Sleep quality and psychological morbidity among physicians in southwest Nigeria

Abstract

The role of the physician has increasingly become more expansive, and demanding. These demanding schedules have played a heavy toll on sleep patterns and increased psychological stress. The objective of the study was to assess sleep quality and psychological morbidity among Physicians. Method: A cross-sectional survey of 95 voluntary consenting physicians from different specialties during a 2-day conference. We administered Pittsburgh Sleep Quality Index, and General Health Questionnaire-12. Results; About 13.6% (n=13 out of 95) had a score above 2 on General Health Questionnaire-12, indicating psychological morbidity. Those who reported poor sleep quality (>5) made up 36.8% (n=35) of the respondents, There were positive significant correlation between hours spent on call and total scores on GHQ at r=0.230, p=0.03. Only subjective sleep quality (component 1) was significantly correlated with total GHQ scores at p=0.001 Conclusion: The findings in our study showed a relationship between sleep quality (component 1) psychological morbidity. We observed that long work schedules was the only factor associated with psychological morbidity and sleep quality. It is imperative for work-time stress management to be instituted among physicians.

Psychological distress and sleep problems in healthcare workers in a developing context during COVID-19 pandemic: Implications for workplace wellbeing

“…In the same vein, as many as six in every ten participants reported sleep problems. This is significantly higher than the prevalence of sleep problems (36.4%) reported in physicians in a local study using the same instrument ( Ogunsemi et al 2019 ). About eight in every ten participants reported difficulty in the aspects of sleep latency and other disturbances, while seven in ten participants had daytime dysfunction and difficulties with sleep duration.…”

“…The rate of psychological distress in the present study is several folds higher than the rates previously reported in the general population in similar contexts ( Erinfolami et al 2016 ; Gureje et al 2006 ). This study rate is also moderately higher than the rates previously reported in healthcare workers, 17.2% ( Obadeji et al 2018 ); doctors, 14.9% and 13.6% ( Issa et al, 2014 ; Ogunsemi et al 2019 ); and company executives, 14.2% in similar contexts using the same screening tool. While the rates of psychological distress in this study is moderately highly, it is conceivable that this estimate of psychological distress in healthcare workers may be conservative given the pervasive reluctance to disclose mental health problems due to stigmatization ( Knaak et al 2017 ; Yussuf and Balogun, 2006 ).…”

“…Each item is rated on a bimodal scoring scheme (0−0−1−1) to produce total scores that ranged from zero to twelve. A cut-off score ≥ 2 on the GHQ-12 is indicative of psychological distress, and higher score indicates greater severity of distress (Goldberg et al, 1997; Gureje & Obikoya, 1990; Obadeji et al 2018 ; Ogunsemi et al 2019 ). The GHQ-12 has been validated and used extensively in Nigeria (Gureje & Obikoya, 1990; Erinfolami et al 2016 ; Ogundipe et al 2014 ; Olagunju et al 2012 & 2015; 2017; Yussuf and Balogun, 2006 ).…”

“…The global score ranges from 0 to 21, and a higher score is indicative of poorer sleep problems. The PSQI has been widely used in Nigeria, and a cut-off of score 5 in the global scale is validated to dichotomize participants into those with and without good sleep quality ( Aloba et al 2007 ; Ogunsemi et al 2019 ).…”

Sleep quality and associated factors among patients with chronic kidney disease in Nigeria: a cross-sectional study

“…The prevalence of poor sleep quality in this study was 50.2% which is significantly higher than 25.7% reported among the general population in Nigeria by Ogunsemi et al 26. The finding of this study suggests that CKD is associated with poor sleep quality.…”