SynthesisJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2021
Sleep problems during the COVID-19 pandemic by population: a systematic review and meta-analysis.
Synthesis in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 375 papers, 10 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
375 citing papers in PubMed, 10 syntheses or guidelines pooled it, 763 citations in OpenAlex.
- Cultural background and pandemic context as moderators of the association between expressive suppression and sleep quality in healthy adults: a systematic review and meta‑analysis.BMC psychology · 2026Pooled it
- Prevalence of sleep disturbance among chinese college students: an updated meta-analysis.BMC psychiatry · 2026Pooled it
- Estimation of the prevalence of anxiety during the COVID-19 pandemic: A meta-analysis of meta-analyses.BMC public health · 2024Pooled it
- Changes in Sleep Duration and Sleep Timing in the General Population from before to during the First COVID-19 Lockdown: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2024Pooled it
- Prevalence of sleep disturbances in children and adolescents during COVID-19 pandemic: a meta-analysis and systematic review of epidemiological surveys.Translational psychiatry · 2024Pooled it
- Pooled it
- The role of arts therapies in mitigating Sleep Initiation and Maintenance Disorders: a systematic review.Frontiers in psychiatry · 2024Pooled it
- Changes in sleep quality and sleep disturbances in the general population from before to during the COVID-19 lockdown: A systematic review and meta-analysis.Frontiers in psychiatry · 2023Pooled it
- Subjective sleep alterations in healthy subjects worldwide during COVID-19 pandemic: A systematic review, meta-analysis and meta-regression.Sleep medicine · 2022Pooled it
- The prevalence and severity of insomnia symptoms during COVID-19: A global systematic review and individual participant data meta-analysis.Sleep medicine · 2022Pooled it
- Effects of aJournal of psychopharmacology (Oxford, England) · 2025Trial
- Persistent Sleep Disturbance Following Pandemic Lockdowns: Longitudinal Findings From the UK COVID-19 Symptom Study Biobank.Journal of sleep research · 2026Article
- Insomnia and Risk of Tooth Wear and Fracture: Evidence From a Nationwide Population-Based Cohort.Journal of oral rehabilitation · 2026Article
- The Impact of the COVID-19 Pandemic on Latinx College Students' Mental Health: Exploring the Role of Sleep, Social Support, and AttitudinalClocks & sleep · 2026Article
- Childhood Trauma and Adult Loneliness as Predictors of Sleep Health in Blackfeet American Indian Adults.International journal of behavioral medicine · 2026Article
- The Influence of Hospitalization and Nursing Interventions on Inpatients' Sleep Quality: A Multicenter Observational Study.Worldviews on evidence-based nursing · 2026Observational
- Understanding Sleep Disturbance Due to Stressors: An Exploratory Mixed-Methods Study During the COVID-19 Pandemic.International journal of environmental research and public health · 2026Article
- Risk of new-onset obstructive sleep apnea up to 4.5 years after COVID-19 in the urban population.Scientific reports · 2026Article
- Dual Pathways of Online Social Support on Sleep Quality in University Freshmen: The Suppression Effect of Psychological Resilience and the Moderating Role of Digital Literacy.Behavioral sciences (Basel, Switzerland) · 2026Article
- The Prevalence of Sleep Disturbances and Anxiety Among Croatian University Students: Possible Association with Lifestyle Factors and COVID-19.Journal of clinical medicine · 2026Article
315 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 5 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectivesNo systematic review or meta-analysis has yet been conducted to examine the impact of the pandemic on the prevalence of sleep problems among the general population, health care workers, or patients with COVID-19. Therefore, this systematic review was conducted to assess the impact and prevalence of sleep problems among those categories.
methodsAmerican Psychological Association PsycINFO, Cochrane, Cumulative Index to Nursing and Allied Health Literature (CINAHL), EBSCOhost, EMBASE, Google Scholar, MEDLINE, ProQuest Medical, ScienceDirect, Scopus, and Web of Science from November 1, 2019 to July 5, 2020 were used. Additionally, 5 preprints servers (medRxiv.org; preprints.org; psyarxiv.com; arXiv.org; biorxiv.org) were also searched for papers accepted after peer review but not yet published and indexed. There was no language restriction. The random-effect models meta-analysis model was used with the DerSimonian and Laird methodology.
resultsForty-four papers, involving a total of 54,231 participants from 13 countries, were judged relevant and contributed to the systematic review and meta-analysis of sleep problems during COVID-19. The global pooled prevalence rate of sleep problems among all populations was 35.7% (95% confidence interval, 29.4-42.4%). Patients with COVID-19 appeared to be the most affected group, with a pooled rate of 74.8% (95% confidence interval, 28.7-95.6%). Health care workers and the general population had comparative rates of sleep problems, with rates of 36.0% (95% confidence interval, 21.1-54.2%) and 32.3% (95% confidence interval, 25.3-40.2%), respectively.
conclusionsThe prevalence of sleep problems during the COVID-19 pandemic is high and affects approximately 40% of people from the general and health care populations. Patients with active COVID-19 appeared to have a higher prevalence rates of sleep problems.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.