Impact of smartphone use on quality of sleep among medical students

Abstract

Background: Smartphone with its various functionalities has become an essential part of our daily activities and its use has been increasing. This has raised concern about its overuse and addiction especially in students. It is known that poor sleep is very common among medical students; there are many studies on sleep quality and its determinants in medical students but very few relating sleep quality and smartphone addiction. The main objective of this study was to investigate the relationship between smartphone use severity and sleep quality among medical students of KIMS, Hubballi. Methods: A cross‑sectional study on sample of 240 undergraduate medical students KIMS, Hubballi was conducted. Students were assessed using a self-administered questionnaire, Smart phone addiction scale (SAS) and Pittsburgh sleep quality inventory (PSQI). SAS score and PSQI scores were co-related. Hierarchical regression analyses were conducted to identify the variables independently associated with level of sleep quality. Results: Out of 240 subjects 117 (48.75%) were poor sleepers & 123 (51.25%) were good sleepers according to PSQI global sleep score. According to SAS score 123 (51.2%) were low users and 117 (48.75%) were high users of Smart phone. The mean (SD) PSQI global score was 4.8 (2.49) and mean (SD) SAS score was 102.93 (22.13). There was positive correlation between SAS score & PSQI score (r=0.343, p<0.001). Gender (β=0.141, p=0.021) & SAS score (β=0.292, p<0.001) were the significant predictors of global PSQI score. Conclusions: This study concludes that in medical students smartphone addiction affects sleep quality significantly and males are particularly more at risk of having poor sleep quality due to excessive smartphone use.

The Relationship Between Smartphone Use, Insomnia, Stress, and Anxiety Among University Students: A Cross-Sectional Study

“…The negative effects of using smartphones include psychological dimensions (Kuss & Griffiths, 2011). Smartphone addiction upsets the quality of students' sleep (Ibrahim et al, 2018;Kurugodiyavar et al, 2017;Sahin et al, 2013;Wang et al, 2019) and can lead to insomnia (Van Deursen et al, 2015). Several studies have also connected smartphone use with mental illness, including stress and anxiety (Boumosleh & Jaalouk, 2017;Samaha & Hawi, 2016).…”

A study on smartphone addiction and its effects on sleep quality among nursing students in a municipality town of West Bengal

“…The mean SAS score was 102.85, that is compatible with the mean SAS 102.93 found in a cross-sectional study on a sample of 240 undergraduate medical students of KIMS, Hubballi. [ 14 ] A study conducted by Ammati R, Kakunje A, Karkal R, Nafisa D, Kini G, and Chandrashekaran P on students of medical universities in south India revealed that 46% of the students were using mobile phones for 4-6 hours and 14% of students were using 7-9 hours in a day. [ 22 ]…”

“…[ 24 ] The cross-sectional study conducted by Kurugodiyavar M D, Sushma H R, Godbole M, and Nekar M S at undergraduate medical students of KIMS, Hubbali reported the mean PSQI to be 4.80 and 51.25% were good sleepers, whereas 48.75% were poor sleepers. [ 14 ]…”

“…However, the cross-sectional study conducted by Kurugodiyavar M D, Sushma H R, Godbole M, Nekar M S at undergraduate medical students of KIMS, Hubbali, had reported statistically significant association between SAS score and PSQI score (p-value <0.001). [ 14 ] In a nationwide cross-sectional survey by Munezawa T. among Japanese adolescents, multiple logistic regression analyses showed that mobile phone use for calling and sending text messages after lights out was associated with sleep disturbances. [ 26 ]…”

“…According to Smartphone Addiction score 123 (51.2%) were low users and 117 (48.75%) were high users. [ 14 ]…”