The prevalence of insomnia and characteristics of sleep patterns collected from sleep diary among medical students of University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam

MedPharmRes ◽  
2021 ◽  
Vol 5 (3) ◽  
pp. 34-38
Author(s):  
Phuong Thi Mai ◽  
Huyen Thi Bui ◽  
Khue Diem Bui

Introduction: Insomnia is a common disease in all societies and age groups. Among them, medical students are one of the population most susceptible to sleep problems. Studies from many countries have shown high prevalence of insomnia among medical students. Sleep diary is the gold standard for evaluating subjective insomnia and other sleep disorders. This research aims to study the prevalence of insomnia in Vietnamese medical students, associated factors, and their sleep patterns. Method: In a cross-sectional survey using stratified random sampling, a total of 176 medical students was recruited, each completed a self-administered questionnaire and a 7-consecutive-day sleep diary. Demographic data and lifestyle factors were obtained from the questionnaire, while sleep patterns and quality were collected from the sleep diary. We performed data analysis using SPSS ver 22, p<0.05 was statistically significant. Results: Overall, out of 176 participants, 93 (52.8%) were affected by insomnia. On average, students acquired 6.2 hours of sleep each night. 70.94% of the recorded nights had total sleep time (TST) less than 7 hours. Associated factors of insomnia include sleep environment, sleep efficiency (SE), bedtime, falling asleep time, get up time, self-reported sleep quality. Conclusion: The findings of our study revealed the high prevalence of insomnia among medical students. From recorded sleep data, we observed that sleep deprivation is also a common issue faced by the study participants. The valuable insights provided by sleep diary proved to be crucial in evaluating sleep patterns and quality.

2020 ◽  
Vol 12 (2) ◽  
pp. 35-42
Author(s):  
Mohamed Saih Mahfouz ◽  
Suhaila Abdalkarim Ali ◽  
Haya Ahmed Alqahtani ◽  
Amani Ahmad Kubaisi ◽  
Najla Mohammed Ashiri ◽  
...  

Purpose The purpose of this study is to assess the prevalence of burnout syndrome and its associated factors among medical students at Jazan University, Jazan, Kingdom of Saudi Arabia. Design/methodology/approach A cross-sectional survey was conducted among 440 randomly selected medical students at Jazan University. The questionnaire used for this study was based on the Copenhagen Burnout Inventory. Findings The overall prevalence of burnout was estimated at 60.2% (95% CI 55.6–64.8). The prevalence was higher for females (64.1%) than for males (56.2%) but without statistically significant differences (p > 0.05). On average, the students scored the highest averages in the personal burnout category, followed by the study-related and client-related burnout categories. In the multivariate analysis, a lower age (beta = −3.17, p = 0.026), female (beta = −0.896, p = 0.016), and having better burnout knowledge (beta = 0.710, p = 0.025) predict significantly higher personal burnout. Practical implications It is necessary to implement strategies to reduce the incidence of burnout among medical students for the sake of a better quality of life for future doctors. Originality/value There is a high prevalence of burnout among Jazan’s medical students.


Author(s):  
Mohammad Hashem Hashempur ◽  
Seyed Hamdollah Mosavat ◽  
Mojtaba Heydari ◽  
Mesbah Shams

Abstract Background Despite growing demand for medicinal plants, there is little data about their use by patients with dyslipidemia. We aimed to determine the prevalence, pattern, and associated factors for the use of medicinal plants among patients with dyslipidemia. Methods A 17-item semi-structured questionnaire was filled out by 195 patients with dyslipidemia in a cross-sectional study carried out in two academic endocrinology clinics in Shiraz, Iran. The questionnaire comprised of three main domains of demographic data (6 questions), clinical data (2 of them), and data related to the use of medicinal plants (totally 9 questions). Results A total of 77.4% of patients took medicinal plants. The most common medicinal herbs used by dyslipidemic patients were Zataria multiflora, Cinnamomum zeylanicum, and Zingiber officinale. Duration of dyslipidemia was significantly longer in herbal users than non-herbal users (p=0.04). Patients believing that concomitant use of conventional drugs and herbal preparations had synergic positive effects in addition to those persuaded that herbal preparations possessed less side effects, were significantly more likely to use medicinal plants (p=0.008 and 0.005, respectively). Additionally, most of the medicinal herb users (87.4%) changed neither the pattern nor the dosage of their medications all during herbal preparations use. Conclusions This study demonstrated a high prevalence of medicinal plants’ use among patients with dyslipidemia, which was associated with the duration of dyslipidemia, patients’ viewpoints about herbal preparations’ synergic positive effects, and their fewer side effects.


2021 ◽  
Author(s):  
Gemma Simons ◽  
Raymond Effah ◽  
David Baldwin

Objectives To find out how, why and when medical students think wellbeing should be measured. Design A mixed methods study comprising a cross-sectional online survey (November 2020-March 2021) and semi-structured on-line interviews. Views on the frequency of availability for measurement, the format, type and purpose of measurement, and with whom wellbeing should be discussed were measured. When an outcome was scored 7-9 on a 9-point Likert scale of agreement by ≥75% of participants it was considered critical, in line with COMET and GRADE processes for rating recommendations. Inductive thematic analysis was undertaken on the interview transcripts by two independent researchers. Setting All Medicine programmes at University of Southampton. Participants Medical students from all years took part in the survey (n=118) and interviews (n=16). Results Participant demographics were similar to national medical student demographics. Most participants (94%) felt able to give 5 minutes to measure their wellbeing at least once a month. No single format of measurement was rated critical. Research, governance and individual feedback all reached the 75% threshold for the purpose being considered critically important. Only subjective assessments undertaken by the individual in real-time were rated as critically important (78.1%) measurement tools. Students selected that they would discuss their wellbeing with other medical students (n=87) nearly as often as they selected a member of the Faculty (n=104). Top determinants of wellbeing picked by medical students were energy, ability to do activities of daily living, and negative feelings. Five interview themes further explained these findings. Conclusions Five recommendations about self-care teaching, quality-assured pastoral and peer support, proactive wellbeing check-ins and demographic data are discussed in light of these findings. Methods to achieve them are suggested, which are medical student-centred, and which make use of existing resources.


2016 ◽  
Vol 23 (11) ◽  
pp. 1382-1389
Author(s):  
Uzma Hassan ◽  
Mirza Inam Ul Haq ◽  
Asma Abdul Qadeer ◽  
Kashif Rahim ◽  
Iffat Naiyar

To observe the frequency of smoking in female medical students and to determinethe associated factors. Study Design: Cross-sectional survey. Setting: Data was collectedthrough a self-administered questionnaire from female students at Rawal Institute of HealthSciences. Period: February 2015 to August 2015. Methods: Information about demographiccharacteristics, smoking status in family members, number of cigarettes smoked per day,influence for starting smoking and use of sheesha and hash was obtained. Results: A total of100 female students were asked to fill the questionnaires. Response rate was 60%, out of which,52.6 % (31/60) were smokers and 48.4% were non-smokers.6 out of 31 were hash smokersand 20 out of 60 were cigarette smokers, remaining were sheesha smokers. Majority of thesefemales started smoking after 18 years of age, with greatest influence being life style and peerpressure. Our results show substantial trend of smoking in female medical students. Majorityhave smokers in their families but their families were not aware of their smoking habit. Eventhough almost everyone was aware of the associated risks, 24% never tried to quit. Most of thestudents spent Rs 1500 to 3000 per month on smoking.


2018 ◽  
Vol 21 (01) ◽  
pp. 148-156
Author(s):  
Aftab Anjum ◽  
Muhammad Aslam Bajwa ◽  
Rizwan Saeed

Background: College students experience a number of sleep problems, which1impact academic performance, health, and mood . University students are exposed to pressuresdue to academic demands. Objectives: To determine the prevalence of sleep disorders amongcollege students and look into their sleep patterns and life style. Design: A cross-sectional study.Material & Method: Sample was comprised of 141 medical and non-medical students. Placeand Period of Study: The study was conducted at University of Lahore and period spanned fromDec 2010 to April 2011. Results: The age ranged 18 to 26, with 42.6 to 57.4 Male-female ratios.Both groups were almost similar in use of sleeping pills (medical: 97.2, non-medical: 82.2%).They differed in percentages for studying academic books, listening MP 3 player and late nightparties/hangouts, wherein medical students outnumbered non-medical students almost by half.Both groups differed in their usual time to sleep, medical students who sleep later than 12 pm washigher (66.2%), compared to 46.6% non-medical. In taking day naps (medical: 70.6%, nonmedical:37.0%), awakening due to noise often (medical: 41.2%, non-medical: 30.1%),nightmares during sleep often (medical: 23.5%, non-medical: 19.5%) and sometimes (medical:44.1%, non-medical: 30.1%), difficulty in falling sleep sometimes (medical: 50.0%, non-medical:32.9%), feel sleepiness in the class often (medical: 45.6%, non-medical: 28.8%), feel tired orsleepiness during the day (medical: 36.7%, non-medical: 23.4%). Both groups also differregarding worry about “sleep disturbance to some extent”. (medical:51.4%, nonmedical:35.6%).Conclusions: Our study found that medical students had more disturbed sleeppatterns than the comparing group including delaying sleep time at night, awakening due tonoise, experiencing nightmares, difficulty in falling sleep, feeling sleepiness in the class andduring the day


Author(s):  
Amjed Hamid Obaid Al-Jaeed ◽  
Yosif Mohammed Hasan Jawad Al-Rammahi ◽  
Mohammed Albaqer Abbas Baqer Mawash ◽  
Hameed Kareem Shaalan Al-Hadrawy ◽  
Basima Shamkhi Jabbar Al Ghazali

Abstract Objective: To explore Kufa medical students’ preferences of carrier specialization and to investigate the factors that influence their choice of specialty. Methods: By using a non-probability convenience sampling technique, a cross-sectional study was performed on (566) medical students from the second-to-sixth-year in University of Kufa, from the 27th of January to the 21st of February 2019 to study the factors that affect the choice of specialties in undergraduate medical students. An anonymous, structured, self-administered questionnaire was handed out to the students and consisted of three sections covering demographic data, the preferred specialty, and the cause behind selecting the specialty.  Data analysis was performed using the statistical package for social sciences (SPSS) version 25 for windows. Results: Cardiology was the most chosen specialty 55 (9.7%) followed by Pediatrics 46 (8.1%) and Dermatology 45 (8.0%). Additionally, 40 (7.1%) students haven’t decided their specialties yet. The most chosen factors in a descending fashion were "My Passion" which was chosen by 427 (75.4%) students, followed by "income" 67 (11.8%), "less on-call duties" 51 (9.0%), "mentor inspiration" 46 (8.1%), "family member inspiration" 34 (6.0%), "reputation" 22 (3.8%), "less competition" 15 (2.6%), and "number of residency years" 8 (1.4%). Conclusion: Being passionate about or having a keen interest in the selected speciality were the major influencing factors for students to select their future speciality. However, male students' choices based mainly on the “income” and “reputation” of the field, while females opted to choose “less on call duties” more than males. Continuous...  


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A235-A235
Author(s):  
Alisa Burnham ◽  
Olena Kucheruk ◽  
Emily Brown ◽  
Jodi Mindell

Abstract Introduction Previous studies of sleep patterns and problems in preterm infants and toddlers have yielded inconsistent results, with some studies noting differences on salient sleep parameters and others indicating similarities. Furthermore, little is known about any differences about sleep-related behaviors. Thus, the current aims of this study were to assess sleep patterns, problems, and sleep-related behaviors in young children born prematurely who were NICU graduates. Methods Caregivers of 262 children (53.4% boys; 35.9% Black, 40.5% White, 23.6% Other) being followed in a neonatal follow-up clinic at their corrected age one-year (10–16 months) or two-year (22–28 month) visit completed the Brief Infant Sleep Questionnaire-Revised SF (BISQ-R SF). Results At approximately one year of age, infants were going to bed at 8:36, taking 33 minutes to fall asleep, and waking .63 times per night for 19 minutes, for a total nighttime sleep duration of 8’01”. Similarly, at approximately two years of age, infants were going to bed at 8:16, taking 26.7 minutes to fall asleep, and waking .94 times per night for 16.3 minutes, for a total nighttime sleep duration of 8’26”. Sleep problems were reported by 18.1% and 19.6% of caregivers, respectively, with the majority indicating that their child slept well (78.5% and 76.5%) and minimal bedtime difficulties (13.6% and 14.6%). The majority of infants slept in their own crib (81%), with infants more likely to room share at 1-year compared to 2-year (49% vs 35%), and almost half falling asleep independently (43% and 46%). Conclusion Overall, sleep patterns and parent-perceived sleep problems (18–20%) in these NICU graduates were better than expected, and similar to normative data of similar age children (Sadeh et al., 2008). However, these infants/toddlers obtained less nighttime (8–8.5 hrs vs 10 hrs). Sleep education of parents of NICU graduates should not only focus on sleep behaviors, but also on ensuring sufficient sleep. Support (if any):


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
C Van Der Heijde ◽  
M Van Weeren ◽  
P Vonk

Abstract Background Lately, attention for the role of sleep in health and wellbeing has increased. Short sleep duration and poor quality of sleep are associated with a higher chance at several (mental) health issues, including a higher mortality risk. Furthermore it is associated with attention problems and lower academic achievement. Poor sleep has a high prevalence, especially among students. We aim to provide (policy) recommendations from studying the associated factors on an individual and social level with poor sleep and its consequences. Methods In a cross-sectional survey design (N = 493), the extent of sleep problems and its associated factors was studied amongst a group of Dutch students. The Pittsburg Sleep Quality Index (PSQI) was used. Linear regression analysis was performed. Participants were recruited through social media and e-mail (Male 43%; Female 57%; mean age, 22 years). Additionally, experts were questioned in a small survey to come up with solutions (N = 24). Results 59% of higher educational students suffer from poor sleep quality. Factors that were significantly associated with worse sleep quality were: sleep need, behavior and psychology (effects stress overload), having a paid job in the evening/night, loneliness, having the Chinese and other ethnicity and having a sleep-related disorder. Sleep was significantly associated with worse mental health, vitality and drug use. Additionally, sleep was a significant predictor for attention problems and worse academic performance in the current academic year. Conclusions Nearly 2 out of 3 students suffered from poor sleep quality, reconfirming the high prevalence amongst higher educational students in other studies. Universities can contribute to better sleep quality of their students by educating their students more about sleep hygiene (including effects of drugs and how to deal with high work pressures), and make them more aware of the availability of student psychologists and student general practitioners. Key messages Students in higher education are a population at high risk for poor sleep quality. More attention for the importance of sleep for health, wellbeing and academic achievements should be implemented in the university institutional context.


Author(s):  
Amir Vahedian-Azimi ◽  
Malihe Sadat Moayed ◽  
Farshid Rahimibashar ◽  
Sajad Shojaei ◽  
Sara Ashtari ◽  
...  

Abstract Background: Coronavirus Disease 2019 (COVID-19) pandemic has caused serious psychological problems, such as panic attack, anxiety, stress and depression. The main objective of this study was to measure the prevalence and compare the severity of this psychological distress among four groups of Iranian population.Method: In cross-sectional survey, the mental health status of four groups of Iranian society such as community population, patients with COVID-19, medical staff and medical students were investigated by self-report questionnaire Depression, Anxiety and Stress Scale (DASS). DASS-21 questionnaire and the demographic data sheet were filled in by all participants. All statistical analyses were done using SPSS version 21.0. P-values less than 0.05 were considered statistically significant.Results: Of the 886 participants in this survey, 554 (62.5%) were male and 332 (37.5%) were female, and the mean ± standard division (SD) age of subjects was 40.91±10.7 years. Among these participants, 241 (27.2%) were selected from community population, 221 (24.9%) were patients with COVID-19, 217 (24.5%) were medical staff and 207 (23.4%) were medical students. The mean score of stress, anxiety and depression in medical students and patients with COVID-19 was significantly higher than medical staff and community population (P<0.05). In overall, the score of anxiety level in male was higher than that in female (27.4±4.6 vs. 26.48±4.8, P=0.006), and the score of depression in unmarried participants was significantly higher than that in married group (27.5±4.8 vs. 26.7±4.6, P=0.023). In addition, the score of depression in female medical staff (27.08±4.6 vs. 25.33±4.3, P=0.011) and community population (26.6±4.3 vs. 25.3±4.3, P=0.02) was higher than that in male.Conclusion: In COVID-19 pandemic, the severity of anxiety, stress and depression was high among Iranian population. Patients with COVID-19 and medical students who spent time with patients with COVID-19, with low experience than professional medical staff and community population were at high risk for mental illness. Continuous surveillance and monitoring of psychological distress for outbreaks should become routine as part of preparedness efforts worldwide.


2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Ahmad Janatmakan Amiri ◽  
Negar Morovatdar ◽  
Atefeh Soltanifar ◽  
Ramin Rezaee

Study Objectives. A very limited number of studies have evaluated the prevalence of sleep problems, and related factors, in Iranian medical students. The aim of this study was to determine the prevalence of sleep disturbance and potential associated factors among medical students of Mashhad University of Medical Sciences, Mashhad, Iran. Methods. In this cross-sectional study, 315 medical students chosen by stratified random sampling participated in the academic year 2018-2019. The Pittsburgh Instrument and DASS-21 questionnaire were used to evaluate sleep quality and anxiety, depression, and stress, respectively. Also, demographic, educational, and socioeconomic information was collected. SPSS 16 software was used for data analysis. Results. Out of 300 students who completed the questionnaires, 165 (55%) were male, with a mean age of 21.94±2.28 years old. The prevalence of poor sleep quality was 51.3%. We did not find significant associations among age, sex, and poor sleep quality. Concurrent psychological symptoms such as stress, depression, and anxiety were significantly associated with sleep disorders. After adjusting variables in the multivariable regression model, depression (OR=2.81, 95% CI: 1.35-5.87; p=0.006) and the number of hours spent on using smartphones in 24 hours (OR=1.13, 95% CI: 1.02-1.25; p=0.01) were significantly associated with poor sleep quality among medical students. Conclusion. The prevalence of poor sleep quality among medical students was high, and we found that increased use of smartphones during the day and depression were associated with sleep disorders.


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