Impact of Sleep on Medical Residents’ Emotions: A Cross-Sectional Study Using a Wearable Device

Background and Objectives: Controlling negative emotions and getting sufficient sleep are key factors in reducing medical errors and optimizing quality of care. The objective of this study was to measure the relationship between the emotions of medical residents and sleep as measured by a wearable device. Methods: We conducted a cross-sectional study addressing all residents of all postgraduation years and specialties at an Accreditation for Graduate Medical Educations-I accredited institution over 6 months. Sleep quantity and quality were measured by Fitbit Charge 2 device, and daily emotions by the Positive and Negative Affect Schedule questionnaire. Results: We included a total of 45 participants with a total of 1,112 observations (response rate=19.3%). The mean duration of total daily sleep was 5.9±1.6 hours, with a deep sleep time of 1.1±0.4 hours. We found a negative association between negative emotions and total sleep (rrm=-0.14, P<.0001) and deep sleep (rrm=-0.11, P=.0005) using repetitive measures correlation. A linear regression model to predict the negative emotions of the residents revealed additional determinants beyond deep sleep. Conclusions: Our findings provide a further understanding of the importance of sleep quality on emotions by emphasizing deep sleep as a predictor of the second-day affect. Residency programs should strive to provide an ideal sleep environment to their residents and deliver workshops to deal with negative emotions.

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Physical activity-related injuries among university students: a multicentre cross-sectional study in China

BMJ Open ◽

10.1136/bmjopen-2018-021845 ◽

2018 ◽

Vol 8 (9) ◽

pp. e021845 ◽

Cited By ~ 6

Author(s):

Yang Gao ◽

Weicong Cai ◽

Lijie Gao ◽

Jingjing Wang ◽

Jiehui Liang ◽

...

Keyword(s):

Physical Activity ◽

University Students ◽

Leisure Time ◽

Sleep Time ◽

Cross Sectional Study ◽

Medical Attention ◽

Sectional Study ◽

Cross Sectional ◽

The Past ◽

Epidemiological Characteristics

ObjectivesThis study aimed to investigate the epidemiological characteristics and preliminarily explore possible risk factors of physical activity-related injury (PARI) occurrences among Chinese university students via a multicentre mixed survey.DesignCross-sectional study.ParticipantsA total of 4758 undergraduates graded 1–3 in nine universities in three Chinese cities were enrolled via cluster random sampling and completed the self-administered online questionnaires during March and April 2017.Main outcome measuresPARI in the past 12 months.ResultsOf the 4758 participants, 1081 sustained PARI in the past 12 months, with an overall PARI incidence rate of 22.7% (27.3% (367/1343) in males and 20.9%(714/3415) in females). Around one-quarter of the injured (26.4%) suffered from PARI over at least three episodes. More than half of the injured subjects experienced physical activity (PA) absenteeism and sought medical attention. All PA indicators were significantly and positively associated with PARI, with a frequency of sports and leisure-time vigorous-intensity PA (VPA) participation being the strongest (adjusted OR: 1.079, 95% CI: 1.018 to 1.144). Moreover, males (OR=1.199), Shantou students (OR=4.239), year 1 students (OR=1.287), university and other sports team members (OR=1.717–2.360) and those with insufficient sleep time (OR=1.262–1.333) were also at a higher risk of PARI.ConclusionsPARI is prevalent among university students in China. The frequency of sports and leisure-time VPA participation was most strongly associated with PARI among all PA indicators. These data can inform future programmes for injury intervention among university students. Safety issues should also be emphasised when promoting PA among the public to reduce PARI.

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A cross-sectional study among medical residents with noninvasive rapid serological test for Helicobacter Pylori

Journal of Global Infectious Diseases ◽

10.4103/0974-777x.68544 ◽

2010 ◽

Vol 2 (3) ◽

pp. 312

Author(s):

Mohanakrishnan

Keyword(s):

Helicobacter Pylori ◽

Serological Test ◽

Cross Sectional Study ◽

Medical Residents ◽

Sectional Study ◽

Cross Sectional

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Evaluation of the Theoretical Teaching of Postgraduate Radiation Oncology Medical Residents in France: a Cross-Sectional Study

Journal of Cancer Education ◽

10.1007/s13187-017-1170-2 ◽

2017 ◽

Vol 33 (2) ◽

pp. 383-390 ◽

Cited By ~ 3

Author(s):

Jean-Christophe Faivre ◽

Jean-Emmanuel Bibault ◽

Thomas Leroy ◽

Mikaël Agopiantz ◽

Julia Salleron ◽

...

Keyword(s):

Radiation Oncology ◽

Cross Sectional Study ◽

Medical Residents ◽

Sectional Study ◽

Cross Sectional

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Association between sleep time and depression: a cross-sectional study from countries in rural Northeastern China

Journal of International Medical Research ◽

10.1177/0300060517701034 ◽

2017 ◽

Vol 45 (3) ◽

pp. 984-992 ◽

Cited By ~ 3

Author(s):

Jiang Mohan ◽

Guo Xiaofan ◽

Sun Yingxian

Keyword(s):

Sleep Duration ◽

Rural Areas ◽

Sleep Time ◽

Cross Sectional Study ◽

Liaoning Province ◽

Sectional Study ◽

Physical And Mental Health ◽

Cross Sectional ◽

Long Sleep ◽

Patient Health

Objective To investigate the current situation of sleep status and examine its association with depression among counties in rural areas of Liaoning Province, China. Methods This cross-sectional study was conducted from January 2012 to August 2013 in Northeast China. A total of 11,276 subjects aged ≥35 years were surveyed and completed the Patient Health Questionnaire-9; each participant answered questions about their sleep duration. Results For individuals with a sleep time of ≤6, 6–7, 7–8, 8–9, and ≥9 h, the respective risk of depression was 10.8%, 3.7%, 2.6%, 2.7%, and 5.7% in subjects younger than 65 years old and 15.2%, 5.4%, 3.2%, 6.5%, and 8.6% in those 65 years old or older. Conclusion In the rural population of Liaoning Province, sleep duration and depression are closely related. Both short sleep and long sleep are risk factors for depression. Optimizing sleep status may contribute to good physical and mental health.

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Perceived Stress Among Resident Doctors in Jordanian Teaching Hospitals: Cross-Sectional Study (Preprint)

10.2196/preprints.14238 ◽

2019 ◽

Author(s):

Nizar Maswadi ◽

Yousef S Khader ◽

Ahmad Abu Slaih

Keyword(s):

Perceived Stress ◽

Work Performance ◽

High Stress ◽

Cross Sectional Study ◽

Working Environment ◽

Stress Factors ◽

Medical Residents ◽

Teaching Hospitals ◽

Sectional Study ◽

Cross Sectional

BACKGROUND Medical residents in Jordanian hospitals are involved in many clinical and nonclinical tasks that expose them to various stress factors. High stress and burnout have the potential to negatively impact work performance and patient care, including medication errors, suboptimal care, clinical errors, and patient dissatisfaction. OBJECTIVE This study aimed to determine the perceived stress among medical residents in Jordanian hospitals and its associated risk factors. METHODS A cross-sectional study was conducted among residents in Jordanian hospitals. A cluster sample of 5 hospitals with residency programs was selected from different health sectors. All residents who were working in the selected hospitals were invited to participate in this study, during the period from April to July 2017. A total of 555 residents agreed to participate in this study, giving a response rate of 84%. The perceived stress scale (PSS) was used for assessment. RESULTS A total of 398 male and 157 female residents were included in this study. The mean PSS score in this study was 21.6; 73% (405/555) of the residents had moderate level of stress, and 18% (100/555) had high level of stress. About 6.7% (37/555) of the residents had hypertension, 2.7% (15/555) had diabetes, 3.2% (18/555) had heart disease, and 8.5% (47/555) were anemic. 233 (42%) respondents complained of back pain, and 161 (29%) of the respondents complained of insomnia. Stress was associated with higher workload, sleep deprivation, and dissatisfaction in the relationship with colleagues, with income, and with the program. In multivariate analysis, the following factors were significantly associated with stress: female gender, dissatisfaction with working environment, and facing work-related, academic, and family stressors. CONCLUSIONS The majority of medical residents in Jordanian hospitals felt nervous and stressed. Conducting stress management programs during residency and improving the work environment are strongly recommended.

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Perceived Stress Among Resident Doctors in Jordanian Teaching Hospitals: Cross-Sectional Study

JMIR Public Health and Surveillance ◽

10.2196/14238 ◽

2019 ◽

Vol 5 (4) ◽

pp. e14238 ◽

Cited By ~ 1

Author(s):

Nizar Maswadi ◽

Yousef S Khader ◽

Ahmad Abu Slaih

Keyword(s):

Perceived Stress ◽

Work Performance ◽

High Stress ◽

Cross Sectional Study ◽

Working Environment ◽

Stress Factors ◽

Medical Residents ◽

Teaching Hospitals ◽

Sectional Study ◽

Cross Sectional

Background Medical residents in Jordanian hospitals are involved in many clinical and nonclinical tasks that expose them to various stress factors. High stress and burnout have the potential to negatively impact work performance and patient care, including medication errors, suboptimal care, clinical errors, and patient dissatisfaction. Objective This study aimed to determine the perceived stress among medical residents in Jordanian hospitals and its associated risk factors. Methods A cross-sectional study was conducted among residents in Jordanian hospitals. A cluster sample of 5 hospitals with residency programs was selected from different health sectors. All residents who were working in the selected hospitals were invited to participate in this study, during the period from April to July 2017. A total of 555 residents agreed to participate in this study, giving a response rate of 84%. The perceived stress scale (PSS) was used for assessment. Results A total of 398 male and 157 female residents were included in this study. The mean PSS score in this study was 21.6; 73% (405/555) of the residents had moderate level of stress, and 18% (100/555) had high level of stress. About 6.7% (37/555) of the residents had hypertension, 2.7% (15/555) had diabetes, 3.2% (18/555) had heart disease, and 8.5% (47/555) were anemic. 233 (42%) respondents complained of back pain, and 161 (29%) of the respondents complained of insomnia. Stress was associated with higher workload, sleep deprivation, and dissatisfaction in the relationship with colleagues, with income, and with the program. In multivariate analysis, the following factors were significantly associated with stress: female gender, dissatisfaction with working environment, and facing work-related, academic, and family stressors. Conclusions The majority of medical residents in Jordanian hospitals felt nervous and stressed. Conducting stress management programs during residency and improving the work environment are strongly recommended.

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