Sleep Quality In Medical Students Research Articles

Smartphone Addiction and Sleep Quality among Medical Students

The availability of smartphones and their multi-functionality make them indispensable devices in day-to-day life, especially among students. When smartphone use goes beyond necessity and turns into addiction, the consequences can affect various aspects of life such as mental health, sleep quality, and academic performance. The focus of this research was assessing the presence of smartphone addiction and its association with sleep quality among medical students of the University of Novi Sad. In this cross-sectional study, using the Smartphone Addiction Assessment Scale (SAS-SV) and the Pittsburgh Sleep Quality Index (PSQI), an online survey method, we included 119 medical students, mean age 21.5 (SD±2.8), from of which 75.6% were female students. The obtained results indicate the absence of smartphone addiction (SAS-SV=25.6; SD ±9.1) and the presence of poorer sleep quality (PSQI=5.9; SD±3.3). The prevalence of smartphone addiction was 21%, while the prevalence of poor sleep quality was around 46%. The established moderate positive, statistically significant, correlation between the scores of the questionnaire indicates that increasing the presence of smartphone addiction can worsen the sleep quality in medical students. The need for further research on this subject, on a wider, more representative sample, was recognized. As the complexity of the study program dictates the characteristic lifestyle of students, timely education and raising awareness of the potential risks of behavioral addictions is considered desirable, even necessary.

Sleep Quality in Medical Students and its Association with Internet Usage- A Cross-Sectional Study

ABSTRACT Aim: To examine sleep quality and its association with internet usage in undergraduate medical students. Materials and Methods: This cross-sectional observational study was conducted among 181 undergraduate medical students from January 2019 to March 2019. A predesigned, pretested, semistructured self-administered questionnaire including information on sociodemographic profiles and lifestyle questions was utilized. The Pittsburgh Sleep Quality Index (PSQI) scale and the Internet Addiction Test (IAT) scale were applied. Statistical analysis was performed using SPSS version 23.0. Results: Students with moderate to severe internet addiction showed a total mean score of 6.76 ± 2.45, while those with mild internet addiction had a total mean PSQI score of 6.58 ± 2.57. An increasing severity of internet addiction was associated with poor quality of sleep (22.45%) (P < 0.01). Scores of IAT were assessed in relation to sleep quality, showing that with an increased average total score of internet addiction (39.93 ± 10.36), there was an increasing occurrence of poor sleep quality (P < 0.05). Excessive internet use was linked to poor sleep quality (11.04 ± 1.99) and was statistically significant (P < 0.05). Conclusion: Internet usage among young adults has become an alarming public health concern. Practicing caution in its use can help mitigate its negative impacts on both physical and psychological health. Healthy living requires maintaining a balance through participation in sports, education, culture, and other engaging activities.

Sleep quality among medical students during third wave of COVID-19 pandemic: A cross-sectional study in Government Medical College Jammu

Background: COVID-19 has caused lot of suffering for everyone. Hundreds of thousands of people were affected in all aspects. Increased stress due to the pandemic may affect medical students' sleep quality. The authors aimed to evaluate the sleep quality of medical students during pandemic and relationship, if any, between sleep quality and and socio-demographic variables. Methods: An online survey of medical students was conducted in January 2022, when India was in third wave of pandemic. This cross-sectional study was conducted using the Pittsburgh Sleep Quality Index (PSQI) questionnaire at a tertiary teaching hospital in Jammu, UT, J&K, India. Results: Among 307 participants, mean global PSQI score was 9.91± 3.62 which indicated a poor quality of sleep. Among the component scores, habitual sleep efficiency had the highest score of 2.99± 0.16. Majority (91.53%) of the respondents had a poor sleep quality with global PSQI score >5. Among the socio-demographic variables, alcohol intake and any conflict in the family were found to be statistically significant (p<0.05). Conclusion: Nine out of ten medical students have insufficient sleep, which is a real cause for concern. The authors recommend that stress management (anxiety), lifestyle changes, and sleep training be included in the medical record and updated regularly.

Fear of Missing Out Syndrome and its Impact on Sleep Quality in Medical Students: A Cross-Sectional Study

Abstract Objective Fear of missing out (FOMO) is a type of social anxiety defined as “intense concern that others may be experiencing rewarding experiences without one's presence,” which can lead to illness. Excessive smartphone use is often associated with FOMO. This study aimed to investigate FOMO among medical university students, as well as factors associated with sleep quality, anxiety, depression, and excessive smartphone use. Methods A cross-sectional observational study was conducted using electronic questionnaires and the following scales: FOMO scale/score, Pittsburgh Sleep Quality Index (PSQI), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), and Smartphone Addiction Scale Short Version (SAS SV). Results Participants included 142 individuals (mean age 23.73 ± 4.98 years, 97 [68.3% female]). All participants were smartphone users. Fear of missing out was present (FOMO score 22.08 ± 6.71) along with poorer sleep quality (PSQI 7.26 ± 3.08) and excessive smartphone use (SAS SV 30.21 ± 10.20). Moderate/severe anxiety (BAI) was reported by 35.2% of participants, while 16.9% had moderate/severe depression (BDI). Positive correlations were found between PSQI and FOMO (p < 0.05), as well as between SAS SV and FOMO (p < 0.001), PSQI (p < 0.001), BAI (p < 0.001), and BDI (p < 0.001). Discussion High levels of FOMO, poorer sleep quality, symptoms of depression, anxiety, and excessive smartphone use were found among medical students. Furthermore, a positive correlation was demonstrated between these factors, which can directly impact the physical and mental health, as well as the academic performance of these young individuals.

Association between Lamp Light During Sleep and Sleep Quality in Medical Students

Association between Lamp Light During Sleep and Sleep Quality in Medical Students

Correlation between perceived social support and quality of sleep and its effect on the academic performance of undergraduate medical students: A cross-sectional study

Background: Social support can be explained as the availability or existence of people who make us feel loved, cared for and valued, people on whom we can rely. Apart from physical health, social networking and interaction uplift mental health, well-being, and academic performance of individuals. Sleep has been associated with achievements in academic indicators of a person, as its deficit causes a lack of attention and concentration. Methods: A survey was designed to conduct cross-sectional study among the undergraduate medical students. The validated 12 item multidimensional scale of perceived social support and 19 self -rated questions of Pittsburgh sleep quality index was used for assessing the social support and sleep quality among the students and how it affected their academic performance. Data was collected in google forms and coded & cleaned and then exported for statistical analysis, to SPSS version 20. Results: Of the total 385 undergraduate medical students, majority were female respondent and from 2nd Professional. Most of the students scored between 60-69% in their university exam. Majority of the student has poor sleep quality. The academic performance has statistically significant association with perceived social support while age of the student was significantly associated with poor quality of sleep. A negative correlation was noted between perceived social support and sleep quality. Conclusion: This study has highlighted the negative impact of a lack of perceived social support on the sleep quality of medical students. Results also showed evidence of an overall poor quality of sleep in the medical students.

Factors Associated with Poor Quality of Sleep on Medical Students at Faculty of Medicine Udayana University

Background: Medical students are among the populations most vulnerable to poor sleep quality. This was a result due to the demanding schedule and extensive course material required of a prospective physician. Sleep problems may contribute to malpractice, burnout, and a decline in professionalism at work. For that reason, monitoring sleep quality becomes an important matter to optimize the use of future health services. Purpose: To identify factors contributing to poor sleep quality in medical students of the Faculty of Medicine at Udayana University. Methods: This study was a descriptive study with a cross-sectional approach in which data were gathered by distributing a questionnaire to medical students at the Faculty of Medicine Udayana University. SPSS was used to analyze data using both univariate and bivariate analysis. Results: This study was participated by 369 medical students at the Faculty of Medicine Udayana University in from academic year 2020, 2021, and 2022. The prevalence of poor sleep quality obtained from the statistics was 285 students 77,2%. This study looks into nine variables that are thought to be associated with sleep quality. Data analysis results indicated three factors were strongly linked with poor sleep quality which was sleep hygiene (p=0.000), academic stress (p=0.000), and caffeine consumption (p=0.014). Conclusion: Poor quality of sleep in medical students at the Faculty of Medicine Udayana University was found having important significancy (p<0.05) with poor sleep hygiene, high levels of academic stress, and routine caffeine consumption. Keywords: sleep quality, medical student, sleep quality factors

The Description of Characteristic Facebook Social Networking and Sleep Quality in Medical Students

The Description of Characteristic Facebook Social Networking and Sleep Quality in Medical Students

Assessment of Sleeping Patterns among Health Care Students in Chennai – A Cross Sectional Study

Background: Sleep is a fundamental physiological need, and disturbances in sleep quality can have detrimental effects on the quality of life. Poor sleep quality can particularly impact the academic performance of students, especially when they face a heavy academic workload that demands their full attention and activity. This study aimed to assess the factors influencing the sleep quality of medical students in a private medical college. Methods: This is a cross-sectional, questionnaire based observational survey was conducted among health care students of first, second, third, final years, Interns and post graduates students in a private medical college with the total sample of 451 students. This sampling methodology was designed to assess the sleep patterns and sleep deprivation medical students using Pittsburgh Sleep Quality Assessment. Results: The prevalence of poor sleep quality was found to be 47.2% among the medical students, with higher rates detected among 3rd-year students. The study identified significant factors associated with poor sleep quality, including learning difficulties, anxiety related to exams, and the habit of going to bed late and waking up early. Conclusion: The study reveals that sleep quality among medical students is influenced by various factors. Poor sleep quality not only affects daily functioning but also impacts the students' ability to maintain enthusiasm and meet the demands of their medical education.

Stress and sleep quality in medical students: a cross-sectional study from Vietnam.

The COVID-19 pandemic has resulted in significant global social and economic disruptions, as well as changes in personal attitude and behavior. The purpose of this research is to assess the sleep quality and stress levels of medical students. Data was collected from medical students over the course of a month in 2021. A total of 4,677 students at the University of Medicine Pham Ngoc Thach were invited to complete an anonymous web-based survey, which included the Pittsburgh Sleep Quality Questionnaire Index (PSQI) for measuring sleep quality and the COVID-19 Student Stress Questionnaire (CSSQ) for evaluating stress. A total of 1,502 students participated in our survey. More than half of the participants exhibited poor quality of sleep as indicated by their PSQI score. Many students reported going to bed after midnight and spending time on their smartphones. Among the students surveyed, 21.84% experienced low levels of stress (CSSQ ≤6), 63.38% had mild stress (7 ≤ CSSQ score ≤ 14), 14.78% reported high levels of stress (CSSQ >14). This study showed a high prevalence of poor sleep quality in the surveyed students, which could be attributed to changes in their behavior following the COVID-19 outbreak. Mild stress was also frequently observed, and it may be related to sleep disorders in this population. These important findings provide valuable insights for making recommendations, including lifestyle modifications to improve sleep quality.

Prevalence of internet gaming addiction and its association with sleep quality in medical students.

In Asia, there are approximately 2.3 billion internet users. Addiction to internet gaming takes a multifaceted toll on an individual's physical and mental well-being, casting a long shadow over their daily endeavors and also their sleep cycle. To study the prevalence of internet gaming addiction and how it affects sleep quality in medical students. A cross-sectional study was performed with a sample size (n = 112) in the Government Medical College, Datia (M.P.), and data were collected using a semi-structured proforma including the Internet Gaming Disorder Scale and Mini Sleep Questionnaire in the study population. In the study population with age group 18-28 years (mean age: 21 ± 1.7 years), the majority of them belong to the Hindu religion (91.1%), nuclear family (66.1%), and urban community (75.9%). Most students (n = 74) had mild to moderate sleep difficulty related to internet gaming addiction, that is, 65.1%. The most common response was "sometimes" on the Internet Gaming Disorder Scale. A significant association was observed between gaming disorder and parameters of sleep mainly in waking up too early, daytime sleepiness, snoring, feeling tired, and headache upon waking up with gaming disorder. Among medical students, gaming addiction is significantly associated with poor sleep quality. Steps need to be taken to promote healthy internet use to improve sleep quality and mitigate negative effects to avoid long-term health impacts.

The relationship between mobile phone addiction and depression, anxiety, and sleep quality in medical students.

This study investigates the prevalence of mobile phone addiction among medical students and its relationship with depression, anxiety, and sleep quality. The study was conducted at Mashhad University of Medical Sciences from 2019 to 2021, and it included medical students at four different levels of training. Participants were selected using a stratified random sampling method. All subjects completed the Mobile Phone Addiction Scale, Pittsburgh Sleep Quality Index (PSQI), Beck Depression Inventory, and Beck Anxiety Inventory through online electronic self-report questionnaires. Overall, 355 medical students were included in the study, with 203 (57.2%) being female. Mild and severe mobile phone addiction was reported by 83.7 and 2.5% of the students, respectively. Furthermore, the study's findings revealed significantly higher sleep quality disorder, depression, and anxiety scores among students with severe mobile phone addiction compared to other participants ( P < 0.001, P = 0.007, and P < 0.001, respectively). Although mobile phone addiction was prevalent, severe addiction was rare among medical students. Nevertheless, severe addiction was associated with an increased prevalence of mental health problems and sleep disturbances, emphasizing the importance of interventions aimed at reducing mobile phone addiction and improving mental health.

RELATIONSHIP OF SLEEP QUALITY WITH MENTAL WELL-BEING AND ACADEMIC PRODUCTIVITY

Background: Better sleep quality is associated with better mental health. This study aimed to link sleep quality of medical students with their psychiatric health and academic performance. Methods: Sleep quality of 104 medical students (52 each from 1st and 5th year of MBBS with equal gender distribution) was measured on Pittsburgh Sleep Quality Index (PSQI) while Hamilton Depression Rating Scale (HDRS) along with Hamilton Anxiety Rating Scale (HAM-A) was used to assess their psychiatric health, both of which were later correlated with their academic scores. Results: Sleep quality of 1st year medical students was significantly better as compared to their final year counterparts (p=0.001) and (p=0.000) respectively which affected indices of psychiatric health in such a way that 1st year medical students scored significantly lower on scales of depression as well as anxiety as compared to final year medical students (p=0.001), (p=0.000) and (p=0.001, p=0.000). Within 1st and final year (male and female) medical students, sleep quality had a strong positive correlation with scores of depression and anxiety (r=0.547, p=0.004), (r=0.587, p=0.002), (r=0.66, p=0.000) ,(r=0.490, p=0.011) and (r=0.518, p=0.007), (r=0.527, p=0.006), (r=0.541, p=0.004), (r=0.596, p=0.001) respectively, which in turn had a negative correlation with academic performance of theirs (r=-0.400, p=0.043), (r=-0.614, p=0.001) and (r=-0.550, p=0.004), (r=-0.573, p=0.002) respectively. Conclusion: Medical students with poor sleep quality, harbour higher degrees of depression and anxiety and perform poorly on academic front as compared to those with better sleep quality. Pak J Physiol 2023;19(3):15–9

Correlation of Smart Phone Addiction with Poor Sleep Quality and Low Academic Score in Medical Students of Nishtar Medical University, South Punjab

Background: Smart phone addiction can disturb sleep quality in medical students by upsetting internal biological clock (SCN) and melatonin level which in turn adversely affects academic performance of medical students.&#x0D; Objectives: To correlate smart phone addiction (SPA), poor sleep quality and low academic score in medical students and its association with gender.&#x0D; Methodology: A Cross- sectional descriptive study was conducted on medical students of 4th and final year MBBS (who were mobile phone addict for more than one year). The percentage of last professional exam was taken as academic score. A proposed SPA diagnostic criterion was used to diagnose smart phone addict students. For SPA severity and sleep quality assessment Problematic Mobile Phone Use Questionnaire (PMPU-Q) and Pittsburgh Sleep Quality Index (PSQI) were used.&#x0D; Results: A total of 74 subjects having mean (SD) age of 22.24 (1.929) years presented with negative correlation between academic score and PSQI (p&lt; 0.05) were included in the study. There was no significant association between academic score and smart phone addiction. The male students had worse score in dependency and dangerous use on PMUQ scale. The female students were worse in dangerous and problematic use of smart phone on PMUQ scale.&#x0D; Conclusion: The SP dependency and poor subjective sleep quality of male students were negatively associated with their academic score. The female students with low academic score were worse at PSQI score, their academic score was not significantly correlated with their smart phone addiction.&#x0D; Keywords: Smartphone addiction, Sleep Quality, Academic Score

Association between nonprescription use of nootropics and sleep quality in medical students

Association between nonprescription use of nootropics and sleep quality in medical students

Sleep quality in medical students and its different effects

Background. Sleep disorders is a distressing and disabling condition that affects many people, and can effect the quality of work and education of medical students. Sleep problems, which are accompanied by disruption of the circadian cycle in students, are partly solved by sports and psychological influences (sleep hygiene). Purpose of the study was to assess the sleep quality during different years of study of medical university students. Materials &amp; Methods. First to final year students (114 male and 80 female) filled out questionnaires. Pittsburgh Sleep Quality Index (PSQI) questions were used in the form. Qualitative variables were represented as frequencies and percentages. Chi-square and was applied for statistical significance, and p-value &lt;0.05 was considered. The students were divided according to their years of study into 3 groups. Group A for 1st- and 2nd-years, group B – for 3rd- and 4th-years, group C – for 5th- and 6th-years medical students. Results. About half (47.42%) of the students rated their sleep as very bad, which, however, is less than in the literature (more than 60%). 57% of respondents had daytime dysfunction due to sleep disturbance. 60.31% of survey participants reported that they slept 5–7 hours every night. 20.1% regularly used sleeping pills at least once during the last month. Subjective sleep quality and sleep latency were directly related to the years of study, with p values 0.006 and 0.004. Conclusion. Our findings show that sleep disruptions among medical students is significant. By calculating the mean score of PSQI we found that the score values increase respectively with the years of studies in the medical faculty explaining more sleep disturbances. Keywords: sleep disorders, Pittsburgh Sleep Quality Index, sleep hygiene.

SLEEP QUALITY AND ASSOCIATED FACTORS AMONG THIRD-YEAR MEDICAL STUDENTS AT CAN THO UNIVERSITY OF MEDICINE AND PHARMACY

Background: Sleep is a condition of reduced stimulation that allows the body to recoup and re-energize. Hence, poor sleep will affect the body's capacity to think and focus, raise the risk of health issues, and have a negative impact on learning, causing occupational mistakes and accidents. A busy theoretical study schedule, a clinical practice schedule at the hospital and a tight exam schedule will have certain impacts on the sleep quality of medical students. Objectives: Evaluation of quality and some factors related to sleep in third-year full-time medical students at Can Tho University of Medicine and Pharmacy. Materials and methods: A cross-sectional descriptive study was conducted on 200 students studying full-time medicine, course 45, Can Tho University of Medicine and Pharmacy (CTUMP). Results: Of the 56.5% of students who reported insomnia, mild insomnia accounted for 49%, moderate insomnia for 7.5%, and severe insomnia for none. The rate of reduced sleep quality was 72.7% in the group of students who consumed caffeine and 52.0% in the group who did not; the connection was statistically significant with a p-value of 0.01. The group with high physical activity had the lowest prevalence of insomnia (45.8%), and this association was statistically significant (p&lt;0.05). Conclusions: More than half of third-year fulltime medical students (56.5%) experience mild to moderate insomnia with a mean PSQI scale score of 5.95±3.00 and mean sleep duration of 6.26±1.07 hours. Sleep quality in third-year medical students at CTUMP was affected by physical activity and caffeine usage.

ASSESSMENT OF QUALITY OF SLEEP IN MEDICAL STUDENTS BY USING PITTSBURGH SLEEP QUALITY INDEX

Objective: To assess the quality of sleep in medical students using Pittsburgh sleep quality index&#x0D; Methods: This observational, cross sectional study was conducted on 419 undergraduate medical students of Azra Naheed Medical College, Lahore. Google survey form consisting of two components, demographics and PSQI scale was used to collect data. Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 20.0. Chi-square test was applied for statistical significance and p-value &lt;0.05 was considered significant.&#x0D; Results: Of the 419 students, 220 (52.5%) were females and 199 (47.5%) were males. Out of them sleep impairment was documented in 298 (71.1%) of medical students. Overall, 96% students used electronic gadgets just before going to sleep. Significant impairment of sleep was reported between year of medical school and PSQI. Sleep impairment was highest among first year and final year students 85.5% and 71.8% respectively.&#x0D; Conclusion: Sleep quality in medical students is impaired and more so in the first and final year of medical school.

Sleep Quality in Medical Students of a Portuguese University: a cross-sectional Study

IntroductionSleep is a complex physiological process present in all living beings, performing essential functions for various biological functions. The prevalence of sleep disorders has increased exponentially, as well as studies relating to sleep patterns of the general population.University students are especially vulnerable to a decrease in sleep quality, particularly medical students. Even so, the literature on sleep quality in medical students is scarce, especially when referring to Portugal, where studies are almost non-existent.ObjectivesTo evaluate sleep quality in medical students and to analyze the differences in sleep quality according to age, sex, cohabitation and physical activity. It is also intended to compare the sleep quality of medical students throughout the various phases of the medical course.MethodsThis is a cross-sectional study involving medical students at the University of Beira Interior, Covilhã, Portugal. All medical students were invited to complete the Pittsburgh Sleep Quality Index (PSQI), which has been validated for the portuguese population. First, the scores obtained in each of the components of the PSQI and the global PSQI score were analyzed for the global population. Lastly, the global PSQI score was correlated with each of the sociodemographic variables to verify the existence of a statistically significant relationship.Results296 students completed the instrument. Of these, 62.2% classify their sleep quality as good; 42.4% scored 2 in the sleep latency component; 50% reported sleeping 6 to 7 hours; 73.9% stated an adequate sleep efficiency; 85.5% mentioned few or no sleep disturbances; 83,8% said they never used sleep medication; and 60.8% had low or no sleepiness or daytime dysfunction.As for the overall PSQI score, 72.6% of the students had a score greater than 5, indicating a poor quality of sleep. 74.7% of female respondents have a low quality of sleep, as well as 67.7% of male respondents. Likewise, 91.3% of students who live alone have poor sleep quality, as well as 76.8% of those living with family members and 69.8% of those living with colleagues.Regarding the course year, 82.4% of the first-year students report a poor quality of sleep, as well as 77.5% of the second-year students, 72.1% of the third-year students, 77.8% of the fourth-year, 65.8% of the fifth-year students and 71.4% of the sixth-year students.ConclusionsMedical students seem to be more likely to have poor sleep quality, especially when compared to other university students. Thus, further studies are needed to prove this susceptibility as well as therapeutic interventions aimed at improving sleep parameters.Disclosure of InterestNone Declared

The Prevalence and Association of Stress with Sleep Quality during the COVID-19 Pandemic among Medical Students at Airlangga University

The COVID-19 pandemic requires students to adapt to circumstances and cause various kinds of psychological problems during a pandemic outbreak. Some may experience stress, insomnia or hypersomnia. There are many factors causing poor sleep quality in students, including psychological problems such as stress which can worsen the quality of student’s sleep during the COVID-19 pandemic. This study aims to prove that there is a relationship between stress and the sleep quality of medical students at Airlangga University during the COVID-19 pandemic. This study is an observational analytic study using the cross-sectional design to assess the relationship between stress and sleep quality of respondents using the Pittsburgh Sleep Quality Index (PSQI) and Depression, Anxiety, Stress Scale - 42 (DASS-42) questionnaires. The research subjects were active pre-clinical students in the medical study program, Faculty of Medicine, Airlangga University, totaling 280 students who were divided into 3 batches, namely Class of 2019, Class of 2020, and Class of 2021. From the results of the study, it was found that 84.7% of students experienced poor sleep quality and a normal stress level of 55.5%. Sleep quality and stress levels are related to each other. This is proven by the Spearman rank analysis, which shows sleep quality is related to the stress level with a p-value = 0.000 and rho = 0.230. Based on these results, it was concluded that sleep quality and stress level have a positive correlation. The researcher expects that the institution will be able to use the study's findings as information about student stress levels and sleep quality in order to prevent stress and poor sleep or to implement health-related stress management programs for students.