2024, Number 51
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Inv Ed Med 2024; 13 (51)
Sleep quality, daytime sleepiness and insomnia in medical students during the COVID-19 pandemic
Rubio-Zapata HA, Vela-Ordoñez D, Pérez-Herrera NE, Estrella-Castillo DF
Language: English
References: 24
Page: 93-101
PDF size: 556.23 Kb.
ABSTRACT
Introduction: The COVID-19 pandemic represented a
challenge for medical education. Online education was
the best alternative to avoid the risk of transmission of the
virus. However, confinement, uncertainty, fear and various
family and economic problems had an impact on the
physical and mental health of the most population. The
aim of the study was to describe sleep quality, insomnia,
and daytime sleepiness among medical students from
Yucatan, Mexico, during COVID-19 pandemic.
Methodology: A cross-sectional and analytical study was
designed with a probabilistic sample of 114 medicine students
who electronically completed the Pittsburgh Sleep
Quality, Epworth sleepiness scale, and Insomnia Severity
Index questionnaires, from September to December 2021.
Results: 74.5% of the students had poor sleep quality,
without differences between ages, sex, or hours of sleep.
The subjective quality of sleep was correlated with the
result of the questionnaire. On bad sleepers, the time for
initiating sleep (latency) was more than twice compared
to good sleepers. Insomnia was associated with poor
sleep quality (OR 54, CI 95% 6.9-417 p ‹ .001). Students
referred to excessive homework (18%) family/personal
problems (15%) and worry about exams (7%), and others
as causes of insomnia. Daytime sleepiness occurred in
64% of the students and associated with bad sleep quality
(OR 3.12; CI 95% 1.3-7.47, p = 0.01).
Conclusion: In conclusion, during the pandemic, most
of the medicine students presented poor quality of sleep,
insomnia and daytime sleepiness, despite having online
classes at their homes.
REFERENCES
Nelson KL, Davis JE, Corbett CF. Sleep quality: An evolutionaryconcept analysis. Nurs Forum. 2022;57(1):144-151.doi:10.1111/nuf.12659.
Fontana SA, Raimondi W, Rizzo ML. Calidad de sueño y atenciónselectiva en estudiantes universitarios: estudio descriptivotransversal [Quality of sleep and selective attention inuniversity students: descriptive cross-sectional study]. Medwave.2014;14(8):e6015. doi:10.5867/medwave.2014.08.6015.
Dinis J, Bragança M. Quality of Sleep and Depression in CollegeStudents: A Systematic Review. Sleep Sci. 2018;11(4):290-301. doi:10.5935/1984-0063.20180045.
Alotaibi AD, Alosaimi FM, Alajlan AA, Bin Abdulrahman KA.The relationship between sleep quality, stress, and academicperformance among medical students. J Family CommunityMed. 2020;27(1):23-28. doi:10.4103/jfcm.JFCM_132_19.
Nsengimana A, Mugabo E, Niyonsenga J, HategekimanaJC, Biracyaza E, Mutarambirwa R, Ngabo E, NduwayezuR. Sleep quality among undergraduate medical students inRwanda: a comparative study. Sci Rep. 2023 Jan 6;13(1):265.doi: 10.1038/s41598-023-27573-9.
Alsaggaf MA, Wali SO, Merdad RA, Merdad LA. Sleepquantity, quality, and insomnia symptoms of medical studentsduring clinical years. Relationship with stress andacademic performance. Saudi Med J. 2016;37(2):173-182.doi:10.15537/smj.2016.2.14288.
Grandner MA. Sleep, Health, and Society. Sleep Med Clin.2017;12(1):1-22. doi:10.1016/j.jsmc.2016.10.012.
Suardiaz-Muro M, Morante-Ruiz M, Ortega-Moreno M,Ruiz MA, Martín-Plasencia P, Vela-Bueno A. Sueño y rendimientoacadémico en estudiantes universitarios: revisiónsistemática [Sleep and academic performance in universitystudents: a systematic review]. Rev Neurol. 2020:16;71(2):43-53. doi:10.33588/rn.7102.2020015.
Coroiu A, Moran C, Campbell T, Geller AC. Barriers andfacilitators of adherence to social distancing recommendationsduring COVID-19 among a large international sampleof adults. PLoS One. 2020;15(10):e0239795. Published 2020Oct 7. doi:10.1371/journal.pone.0239795.
Dost S, Hossain A, Shehab M, Abdelwahed A, Al-NusairL. Perceptions of medical students towards online teachingduring the COVID-19 pandemic: a national crosssectionalsurvey of 2721 UK medical students. BMJ Open.2020;10(11):e042378. Published 2020 Nov 5. doi:10.1136/bmjopen-2020-042378.
Orben A, Tomova L, Blakemore SJ. The effects of socialdeprivation on adolescent development and mentalhealth. Lancet Child Adolesc Health. 2020;4(8):634-640.doi:10.1016/S2352-4642(20)30186-3.
Carralero-García P, Hoyos-Miranda, FR, Deblas-SandovalA, López-García M. Calidad del sueño según el PittsburghSleep Quality Index en una muestra de pacientes recibiendocuidados paliativos. Med Paliat. 2013:20(2):44-48. doi:10.1016/j.medipa.2012.05.005.
Ojeda-Paredes P, Estrella-Castillo DF, Rubio-Zapata HA.Sleep quality, insomnia symptoms and academic performanceon medicine students. Inv edu med. 2019:8(29):36-44. doi.org/10.22201/facmed.20075057e.2019.29.1758.
Fernandez-Mendoza J, Rodriguez-Muñoz A, Vela-Bueno A,et al. The Spanish version of the Insomnia Severity Index: aconfirmatory factor analysis. Sleep Med. 2012;13(2):207-210.doi:10.1016/j.sleep.2011.06.019.
Sandoval-Rincón M, Alcalá-Lozano R, Herrera-Jiménez I,Jiménez-Genchi A. Validación de la escala de somnolenciade Epworth en población mexicana [Validation of the Epworthsleepiness scale in Mexican population]. Gac MedMex. (2013):149(4):409-416.
Tahir MJ, Malik NI, Ullah I, et al. Internet addiction andsleep quality among medical students during the COVID-19pandemic: A multinational cross-sectional survey. PLoS One.2021;16(11):e0259594. doi:10.1371/journal.pone.0259594.
Gómez-Landeros O, Zúñiga-Valadés A, Granados-CosmeJA, Velasco-Arenas FE. Cambios en la calidad de sueño,somnolencia diurna, ansiedad y depresión durante el internadomédico de pregrado. Inv edu med. 2019: 8(31), 48-54.doi.org/10.22201/facmed.20075057e.2019.31.18118.
Blume C, Schmidt MH, Cajochen C. Effects of the COVID-19lockdown on human sleep and rest-activity rhythms. CurrBiol. 2020;30(14):R795-R797. doi:10.1016/j.cub.2020.06.021.
Van Someren EJW. Brain mechanisms of insomnia: newperspectives on causes and consequences. Physiol Rev. 2021;101(3):995-1046. doi:10.1152/physrev.00046.2019.
Fawzy M, Hamed SA. Prevalence of psychological stress, depressionand anxiety among medical students in Egypt. PsychiatryRes. 2017;255:186-194. doi:10.1016/j.psychres.2017.05.027.
Sun WQ, Chen WJ, Jiang YR, Li F, Li SH, Yan CH, Jin XM,Shen XM, Jiang F. Zhonghua yu fang yi xue za zhi. Chinesejournal of prevenive medicine. 2012:46(8):713-717. Abstract.
Fila-Witecka K, Malecka M, Senczyszyn A, et al. Sleeplessin Solitude-Insomnia Symptoms Severity and PsychopathologicalSymptoms among University Students during theCOVID-19 Pandemic in Poland. Int J Environ Res PublicHealth. 2022;19(5):2551. doi:10.3390/ijerph19052551.
Dagnew B, Andualem Z, Dagne H. Excessive daytimesleepiness and its predictors among medical and health sciencestudents of University of Gondar, Northwest Ethiopia:institution-based cross-sectional study. Health Qual LifeOutcomes. 2020;18(1):299. doi:10.1186/s12955-020-01553-3.
Kayser KC, Puig VA, Estepp JR. Predicting and mitigatingfatigue effects due to sleep deprivation: A review. FrontNeurosci. 2022;16:930280. doi:10.3389/fnins.2022.930280.