Management of long-COVID-19 patients with sleep disorders: practical advice to general practitioners

ABSTRACTGiven the high prevalence of sleep disorders (e.g. insomnia) among long-COVID-19 patients (LC19Ps), approaches to tackle these disorders should not only depend on sleep specialists, but they should also involve general practitioners (GPs). Indeed, according to the World Health Organization,...

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Main Authors: Fatma Guezguez, Mohamed Romdhani, Amine Boutaleb-Joutei, Karim Chamari, Helmi Ben Saad
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Libyan Journal of Medicine
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/19932820.2023.2182704
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author Fatma Guezguez
Mohamed Romdhani
Amine Boutaleb-Joutei
Karim Chamari
Helmi Ben Saad
author_facet Fatma Guezguez
Mohamed Romdhani
Amine Boutaleb-Joutei
Karim Chamari
Helmi Ben Saad
author_sort Fatma Guezguez
collection DOAJ
description ABSTRACTGiven the high prevalence of sleep disorders (e.g. insomnia) among long-COVID-19 patients (LC19Ps), approaches to tackle these disorders should not only depend on sleep specialists, but they should also involve general practitioners (GPs). Indeed, according to the World Health Organization, GPs should be on the front line in the management of LC19Ps. However, in real practice, little data with regard to the management of LC19Ps are available for GPs, which represents an embarrassing situation. Thus, the main aim of this correspondence was to provide GPs with some advice related to the management of sleep disorders in LC19Ps. The pieces advice presented in this correspondence are related to: i) Early and accurate recognition of sleep disorders, ii) General recommendations to manage sleep disorders in LC19Ps (e.g. encouraging vaccination against the virus); and iii) Specific recommendations, such as improving sleep hygiene (patients’ behavior and diet), psychological or behavioral therapies (stimulus control therapy, relaxation, sleep restriction), promising tools (heart coherence, neurofeedback), and pharmacological treatment. The authors of this correspondence deeply believe that given the undesirable side effects associated with the use of hypnotics, the pharmacological approach must only be a “last resort”. The authors believe that an important percentage of pharmacological prescriptions could be avoided if more focus is put on educating GPs to provide LC19Ps with more tools to deal with sleep disorders. The pieces advice presented in this correspondence are indispensable to resume the normal life of LC19Ps and to promote their mental health recovery.
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spelling doaj.art-daec1af3dff446e3b6636fd097e919272023-11-27T14:59:05ZengTaylor & Francis GroupLibyan Journal of Medicine1993-28201819-63572023-12-0118110.1080/19932820.2023.2182704Management of long-COVID-19 patients with sleep disorders: practical advice to general practitionersFatma Guezguez0Mohamed Romdhani1Amine Boutaleb-Joutei2Karim Chamari3Helmi Ben Saad4Farhat HACHED Hospital, Heart Failure (LR12SP09) Research Laboratory, University of Sousse, Sousse, TunisiaMotricité-Interactions-Performance, MIP, UR4334, Le Mans Université, Le Mans, FranceAspetar, Orthopaedic and Sports Medicine Hospital, FIFA Medical Centre of Excellence, Doha, QatarAspetar, Orthopaedic and Sports Medicine Hospital, FIFA Medical Centre of Excellence, Doha, QatarFarhat HACHED Hospital, Heart Failure (LR12SP09) Research Laboratory, University of Sousse, Sousse, TunisiaABSTRACTGiven the high prevalence of sleep disorders (e.g. insomnia) among long-COVID-19 patients (LC19Ps), approaches to tackle these disorders should not only depend on sleep specialists, but they should also involve general practitioners (GPs). Indeed, according to the World Health Organization, GPs should be on the front line in the management of LC19Ps. However, in real practice, little data with regard to the management of LC19Ps are available for GPs, which represents an embarrassing situation. Thus, the main aim of this correspondence was to provide GPs with some advice related to the management of sleep disorders in LC19Ps. The pieces advice presented in this correspondence are related to: i) Early and accurate recognition of sleep disorders, ii) General recommendations to manage sleep disorders in LC19Ps (e.g. encouraging vaccination against the virus); and iii) Specific recommendations, such as improving sleep hygiene (patients’ behavior and diet), psychological or behavioral therapies (stimulus control therapy, relaxation, sleep restriction), promising tools (heart coherence, neurofeedback), and pharmacological treatment. The authors of this correspondence deeply believe that given the undesirable side effects associated with the use of hypnotics, the pharmacological approach must only be a “last resort”. The authors believe that an important percentage of pharmacological prescriptions could be avoided if more focus is put on educating GPs to provide LC19Ps with more tools to deal with sleep disorders. The pieces advice presented in this correspondence are indispensable to resume the normal life of LC19Ps and to promote their mental health recovery.https://www.tandfonline.com/doi/10.1080/19932820.2023.2182704Behavioral therapycognitive therapyinsomniaSARS-Cov-2sleep quality
spellingShingle Fatma Guezguez
Mohamed Romdhani
Amine Boutaleb-Joutei
Karim Chamari
Helmi Ben Saad
Management of long-COVID-19 patients with sleep disorders: practical advice to general practitioners
Libyan Journal of Medicine
Behavioral therapy
cognitive therapy
insomnia
SARS-Cov-2
sleep quality
title Management of long-COVID-19 patients with sleep disorders: practical advice to general practitioners
title_full Management of long-COVID-19 patients with sleep disorders: practical advice to general practitioners
title_fullStr Management of long-COVID-19 patients with sleep disorders: practical advice to general practitioners
title_full_unstemmed Management of long-COVID-19 patients with sleep disorders: practical advice to general practitioners
title_short Management of long-COVID-19 patients with sleep disorders: practical advice to general practitioners
title_sort management of long covid 19 patients with sleep disorders practical advice to general practitioners
topic Behavioral therapy
cognitive therapy
insomnia
SARS-Cov-2
sleep quality
url https://www.tandfonline.com/doi/10.1080/19932820.2023.2182704
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