![]() Working from home allows them to maintain a more balanced life, and hence less stress and better sleep. But there are also people who sleep better now than before the pandemic. The intrusive thoughts then make it difficult to fall asleep initially or return to sleep if awakened in the middle of the night. Distraction and other strategies people use to deal with the stress during the day are not helpful when they go to bed at night. In general, worries and anxieties tend to have a negative impact on sleep. ![]() People may worry not only about the disease itself, other health issue that might not be optimally addressed, financial issue, as well as other psychological and interpersonal stressors. The pandemic and related shelter in place measures to mitigate its spread have increase stress levels among many. The two main contributors to potential worsening of sleep are changes in stress levels and changes in sleep behaviors. Is this to be expected, even in those for whom healthy sleep was never an issue?ĭr. We’re hearing and reading about a general increase in reports of disturbed sleep in these times of COVID-19. ![]() Virtual Reality and Immersive Technology (VR-IT) Clinic.THRIVE (therapeutic, healing, resilience, inclusivity, values, empowerment) Clinic.Sports Psychiatry and Sports Psychology Program.Stanford Mental Health for Asians Research and Treatment (SMHART) Clinic.Pediatric Functional Neurological Disorder and Conversion Disorder Clinic.Pediatric Anxiety and Traumatic Stress (PATS) Clinic.Neuroendocrine and Sex Chromosome Variation Clinic.2022 Stanford-UCSF Community Education Day for Psychosis.2021 Stanford-UCSF Community Education Day for Psychosis.The study " Central hypersomnia and chronic insomnia: expanding the spectrum of sleep disorders in long COVID syndrome - a prospective cohort study" was published in BMC Neurology. "Complaints related to sleep, such as insomnia and excessive sleepiness, seem to be part of the clinical post-acute syndrome (long COVID syndrome), composing part of its clinical spectrum, relating to some clinical data," investigators wrote. The team acknowledged a high prevalence of cognitive complaints from patients. The latter was also related to depression. According to the results, 1 patient had narcolepsy, and 2 patients had central hypersomnia.Īdditionally, investigators found that patients with a history of steroid use demonstrated an association with insomnia and excessive sleepiness. Of those who were experiencing excessive sleepiness, 4 patients underwent a polysomnography evaluation, multiple sleep latencies test, and actigraphic data. The marjority of the subgroup (22.2%) reported insomnia, while the remaining 6 (3.17%) reported excessive sleepiness. Results revealed the presence of sleep-related symptoms in 25.3% of patients in the long COVID sample. The Spectrum of Sleep Disorders in Long COVID According to the team, this resulted in a total of N = 139 patients after which, a dropout of 25% was stipulated to compose the final sample, totaling a minimum sample size of 186 patients. In order to factor in the prevalence of insomnia in the general population, which was estimated at 10%, investigators calculated the sample size to discern differences that were statistically significant. In addition to a neurological evaluation to assess the presence of sleep disorders, a more extensive analysis was performed on the subgroup that reported excessive sleepiness.Įvaluations took place at a neurology outpatient clinic in Hospital Universitário Walter Cantídio – Universidade Federal do Ceará in the state of Ceará, northeast Brazil, and occurred between August 2020-September 2021. The prospective cohort study initially included 207 patients with post-COVID symptoms, and 189 of them completed the study. This study honed in on the symptoms related to sleep that these patients encounter.Īlissa Elen Formiga Moura, Hospital Universitário Walter Cantídio, Neurology Service, Universidade Federal do Ceará, Fortaleza, Brazil, and a team of investigators aimed to characterize and evaluate the prevalence of sleep symptoms through clinical evaluation with a neurologist. Some symptoms that have been associated with long COVID include fatigue, dyspnea, chest pain, cognitive disorders, insomnia, and psychiatric disorders. Patients with the syndrome experience symptoms that persist for more than 4 weeks post infection, or the development of sequelae. Up to 32% of patients who have been infected with COVID-19 are affected by long-onset COVID syndrome.
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