The impact of COVID-19 pandemic in the quality of sleep by Pittsburgh Sleep Quality Index: A systematic review

Cien Saude Colet. 2021 Apr;26(4):1457-1466. doi: 10.1590/1413-81232021264.45952020. Epub 2021 Jan 17.


This article aims to evaluate the sleep quality in individuals during the COVID-19 pandemic by Pittsburgh Sleep Quality Index (PSQI). Searches were conducted in the PubMed, Embase, Web of Science, and PEDro databases, on May 22, 2020. In the publications, 208 articles were found and, considering the eligibility criteria, 10 articles were included at the end, showing the effects on sleep quality during the pandemic, in populations hospitalized, quarantined, and in frontline health professionals. The PSQI measured sleep disorders and a higher score indicated poor sleep quality. Nine articles were classified with evidence level IV and one as level III-2. Eight studies present a "serious" risk of bias and two in "moderate". The studies investigated different populations and described the results as "poor" sleep quality, considering the PSQI on quarantined individuals and frontline health professionals as the most committed. A poor sleep quality was found in the populations evaluated in the selected publications, probably, due to the COVID-19 to contribute as a risk factor for mental health. Psychological interventions must be made to minimize the consequences through social support and social capital.

Publication types

  • Systematic Review

MeSH terms

  • COVID-19 / complications*
  • Humans
  • Pandemics
  • Sleep Wake Disorders* / epidemiology
  • Sleep*