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Our country has continental dimensions and is experiencing a high overall incidence of COVID-19, but with significant differences among each region. In this large survey we aimed to explore the potential impact of the COVID-19 pandemic on sleep, anxiety levels, and burnout symptoms in a large sample of health care professionals from Brazil. Limitations of previous studies include one or more factors including small sample sizes, analysis of specific health care occupations, the lack of comparisons with the period before COVID-19, and lack of assessment of several variables associated with insomnia. 9 Several reports 10 – 18 have discussed the potential impact of COVID-19 pandemic on sleep in health care professionals. 8 In addition, health care professionals have a higher risk of contamination when compared to the general population. Health care professionals are particularly exposed to higher levels of stress and work demand. 1 – 4 The lack of effective pharmacological treatments, low availability of vaccines, the rapid dissemination of the virus, social distancing, decreased physical activity, the negative economic impact, and even the alarming fake news are contributing to this scenario. The adverse impact of the coronavirus disease 2019 (COVID-19) pandemic on sleep quality and anxiety levels in the global population reinforces the need for urgent attention to sleep disorders and mental health globally. The sleep quality worsened for 61.4%, while 43.5% and 22.8% reported ≥ 1-hour sleep duration reduction and worsening or new-onset nightmares, respectively. The primary outcome occurred in 32.9% of respondents in parallel to 13% new pharmacological treatments for insomnia.
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Overall, 55.7% were assisting patients with COVID-19, and 9.2% had a previous COVID-19 infection. A total of 4,384 health professionals from all regions of the country were included in the analysis (44 ± 12 years, 76% females, 53.8% physicians).