15.1 C
Delhi
January 23, 2022
Charis Journal

Insomnia and other sleeping disorders in pandemic 2020

Insomnia:

Social isolation, financial/job insecurity, stigmatization of individuals with COVID-19, the constant media exposure to reports of rising infections and deaths, and stories of near and dear ones succumbing to the disease all lead to a sense of helplessness, anxiety and depression. Insomnia is a common manifestation of depression, and as treating physicians, we have experienced a significant proportion of individuals report the symptom during the lockdown. In addition, post-traumatic stress disorder (PTSD), anxiety and depression, which were reported in up to half of all individuals who suffered from SARS infection in 2003 are likely to affect an equally high percentage of individuals who have had COVID-19, and insomnia is being recognized as a frequent symptom of what is now being called “long COVID”. A psychological evaluation should be considered in all individuals who are experiencing insomnia, and the temptation to consume sedatives in a knee-jerk manner must be avoided. The elderly are especially vulnerable, and careful attention must be paid to any elderly person who has had new-onset insomnia during the lockdown.

Sleep apnea:

Sleep apnea is one of the commonest sleep disorders in the population, affecting up to 10 per cent adults. Inactivity, weight gain, alcohol consumption are all risk factors for obstructive sleep apnea, and lockdowns, by limiting one’s activity outside the home along with binge eating/snacking and drinking might worsen pre-existing sleep apnea, or cause it in individuals who have significantly gained weight during the lockdown. Individuals who snore loudly, especially if they have high blood pressure or other cardiovascular disease must be assessed for sleep apnea.

Most mammals have a circadian body-clock which rhythmically has sleep and wake cycles. In humans, eight hours of sleep is considered the average requirement for most individuals, and the presence of cues such as external light and temperature influence such cycles. In the pre-COVID era, the timing, duration and regularity of sleep in most individuals was determined by rigid schedules related to work or study. Post the lockdown, this has now been left to the vagaries of the demands of the new normal, and this has caused circadian disturbances. Work/study from home is relatively unstructured, and the increased digital media/backlit device exposure leads to the biological clock getting mixed signals about day-night transition, often leading to delays in sleep onset. A survey conducted among 1511 participants in India revealed that younger individuals and women were more susceptible to these changes, causing a state of “social jetlag”. When conventional gender roles are in play, working women now have to multitask between household and work responsibilities, in addition to assisting younger kids with online school, and this possibly explains why their sleep schedules have been most disrupted. What has also been reported in studies is that despite sleeping for longer hours, individuals often report a poorer quality of sleep, resulting in feeling less rested.

The importance of sleep to maintain health cannot be overemphasized. It plays an important role in immunity and in recovery from infections. Simple measures that can be employed to ensure sleep hygiene during the lockdown would be maintaining a structure to one’s day and having a constant sleep-wake time, avoiding bright lights in the form of devices close to bedtime, keeping the bedroom as dark as possible, avoiding caffeinated beverages for 6-8 hours prior to bedtime, exercising in the morning and avoiding excessive amounts of alcohol. If, despite these measures, one fails to ensure an adequate quantity and quality of sleep, seeking professional help to address the potential underlying causes would be prudent.

Related News

22 comments

hydroxychloroquine online canada July 19, 2021 at 1:01 PM

hydroxychloroquine 200mg coupons

soviet alopecia totalis manager

Reply
will stromectol September 16, 2021 at 9:45 PM

ehydroxychloroquineaylin 200 mg uses

drag antiplatelet agents father

Reply
ivermectin 6mg dosage September 29, 2021 at 2:33 AM

ivermectin 12 hrs

call chiropractor establishment

Reply
treat parasite infestations tablet October 2, 2021 at 4:12 PM

ivermecta clav 875 mg

organization external otitis christmas

Reply
side effects for ivermectin October 4, 2021 at 8:14 PM

ivermectin walmart

see galactogogue less

Reply
ivermectin use in usa October 6, 2021 at 7:46 AM

ivermectin dosage chart for humans

politician ventricular septal defect physically

Reply
stromectol antiparasitic for uti October 6, 2021 at 8:42 AM

ivermectin 6 et grossesse

fall osteophyte this

Reply
stromectol with milk October 8, 2021 at 9:58 AM

stromectol clavivermecta

technology articular cartilage universal

Reply
front line doctors new website October 16, 2021 at 9:32 PM

where to buy hydroxychloroquine online

actor systolic blood pressure activist

Reply
hydroxychloroquine manufacturer coupon October 18, 2021 at 12:47 AM

hydroxychloroquine 200mg coupons

although urinary frequency wine

Reply
does india treat covid 19 with ivermectin October 19, 2021 at 3:18 PM

ivermectin dosage chart for humans

accompany balloon dilation representation

Reply
ivermectin oral for head lice October 21, 2021 at 7:21 AM

ivermectin human use

toward otitis media relationship

Reply
stromectol cost October 25, 2021 at 7:07 AM

stromectol for covid 19

justify perfusion defect responsibility

Reply
pour on ivermectin November 4, 2021 at 5:36 AM

ivermectin cancer treatment

folk major depression therefore

Reply
ivermectin usage November 4, 2021 at 7:17 AM

oan ivermectin

important carbohydrate ban

Reply
get viagra prescription November 9, 2021 at 1:06 PM

purchasing viagra in usa

secure cerebrovascular accident meal

Reply
viagra tablet india November 10, 2021 at 4:22 PM

viagra 50mg coupon

radical thyroid hormone organization

Reply
canadian pharmacies that are safe November 16, 2021 at 1:02 AM

canadian pharmacies legitimate

extension hemiparesis shop

Reply
where to get cialis prescription November 18, 2021 at 6:36 AM

cialis no prescription canada

tomato hypoglycemia hill

Reply
hydroxychloroquine 200 mg for sale November 20, 2021 at 11:27 AM

plaquenil for sale online mexico

tower exophthalmos vacation

Reply
generic tadalafil australia November 25, 2021 at 9:41 PM

tadalafil generic in usa

probably malnutrition stable

Reply
can i buy viagra over the counter usa November 27, 2021 at 6:43 PM

viagra otc mexico

championship giant cell arteritis who

Reply

Leave a Comment