scholarly journals Sleep quality, mental health and body mass index among undergraduate medical students: a cross-sectional study

Author(s):  
Piyush Kharche ◽  
Rupali A. Patle

Background: Association of sleep disorders is found cardiovascular mortality, stroke, diabetes, impaired glucose tolerance, immune dysfunction, endocrine impairments, and psychiatric morbidities including depression. Sleep quality affects college students physical and psychological health. Thus, poor sleep quality is a serious problem in college students. This study was done to assess the quality of sleep among undergraduate medical college students, to explore relationship between quality of sleep and body mass index, to study relationship between quality of sleep and anxiety, to study relationship between quality of sleep and depression.Methods: Total 300 medical students were selected by systematic random sampling method i.e. 25 students from each year studying in 3 government medical college were selected. A descriptive questionnaire for all socio-demographic parameters along with validated instrument i.e. for sleep quality, Pittsburgh sleep quality index (PSQI), for anxiety Hamilton anxiety rating scale and for depression, Becks depression inventory were used for the data collection instruments.Results: Amongst the 300 subjects 189 (63.00%) were found to be poor sleepers. The sleep quality was poor among the subjects who are in final academic year though the difference was not statistically significant (c²=2.78, df=3, p=0.4267). It was found that sleep quality was decreased among overweight and obese persons, but the difference was not statistically significant. (c²=4.657, df=2, p=0.0974). Prevalence of anxiety was found to be more in poor sleepers. Depression was also more common among the poor sleepers and the difference was statistically significant.Conclusions: Poor sleep quality was associated with depression and anxiety in students.

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S279-S279
Author(s):  
Linda Nyamute ◽  
Muthoni Mathai ◽  
Anne Mbwayo

AimsThe main objective was to determine whether quality of sleep is associated with burnout among undergraduate medical students at the University of Nairobi.The null hypothesis in our study population was; 'There is no significant association between poor sleep quality and burnout'.BackgroundIn a pressure prevailing environment, medical students find themselves in a vicious cycle of cutting down on sleep in attempts to cope and adjust to increasing workloads. Students with poor sleep quality have been found to perform worse in their board exam and have strained social engagements. Ultimately, this chronic sleep deprivation may lead to burnout which may cause diminished sense of accomplishment and impaired professional conduct, that may be carried on to the career as a physician. High levels of burnout have been associated with suicides.MethodThe sample size obtained was 384 and participants were selected by a mixed sampling method. Data collection was through self-administered questionnaires. Scales used for this study were the Pittsburg Sleep Quality Index(PSQI) and the Oldenburg Burnout Inventory(OLBI).Ethical considerations were adhered to and approval obtained from the Kenyatta National Hospital-University of Nairobi(KNH-UON) Ethics Board. Data entry and analysis was by SPSS v23. Data from 336 questionnaires were deemed fit for analysis.ResultWith a response rate of 87.5%, the prevalence of poor sleep quality and burnout were 69.9% and 74.7% respectively. There was a significant positive association between poor sleep quality and female gender, clinical years of study, living with family, poorly perceived socio-economic state and poor subjective academic performance. In addition, being female, younger, pre-clinical years, living independently off-campus and poor subjective academic performance were significantly associated with higher levels of burnout.Burnout had a significant correlation with poor sleep quality. Daytime functioning, a component of sleep quality had the highest correlation with components of burnout, disengagement and exhaustion. Overall, 57% of the respondents had both poor sleep quality &burnout, while only 12% were good sleepers with no burnout. Furthermore, having poor sleep increased the risk of having burnout by 2.8times. It is crucial that students adopt better sleeping habits to reduce the risk of burnout.ConclusionWith the high prevalence of poor sleep quality and burnout, peer-support groups and peer-led mentorship programs are recommended within this population to help deal with expectations, challenges and difficulties encountered within the course of medical education, in addition to preparing for the early future careers.


2019 ◽  
Vol 65 (12) ◽  
pp. 1454-1458 ◽  
Author(s):  
Diogo von Gaevernitz Lima ◽  
Ana Claudia Garabeli Cavalli Kluthcovsky ◽  
Luiz Gustavo Rachid Fernandes ◽  
Giovane Okarenski

SUMMARY OBJECTIVE Evaluate the quality of sleep and its association with the use of computers and cell-phones among medicine and dentistry students. METHODS Cross-sectional and comparative study, which evaluated 425 students through a socioeconomic questionnaire, the Pittsburgh Sleep Quality Index(PSQI), and a questionnaire on their use of computers and cell phones. RESULTS Poor sleep quality was observed in 61.4% of medical students and in 60.1% of dentistry students. Medical students with poor sleep quality had a higher mean time of computer use at night when compared to those with good sleep quality (p=0.04), as well as for computer (p<0.001) and cell phone use (p<0.01) immediately before bedtime. Dentistry students with poor sleep quality had a higher average time of computer use before bedtime than those with good sleep quality (p=0.03). CONCLUSION Students should receive guidance on prevention strategies and quality of sleep care.


2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Bothaina Ahmed Attal ◽  
Mohammed Bezdan ◽  
Abdulwahab Abdulqader

Background. Sleep disturbance is particularly common among medical students worldwide and affects their wellbeing and academic performance. However, little is known about this issue in Yemen. This study looks at sleep quality and its association with personal and life-style factors and self-reported academic performance among medical students at the largest Yemeni university. Methods. A cross-sectional survey was conducted at Sana’a University, Yemen, in 2017. The Pittsburgh Sleep Quality Index (PSQI), consisting of 19 items and 7 components ( score   range = 0 ‐ 3 ), was used to assess sleep quality. The summation of the components’ scores yields the global PSQI score ( range = 0 ‐ 21 ). A global PSQI value higher than 5 indicates poor quality of sleep. Logistic regression was applied to look at relationships. Results. 240 male (41%) and female (59%) medical students took part in the study with 54% being preclinical and 46% clinical with an average age of 23.3 years ( SD = 1.7 ). The mean global score (SD) was 6.85 (2.8), and 68% of the students ( N = 163 ) were identified as poor sleepers. The mean global PSQI score (SD) and proportion of poor sleepers were higher among males (7.7 (2.8) and 81%, respectively) than females (6.27 (2.42) and 59.2%, respectively), p ≤ 0.001 . Good sleep quality was more likely (OR (95% CI)) among females (3.4 (1.3-8.8)), the unmarried (2.8 (1-7.8)), those in good health (2.3 (1.1-4.5)), and nonkhat chewers (4.9 (1.4-17.1)). Nonsmokers were less likely to have good quality sleep compared to occasional smokers (0.185 (0.071-.485)). Stress (30%) and academic workload (21%) were the most commonly reported causes of poor sleep quality. Almost two-thirds of the students (65%) mentioned that disturbed sleep undermined their academic performance. Conclusions. Poor sleep quality is common among Sana’a medical students and impacts their academic performance. Specific stress management and sleep hygiene promoting programs should be incorporated early on in medical education.


F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 505
Author(s):  
Dhan Shrestha ◽  
Suman Prasad Adhikari ◽  
Namrata Rawal ◽  
Pravash Budhathoki ◽  
Subashchandra Pokharel ◽  
...  

Background Good sleep quality is associated with a diverse range of positive outcomes such as better health, less daytime sleepiness, well-being, and proper psychological functioning. Sleep deprivation or poor sleep quality leads to many metabolic, endocrine, and immune changes. Many studies have shown changes in sleep schedule along with worsening of sleep quality during the COVID-19 pandemic. Methods This cross-sectional study was conducted among students of a medical college in Kathmandu, Nepal from January 13, 2021, to February 15, 2021. A stratified random sampling technique was used. Data were collected using the Pittsburgh Sleep Quality Index (PSQI). Questionnaires that were completely filled were included and analyzed using STATA vs. 15. Results 168 medical students filled out the questionnaires with a response rate of 88.42%. 30.36% (n=51) of respondents were having poor quality of sleep (PSQI total score of > 5) with an average PSQI score of 4.24±2.19. Unadjusted logistic regression analysis showed significantly higher odds of poor quality of sleep among females (OR, 2.25; CI, 1.14-4.43) comparing to male and the relation persists even adjusting with age and year in medical school (aOR, 2.81; CI, 1.35-5.86)  Adjusting with age and gender 4th-year MBBS students were 82% less likely to have a poor quality of sleep compared to 2nd-year MBBS students (aOR, 0.18; CI, 0.04-0.76). Poor quality of sleep is common among medical students. Conclusions More than a quarter of medical students have a poor quality of sleep as per our study. So, education and awareness should be aroused among medical students regarding the detrimental effects of poor quality sleep on daily activities, physical and mental well-being, and the overall quality of life.


2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Tirusew Wondie ◽  
Alemayehu Molla ◽  
Haregewoin Mulat ◽  
Woynabeba Damene ◽  
Mengistu Bekele ◽  
...  

Abstract Purpose Poor quality of sleep has a negative effect on academic performance of medical students. Quantity and quality of sleep in addition to average sleep time are strongly linked with students’ learning abilities, poor academic performance and poor interpersonal relationship which predispose them to mental illnesses. This study is aimed to assess magnitude and correlates of sleep quality among medical students in Ethiopia. Method An institutional based cross-sectional study was conducted among 576 undergraduate medical students. Data was collected by using interviewer administered structured questionnaires. Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality. The collected data were entered in to Epi-data version 3.1and analyzed using SPSS version 20. Logistic regression was used to identify the potential determinants of quality of sleep among undergraduate medical students. P-values less than 0.05 were considered statistically significant and strength of the association was presented by adjusted odds ratio with 95% C.I. Result The prevalence of poor sleep quality among undergraduate medical students was 62% (95%CI, 57.9, 65.3). The mean age (±SD) of the respondents was 21.5(±2.4), with age ranging from 18 to 28 and about 310 (53.8%) were males. Factors like, being depressed (AOR = 1.92,95%CI 1.16,3.19), poor social support (AOR = 5.39,95%CI 2.33,2.49), being stressed (AOR = 2.04,95%CI 1.26,3.31), and poor sleep hygiene (AOR = 3.01,95%CI 1.75,5.18) were associated with poor sleep quality at p-value < 0.05. Findings also showed that, one unit increase in grade point average was associated with 81.5% decrease (AOR = 0.185, 95%CI 0.13, 0.28) in poor sleep quality. Conclusion A substantial proportion of medical students are affected by poor sleep quality. Routine screening of sleep quality, sleep hygiene, depression and stress is warranted. Moreover, it is better to educating medical students about proper sleep hygiene and the consequences of poor sleep.


2021 ◽  
Vol 12 (2) ◽  
pp. 1452-1461
Author(s):  
Prakash P ◽  
Sooriya Praba V ◽  
Esther J ◽  
Leo Franka J ◽  
Merlin Viju ◽  
...  

A descriptive study to assess the effect of electronic Gadgets on Quality of Sleep among College Students. This study was conducted at Pondicherry Engineering College, Puducherry. Clearance from the Institutional Review Board and formal permission from the study settings were obtained. 240 samples were selected by the stratified random technique. Structure questionnaire was used to assess the quality of sleep and gadgets usage among participants after the content validity. The data gathered were analysed by using descriptive and inferential statistics. The present study assessed the quality of sleep and gadget usage on college students and it was found that 57.1% of participants had poor sleep quality, 42.9% participants had good sleep quality and in relation to gadget usage, 64.6% of participants had mild addiction, 31.3% participants had moderate addiction and 4.2% participants had severe addiction. The correlation between effects of gadget usage and quality of sleep were assessed. It was found that r=0.378 and it denotes a weak correlation. There is an association between quality of sleep with selected demographic variables, namely age (p=0.026). The research evidence identifies that the majority of college students had poor sleep quality and mild gadgets addiction. Hence, there is a requirement for intervention or psychological measures to reduce gadget students among college students. 


Author(s):  
Nidhi Nagori ◽  
Kinjal Vasava ◽  
Ashok U. Vala U. Vala ◽  
Imran J. Ratnani

Background: The side effects of Internet overuse have been emerging progressively causing the emergence of a problem that is defined as internet addiction or problematic internet use. It also disrupts the sleep wake cycle so adversely affecting quality of sleep. This study is a preliminary step toward understanding the effect of internet addiction on sleep quality among medical college students in India.Methods: This was an observational, cross-sectional, single-centred, and self-assessable. Questionnaire based study administrated among 525 consenting medical students. The participants were assessed by proforma containing demographic details, variables related with internet use, questionnaires of IAT (Internet Addiction Test for Internet Use) and PSQI (Pittsburgh Sleep Quality Index for Sleep quality. Statistical data were analysed by Graph Pad InStat version 3.06 using Chi–square test and Mann-Whitney test.Results: There were 9.3% of all participants were considered problematic internet users with frequency of internet addiction 0.9%. Participants with problematic internet use are likely to have poor sleep quality (p<0.0001). 23.8% of all participants had poor sleep quality and 76.2% of the students had good quality of sleep. Participants with poor quality of sleep were having high IAT scores in comparison to participants with good quality of sleep. Severity of poor sleep quality is positively correlated with internet addiction (r2=0.233, p<0.0001).Conclusions: Participants with problematic internet use were more likely to have poor quality of sleep and vice a versa.


Author(s):  
Ilya Krisnana ◽  
Venni Hariani ◽  
Iqlima Dwi Kurnia ◽  
Yuni Sufyanti Arief

AbstractBackgroundMid-adolescents dominate the number of gadget users in Indonesia. The use of gadgets to a high intensity can cause various problems such as poor sleep quality and decreased social interaction. The purpose of this study was to analyze the relationship between the intensity of the use of gadgets and the quality of sleep and social interaction in adolescents.MethodThe research design used was a correlational research study with a cross-sectional approach. Through the calculation of the sample, the respondents were 250 adolescents who met the inclusion criteria, namely (1) adolescents aged 15–18 years and (2) teens who owned and used gadgets. The sampling method used simple random sampling by conducting a lottery system in each class. The independent variable was the intensity of using the gadget, while the dependent variable was the quality of sleep and social interaction. Data collection focused on the intensity of gadget use using questionnaires and it was analyzed using the Pittsburgh Sleep Quality Index (PSQI) and the Social Interaction Anxiety Scale (SIAS). The data was analyzed using Spearman’s rank correlation with α = 0.05.ResultsThe results showed that the intensity of gadget use was positively related to poor sleep quality in adolescents (p = <0.001; r = 0.555). The intensity of the use of gadgets was also related to social interaction with a negative direction. The higher the intensity of the use of gadgets, the lower the social interaction in adolescents (p = 0.001; r = –293).ConclusionThe use of gadgets in the mid-adolescent years is related to sleep disorders as regards the latency and duration of sleep. Adolescents are more likely to engage in social interaction and communication through gadgets than face to face.


2015 ◽  
Vol 49 (4) ◽  
pp. 0596-0602 ◽  
Author(s):  
Juliét Silveira Hanus ◽  
Graziela Amboni ◽  
Maria Inês da Rosa ◽  
Luciane Bisognin Ceretta ◽  
Lisiane Tuon

OBJECTIVEAnalyzing the quality of sleep of hypertensive patients registered in the national registration system and monitoring of hypertensive patients.METHODSA cross-sectional study of quantitative and descriptive analyses with 280 hypertensive patients registered in the National Program of Hypertension and Diabetes of the Federal Government in the months from August to October 2011. Questionnaires were used which allowed for tracking sociodemographic data on hypertension and Pittsburgh Sleep Quality Index (PSQI).RESULTSThe prevalence of poor sleep quality among respondents (156 hypertensive patients) and high rates of using medication for sleeping (106 hypertensive patients) was observed. Other relevant data refers to the quality of sleep among hypertensive patients using sleep medication compared to those who do not use it (p≤0.01).CONCLUSIONIndividuals with high blood pressure have a negative association with sleep quality.


2020 ◽  
pp. 1-5
Author(s):  
R. Barath ◽  
C.P. Rabindranath ◽  
Bindu Menon ◽  
Mathan. K ◽  
Mithun Prasad. V

Background: In recent years the internet had become the most indispensable tool for students for learning, entertainment, and communication. Internet over-usage had emerged as a major problem among students causing the emergence of a problem that is defined as internet addiction (IA) which affects sleep and leads to several mental health problems. This study is the step toward understanding the effect of internet addiction on sleep quality among medical college students in Pondicherry. Methods: This was a cross-sectional study. It is a questionnaire-based study administrated among 298 consenting medical students. The participants were assessed by proforma containing demographic details, variables related to internet use, questionnaires of Internet Addiction Test, and Pittsburgh Sleep Quality Index for Sleep quality. Statistical data were analysed by SPSS-25. Results: A total of 287 students participated; 113 (39.4%) were males and 174 (60.6%) are females. Out of which Average users were 244 (85.01%) and problematic internet usage was 43 (14.99%), whereas poor sleep quality is found in 132 (45.99%) individuals. A significant correlation was found between internet addiction and the quality of sleep. Conclusions: Participants with problematic internet users were more likely to have a poor quality of sleep and vice versa.


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