Factors Affecting Sleep Quality among University Medical and Nursing Students: A Study in Two Countries in the Mediterranean Region

Sleep quality significantly impacts both mental and physical well-being. Sleep disorders are prevalent, especially among medical students, who often overlook the importance of good sleep. This study aimed to examine sleep quality, assess happiness levels, and explore the relationship between sleep quality and happiness among preclinical students. A cross-sectional study was conducted with preclinical students (Year 1 and Year 2 of Bachelor of Medicine and Bachelor of Surgery) from Manipal University College Malaysia. An online questionnaire was distributed, covering demographic data, sleep quality (measured using the Pittsburgh Sleep Quality Index), and happiness (assessed using the Oxford Happiness Questionnaire). Data were analyzed using Microsoft Excel and SPSS, with multiple linear regression used to evaluate the relationship between sleep quality and happiness. A sample of 305 participants, comprising 66.6% females and 33.4% males, participated in the study. Sleep latency analysis revealed that 25.9% of students fell asleep within 30-45 minutes, while 6.2% took 5-6 hours. Most students (55.4%) rated their sleep as fairly good, and 43.3% slept 6-7 hours per night. A significant majority (81.3%) had high sleep efficiency (>85%). The study found that 66.6% experienced minor sleep disturbances. The happiness score revealed that 53% of participants were moderately happy, with family playing a crucial role in their happiness. In the multiple linear regression analysis, the p-value for subjective sleep quality was 0.005, and for daytime dysfunction, it was less than 0.001. Both subjective sleep quality and daytime dysfunction scores significantly predicted happiness levels.: A significant association was found between subjective sleep quality, daytime dysfunction, and happiness. Preclinical students with better sleep reported higher happiness levels. Interventions to improve sleep quality, such as counselling sessions, may enhance student well-being and academic performance.

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Depression, Anxiety, Stress, Sleep Quality, and Life Satisfaction among Undergraduate Medical Students in Gaza Strip: A Cross-Sectional Survey

Aldabbour,

Jaradat,

Aljbour

et al. 2024

Preprint

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Background: Medical study is demanding. Medical students are known to suffer above-average rates of depression, anxiety, stress, poor sleep, and life dissatisfaction. In turn, these disorders lower the students’ quality of life and negatively impact their performance. Methods: This cross-sectional study assessed medical students at the two medical schools teaching in the Gaza Strip. Students were randomized according to university, sex, and academic level. Screening employed the DASS21, PSQI, and SWLS instruments. Categorical variables were described by count and percentages. Potential predictors of poor sleep quality were assessed by binary logistic regression. Multivariable logistic regression was implemented to determine the effect of covariates. Ordinal logistic regression was used to investigate predictors of anxiety, stress, depression, and SWLS stage. Statistical significance was set at a two-sided p-value less than 0.05. Results: In total, 362 medical students participated. Different stages of depression, anxiety, and stress symptoms were prevalent in 69%, 77.3%, and 65.2% of students, respectively. Poor sleep quality was prevalent in 77.9% of students, which was associated with higher rates of all-stage anxiety, stress, and depression in univariate regression and with higher odds of moderate anxiety and mild, moderate, and extremely severe depression after multivariable regression. Furthermore, 46.1% of medical students were dissatisfied with their lives. Conclusions: Medical students in the Gaza Strip suffer from high rates of depression and anxiety symptoms, stress, poor sleep, and life dissatisfaction compared to medical students from several other countries and the pooled global prevalence reported in meta-analysis studies.

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Factors Affecting Sleep Quality among University Medical and Nursing Students: A Study in Two Countries in the Mediterranean Region

Cited by 5 publications

References 92 publications

Translation and validation of sleep questionnaires in Jordanian and Qatari athletes

Translation and validation of sleep questionnaires in Jordanian and Qatari athletes

The relationship between sleep quality and happiness among preclinical students in a medical school

Depression, Anxiety, Stress, Sleep Quality, and Life Satisfaction among Undergraduate Medical Students in Gaza Strip: A Cross-Sectional Survey

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