This document discusses coronasomnia, or insomnia related to the COVID-19 pandemic. It notes that insomnia has been one of the most searched terms online recently. Coronasomnia is a term created to describe sleep issues arising from the current health context. Factors like stress, anxiety, lack of exercise and sunlight exposure, and insufficient sleep can all contribute to insomnia. Evaluation of insomnia may involve questionnaires, while polysomnography is used in some cases. Treatment focuses on cognitive behavioral therapy techniques like sleep hygiene and stimulus control. The author's clinical experience has seen over a 30% increase in requests for sleep evaluations and treatments, with most cases being secondary to the current health situation.

1. samedi 10 avril 2021
Sleep(less) in Neuchâtel
Coronasomnii
Dr Gianina Luca, PhD
CNP Ad I; U/C/L; CNPâa
Service de Pneumologie, Unité du sommeil

2. 21 Aprilie 2020: «Insomnia has been one of the most
googled terms in the last week»
https://www.parkview.com/community/dashboard/the-connection-between-coronavirus-and-sleep-issues

3. Coronasomnia - an epidemic inside
of a pandemic!
• Coronasomnie: termen creat de Lisa Medalie, PhD, psiholog, somnolog,
The University of Chicago Medical Center

4. Coronasomnia - an epidemic inside
of a pandemic!
• Coronasomnie: termen creat de Lisa Medalie, PhD, psiholog, somnolog,
The University of Chicago Medical Center
Coronasomnii Secundare contextului sanitar actual
Secundare COVID-19

5. Covid‐19 health crisis and lockdown associated with high level of sleep complaints and hypnotic uptake at the
population level
Journal of Sleep Research, Volume: 30, Issue: 1, First published: 28 June 2020, DOI: (10.1111/jsr.13119)
Source: Office for National Statistics (UK data); Centers for Disease Control and Prevention (US data).
https://www.nature.com/articles/d41586-021-00175-z

6. • STS is positively related to insomnia
• Frontline healthcare workers who experience isolation, anxiety, dissociation, physical ailments, and helplessness
are more likely to develop sleeping problems.
• Sleep and other mental health problems are associated with an increased risk of work related-stress symptoms.
• Insomnia and sleep deprivation during overnight work mediate these relationships

7. Simptome
• Dificultati de initiere a somnului
• Dificultati de mentinere a somnului/trezire precoce
• Somn fragmentat, nereparator
• Insomnie paradoxala
• Somnolenta diurna excesiva
• Diagnostic diferential !

8. Sleep misperception – insomnie paradoxala

9. Stress
Anxietate
/ Depresie
↓ Exercitiu fizic
↓Expunerea la
lumina
Somn insuficient
(durata + calitate)
Oboseala

10. Evaluation de l’insomnie –
questionnaires
quand PSG?
Maire et al, Swiss Medical Forum, 2019

11. “A very important finding, because we have always searched for causes of insomnia in the brain circuits that regulate sleep. We have to shift our
attention to the circuits that regulate emotion, stress and tension”.
Insomnia is genetically more related to psychiatric disorders than to other sleep traits

12. Adolescenti
Biologici Socioculturali Psihologici

13. Adolescenti
Tulburari de
ritm circadian
Insomnie
Hipersomnie

14. Insomnie de initiere
Trezire precoce
Somn fragmentat
Depresie
Singuratate

15. Ipoteza pentru «insomnia secundara COVID 19»
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7874499/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7711056/

17. Insomnie - management
www.cnp.ch
• Gold standard: TCC-I

18. TCC: igiena somnului

19. TCC: igiena somnului
RECOMMENDATIONS OF THE CBT-I ACADEMY TASKFORCE TO DEAL
WITH SLEEP P ROBLEMS DURING HOME CONFINEMENT
• Horar de somn regulat
• 15 min de relaxare/zi
• Controlul stimulilor
• Utilizati aceasta oportunitate pentru a va urma ritmul biologic natural
• ……

20. TCC: controlul stimulilor (Bootzin, 1972)

21. TCC: Restrictia timpului petrecut in pat
Complianta!!!

24. Experienta personala
• Cresterea cu >30% a cererilor de evaluare si tratament
• Majoritatea cazurilor de insomnie sunt secundare contextului sanitar
• «Secundar COVID-19» – I feel like drowning….

25. Asadar:
• Insomnie vs Tulburari de ritm circadian vs Boli intrinseci ale somnului
• Rolul anamnezei
• Examene complementare
• Managementul coronasomniilor
• TCC ca tratament de prima linie – Terapie de grup
• Insomnia paradoxala se trateaza ca si insomnia «clasica»
• Medicatie hipnotica cat mai rar si cat mai putin timp
• Managementul depresiei/anxietatii concomitent cu cel al tulburarilor de somn

26. Va multumesc!