{"doi":"10.1093/sleep/zsab072.232","title":"233 COVID-19 Related Worries and Sleep Disturbances in Patients Previously Hospitalized with COVID-19 Illness","abstract":"Abstract Introduction In patients hospitalized for COVID-19 illness, sleep disturbances after discharge may impact quality of life and prognosis. We examined the relationship of COVID-19-related worries with sleep disturbances in patients three months after COVID-19 hospitalization. Methods Patients hospitalized for COVID-19 illness completed a survey three months post-discharge (n=153). We measured COVID-19-related worry along two domains: worry directly related to the disease (COVID-illness worry) and worry related to the socioeconomic impact of the pandemic (COVID-impact worry). COVID-illness worry included worry regarding: 1) getting COVID again, 2) dying from COVID, 3) family members getting COVID, 4) losing a loved one to COVID, 5) unknowingly infecting others with COVID, 6) having significant financial burdens because of COVID. COVID-impact included worry regarding: 1) employment loss, 2) not having enough food, 3) not having access to medical care/medications, 4) not having access to mental health care/medications, 5) reduction in interactions with other people, 6) separation from family members, 7) being lonely. Patients rated how much they worried about each item on a 4-point scale (not at all, a little, moderately, extremely). Scores on each domain were summed to reflect overall severity. Past month sleep was assessed for insomnia symptoms (none, mild, moderate, severe, very severe) and self-reported sleep duration. Binary logistic regression was used to evaluate the association of COVID-illness worry and COVID-impact worry, separately, with sleep measures, adjusting for age, sex, race/ethnicity, and presence of persistent COVID-related symptoms. Results The prevalence of insomnia (moderate, severe, or very severe symptoms) and short sleep duration (<6 h/day) was 47.0% and 39.2%, respectively. COVID-illness worry severity was significantly associated with presence of insomnia (OR: 1.91, 95% CI: 1.13-3.23, p=0.016) and short sleep (OR: 2.20, 95% CI: 1.25-3.86, p=0.006). In a separate model, COVID-impact worry severity was significantly associated with presence of insomnia (OR: 1.98, 95% CI: 1.23-3.19, p=0.005) and short sleep (OR: 2.11, 95% CI: 1.26-3.55, p=0.005). Conclusion Sleep disturbances are common among patients previously hospitalized with COVID-19 illness, and COVID-19 related worries are associated with insomnia and short sleep. Additional research is needed to determine whether addressing COVID-19 related worries reduces sleep disturbance, which in turn may promote post-COVID recovery. Support (if any):","journal":"SLEEP","year":2021,"id":224111,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9005,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2021-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":107000,"name":"Marwah Abdalla","orcid":"0000-0002-2725-505X","position":1,"is_corresponding":false},{"id":826165,"name":"Datla Raju","orcid":null,"position":2,"is_corresponding":false},{"id":106985,"name":"Ian M. Kronish","orcid":"0000-0003-0945-2380","position":3,"is_corresponding":false},{"id":614170,"name":"Nadia Liyanage-Don","orcid":"0000-0003-0689-4378","position":4,"is_corresponding":false},{"id":106971,"name":"Ari Shechter","orcid":"0000-0001-8243-0247","position":0,"is_corresponding":true}],"reference_count":0,"raw_metadata":null,"created_at":"2026-07-18T23:54:14.760456Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}