ArticleEClinicalMedicine2021
Sleep problems during COVID-19 pandemic and its' association to psychological distress: A systematic review and meta-analysis.
Article in EClinicalMedicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 209 papers, 12 of them syntheses that pooled it.
What it found
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The trial behind it
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Who cites it
209 citing papers in PubMed, 12 syntheses or guidelines pooled it, 382 citations in OpenAlex.
- Estimation of the global prevalence and burden of insomnia: a systematic literature review-based analysis.Sleep medicine reviews · 2025Pooled it
- Long-term neurological and cognitive impact of COVID-19: a systematic review and meta-analysis in over 4 million patients.BMC neurology · 2025Pooled it
- Pooled it
- A meta-analysis of systematic reviews and meta-analyses to evaluate the psychological consequences of COVID-19.BMC psychology · 2023Pooled it
- [Occupational Therapy Guideline for the management of sequelae of viral diseases with SARS-CoV-2 : Supplement to the S1 guidelines for the management of post-viral conditions exemplified by post-COVID-19].Wiener klinische Wochenschrift · 2023Guideline
- Prevalence of poor sleep quality in COVID-19 patients: a systematic review and meta-analysis.Frontiers in psychiatry · 2023Pooled 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
- Subjective sleep alterations in healthy subjects worldwide during COVID-19 pandemic: A systematic review, meta-analysis and meta-regression.Sleep medicine · 2022Pooled it
- Impact of the COVID-19 pandemic on the mental health of hospital staff: An umbrella review of 44 meta-analyses.International journal of nursing studies · 2022Pooled it
- Estimation of sleep problems among pregnant women during COVID-19 pandemic: a systematic review and meta-analysis.BMJ open · 2022Pooled it
- Sleep disturbances during the COVID-19 pandemic: A systematic review, meta-analysis, and meta-regression.Sleep medicine reviews · 2022Pooled it
- Prevalence of mental health problems and sleep disturbances in nursing students during the COVID-19 pandemic: A systematic review and meta-analysis.Nurse education in practice · 2021Pooled it
- Trial
- Trial
- Epidemiology of SARS-CoV-2 Infection in Italy Using Real-World Data: Methodology and Cohort Description of the Second Phase of Web-Based EPICOVID19 Study.International journal of environmental research and public health · 2022Trial
- Longitudinal Study on Post-Traumatic Stress Disorder, Anxiety, and Depression Among Medical Staff in China.Health care science · 2026Article
- Longitudinal relations between sleep quality, psychological distress, and cognitive function among rural older adults: a cross-lagged network analysis.Psychological medicine · 2026Article
- 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
- The mediating role of obesity in the relationship between sleep duration and depressive symptoms: A population-based cross-sectional study.Metabolism open · 2026Article
- Sleep patterns during the pandemic and covid-related stress: a large-scale study in the general population of Serbia and Republic of Srpska (Bosnia and Herzegovina).Population health metrics · 2026Article
149 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
8 authors at 7 institutions in 6 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe emerging novel coronavirus disease 2019 (COVID-19) has become one of the leading cause of deaths worldwide in 2020. The present systematic review and meta-analysis estimated the magnitude of sleep problems during the COVID-19 pandemic and its relationship with psychological distress.
methodsFive academic databases (
findings168 cross-sectional, four case-control, and five longitudinal design papers comprising 345,270 participants from 39 countries were identified. The corrected pooled estimated prevalence of sleep problems were 31% among healthcare professionals, 18% among the general population, and 57% among COVID-19 patients (all
interpretationSleep problems appear to have been common during the ongoing COVID-19 pandemic. Moreover, sleep problems were found to be associated with higher levels of psychological distress. With the use of effective programs treating sleep problems, psychological distress may be reduced. Vice versa, the use of effective programs treating psychological distress, sleep problems may be reduced.
fundingThe present study received no funding.
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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.