Table 1.
The impact of circadian misalignment and sleep difficulties due to the COVID-19 pandemic on the general population and COVID infected patients and proposed interventions.
| Risk group | impact |
intervention |
|||
|---|---|---|---|---|---|
| COVID-19 patients | General population | COVID-19 patients | General population | ||
| Circadian misalignment | Elderly [53] | symptom severity [36] | sleep timing difficulties [38] | melatonin administration [47] | keeping regular sleep timing [37] |
| Night shift workers [46,50] | oscillation of immune components [47] | sleep habit changes [40] | chronopharmacology [47] | exposure to natural daylight [37,38] | |
| Students/youth [39,48] | medication efficacy [36] | regular exercise preferably in daytime [37] | |||
| Health care workers [54] | duration prolongation [36,47] | delaying sleep time in schoolers [55] | |||
| Sleep difficulties | COVID-19 patients [36] | duration prolongation [36,47] | higher rate of sleep disorders [[56], [57], [58], [59]] | progressive muscle relaxation [60] | CBT-I behavioral recommendations [37] |
| Health care workers [54,61] | delayed recovery [47,62] | anxiety and depression [4,63,64] | treatment time based on patients' internal clock [47] | regular daytime napping [65] | |
| Children/infants [52] | higher rate of depressed mood [66] | learning and working efficacy [65] | mindfulness techniques for child caregivers [52] | ||
| Students [67,68] | diagnosis [62] | cognitive decline [10,53] | |||