The COVID-19 Pandemic and its Influence on Sleep Quality: A Narrative Review of Prevalence, Correlates, and Implications
DOI:
https://doi.org/10.12775/QS.2026.51.68437Keywords
COVID-19, SARS-COV-2, pandemic, Sleep Quality, sleep disorders, Mental Health, healthcare workers, LockdownAbstract
Introduction:The COVID-19 pandemic, has been a global stressor, disrupting daily routines and increasing psychological distress. A growing body of evidence indicates a rise in reports of sleep disorders among the population during this pandemic [1]. This narrative review synthesizes current literature to summarize the scale, risk factors, and health implications of pandemic-related sleep disturbances.
Aim of the study:This article aims to analyze the prevalence and clinical impact of sleep disturbances during the COVID-19 pandemic, with particular focus on risk groups, contributing psychosocial factors, and associations with mental health.
State of Knowledge:Meta-analyses confirm a high global prevalence of sleep problems during the pandemic, with pooled rates of sleep disturbances exceeding 30% in the general population [2]. These problems were significantly more pronounced in specific groups, including patient-facing healthcare workers [3], patients infected with Covid-19, and individuals with pre-existing psychiatric conditions [4]. Key contributing factors included pandemic-related stress, fragmentation of habitual daily patterns, and the onset of circadian system instability [5]. A strong relationship has been established between sleep disturbances and worsened mental health, particularly anxiety and depression [6]. Furthermore, sleep problems have emerged as a persistent symptom of Post-Acute Sequelae of SARS-CoV-2 infection (PASC, or Long COVID) [7].
Conclusion:Sleep disturbances represent an important public health crisis precipitated by the COVID-19 pandemic, manifesting as "coronasomnia". This review concludes that systematically addressing sleep health is crucial for post-pandemic sleep disturbances recovery, necessitating targeted public health strategies that integrate standardized screening in vulnerable populations, promotion of sleep hygiene, and the implementation of evidence-based interventions like cognitive-behavioral therapy for insomnia.
References
1. Salehinejad, M. A., Azarkolah, A., Ghanavati, E., & Nitsche, M. A. (2022). Circadian disturbances, sleep difficulties and the COVID-19 pandemic. Sleep medicine, 91, 246–252. https://doi.org/10.1016/j.sleep.2021.07.011
2. Jahrami, H., BaHammam, A. S., Bragazzi, N. L., Saif, Z., Faris, M., & Vitiello, M. V. (2021). Sleep problems during the COVID-19 pandemic by population: a systematic review and meta-analysis. Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 17(2), 299–313. https://doi.org/10.5664/jcsm.8930
3. Oteir, A. O., Nazzal, M. S., Jaber, A. F., Alwidyan, M. T., & Raffee, L. A. (2022). Depression, anxiety and insomnia among frontline healthcare workers amid the coronavirus pandemic (COVID-19) in Jordan: a cross-sectional study. BMJ open, 12(1), e050078. https://doi.org/10.1136/bmjopen-2021-050078
4. Liu, C. H., Stevens, C., Conrad, R. C., & Hahm, H. C. (2020). Evidence for elevated psychiatric distress, poor sleep, and quality of life concerns during the COVID-19 pandemic among U.S. young adults with suspected and reported psychiatric diagnoses. Psychiatry research, 292, 113345. https://doi.org/10.1016/j.psychres.2020.113345
5. Chen, S., & Cheng, C. (2024). Unveiling Coronasomnia: Pandemic Stress and Sleep Problems During the COVID-19 Outbreak. Nature and science of sleep, 16, 543–553. https://doi.org/10.2147/NSS.S459945
6. Viselli, L., Salfi, F., D'Atri, A., Amicucci, G., & Ferrara, M. (2021). Sleep Quality, Insomnia Symptoms, and Depressive Symptomatology among Italian University Students before and during the Covid-19 Lockdown. International journal of environmental research and public health, 18(24), 13346. https://doi.org/10.3390/ijerph182413346
7. Griffin D. O. (2024). Postacute Sequelae of COVID (PASC or Long COVID): An Evidenced-Based Approach. Open forum infectious diseases, 11(9), ofae462. https://doi.org/10.1093/ofid/ofae462[11]
8. Besedovsky, L., Lange, T., & Haack, M. (2019). The Sleep-Immune Crosstalk in Health and Disease. Physiological reviews, 99(3), 1325–1380. https://doi.org/10.1152/physrev.00010.2018
9. Morin, C. M., Drake, C. L., Harvey, A. G., Krystal, A. D., Manber, R., Riemann, D., & Spiegelhalder, K. (2015). Insomnia disorder. Nature reviews. Disease primers, 1, 15026. https://doi.org/10.1038/nrdp.2015.26
10. Grandner, M. A., Jackson, N. J., Pak, V. M., & Gehrman, P. R. (2012). Sleep disturbance is associated with cardiovascular and metabolic disorders. Journal of sleep research, 21(4), 427–433. https://doi.org/10.1111/j.1365-2869.2011.00990.x
11. Han, K. S., Kim, L., & Shim, I. (2012). Stress and sleep disorder. Experimental neurobiology, 21(4), 141–150. https://doi.org/10.5607/en.2012.21.4.141
12. Kumar, N., & Gupta, R. (2022). Disrupted Sleep During a Pandemic. Sleep medicine clinics, 17(1), 41–52. https://doi.org/10.1016/j.jsmc.2021.10.006
13. Nelson, K. L., Davis, J. E., & Corbett, C. F. (2022). Sleep quality: An evolutionary concept analysis. Nursing forum, 57(1), 144–151. https://doi.org/10.1111/nuf.12659
14. Riemann, D., Benz, F., Dressle, R. J., Espie, C. A., Johann, A. F., Blanken, T. F., Leerssen, J., Wassing, R., Henry, A. L., Kyle, S. D., Spiegelhalder, K., & Van Someren, E. J. W. (2022). Insomnia disorder: State of the science and challenges for the future. Journal of sleep research, 31(4), e13604. https://doi.org/10.1111/jsr.13604
15. Vasey, C., McBride, J., & Penta, K. (2021). Circadian Rhythm Dysregulation and Restoration: The Role of Melatonin. Nutrients, 13(10), 3480. https://doi.org/10.3390/nu13103480
16. Salari, N., Khazaie, H., Hosseinian-Far, A., Ghasemi, H., Mohammadi, M., Shohaimi, S., Daneshkhah, A., Khaledi-Paveh, B., & Hosseinian-Far, M. (2020). The prevalence of sleep disturbances among physicians and nurses facing the COVID-19 patients: a systematic review and meta-analysis. Globalization and health, 16(1), 92. https://doi.org/10.1186/s12992-020-00620-0
17. Tedjasukmana, R., Budikayanti, A., Islamiyah, W. R., Witjaksono, A. M. A. L., & Hakim, M. (2023). Sleep disturbance in post COVID-19 conditions: Prevalence and quality of life. Frontiers in neurology, 13, 1095606. https://doi.org/10.3389/fneur.2022.1095606
18. Richter, S. A., Ferraz-Rodrigues, C., Schilling, L. B., Camargo, N. F., & Nunes, M. L. (2023). Effects of the COVID-19 pandemic on sleep quality in children and adolescents: A systematic review and meta-analysis. Journal of sleep research, 32(1), e13720. https://doi.org/10.1111/jsr.13720
19. Parveen, S., George, S. M., & Chand, S. (2021). Was Sleep a Problem for the Elderly During COVID-19?. Sleep and vigilance, 5(2), 197–203. https://doi.org/10.1007/s41782-021-00164-2
20. Jao, P. P., Feng, H. P., & Tzeng, W. C. (2023). Hu li za zhi The journal of nursing, 70(5), 84–90. https://doi.org/10.6224/JN.202310_70(5).11
21. Jahrami, H. A., Alhaj, O. A., Humood, A. M., Alenezi, A. F., Fekih-Romdhane, F., AlRasheed, M. M., Saif, Z. Q., Bragazzi, N. L., Pandi-Perumal, S. R., BaHammam, A. S., & Vitiello, M. V. (2022). Sleep disturbances during the COVID-19 pandemic: A systematic review, meta-analysis, and meta-regression. Sleep medicine reviews, 62, 101591. https://doi.org/10.1016/j.smrv.2022.101591
22. Targa, A., Benítez, I., Moncusí-Moix, A., Vaca, R., Gort-Paniello, C., Minguez, O., Santisteve, S., Carmona, P., Torres, G., Labarca, G., Caballero, J., Barberà, C., Torres, A., González, J., De Gonzalo-Calvo, D., & Barbé, F. (2022). Sleep and circadian rest-activity pattern of critical COVID-19 survivors in the long-term: a 6-month follow-up study. Sleep Medicine, 100, S89–S90. https://doi.org/10.1016/j.sleep.2022.05.250
23. Sharma, M., Aggarwal, S., Madaan, P., Saini, L., & Bhutani, M. (2021). Impact of COVID-19 pandemic on sleep in children and adolescents: a systematic review and meta-analysis. Sleep medicine, 84, 259–267. https://doi.org/10.1016/j.sleep.2021.06.002
24. Cordeiro, C. R., Pestana, P. C., Côrte-Real, B., & Novais, F. (2022). Long Time, No Sleep: Sleep in Older Adults During the COVID-19 Pandemic. The primary care companion for CNS disorders, 24(3), 21m03224. https://doi.org/10.4088/PCC.21m03224
25. Peixoto, V. G. M. N. P., Facci, L. A., Barbalho, T. C. S., Souza, R. N., Duarte, A. M., & Almondes, K. M. (2024). The context of COVID-19 affected the long-term sleep quality of older adults more than SARS-CoV-2 infection. Frontiers in psychiatry, 15, 1305945. https://doi.org/10.3389/fpsyt.2024.1305945
26. Bhat, S., & Chokroverty, S. (2022). Sleep disorders and COVID-19. Sleep medicine, 91, 253–261. https://doi.org/10.1016/j.sleep.2021.07.021
27. Semyachkina-Glushkovskaya, O., Mamedova, A., Vinnik, V., Klimova, M., Saranceva, E., Ageev, V., Yu, T., Zhu, D., Penzel, T., & Kurths, J. (2021). Brain Mechanisms of COVID-19-Sleep Disorders. International journal of molecular sciences, 22(13), 6917. https://doi.org/10.3390/ijms22136917
28. Pataka, A., Kotoulas, S., Sakka, E., Katsaounou, P., & Pappa, S. (2021). Sleep Dysfunction in COVID-19 Patients: Prevalence, Risk Factors, Mechanisms, and Management. Journal of personalized medicine, 11(11), 1203. https://doi.org/10.3390/jpm11111203
29. Bhat, S., & Chokroverty, S. (2022). Sleep disorders and COVID-19. Sleep medicine, 91, 253–261. https://doi.org/10.1016/j.sleep.2021.07.021
30. Goh, D. Y., Lam, W. C., & Zhong, L. L. D. (2025). Effect of interventions for the management of sleep disturbances in patients with long COVID: a systematic review and meta-analysis of randomized controlled trials. Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 21(11), 1993–2005. https://doi.org/10.5664/jcsm.11782
31. Shaik, L., Boike, S., Ramar, K., Subramanian, S., & Surani, S. (2023). COVID-19 and Sleep Disturbances: A Literature Review of Clinical Evidence. Medicina (Kaunas, Lithuania), 59(5), 818. https://doi.org/10.3390/medicina59050818
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Copyright (c) 2026 Agnieszka Radziwonka, Bartłomiej Maciej Wrochna, Anna Olborska, Ada Niezgoda, Paweł Kosiorek , Gabriela Stondzik, Anna Izabela Garbacz, Tomasz Julian Majszyk, Jacek Głuski , Agnieszka Brzozowska, Patrycja Anna Borowiecka, Aleksandra Karolina Węglarz
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