COVID Insomnia: A More Complex and Common Issue Than You May Realize, According to Experts

Pandemic-Induced Sleep Challenges

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The impact of COVID-19 on our sleep is multifaceted, and it goes beyond just the direct effects of the virus itself. As the pandemic continues, we’ve gained insights into how COVID-19 symptoms can vary widely among individuals and change with new variants. Even if you haven’t contracted the virus, it’s likely that you’ve experienced disruptions to your sleep over the past two years. But what does that mean for those who have had COVID-19? Is insomnia a potential outcome, either during or after the infection?

To clarify these concerns, we consulted several healthcare professionals who specialize in sleep medicine and the effects of COVID-19 on health. After all, sleep is crucial for our overall well-being. Here’s what you need to understand about COVID-related insomnia.

Is insomnia a direct symptom of COVID-19?

Insomnia is not officially listed as a symptom of COVID-19 according to the CDC. The agency has provided an updated list of symptoms since the pandemic began, and while fatigue is a common complaint, insomnia is notably absent. However, Dr. Alex Roberts, a sleep specialist and director at the Sleep Health Institute, notes that respiratory symptoms like coughing and fever may hinder sleep indirectly.

Additionally, Dr. Mia Chen, a board-certified neurologist and sleep medicine expert, points out that insomnia is frequently encountered in clinical settings. “It can be influenced by various medical or psychiatric conditions and is often a response to stressors,” she explains. This means that even without insomnia being a recognized symptom of COVID-19, the virus can still impact your sleep.

Is it common to experience insomnia after recovering from COVID-19?

If you know someone who has had COVID-19 and still struggles to return to their usual self, they might be experiencing what the CDC categorizes as “post-COVID conditions” or “long COVID.” These conditions can manifest weeks or months after the initial infection, with insomnia being a prevalent symptom. Dr. Sam Thompson, an expert in immunology, states that individuals suffering from long COVID often experience severe insomnia, even if they did not have sleep issues during their illness.

Dr. Emily Foster, a pulmonologist specializing in sleep medicine and co-director at the New Jersey COVID Recovery Center, has observed that approximately 30 to 40% of patients develop sleep disturbances. “We actively address sleep issues since they are vital for recovery,” she adds. Inflammation and the body’s response to illness can also affect sleep quality. “Chronic inflammation may lead to compromised sleep,” notes Dr. Chen.

Moreover, the psychological effects of long COVID, such as anxiety and depression, can exacerbate sleep problems. “Mood disorders are common among long COVID patients, and the full impact of COVID on mental health is still being studied,” Dr. Foster adds.

Could pandemic-related stress be causing insomnia?

Beyond direct COVID-19 effects, the stress associated with the pandemic has significantly contributed to insomnia. This phenomenon has even been informally termed “coronasomnia.” Dr. Chen notes that studies suggest insomnia rates have increased by approximately 7% during the pandemic.

The disruption of daily routines, including work, meals, and social interactions, has thrown our natural sleep-wake cycles into disarray. “Regular activities act as natural cues for sleep patterns,” Dr. Roberts explains.

What can you do if COVID is affecting your sleep?

If you find that COVID-19—whether through infection or the general stress of the pandemic—is impacting your sleep, consider implementing these strategies:

  • Maintain a consistent bedtime routine.
  • Avoid napping during the day to protect your sleep schedule.
  • Get adequate sunlight during the day to boost your vitamin D levels.
  • Limit screen time before bed.
  • Practice relaxation techniques, such as meditation or deep breathing.
  • Take a warm bath or shower about an hour before sleeping.
  • Keep your bedroom dedicated solely to sleep (no work or TV).
  • Adjust the room temperature for optimal comfort.
  • Consider journaling about your sleep patterns to discuss with your healthcare provider.
  • Engage in regular exercise a few hours before bedtime to help manage stress.

While it may be tempting to use alcohol to unwind, it could worsen sleep disturbances. Quality sleep is essential for maintaining a strong immune system, and insufficient sleep can make you more susceptible to illness. If insomnia persists, reach out to your healthcare provider or a sleep specialist for personalized advice and treatment options.

How long does post-COVID insomnia last?

The duration of post-COVID insomnia can vary significantly from person to person. Some individuals may experience sleep disturbances for days, while for others, it can last months or even up to a year, according to the Cleveland Clinic.

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Summary

COVID insomnia is a complex issue influenced by various factors, including the virus itself and the stress of the pandemic. While not officially recognized as a symptom of COVID-19, insomnia can arise during and after infection, especially in those experiencing long COVID. Stress and disruption of daily routines have also played significant roles in sleep disturbances. Implementing a consistent sleep routine and seeking professional help when needed can mitigate these challenges.

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