Abstract
Introduction: Poor subjective sleep quality in undergraduate students has not been widely studied in Bandung city, Indonesia. Poor sleep quality has been related to a number of risk factors for poor health outcomes. Objective: To analyze the association between psychological distress and subjective sleep quality. Methods: A cross sectional survey was done in one of the universities of Bandung city, Indonesia. Data were collected from 290 undergraduate students selected through consecutive sampling. Pittsburg Sleep Quality Index (PSQI) and Kessler-10 questionnaire were administered. Results: The prevalence of psychological distress was well (43.1%), mild (28.6%), moderate (20.7%), and severe (7.6%). The overall sleep quality was poor and good in 84.5% and 15.5% of the students. There was a significant association between psychological distress and poor sleep quality (p=0.006). The multivariate analysis suggested that psychological distress was a predictor of poor sleep quality (OR 1.991; 95% CI, 1.311−3.026). Conclusion: There is a need for an awareness of the college resources to help manage the stress levels of students through effective coping strategy-related study habits.
Highlights
Poor subjective sleep quality in undergraduate students has not been widely studied in Bandung city, Indonesia
There was a significant association between psychological distress and poor sleep quality (p=0.006)
The multivariate analysis suggested that psychological distress was a predictor of poor sleep quality
Summary
Poor subjective sleep quality in undergraduate students has not been widely studied in Bandung city, Indonesia. Poor sleep quality has been related to a number of risk factors for poor health outcomes. The quality of sleep is a measure of both the quantitative and qualitative components of sleep [5]. Poor sleep quality has been closely related to mood disturbance and a number of risk factors for poor health outcomes [6], including high blood pressure, increased body mass index and depression [7]. Insomnia, poor sleep quality, and short sleep have been found to be correlated with high stress [8, 9]. A previous study showed that increased stress and reduced health-related quality of life were observed in the first 3 years of a PharmD curriculum [10]. The literature on stress and sleep deprivation indicates that there might be a bidirectional relationship between these two variables [11, 12]
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