Insomnia, anxiety, and depression during the COVID-19 pandemic: An international collaborative study
Open accessAbstract
Importance and study objective The COVID-19 pandemic has produced unprecedented changes in social, work, and leisure activities, which all have had major impact on sleep and psychological well-being. This study documented the prevalence of clinical cases of insomnia, anxiety, and depression and selected risk factors (COVID-19, confinement, financial burden, social isolation) during the first wave of the pandemic in 13 countries throughout the world.Design and participants International, multi-center, harmonized survey of 22 330 adults (mean age = 41.9 years old, range 18-95; 65.6% women) from the general population in 13 countries and four continents. Participants were invited to complete a standardized web-based survey about sleep and psychological symptoms during the first wave of the COVID-19 pandemic from May to August 2020.Results Clinical insomnia symptoms were reported by 36.7% (95% CI, 36.0-37.4) of respondents and 17.4% (95% CI, 16.9-17.9) met criteria for a probable insomnia disorder. There were 25.6% (95% CI, 25.0-26.2) with probable anxiety and 23.1% (95% CI, 22.5-23.6) with probable depression. Rates of insomnia symptoms (>40%) and insomnia disorder (>25%) were significantly higher in women, younger age groups, and in residents of Brazil, Canada, Norway, Poland, USA, and United Kingdom compared to residents from Asian countries (China and Japan, 8% for disorder and 22%-25% for symptoms) (all Ps < 0.01). Proportions of insomnia cases were significantly higher among participants who completed the survey earlier in the first wave of the pandemic relative to those who completed it later. Risks of insomnia were higher among participants who reported having had COVID-19, who reported greater financial burden, were in confinement for a period of four to five weeks, and living alone or with more than five people in same household. These associations remained significant after controlling for age, sex, and psychological symptoms.Conclusion and relevance Insomnia, anxiety, and depression were very prevalent during the first wave of the COVID-19 pandemic. Public health prevention programs are needed to prevent chronicity and reduce long-term adverse outcomes associated with chronic insomnia and mental health problems.
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Cites
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.593 · Cited by 20,391 · see citing works
Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.617 · Cited by 12,052 · see citing works
Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., Wu, J., Du, H., Chen, T., Li, R., et al. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.3976 · Cited by 8,015 · see citing works
Morin, C. M., Belleville, G., Bélanger, L., & Ivers, H. (2011) · Sleep · doi:10.1093/sleep/34.5.601 · Cited by 4,620 · see citing works
Self-citationAn Ultra-Brief Screening Scale for Anxiety and Depression: The PHQ–4
Kroenke, K., Spitzer, R. L., Williams, J. B. W., & Löwe, B. (2009) · Psychosomatics · doi:10.1016/s0033-3182(09)70864-3 · Cited by 4,261 · see citing works
Epidemiology of insomnia: what we know and what we still need to learn
Ohayon, M. M. (2002) · Sleep Medicine Reviews · doi:10.1053/smrv.2002.0186 · Cited by 3,743 · cited 2× · see citing works
“Such estimates clearly exceed base rates reported in most epidemiological studies conducted under normal circumstances (ie, pre-pandemic) and using similar criteria [13,14].”
BackgroundResultPappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E., & Katsaounou, P. (2020) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2020.05.026 · Cited by 3,617 · cited 2× · see citing works
“Another meta-analysis of studies conducted with health-care workers [9] found pooled prevalence of 38.”
BackgroundResultBaglioni, C., Battagliese, G., Feige, B., Spiegelhalder, K., Nissen, C., Voderholzer, U., Lombardo, C., & Riemann, D. (2011) · Journal of Affective Disorders · doi:10.1016/j.jad.2011.01.011 · Cited by 2,779 · see citing works
Altena, E., Baglioni, C., Espie, C. A., Ellis, J., Gavriloff, D., Holzinger, B., Schlarb, A., Frase, L., Jernelöv, S., & Riemann, D. (2020) · Journal of Sleep Research · doi:10.1111/jsr.13052 · Cited by 991 · cited 1× · see citing works
“The main implication of the current findings is that health authorities must deploy large and efficient, population-based sleep and mental health prevention programs, as well as clinical interventions/resources [32,33], to assist at-risk individuals and reduce long-term adverse health outcomes and morbidity.”
BackgroundSelf-citationZhang, C., Yang, L., Liu, S., Ma, S., Wang, Y., Cai, Z., Du, H., Li, R., Kang, L., Su, M., et al. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00306 · Cited by 788 · see citing works
Sleep problems during the COVID-19 pandemic by population: A systematic review and meta-analysis
Jahrami, H., BaHammam, A. S., Bragazzi, N. L., Saif, Z., Faris, M., & Vitiello, M. V. (2021) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.8930 · Cited by 751 · see citing works
Espie, C. A., Emsley, R., Kyle, S. D., Gordon, C., Drake, C. L., Siriwardena, A. N., Cape, J., Ong, J. C., Sheaves, B., Foster, R., et al. (2019) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2018.2745 · Cited by 466 · see citing works
Self-citationAlimoradi, Z., Broström, A., Tsang, H. W. H., Griffiths, M. D., Haghayegh, S., Ohayon, M. M., Lin, C., & Pakpour, A. H. (2021) · EClinicalMedicine · doi:10.1016/j.eclinm.2021.100916 · Cited by 396 · see citing works
Prevalence of Insomnia and its Treatment in Canada
Morin, C. M., LeBlanc, M., Bélanger, L., Ivers, H., Mérette, C., & Savard, J. (2011) · The Canadian Journal of Psychiatry · doi:10.1177/070674371105600905 · Cited by 294 · see citing works
Self-citationPersistent Insomnia is a Predictor of Hypertension in Japanese Male Workers
Suka, M., Yoshida, K., & Sugimori, H. (2003) · Journal of Occupational Health · doi:10.1539/joh.45.344 · Cited by 246 · see citing works
Precipitating Factors of Insomnia
Bastien, C., Vallières, A., & Morin, C. M. (2004) · Behavioral Sleep Medicine · doi:10.1207/s15402010bsm0201_5 · Cited by 236 · see citing works
Self-citationIncidence, Persistence, and Remission Rates of Insomnia Over 5 Years
Morin, C. M., Jarrin, D. C., Ivers, H., Mérette, C., LeBlanc, M., & Savard, J. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.18782 · Cited by 234 · see citing works
Self-citationBeck, F., Léger, D., Fressard, L., Peretti‐Watel, P., Verger, P., & The Coconel Group (2020) · Journal of Sleep Research · doi:10.1111/jsr.13119 · Cited by 180 · see citing works
Self-citationThe Long-term Effect of Insomnia on Work Disability
Sivertsen, B., Øverland, S. N., Neckelmann, D., Glozier, N., Krokstad, S., Pallesen, S., Nordhus, I. H., Bjorvatn, B., & Mykletun, A. (2006) · American Journal of Epidemiology · doi:10.1093/aje/kwj145 · Cited by 173 · see citing works
Self-citationRobillard, R., Dion, K., Pennestri, M., Solomonova, E., Lee, E. K., Saad, M., Murkar, A., Godbout, R., Edwards, J. D., Quilty, L. C., et al. (2020) · Journal of Sleep Research · doi:10.1111/jsr.13231 · Cited by 164 · see citing works
Korman, M., Tkachev, V., Reis, C., Komada, Y., Kitamura, S., Gubin, D., Kumar, V., & Roenneberg, T. (2020) · Scientific Reports · doi:10.1038/s41598-020-79299-7 · Cited by 161 · see citing works
Yüksel, D., McKee, G. B., Perrin, P. B., Alzueta, E., Caffarra, S., Ramos‐Usuga, D., Arango‐Lasprilla, J. C., & Baker, F. C. (2021) · Sleep Health · doi:10.1016/j.sleh.2020.12.008 · Cited by 157 · see citing works
Hao, Q., Wang, D., Xie, M., Tang, Y., Dou, Y., Zhu, L., Wu, Y., Dai, M., Wu, H., & Wang, Q. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.567381 · Cited by 128 · see citing works
Cellini, N., Conte, F., Rosa, O. D., Giganti, F., Malloggi, S., Reyt, M., Guillemin, C., Schmidt, C., Muto, V., & Ficca, G. (2020) · Sleep Medicine · doi:10.1016/j.sleep.2020.11.027 · Cited by 119 · see citing works
Liu, C., Pan, W., Li, L., Li, B., Ren, Y., & Ma, X. (2021) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2021.110516 · Cited by 86 · see citing works
Zitting, K., der Holst, H. M. L., Yuan, R. K., Wang, W., Quan, S. F., & Duffy, J. F. (2020) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.8810 · Cited by 76 · see citing works
Meaklim, H., Junge, M. F., Varma, P., Finck, W. A., & Jackson, M. L. (2021) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.9354 · Cited by 74 · see citing works
Partinen, M., Bjorvatn, B., Holzinger, B., Chung, F. F., Penzel, T., Espie, C. A., & Morin, C. M. (2020) · Journal of Sleep Research · doi:10.1111/jsr.13206 · Cited by 73 · see citing works
Self-citationCox, R. C., & Olatunji, B. O. (2021) · American Psychologist · doi:10.1037/amp0000850 · Cited by 39 · see citing works
Beck, F., Léger, D., Cortaredona, S., Verger, P., Peretti‐Watel, P., Peretti‐Watel, P., Seror, V., Cortaredona, S., Fressard, L., Launay, O., et al. (2020) · Sleep Medicine · doi:10.1016/j.sleep.2020.11.029 · Cited by 38 · see citing works
Self-citationPetrov, M. E. R., Pituch, K. A., Kasraeian, K., Jiao, N., Mattingly, J. L., Hasanaj, K., Youngstedt, S. D., Buman, M. P., & Epstein, D. R. (2021) · Sleep Health · doi:10.1016/j.sleh.2021.05.007 · Cited by 34 · see citing works
Flagged first, then by citations
2 of the 33 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Premraj, L., Kannapadi, N. V., Briggs, J., Seal, S. M., Battaglini, D., Fanning, J. P., Suen, J. Y., Robba, C., Fraser, J. F., & Cho, S. (2022) · Journal of the Neurological Sciences · doi:10.1016/j.jns.2022.120162 · Cited by 778 · see citing works
The need to promote sleep health in public health agendas across the globe
Lim, D. C., Najafi, A., Afifi, L., Bassetti, C. L., Buysse, D. J., Han, F., Högl, B., Melaku, Y. A., Morin, C. M., Pack, A. I., et al. (2023) · The Lancet Public Health · doi:10.1016/s2468-2667(23)00182-2 · Cited by 373 · see citing works
Self-citationYuan, K., Zheng, Y., Wang, Y., Sun, Y., Gong, Y.-M., Huang, Y., Chen, X., Liu, X., Zhong, Y., Su, S., et al. (2022) · Molecular Psychiatry · doi:10.1038/s41380-022-01638-z · Cited by 215 · see citing works
A Survey on Wearable Sensors for Mental Health Monitoring
Gomes, N., Pato, M. P. M., Lourenço, A., & Datia, N. (2023) · Sensors · doi:10.3390/s23031330 · Cited by 147 · see citing works
Survey of Transfer Learning Approaches in the Machine Learning of Digital Health Sensing Data
Chato, L., & Regentova, E. E. (2023) · Journal of Personalized Medicine · doi:10.3390/jpm13121703 · Cited by 71 · see citing works
Li, J., Luo, C., Liu, L., Huang, A., Ma, Z., Chen, Y., Deng, Y., & Zhao, J. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.04.023 · Cited by 66 · see citing works
Elboraay, T., Ebada, M. A., Elsayed, M., Aboeldahab, H. A., Salamah, H. M., Rageh, O. E.-S., Elmallahy, M., AboElfarh, H. E., Mansour, L. S., Nabil, Y., et al. (2025) · BMC Neurology · doi:10.1186/s12883-025-04174-9 · Cited by 67 · see citing works
Sagherian, K., Cho, H., & Steege, L. M. B. (2022) · Journal of Clinical Nursing · doi:10.1111/jocn.16451 · Cited by 48 · see citing works
A 2023 Update on Managing Insomnia in Primary Care
Rosenberg, R. P., Benca, R. M., Doghramji, P. P., & Roth, T. G. (2023) · The Primary Care Companion For CNS Disorders · doi:10.4088/pcc.22nr03385 · Cited by 44 · see citing works
The influence of emotion regulation strategies and sleep quality on depression and anxiety
Sullivan, E. C., James, E., Henderson, L. M., McCall, C., & Cairney, S. A. (2023) · Cortex · doi:10.1016/j.cortex.2023.06.001 · Cited by 47 · see citing works
Delayed sleep-wake phase disorder and its related sleep behaviors in the young generation.
Futenma, K., Takaesu, Y., Komada, Y., Shimura, A., Okajima, I., Matsui, K., Tanioka, K., & Inoue, Y. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1174719 · Cited by 42 · see citing works
Self-citationEllis, J. G., Ferini‐Strambi, L., Garcı́a-Borreguero, D., Heidbreder, A., O’Regan, D., Parrino, L., Selsick, H., & Penzel, T. (2023) · Healthcare · doi:10.3390/healthcare11050716 · Cited by 41 · see citing works
Self-citationNightmares in People with COVID-19: Did Coronavirus Infect Our Dreams?
Scarpelli, S., Nadorff, M. R., Bjorvatn, B., Chung, F., Dauvilliers, Y. A., Espie, C. A., Inoue, Y., Matsui, K., Merikanto, I., Morin, C. M., et al. (2022) · Nature and Science of Sleep · doi:10.2147/nss.s344299 · Cited by 41 · see citing works
Self-citationEconomic burden of insomnia symptoms in Canada
Chaput, J., Janssen, I., Sampasa‐Kanyinga, H., Carney, C. E., Dang‐Vu, T. T., Davidson, J. R., Robillard, R., & Morin, C. M. (2022) · Sleep Health · doi:10.1016/j.sleh.2022.09.010 · Cited by 38 · see citing works
Self-citationMerikanto, I., Dauvilliers, Y. A., Chung, F. F., Holzinger, B., Gennaro, L. D., Wing, Y. K., Korman, M., Partinen, M., & members, 2. I. (2021) · Journal of Sleep Research · doi:10.1111/jsr.13542 · Cited by 37 · see citing works
Self-citationDefinitions and symptoms of the post-COVID syndrome: an updated systematic umbrella review
Gutzeit, J., Weiß, M., Nürnberger, C., Lemhöfer, C., Appel, K. S., Pracht, E., Reese, J., Lehmann, C., Polidori, M. C., Hein, G., et al. (2024) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-024-01868-y · Cited by 36 · see citing works
Viselli, L., Salfi, F., D’Atri, A., Amicucci, G., & Ferrara, M. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182413346 · Cited by 36 · see citing works
Cancer-Related Sleep Wake Disturbances
Matthews, E. E., & Wang, S. (2022) · Seminars in Oncology Nursing · doi:10.1016/j.soncn.2022.151253 · Cited by 37 · see citing works
Laddu, D., Biggs, E., Kaar, J. L., Khadanga, S., Alman, R., & Arena, R. A. (2022) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2022.11.017 · Cited by 33 · see citing works
The role of sleep and dreams in long‐ COVID
Scarpelli, S., Santis, A. D., Alfonsi, V., Gorgoni, M., Morin, C. M., Espie, C. A., Merikanto, I., Chung, F. F., Penzel, T., Bjorvatn, B., et al. (2022) · Journal of Sleep Research · doi:10.1111/jsr.13789 · Cited by 31 · see citing works
Self-citationA Call to Use the Multicomponent Exercise Tai Chi to Improve Recovery From COVID-19 and Long COVID
Castro, J. P., Kierkegaard, M., & Zeitelhofer, M. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.827645 · Cited by 29 · see citing works
Weihs, A., Frenzel, S., Bi, H., Schiel, J. E., Afshani, M., Bülow, R., Ewert, R., Fietze, I., Hoffstaedter, F., Jahanshad, N., et al. (2023) · Journal of Sleep Research · doi:10.1111/jsr.13884 · Cited by 33 · see citing works
Paul, A. M., & Salas, R. E. (2024) · Primary Care Clinics in Office Practice · doi:10.1016/j.pop.2024.02.002 · Cited by 27 · see citing works
Lee, J., Cho, I., Kim, K., Kim, C., Park, C. H. K., Yi, K., & Chung, S. (2022) · Psychiatry Investigation · doi:10.30773/pi.2021.0373 · Cited by 28 · see citing works
Grazzini, M., Lulli, L. G., Mucci, N., Paolini, D., Baldassarre, A., Gallinoro, V., Chiarelli, A., Niccolini, F., & Arcangeli, G. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19116811 · Cited by 28 · see citing works
Carpi, M., & Vestri, A. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20010026 · Cited by 30 · see citing works
Fila-Witecka, K., Małecka, M., Senczyszyn, A., Wieczorek, T., Wieckiewicz, M. A., Szcześniak, D. M., Piotrowski, P., & Rymaszewska, J. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19052551 · Cited by 29 · see citing works
Reffi, A. N., Kalmbach, D. A., Cheng, P., & Drake, C. L. (2023) · Journal of Sleep Research · doi:10.1111/jsr.13892 · Cited by 25 · see citing works
Positioning psychiatric pharmacists to improve mental health care
Dopheide, J. A., Werremeyer, A. B., Haight, R. J., Gutierrez, C., & Williams, A. M. (2022) · Mental Health Clinician · doi:10.9740/mhc.2022.04.077 · Cited by 25 · see citing works
Scarpelli, S., Alfonsi, V., Gorgoni, M., Musetti, A., Filosa, M., Quattropani, M. C. A., Lenzo, V., Vegni, E. A. M., Borghi, L., Margherita, G., et al. (2021) · Brain Sciences · doi:10.3390/brainsci11111375 · Cited by 23 · see citing works
Self-citationLoft, M. I., Foged, E. M., & Koreska, M. (2022) · Qualitative Health Research · doi:10.1177/10497323221099467 · Cited by 23 · see citing works
Deng, Y., Ye, B., & Yang, Q. (2022) · Nature and Science of Sleep · doi:10.2147/nss.s371292 · Cited by 19 · see citing works
Zimmerman, M., D’Avanzato, C., & King, B. T. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.12.015 · Cited by 24 · see citing works
Imaging and neuropathological findings in patients with Post COVID-19 Neurological Syndrome—A review
Okrzeja, J., Garkowski, A., Kubas, B., & Moniuszko-Malinowska, A. M. (2023) · Frontiers in Neurology · doi:10.3389/fneur.2023.1136348 · Cited by 18 · see citing works
Sleep Quality and Insomnia Severity among Italian University Students: A Latent Profile Analysis
Carpi, M., Marques, D. R., Milanese, A., & Vestri, A. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11144069 · Cited by 23 · see citing works
The association of insomnia with long COVID: An international collaborative study (ICOSS-II)
Chen, S., Morin, C. M., Ivers, H., Wing, Y. K., Partinen, M., Merikanto, I., Holzinger, B., Espie, C. A., Gennaro, L. D., Dauvilliers, Y. A., et al. (2023) · Sleep Medicine · doi:10.1016/j.sleep.2023.09.034 · Cited by 22 · see citing works
Self-citationBenito, G. V., Goldberg, X., Brachowicz, N., Castaño‐Vinyals, G., Blay, N., Espinosa, A., Davidhi, F., Torres, D., Kogevinas, M., de Cid, R., et al. (2024) · Artificial Intelligence in Medicine · doi:10.1016/j.artmed.2024.102991 · Cited by 22 · see citing works
Psychological well-being during the COVID-19 pandemic in Italy assessed in a four-waves survey
de Girolamo, G., Ferrari, C., Candini, V., Buizza, C., Calamandrei, G., Caserotti, M., Gavaruzzi, T., Girardi, P., Habersaat, K. B., Lotto, L., et al. (2022) · Scientific Reports · doi:10.1038/s41598-022-22994-4 · Cited by 22 · see citing works
Sunada, N., Nakano, Y., Otsuka, Y., Tokumasu, K., Honda, H., Sakurada, Y., Matsuda, Y., Hasegawa, T., Omura, D., Ochi, K., et al. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11247332 · Cited by 21 · see citing works
The societal and economic burden of insomnia in adults: An international study
Hafner, M., Romanelli, R. J., Yerushalmi, E., & Troxel, W. (2023) · RAND Corporation eBooks · doi:10.7249/rra2166-1 · Cited by 22 · see citing works
Ran, M., Wang, C., Cai, J., Deng, Z.-Y., Mu, Y.-F., Huang, Y., Zhang, W., Song, H.-J., Deng, A.-P., Qiu, C., et al. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.12.009 · Cited by 21 · see citing works
Chan, W. S., Cheng, W. Y., Lok, S. H. C., Cheah, A. K. M., Lee, A. K. W., Ng, A. S. Y., & Kowatsch, T. (2024) · JMIR Mental Health · doi:10.2196/51716 · Cited by 22 · see citing works
Mun, M., Kim, M., & Woo, K. (2025) · Nurse Education Today · doi:10.1016/j.nedt.2025.106719 · Cited by 22 · see citing works
How does the COVID-19 fuel insomnia?
Cheshmehzangi, A., Chen, H., Su, Z., Zou, T., Xiang, Y., & Dawodu, A. (2022) · Brain Behavior & Immunity - Health · doi:10.1016/j.bbih.2022.100426 · Cited by 20 · see citing works
Dream‐enactment behaviours during the COVID ‐19 pandemic: an international COVID ‐19 sleep study
Liu, Y., Partinen, E., Chan, N. Y., Dauvilliers, Y. A., Inoue, Y., Gennaro, L. D., Plazzi, G., Bolstad, C. J., Nadorff, M. R., Merikanto, I., et al. (2022) · Journal of Sleep Research · doi:10.1111/jsr.13613 · Cited by 20 · see citing works
Self-citationHamdy, N. Μ., Shaker, F. H., Zhan, X., & Basalious, E. B. (2022) · The EPMA Journal · doi:10.1007/s13167-022-00285-2 · Cited by 20 · see citing works
Cha, E. J., Jeon, H. J., & Chung, S. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11123416 · Cited by 20 · see citing works
The Role of Sleep Effort as a Mediator Between Anxiety and Depression
Borges, C. M. C., Ellis, J. G., & Marques, D. R. (2023) · Psychological Reports · doi:10.1177/00332941221149181 · Cited by 21 · see citing works
Obuobisa‐Darko, T., & Sokro, E. (2023) · Social Sciences & Humanities Open · doi:10.1016/j.ssaho.2023.100596 · Cited by 26 · see citing works
Gabarrell‐Pascuet, A., Varga, T. V., Moneta, M. V., Ayuso‐Mateos, J. L., Lara, E., Olaya, B., Haro, J. M., & Domènech‐Abella, J. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.02.042 · Cited by 20 · see citing works
Study on the mechanism of public attention to a major event: The outbreak of COVID-19 in China
Liu, L., & Fu, Y. (2022) · Sustainable Cities and Society · doi:10.1016/j.scs.2022.103811 · Cited by 18 · see citing works
Association of sleep complaints with all-cause and heart disease mortality among US adults
Wang, Q., Hu, S., Pan, N., Zhang, T., Ren, L., & Wang, Y. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1043347 · Cited by 18 · see citing works
Mirolli, M., Simione, L., Martoni, M., & Fabbri, M. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182413149 · Cited by 17 · see citing works
“The spread of COVID-19 resulted in a high prevalence of sleep problems not only in COVID-19 patients, but also in healthcare workers and in the general population [1,2].”
BackgroundMoreno, C. R. D. C., Conway, S. G., Assis, M., Genta, P. R., Pachito, D. V., Júnior, A. R. T., Sguillar, D. A., Moreira, G. A., Drager, L. F., & Bacelar, A. (2022) · Sleep Science · doi:10.5935/1984-0063.20220027 · Cited by 18 · see citing works
Sarkanen, T., Partinen, M., Bjorvatn, B., Merikanto, I., Benedict, C., Nadorff, M. R., Bolstad, C. J., Espie, C. A., Matsui, K., Chung, F. F., et al. (2023) · Sleep Medicine · doi:10.1016/j.sleep.2023.04.024 · Cited by 17 · see citing works
Self-citationDreaming during the COVID-19 pandemic: A narrative review
Gorgoni, M., Scarpelli, S., Alfonsi, V., & Gennaro, L. D. (2022) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2022.104710 · Cited by 18 · see citing works
Anxiety and Depression during COVID-19 in Elite Rugby Players: The Role of Mindfulness Skills
Myall, K., Montero‐Marín, J., & Kuyken, W. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182211940 · Cited by 16 · see citing works
Holzinger, B., Nierwetberg, F., Chung, F. F., Bolstad, C. J., Bjorvatn, B., Chan, N. Y., Dauvilliers, Y. A., Espie, C. A., Han, F., Inoue, Y., et al. (2022) · Nature and Science of Sleep · doi:10.2147/nss.s368147 · Cited by 16 · see citing works
Self-citationRoslan, N. Q. B., & Cho, H. (2022) · International Journal of Sport and Exercise Psychology · doi:10.1080/1612197x.2022.2134435 · Cited by 12 · see citing works
Bjorvatn, B., Waage, S., & Saxvig, I. W. (2022) · Journal of Sleep Research · doi:10.1111/jsr.13763 · Cited by 16 · see citing works
Self-citationPersistence of the Effects of the COVID-19 Lockdown on Sleep: A Longitudinal Study
Gorgoni, M., Scarpelli, S., Mangiaruga, A., Alfonsi, V., Bonsignore, M. R., Fanfulla, F., Ferini‐Strambi, L., Nobili, L., Plazzi, G., & Gennaro, L. D. (2021) · Brain Sciences · doi:10.3390/brainsci11111520 · Cited by 16 · see citing works
Self-citationRubio, I. M., Sánchez-López, P., Ángel, N. G., & Ruíz, N. F. O. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192114171 · Cited by 16 · see citing works
Karagiannidis, A. G., Theodorakopoulou, M. P., Ferro, C. J., Ortíz, A., Soler, M. J., Halimi, J., Januszewicz, A., Persu, A., Kreutz, R. H., & Sarafidis, P. A. (2022) · Clinical Kidney Journal · doi:10.1093/ckj/sfac235 · Cited by 14 · see citing works
Resilience resources and coping strategies of COVID-19 female long haulers: A qualitative study
Aghaei, A., Aggarwal, A., Zhang, R., Li, X., & Qiao, S. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.970378 · Cited by 15 · see citing works
Network analysis to estimate central insomnia symptoms among daytime workers at-risk for insomnia
Takano, Y., Ibata, R., Nakano, N., & Sakano, Y. (2023) · Scientific Reports · doi:10.1038/s41598-023-43802-7 · Cited by 15 · see citing works
Appel, K. S., Nürnberger, C., Bahmer, T. J., Förster, C., Polidori, M. C., Kohls, M., Kraus, T., Hettich-Damm, N., Petersen, J., Blaschke, S., et al. (2024) · Infection · doi:10.1007/s15010-024-02226-9 · Cited by 15 · see citing works
COVID-19 pandemic decreased sleep quality of medical students
Fernandes, A. C. A., Magalhães-Padilha, D. M., de Moura, A. C. M. A., de Aquino, C. E. F., Lima, I. B. D. A., & Mota-Rolim, S. A. (2022) · Sleep Science · doi:10.5935/1984-0063.20220075 · Cited by 15 · see citing works
Self-citationChen, P., Zhang, L., Sha, S., Lam, M. I., Lok, K.-I., Chow, I. H. I., Si, T. L., Su, Z., Cheung, T. C. C., Feng, Y., et al. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1113122 · Cited by 15 · see citing works
Boer, J. D., Höhle, N., Rosenblum, L., & Fietze, I. (2023) · Brain Sciences · doi:10.3390/brainsci13030480 · Cited by 15 · see citing works
Liu, D., Zhou, Y., Tao, X., Cheng, Y., & Tao, R. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1374667 · Cited by 14 · see citing works
Barateau, L., Chenini, S., Rassu, A. L., Denis, C., Lorber, Q., Dhalluin, C., Lopez, R., Jaussent, I., Béziat, S., & Dauvilliers, Y. A. (2022) · Neurology · doi:10.1212/wnl.0000000000200907 · Cited by 14 · see citing works
Self-citationPrevalence of insomnia and hypnotic use in Norwegian patients visiting their general practitioner
Torsvik, S., Bjorvatn, B., Eliassen, K. E., & Forthun, I. (2022) · Family Practice · doi:10.1093/fampra/cmac103 · Cited by 14 · see citing works
Self-citationPrevalence of Insomnia in the Early Post-COVID-19 Recovery Period
Pudło, R., Jaworska, I. A., Szczegielniak, A. R., Niedziela, J. T., Kułaczkowska, Z., Nowowiejska‐Wiewióra, A., Jaroszewicz, J., & Gąsior, M. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192114224 · Cited by 14 · see citing works
Mojsa-Kaja, J., & Ivcevic, Z. (2022) · International Journal of Occupational Medicine and Environmental Health · doi:10.13075/ijomeh.1896.01977 · Cited by 12 · see citing works
Yuan, K., Zheng, Y., Wang, Y., Sun, Y., Gong, Y.-M., Huang, Y., Chen, X., Liu, X., Zhong, Y., Su, S., et al. (2022) · SSRN Electronic Journal · doi:10.2139/ssrn.4001811 · Cited by 14 · see citing works
Peng, J., Zhang, T., Li, Y., Wu, L., Peng, X., Li, C., Lin, X., Yu, J., Li, M., Sun, J., et al. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1129322 · Cited by 13 · see citing works
Chan, J. K., Marzuki, A. A., Vafa, S., Thanaraju, A., Yap, J., Chan, X. W., Harris, H. A., Todi, K., & Schaefer, A. (2024) · BMC Psychology · doi:10.1186/s40359-024-01715-8 · Cited by 17 · see citing works
Leonhardt, M., Brodahl, M., Cogan, N. A., & Lien, L. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-03812-7 · Cited by 15 · see citing works
Acute and long‑term psychiatric symptoms associated with COVID‑19 (Review)
Paunescu, R., Micluția, I., Verișezan-Roșu, O., & Crecan-Suciu, B. D. (2022) · Biomedical Reports · doi:10.3892/br.2022.1586 · Cited by 13 · see citing works
Determinants of e-Mental Health Use During COVID-19: Cross-sectional Canadian Study
Yu, E., Xu, B., & Sequeira, L. (2022) · Journal of Medical Internet Research · doi:10.2196/39662 · Cited by 12 · see citing works
Aghelan, Z., Pashaee, S., Abtahi, S. H., Karima, S., Khazaie, H., Ezati, M., & Khodarahmi, R. (2023) · Journal of Neuroimmune Pharmacology · doi:10.1007/s11481-023-10078-7 · Cited by 14 · see citing works
Basishvili, T., Oniani, N., Sakhelashvili, I., Eliozishvili, M., Khizanashvili, M., Arabidze, M., Tsaava, M., Charekishvili, T., Tsertsvadze, N., & Darchia, N. (2021) · Brain Sciences · doi:10.3390/brainsci12010017 · Cited by 12 · see citing works
Yang, L., Yu, S., Zhang, L., Peng, W., Hu, Y., Feng, F., & Yang, J. (2022) · Nature and Science of Sleep · doi:10.2147/nss.s355922 · Cited by 12 · see citing works
Sleeping in a bubble: factors affecting sleep during New Zealand’s COVID-19 lockdown
Gibson, R. H., Shetty, H., Carter, M. L., & Münch, M. Y. (2022) · SLEEP Advances · doi:10.1093/sleepadvances/zpac017 · Cited by 12 · see citing works
The top 100 most cited papers in insomnia: A bibliometric analysis
Wan, Q., Liu, K., Wang, X., Luo, S., Yuan, X., Wang, C., Jiang, J., & Wu, W. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.1040807 · Cited by 12 · see citing works
Anxiety, insomnia and family support in nurses, two years after the onset of the pandemic crisis
Sikaras, C., Tsironi, M., Zyga, S., & Παναγιώτου, Α. (2023) · AIMS Public Health · doi:10.3934/publichealth.2023019 · Cited by 11 · see citing works
Zhang, W., Yu, M., Xu, Y., Li, X., Zuo, H., Huang, Z., & Gao, X. (2023) · Annals of Medicine · doi:10.1080/07853890.2023.2287706 · Cited by 12 · see citing works
Restless legs symptoms increased during COVID-19 pandemic. International ICOSS-survey
Partinen, E., Inoue, Y., Siemiński, M., Merikanto, I., Bjorvatn, B., Bolstad, C. J., Chung, F. F., Gennaro, L. D., Espie, C. A., Holzinger, B., et al. (2024) · Sleep Medicine · doi:10.1016/j.sleep.2024.04.016 · Cited by 11 · see citing works
Self-citationLiao, D.-D., Hu, J., Ding, K., Hou, C., Tan, W., Ke, Y.-F., Jia, F., & Wang, S.-B. (2024) · ALPHA PSYCHIATRY · doi:10.5152/alphapsychiatry.2024.231458 · Cited by 11 · see citing works
Wang, X., Zhang, C., & Luan, W. (2023) · BMJ Open · doi:10.1136/bmjopen-2023-072305 · Cited by 13 · see citing works
Association between Free Sugars Intake and Excessive Daytime Sleepiness among Chinese Adolescents
Xi, Y., Lin, Q., Yang, Q., Li, F., Liu, H., Luo, J., Ouyang, Y., Sun, M., Yong, C., Xiang, C., et al. (2021) · Nutrients · doi:10.3390/nu13113959 · Cited by 11 · see citing works
Bursky, M., Egglefield, D. A., Schiff, S., Premnath, P. Y., & Sneed, J. R. (2022) · Brain Sciences · doi:10.3390/brainsci12050663 · Cited by 12 · see citing works
Benito-Villena, R., Guerrero-Martínez, I., Naveiro‐Fuentes, M., Ibáñez, N. C., Femia, P., Gallo-Vallejo, J. L., Mozas‐Moreno, J., & Amezcua‐Prieto, C. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191610012 · Cited by 10 · see citing works
Bravo-Sanzana, M., Miranda, R., & Oriol, X. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20031958 · Cited by 11 · see citing works
Sleep and memory complaints in long COVID: an insight into clustered psychological phenotypes
Titze‐de‐Almeida, R., Lacerda, P. H. A., de Oliveira, E. P., de Oliveira, M. E. F., Vianna, Y. S. S., Costa, A. M., dos Santos, E. P., Guerard, L. M. C., Ferreira, M. A. D. M., dos Santos, I. C. R., et al. (2024) · PeerJ · doi:10.7717/peerj.16669 · Cited by 10 · see citing works
Rigny, L., Fletcher‐Lloyd, N., Capstick, A., Nilforooshan, R., & Barnaghi, P. M. (2024) · Communications Medicine · doi:10.1038/s43856-024-00646-0 · Cited by 12 · see citing works
Tsaava, M., Oniani, N., Eliozishvili, M., Sakhelashvili, I., Tkemaladze, N., Aladashvili, T., Basishvili, T., & Darchia, N. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192316221 · Cited by 11 · see citing works
Hu, C.-F. (2023) · Clinical Complementary Medicine and Pharmacology · doi:10.1016/j.ccmp.2023.100089 · Cited by 8 · see citing works
Schabus, M., Eigl, E.-S., & Widauer, S. S. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.921196 · Cited by 8 · see citing works
Otani, K., Yoshikawa, R., Naitou, A., Fukushima, H., & Matsuishi, K. (2023) · Neuropsychopharmacology Reports · doi:10.1002/npr2.12341 · Cited by 10 · see citing works
- Authors
- Morin, C. M., Bjorvatn, B., Chung, F., Holzinger, B., Partinen, M., Penzel, T., Ivers, H., Wing, Y. K., Chan, N. Y., Merikanto, I., Mota-Rolim, S., Macêdo, T., De Gennaro, L., Léger, D., Dauvilliers, Y., Plazzi, G., Nadorff, M. R., Bolstad, C. J., Sieminski, M., Benedict, C., Cedernaes, J., Inoue, Y., Han, F., & Espie, C. A.
- Affiliations
- Université Laval (CA)
- Haukeland University Hospital (NO)
- University Health Network (CA)
- Medical University of Vienna (AT)
- University of Helsinki (FI)
- Charité – Universitätsmedizin Berlin (DE)
- Chinese University of Hong Kong (HK)
- Universidade Federal do Rio Grande do Norte (BR)
- Université Paris Cité (FR)
- Inserm (FR)
- University of Modena and Reggio Emilia (IT)
- Baylor College of Medicine (US)
- Uppsala University (SE)
- Tokyo Medical University (JP)
- University of Oxford (GB)
- Corresponding author
- Morin, Charles M.
- ORCID
- Morin, Charles M.
- Bjorvatn, Bjørn
- Chung, Frances
- Holzinger, Brigitte
- Partinen, Markku
- Penzel, Thomas
- Ivers, Hans
- Wing, Yun Kwok
- Chan, Ngan Yin
- Merikanto, Ilona
- Mota-Rolim, Sergio
- Macêdo, Tainá
- De Gennaro, Luigi
- Léger, Damien
- Dauvilliers, Yves
- Plazzi, Giuseppe
- Nadorff, Michael R.
- Bolstad, Courtney J.
- Sieminski, Mariusz
- Benedict, Christian
- Cedernaes, Jonathan
- Inoue, Yuchi
- Han, Fang
- Espie, Colin A.
- Venue
- Sleep Medicine
- Publisher
- Elsevier BV
- Published
- 2021-11
- Volume
- 87
- Pages
- 38-45
- ISSN
- 1389-9457 (ISSN-L)
- PMC
- PMC8425785
- OpenAlex
- W3189350764
- Cited by
- 312
- References
- 33
- Citations by year
- 2026: 26 · 2025: 36 · 2024: 66 · 2023: 90 · 2022: 85 · 2021: 9
- FWCI
- 42.61
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Sleep Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion, other-oa)
- HAL (submittedVersion)
- IRIS UNIMORE (University of Modena and Reggio Emilia) (submittedVersion, cc-by)
- STM:n Hallinnonalan avoin julkaisuarkisto (Julkari) (submittedVersion)
- Funders
- Novo Nordisk Fonden (NNF19OC0056777)
- Japan Society for the Promotion of Science (18K07581)
- 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 › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- insomnia, anxiety, depression, COVID-19 pandemic, sleep, psychological well-being, quarantine, lockdown, financial burden, social isolation, living alone, household size, sex differences, prevalence, risk factors, mental health prevention, cross-national comparison, chronic insomnia, COVID-19 risk
- MeSH terms
- COVID-19, SARS-CoV-2, Adolescent, Adult, Aged, Aged, 80 and over, Anxiety, Cross-Sectional Studies, Depression, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Young Adult, Pandemics
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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