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Cited by 64COVID-19 and Mental HealthSleep and related disordersLong-Term Effects of COVID-19

Depression and insomnia in COVID-19 survivors: a cross-sectional survey from Chinese rehabilitation centers in Anhui province

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Xu, Fei, Wang, Xixin, Yang, Yanguo, Zhang, Kai, Shi, Yudong, Xia, Lei, Hu, Xiaowen, Liu, Huanzhong·2022·Sleep Medicine
DOI 10.1016/j.sleep.2021.02.002PMC PMC7869685
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Abstract

Background Suffering from COVID-19 is a strong psychological stressor to the patients. Even after recovery, patients are prone to a variety of mental health problems. Recently, some studies focus on the psychological situation of patients when they got COVID-19. However, no study focused on the psychological status of recovered COVID-19-infected patients in China. Our study aims to investigate sleep and mood status, and detect the influencing factors of the psychological status of the COVID-19 patients after recovery. Methods One hundred and twenty-five COVID-19 patients were enrolled from February to April 2020. The social demographic information of all participants was collected by a self-designed questionnaire. Insomnia and depression symptoms were evaluated through the Insomnia Severity Index (ISI) and the Center for Epidemiology Scale for Depression (CES-D). Results The rates of insomnia and depression were 26.45% and 9.92% in the COVID-19 patients after recovery. There were significant differences in physical, mental impairment, and the need for psychological assistance between the COVID-19 recovered patients with depression and the patients without depression. In addition, age and health status may be the influencing factors for insomnia, and care about the views of others may be the influencing factor of depression (P < 0.05). Conclusions Based on the results, we found that COVID-19 recovered patients had a low rate of depression and a high rate of insomnia. We need to pay more attention to their sleep condition than mood status.

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  • During recovery from acute COVID-19, insomnia and fatigue were more frequent complaints than depression.

    “During recovery from acute COVID-19 infection insomnia symptoms and fatigue were more frequent complaints than depression [7]”

    From Overview of sleep management during COVID-19. (2022) · cites this paper as [7]

    The Conclusions report that, two weeks after discharge, insomnia symptoms were more prevalent than depression (26.45% versus 9.92%). The paper does not report fatigue as a complaint or compare its frequency with depression, so that part of the claim is unsupported. (LLM, conf=0.88)

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  • In people recovering from COVID-19, insomnia symptoms and fatigue persist even when mood improves.

    “Insomnia symptoms and fatigue continue even as mood improves in those who are in recovery from COVID-19 infection.”

    From Overview of sleep management during COVID-19. (2022) · cites this paper as [7]

    The Conclusions report insomnia symptoms in 26.45% of patients two weeks after discharge, alongside a relatively low depression prevalence of 9.92%. But this cross-sectional survey does not show that mood improved over time, and the passages found do not report persistent fatigue (searched: fatigue, mood improvement). (LLM, conf=0.86)

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Authors
Xu, F., Wang, X., Yang, Y., Zhang, K., Shi, Y., Xia, L., Hu, X., & Liu, H.
Affiliations
  • University of Science and Technology of China (CN)
  • Anhui Medical University (CN)
Corresponding author
  • Hu, Xiaowen
  • Liu, Huanzhong
ORCID
Venue
Sleep Medicine
Publisher
Elsevier BV
Published
2022-03
Volume
91
Pages
161-165
ISSN
1389-9457 (ISSN-L)
DOI
10.1016/j.sleep.2021.02.002
PMC
PMC7869685
OpenAlex
W3127968932
Cited by
64
References
16
Citations by year
2026: 3 · 2025: 4 · 2024: 9 · 2023: 18 · 2022: 17 · 2021: 13
FWCI
9.72
Type
journal article
Language
en
Open access
Licence
Locations
  • Sleep Medicine (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Anhui Medical University
  • Chinese Academy of Sciences
Topics
  • Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Health Sciences › Medicine › Neurology › Long-Term Effects of COVID-19
Keywords
COVID-19 pandemic, post-COVID-19 depression, insomnia, sleep quality, psychological well-being, rehabilitation patients, risk factors, social anxiety, age, health status
MeSH terms
COVID-19, SARS-CoV-2, Anxiety, China, Cross-Sectional Studies, Depression, Humans, Sleep Initiation and Maintenance Disorders, Rehabilitation Centers, Survivors

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