Prevalence of poor sleep quality in COVID-19 patients: a systematic review and meta-analysis

Zhen Gui, Yue Ying Wang, Jia Xin Li, Xiao Hong Li, Zhaohui Su, Teris Cheung, Ka In Lok, Gabor S. Ungvari, Chee H. Ng, Qinge Zhang, Yu Tao Xiang

Research output: Contribution to journalReview articlepeer-review

Abstract

Objective: The coronavirus disease (COVID-19) and the public health responses were associated with a huge health burden, which could influence sleep quality. This meta-analysis and systematic review examined the prevalence of poor sleep quality in COVID-19 patients. Methods: PubMed, Web of Science, Embase, and PsycINFO were systematically searched from their respective inception to October 27, 2022. Prevalence rates of poor sleep were analyzed using a random effects model. Results: Totally, 24 epidemiological and 12 comparative studies with 8,146 COVID-19 patients and 5,787 healthy controls were included. The pooled prevalence of poor sleep quality based on the included studies was 65.0% (95%CI: 59.56–70.44%, I2 = 97.6%). COVID-19 patients had a higher risk of poor sleep quality compared to healthy controls (OR = 1.73, 95% CI: 1.30–2.30, p < 0.01, I2 = 78.1%) based on the 12 comparative studies. Subgroup analysis revealed that COVID-19 patients in low-income countries (p = 0.011) and in studies using a lower Pittsburgh Sleep Quality Index score cut-off (p < 0.001) were more likely to have poor sleep quality. Meta-regression analyses revealed that being female (p = 0.044), older (p < 0.001) and married (p = 0.009) were significantly correlated with a higher risk of poor sleep quality while quality score (p = 0.014) were negatively correlated with the prevalence of poor sleep quality in COVID-19 patients. Conclusion: Poor sleep quality was found to be very common in COVID-19 patients. Considering the negative effects of poor sleep quality on daily life, sleep quality should be routinely assessed and appropriately addressed in COVID-19 patients.

Original languageEnglish
Article number1272812
JournalFrontiers in Psychiatry
Volume14
DOIs
Publication statusPublished - 2023

Keywords

  • COVID-19
  • meta-analysis
  • prevalence
  • review
  • sleep quality

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