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. 2021 Jul 14;91:246–252. doi: 10.1016/j.sleep.2021.07.011

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]