Pandemi ve İnsomni

Yıl 2020, Cilt: 1 Sayı: 1, 5 - 9, 02.11.2020

Pınar Uzun Uslu

https://doi.org/10.48176/esmj.2020.2

Öz

İnsomni uyku için elverişli ortam ve şartların bulunmasına rağmen, uykuya başlamada veya uykuyu sürdürmede güçlük ve buna bağlı gündüz fonksiyon bozuklukları ile seyreden bir klinik olarak tanımlanmıştır. Şiddetli akut solunum sendromu koronavirüsü- 2 (SARS-CoV-2), Çin’in Wuhan eyaletinden başlayıp dünyaya yayılarak pandemiye yol açmıştır. Solunum yollarını etkileyen bu hastalık klinik olarak soğuk algınlığı benzeri semptomlara neden olabildiği gibi, akut solunum sıkıntısı sendromu veya fulminan pnömoni gibi ciddi klinik durumlara yol açabilmektedir. Ayrıca Koronavirüs hastalığı 2019 (COVID-19) nörotrop bir virüs olup hastalığın seyri boyunca baş ağrısı, baş dönmesi, bilinç bozukluğu, inme, ensefalit, ensefalopati ve periferik sinir sistemi hasarına bağlı belirti ve bulgular görülebilmektedir. Birçok çalışmada bu fiziksel etkilenmelerin dışında uyku ve ruh sağlığı da etkilendiği saptanmıştır. Pandemide en sık görülen uyku bozukluğu insomnidir. Bu derleme ile pandemi döneminde insomni ile ilgili çalışmalar gözden geçirilerek literatüre katkı sağlanması hedeflenmiştir.

Anahtar Kelimeler

İnsomni, uykusuzluk, pandemi, COVID-19, anksiyete

Pandemia and Insomnia

Öz

Insomnia has been defined as a clinical course with difficulties in starting or maintaining sleep, and associated daytime dysfunction, despite the favorable environment and conditions for sleep. Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) started in Wuhan province of China and spread to the world, causing a pandemic. This disease, which affects the respiratory tract, can clinically cause cold-like symptoms, as well as serious clinical conditions such as acute respiratory distress syndrome or fulminant pneumonia. In addition, Coronavirus disease 2019 (COVID-19) is a neurotrophic virus and symptoms and signs related to headache, dizziness, impaired consciousness, stroke, encephalitis, encephalopathy and peripheral nervous system damage can be seen throughout the course of the disease. In many studies, it has been found that apart from these physical effects, sleep and mental health are also affected. The most common sleep disorder in pandemic is insomnia. With this review, it is aimed to contribute to the literature by reviewing the studies on insomnia during the pandemic period.

Anahtar Kelimeler

Insomnia, sleeplessness, pandemia, COVID-19, anxiety

Kaynakça

• 1. Sateia MJ. International classification of sleep disorders. Chest. 2014;146(5):1387-1394.
• 2. Ursavaş A. Yeni Uyku Bozuklukları Sınıflaması (ICSD-3) uykuda solunum bozukluklarında neler değişti. Güncel Göğüs Hastalıkları Serisi. 2014;2(2):139-151.
• 3. Yılmaz H, Tuncel D. Uyku Bozukluklarında Tedavi Rehberi. Ankara, Türk Nöroloji Derneği, 2014.
• 4. Kaynak H, Ardıç S. Uyku fizyolojisi ve hastalıkları. İstanbul: Nobel Tıp Kitabevi; 2011.
• 5. Ohayon MM. Epidemiology of insomnia: what we know and what we still need to learn. Sleep medicine reviews. 2002;6(2):97-111.
• 6. Zhu N, Zhang D, Wang W, et al. A novel coronavirus from patients with pneumonia in China, 2019. New England Journal of Medicine. 2020;727–33
• 7. Turgay Yıldırım Ö, Turgay A, Laflı Tunay D. COVID-19 Pandemisi ve Kardiyovasküler Etkileri. Çukurova Anestezi ve Cerrahi Bilimler Dergisi. 2020;3(3):128-133.
• 8. Şimşekoğlu R, Tombul T. Covid-19 Pandemic and Neurological Manifestations. Anadolu Kliniği Tıp Bilimleri Dergisi. 2020: 25(Special Issue on COVID 19):246-251.
• 9. Rajkumar RP. COVID-19 and mental health: A review of the existing literature. Asian J Psychiatr. 2020 Aug;52:102066. doi: 10.1016/j.ajp.2020.102066.
• 10. Tasnim S, Rahman M, Pawar P, et al. Epidemiology of sleep disorders during COVID-19 pandemic: A systematic scoping review protocol. medRxiv. May 2020:2020.05.17.20104794. doi:10.1101/2020.05.17.20104794
• 11. Zhang WR, Wang K, Yin L, et al. Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China. Psychother Psychosom. 2020;89(4):242-250.
• 12. Bhargava S, Sarkar R, Kroumpouzos G. Mental distress in dermatologists during COVID-19 pandemic: Assessment and risk factors in a global, cross-sectional study. Dermatol Ther. 2020 Nov;33(6):e14161.
• 13. Albert PR. Why is depression more prevalent in women? J Psychiatry Neurosci. 2015 Jul;40(4):219-21.
• 14. Roth T, Coulouvrat C, Hajak G, et al. Prevalence and perceived health associated with insomnia based on DSM-IV-TR; International Statistical Classification of Diseases and Related Health Problems, Tenth Revision; and Research Diagnostic Criteria/International Classification of Sleep Disorders, Second Edition criteria: results from the America Insomnia Survey. Biol Psychiatry. 2011 Mar 15;69(6):592-600.
• 15. Alvaro PK, Roberts RM, Harris JK. A Systematic Review Assessing Bidirectionality between Sleep Disturbances, Anxiety, and Depression. Sleep. 2013 Jul 1;36(7):1059-1068.
• 16. Lai J, Ma S, Wang Y, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020 Mar 2;3(3):e203976.
• 17. Gao C, Scullin MK. Sleep health early in the coronavirus disease 2019 (COVID-19) outbreak in the United States: integrating longitudinal, cross-sectional, and retrospective recall data. Sleep Med. 2020 Sep;73:1-10.
• 18. Que J, Shi L, Deng J, et al. Psychological impact of the COVID-19 pandemic on healthcare workers: a cross-sectional study in China. Gen Psychiatr. 2020 Jun 14;33(3):e100259.
• 19. Wang H, Huang D, Huang H, et al. The psychological impact of COVID-19 pandemic on medical staff in Guangdong, China: a cross-sectional study. Psychol Med. 2020 Jul 6:1-9. doi: 10.1017/S0033291720002561. Epub ahead of print.
• 20. Chen M, Qiu Y, Chen H, et al. Baduanjin Exercise May Improve the Anxiety and Insomnia in COVID-2019 Patients: A Case-Control Study. Research Square; 2020. DOI: 10.21203/rs.3.rs-42755/v1.1720002561. Epub ahead of print.
• 21. Zheng G, Li M, Lan X, et al. The effect of Baduanjin exercise for physical and psychological wellbeing of college students: study protocol for a randomized controlled trial. Trials. 2013 Dec 5;14:422.
• 22. Liu K, Chen Y, Wu D, et al. Effects of progressive muscle relaxation on anxiety and sleep quality in patients with COVID-19. Complement Ther Clin Pract. 2020 May;39:101132.
• 23. Baglioni C, Altena E, Bjorvatn B, et al. The European Academy for Cognitive Behavioural Therapy for Insomnia: An initiative of the European Insomnia Network to promote implementation and dissemination of treatment. J Sleep Res. 2020 Apr;29(2):e12967.
• 24. Domaç FM, Karacı R, COVID-19 ve uyku. Uludüz D,Özge A, editörler. Nörolojik Bilimler ve COVID-19. 1.Baskı.Ankara: Türkiye Klinikleri; 2020. P56-60.