex, cases of COVID-19 in family and two physical symptoms as risk factors for depressive symptoms (p < 0.05)
Jiang, Zhu et al., 2020 [53] Psychological distress and sleep quality of COVID-19 patients in Wuhan, a lockdown city as the epicenter of COVID-19 202 Hospitalised COVID-19 patients (February to March 2020) China Cross-sectional study Gender as an independent predictor for anxiety (p < 0.05) and depression status (p < 0.05), association of lower education levels and little subjective knowledge of COVID-19 with higher depression scores (p < 0.05), association of frequency of contacting with family with lower depression scores (p < 0.05), association of subjective evaluation of disease symptoms and evaluation of medical staff’s attitude with mental distress assessments (p < 0.05), association of age and evaluation of disease symptoms with sleep quality scores (p < 0.05)
Li, Zheng et al., 2020 [54] Rehabilitation needs of the first cohort of post-acute COVID-19 patients in Hubei, China 280 Hospitalised COVID-19 patients (February to March 2020) China Cross-sectional study Main physical dysfunctions displayed by patients: sleep disorders (63.6%), decreased activity endurance (61.4%) and respiratory dysfunction (57.9%), main psychological anxiety (62.1%), fear (50.0%), apathy (41.8%) and depression (40.7%), main rehabilitation demands of patients: exercise guidance (45.0%), dietary instruction (40.4%) and traditional Chinese medicine therapy (39.6%)
Liu, Baumeister et al., 2020 [55] Risk factors associated with mental illness in hospital discharged patients infected with COVID-19 in Wuhan, China 675 Discharged COVID-19 patients (April 2020) China Cross-sectional study Main adverse mental health issue after hospitalisation, sleep disorders; further mental health problems, anxiety (10.4%) and depression (19%); central predictor of mental illness, perceived discrimination associated with the social stigma of COVID-19
Liu, Chen et al., 2020 [56] Effects of progressive muscle relaxation on anxiety and sleep quality in patients with COVID-19 51 Hospitalised COVID-19 patients (January to February 2020) China Randomised controlled clinical trial Progressive muscle relaxation as an effective auxiliary method to reduce anxiety and improve sleep quality in patients with COVID-19
Nalleballe, Reddy Onteddu et al., 2020 [57] Spectrum of neuropsychiatric manifestations in COVID-19 40,469 COVID-19 patients (January to June 2020) USA Cross-sectional study 22.5% patients had neuropsychiatric manifestations. Most common neurologic manifestations, headache (3.7%) and sleep disorders (3.4%), encephalopathy (2.3%), stroke and transient ischemic attack (TIA) (1.0%); most common psychiatric manifestations, anxiety and other related disorders (4.6%) and mood disorders (3.8%)
Vitale, Perazzo et al., 2020 [51] Is disruption of sleep quality a consequence of severe Covid-19 infection? A case-series examination 4 Hospitalised COVID-19 patients in ICU (April to May 2020) Italy Case study Subjective sleep complaints among COVID-19 ICU patients (mean PSQI score of 6.0 ± 1.22) and insufficient duration of sleep (potentially attributed to forced early awakening by medical staff); attenuated sleep quality and disrupted sleep habits might be due to administration of sedative medications needed during mechanical ventilation
Zhang, Xu et al., 2020 [58] Poor-sleep is associated with slow recovery from lymphopenia and an increased need for ICU care in hospitalized patients with COVID-19: A retrospective cohort study 135 Hospitalised COVID-19 patients (January to March 2020) China Retrospective, single-centre cohort study Association between poor sleep quality during hospitalisation in COVID-19 patients with lymphopenia with a slow recovery from lymphopenia (p < 0.05), an increased need for ICU care (p < 0.05) and increased duration of hospital stay (p < 0.05)