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Delayed sleep phase disorder during the COVID-19 pandemic and its health implications

Published online by Cambridge University Press:  28 February 2023

Ulises Jiménez-Correa ,
Naylea Bonilla ,
Horacio B. Álvarez-García ,
Gerardo Méndez-Alonzo ,
Andrés Barrera-Medina ,
Rafael Santana-Miranda ,
Adrián Poblano Open the ORCID record for Adrián Poblano [Opens in a new window]  and
Hernán A. Marín-Agudelo
Ulises Jiménez-Correa
Affiliation:
Clinic of Sleep Disorders, National University of Mexico (UNAM), Mexico City, México
Naylea Bonilla
Affiliation:
Clinic of Sleep Disorders, National University of Mexico (UNAM), Mexico City, México
Horacio B. Álvarez-García
Affiliation:
Clinic of Sleep Disorders, National University of Mexico (UNAM), Mexico City, México
Gerardo Méndez-Alonzo
Affiliation:
Clinic of Sleep Disorders, National University of Mexico (UNAM), Mexico City, México Department of Neurology, MIG Hospital, Mexico City, México
Andrés Barrera-Medina
Affiliation:
Clinic of Sleep Disorders, National University of Mexico (UNAM), Mexico City, México
Rafael Santana-Miranda
Affiliation:
Clinic of Sleep Disorders, National University of Mexico (UNAM), Mexico City, México
Adrián Poblano*
Affiliation:
Clinic of Sleep Disorders, National University of Mexico (UNAM), Mexico City, México Laboratory of Cognitive Neurophysiology, National Institute of Rehabilitation, Mexico City, México
Hernán A. Marín-Agudelo
Affiliation:
Center of Neurology, Institute of Behavioral Sleep Medicine, Medellín, Colombia
*
*Author for correspondence: Adrián Poblano, MD, DSc Email: drdislexia@yahoo.com.mx
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Abstract

Circadian rhythm sleep disorders are alterations that are characterized by a shift in the sleep-wake cycle relative to day and night, such as the delayed sleep phase disorder (DSPD), which is a retard of at least 2 hours in the sleep start. Typically, the patient falls asleep after 2 a.m. and wakes up after 10 a.m. and with symptom of sleep onset insomnia. The prevalence of DSPD in young adults is 0.48%, increasing to 3.3% in adolescents. Interestingly, patients with COVID-19 infection report anxiety due to the intensive care unit lockdown and constant exposure to bright light. In addition, post-COVID patients have an increased risk of developing DSPD. For example, in adolescent post-COVID patients, the prevalence of DSPD increases to 63.3%. Patients with DSPD also have alterations in metabolic health, poor school performance, cognitive impairment, and a higher risk of developing other diseases. The objective of the present review is therefore to describe the characteristics of DSPD during the COVID-19 pandemic and to outline its possible implications for physical health (eg, metabolism) and mental health (eg, anxiety or depression).

Keywords

Chronobiology disordersdelayed sleep phaseCOVID-19metabolic diseasesmental health
Type
Review
Information
CNS Spectrums , Volume 28 , Issue 5 , October 2023 , pp. 581 - 586
Copyright
© The Author(s), 2023. Published by Cambridge University Press

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