Association of severity of depressive symptoms with sleep quality, social support and stress among Pakistani medical and dental students: A cross-sectional study

Ahmed, Waqas; Iftikhar, Asma; Malik, Zahra; Aedma, Kapil Kiran; Meraj, Hafsa; Sattar, Naveed

doi:10.52095/gpa.2020.1336

Cited by 3 publications

(3 citation statements)

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“…Accordingly, one study found that 31.0% of a sample of Chinese college students had poor sleep quality 36 , while another study found that 33.8% of college students had the same problem 37 . Our prevalence, however, is considerably lower than that reported among dental students in Pakistan 38 , Brazil 39 , and Saudi Arabia 3 , which are 58.1%, 60.1%, and 72.5%, respectively. The wide variation could be attributed to cultural differences in sleeping habits as well as different coping strategies for sleep disruptions.…”

Section: Discussioncontrasting

confidence: 83%

Lifestyle factors associated with poor sleep quality among undergraduate dental students at a Malaysian private university

Hashim¹,

Ng²,

Ngo³

et al. 2022

Sleep Sci

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Objective:The purpose of this study was to look into the associations between lifestyle factors, gender, clinical level, and sleep quality among undergraduate dental students at a private university in Malaysia. Material and Methods: A self-administered Pittsburg sleep quality index (PSQI) scale and the lifestyle and habits questionnaire-brief (LHQ-B) were used in this cross-sectional study. A global PSQI score of greater than 5 indicates poor sleep quality. All university dental students were invited to take part. Descriptive statistics and logistic regression analyses were used to analyze the data. Results: A total of 338 students took part in the study, with a response rate of 90.4%. The proportion of females was higher (68.3 %) and more than half of the respondents (56.7 %) were in their clinical years. The prevalence of poor sleep quality was 36.7%. At multivariable level, poor sleep quality was associated with being male (OR=1.72 [95% confidence interval (1.05, 2.83)] and engaging in an unhealthy lifestyle for psychological health (OR=2.64 [95% confidence interval (1.34, 5.21)] and nutrition (OR=2.48 [95% confidence interval (1.028, 4.82)]. Conclusion: The prevalence of poor sleep quality among undergraduate dental students in our study was comparable to that found in other studies. Male students were more likely to have poor sleep quality than female students. Our findings indicate that poor sleep quality (PSQI score >5) may be linked to unhealthy lifestyle habits related to psychological health and nutrition. Health education that emphasizes these domains is essential for improving their lifestyle habits and sleep quality.

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Section: Discussioncontrasting

confidence: 83%

Lifestyle factors associated with poor sleep quality among undergraduate dental students at a Malaysian private university

Hashim¹,

Ng²,

Ngo³

et al. 2022

Sleep Sci

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“…Our results corroborate results from several other studies showing an association between depressive symptoms and poor sleep quality (De Menezes Galvão et al, 2021; Huang & Zhu, 2020; Tonon et al, 2020). We believe that it may be necessary to target patients with severe depressive symptoms particularly in making use of additional behavioral treatment strategies (e.g., sleep hygiene and physical activity) to provide better quality sleep (De Menezes Galvão et al, 2021; Murphy & Peterson, 2015; Waqas et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Self-Reported Mood and Lifestyle-Related Physical Activity of Young Adults With Major Depressive Disorder

Tavares,

de Sousa,

Schuch

et al. 2024

Percept Mot Skills

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We investigated whether mood and lifestyle-related indicators of physical health are differentially expressed according to self-reported levels of depressive symptoms among young adults with a current episode of major depression. In a cross-sectional study, we recruited 94 young adults (females = 67, 71.3%; males = 27, 28.7%; aged 18–35 years) with a current episode of major depression. We assessed their mood with the Profile of Mood States (POMS), and Beck Anxiety Inventory-(BAI), sleep with the Pittsburgh Sleep Quality Index (PSQI), physical activity with the Simple Physical Activity Questionnaire (SIMPAQ), and their cardiorespiratory fitness. Participants’ depression levels were classified as follows using established cut-points: (a) Mild Depressive Symptoms (MIDS, BDI-II 14-19 points, n = 17), (b) Moderate Depressive Symptoms (MODS, BDI-II 20–28 points, n = 37) or (c) Severe Depressive Symptoms (SEDS, BDI-II 29–63 points, n = 40). As expected, we found that young adults with SEDS, when compared to those with MODS and MIDS, showed higher depressive mood on the POMS, and they exhibited greater anxiety symptoms, lower reported ‘vigor’ on physical activity measures, worse sleep quality as expressed by their global score sleep; daytime dysfunction; and sleep disturbance, and they showed lower cardiorespiratory fitness. Those with moderate depressive symptoms only differed from those with mild symptoms with respect to hostility, fatigue and mood disturbance. Although there was a gradient whereby worse mental and physical health indicators were more closely related to the SEDS depression categorization, while healthier indicators were associated with the MIDS category, some parameters were not different between the MDD severity groups, particularly when comparing MIDS and MODS. Clinicians treating patients with MDD should consider these factors when designing lifestyle-based interventions.

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“…However, when individuals have recurrent feelings of sadness and depression, these feelings may interfere with their professional training 11 . Factors such as moving to another city, reduction or absence of family support, lack of leisure time, deadlines, professional expectations, and personal demands have been associated with mental strain for students 6,12 . The consumption of mind-altering substances (legal or illegal) typically also increases during the period of transition from adolescence to adulthood 13 .…”

Section: Introductionmentioning

confidence: 99%

Prevalence of depressive symptoms among dental students is influenced by sex, academic performance, smoking exposure, and sexual orientation

Freitas

Casarin

Almeida

et al. 2022

Braz.j. of oral sci.

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Aim: To estimate the prevalence and associated factors of self-reported depressive symptoms in undergraduate and graduate dental students. Methods: The Depression, Anxiety and Stress Scale (DASS-21) was applied, and only the depression domain was verified. A structured questionnaire was used to collect sociodemographic, behavioral, and COVID-19 pandemic-related fear variables. Academic performance was assessed based on academic records, ranging from 0 (worst possible grade) to 10 (best possible grade). Respondents included 408 regularly enrolled dental students. Bi- and multivariate analyses were performed using Poisson regression with robust variance to verify the association between at least moderate depressive symptoms and independent variables. Results: The prevalence of at least moderate depression was 40.5% among undergraduate students and 26% among graduate students. The prevalence of fear and anxiety due to the COVID-19 pandemic was 96.1% among undergraduate students and 93.5% among graduate students. In the final multivariate analysis, being female (prevalence ratio [PR]:2.01; 95% confidence interval [95%CI]:1.36–2.96) was associated with a higher PR for depression. Conversely, no exposure to smoking (PR:0.54; 95%CI:0.36–0.82) and a final academic performance average ≥7.0 (PR:0.56; 95%CI:0.41–0.76) was associated with a lower PR for depression. Finally, among graduate students, a non-heterosexual orientation was associated with a higher PR for depression (PR:6.70; 95%CI:2.21–20.29). Conclusion: Higher rates of depression symptoms were observed in female undergraduates, students with lower academic performance and smoking exposure, and graduate dental students with a non-heterosexual orientation.

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Association of severity of depressive symptoms with sleep quality, social support and stress among Pakistani medical and dental students: A cross-sectional study

Abstract: This challenging environment leads to serious consequences including burn-out syndrome (Dyrbye et al., 2008; Popa-Velea et al., 2017a), alexithymia, psychological distress (Popa-

Cited by 3 publications

References 12 publications

Lifestyle factors associated with poor sleep quality among undergraduate dental students at a Malaysian private university

Lifestyle factors associated with poor sleep quality among undergraduate dental students at a Malaysian private university

Self-Reported Mood and Lifestyle-Related Physical Activity of Young Adults With Major Depressive Disorder

Prevalence of depressive symptoms among dental students is influenced by sex, academic performance, smoking exposure, and sexual orientation

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