ABSTRACT
COVID-19 disease caused by a new type of coronavirus has been an integral part of everyday reality for almost two years. Its presence and connection with psychiatric diseases is the subject of intensive and extensive research. A very common problem described in the literature is sleep disorders connected to the coronavirus infection. Sleep is an essential process needed to integrate all the functions of the CNS and is essential for physical and mental health. Studies demonstrate a number of negative effects of sleep deprivation and sleep disorders. Those known include hypoprosexia, hypoenergy, increased irritability, and increased anxiety. Among the lesser known but particularly important for COVID-19 disease are changes in the immune response, including the response to active immunization in the form of vaccination. Previous meetings with coronavirus family show that they significantly interfere with sleep management and cause sleep disorders in a high percentage of patients who have recovered from the infection. Recent studies of the new coronavirus SaRSCoV2 provide insight into a dual mechanism of sleep disorders. In the first case, the pandemic itself, as a significant historical event, increases the level of stress and anxiety in the population. Individuals have to adapt to a lot of new measures, to learn new forms of work and social interaction. This can lead to the development of insomnia and other sleep disorders in disposed individuals. In the second case, SaRS-CoV2 alone, like other coronaviruses (MERS, SARS), appears to interfere with the sleep control axis and in a high percentage of cases (studies report a prevalence of up to 39% of patients) leads to insomnia after overcoming the acute stage of the disease. So far, very limited data are available on the treatment of both forms of sleep disorders caused by the COVID-19 pandemic. Nevertheless, the first clues and possibilities for how to adapt the therapy of sleep disorders in the covid period appear. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Czech) Onemocneni COVID-19 zpusobene novym druhem koronaviru temer dva roky tvori nedilnou soucast kazdodenni reality. Jeho pritomnost a propojeni s psychiatrickymi onemocnenimi je predmetem intenzivniho a extenzivniho vyzkumu. Velmi castym problemem, ktery se v literature popisuje, jsou poruchy spanku. Spanek je esencialni dej potrebny k integraci veskerych funkci CNS a je nezbytny pro fyzicke i psychicke zdravi. Studie demonstruji radu negativnich efektu spankove deprivace a spankovych poruch. Mezi ty zname patri hypoprosexie, hypoenergie, zvysena iritabilita a zvysena mira anxiety. Mezi ty mene zname, ale zvlaste pro onemocneni COVID-19 vyznamne patri zmeny imunitni odpovedi, vcetne odpovedi na aktivni imunizaci ve forme vakcinace. Predchozi setkani se zastupci koronaviru ukazuji, ze vyznamnou merou zasahuji do rizeni spanku a zpusobuji poruchy spanku u vysokeho procenta pacientu, kteri se z infekce zotavili. Soucasne studie o novem koronaviru SaRS-CoV2 prinaseji poznatek o dvojim mechanismu vzniku poruch spanku. V prvnim pripade samotna pandemie jakozto vyznamna dejinna udalost zvysuje miru stresu a anxiety v populaci. Jedinci se museji adaptovat na spoustu novych opatreni, ucit se novym formam pracovni a socialni interakce. To u disponovanych jedincu muze vest k rozvoji nespavosti a dalsich spankovych poruch. V druhem pripade se ukazuje, ze samotny SaRS-CoV2 podobne jako ostatni koronaviry (MERS, SARS) zasahuje do osy rizeni spanku a ve vysokem procentu pripadu (studie uvadeji prevalenci az 39 % pacientu) vede k rozvoji insomnie po prekonani akutniho stadia onemocneni. Stran terapie obou forem poruch spanku vyvolanych pandemii COVID-19 je zatim k dispozici velmi malo relevantnich dat. Presto se objevuji prvni voditka a moznosti, jak adaptovat terapii poruch spanku v dobe kovidove. (PsycInfo Database Record (c) 2023 APA, all rights reserved)