Stress and sleep in college students prior to and during the COVID‐19 pandemic

Benham, Grant

doi:10.1002/smi.3016

Cited by 122 publications

(145 citation statements)

References 53 publications

(74 reference statements)

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“…Interestingly, pandemic-related stress was not significantly associated with sleep quality, and current research examining this relationship, particularly in US adult civilians, remains unclear (Benham, 2020;Kim-Godwin et al, 2021;Tsang et al, 2021;Ulrich et al, 2021). Our results instead suggest that resilience and coping during the coronavirus pandemic may influence sleep quality more than pandemic-related stress, which presents interesting applied implications.…”

Section: Discussioncontrasting

confidence: 54%

Stress, coping, resilience, and sleep during the COVID‐19 pandemic: A representative survey study of US adults

2021

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Introduction:The COVID-19 pandemic is a global health emergency resulting in widespread death and substantial disruption to daily life. Previous research has shown that novel disease outbreaks are associated with high stress levels and sleep impairments that lead to neuropsychiatric consequences. Therefore, it is vital to study both stress and protective factors such as coping and resilience that may hinder or help sleep quality during the COVID-19 pandemic. Further, as gender disparities exist in sleep quality, it is important to understand the relationship between pandemic-related stress, coping strategies, resilience, and sleep in bothgenders during the COVID-19 pandemic.Methods: Our study examined how gender, stress, coping, and resilience were associated with sleep cross-sectionally during the COVID-19 pandemic in a representative sample of US adults (N = 393).Results: Consistent with many recent studies, we found that worsened sleep quality in women compared to men persisted during the COVID-19 pandemic. Interestingly, pandemic-related stress was not significantly associated with sleep quality, but pandemicrelated coping was associated with sleep independent of robust controls and trait resilience.Conclusions: Greater primary control engagement coping was associated with better sleep quality, while involuntary engagement coping was associated with poor sleep quality. Future research should extend the findings with actigraphy and explore ways to enhance beneficial coping and sleep health during pandemics.

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Section: Discussioncontrasting

confidence: 54%

Stress, coping, resilience, and sleep during the COVID‐19 pandemic: A representative survey study of US adults

2021

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“…For example, some studies indicated that female college students tend to use heroin more rapidly, thus becoming addicted to it in a shorter period compared to male students (19). In addition, previous studies indicated that college students were at high risk for poor sleep quality during the COVID-19 so that frequently taking medicine such as sleep pills and antalgic is a common phenomenon among these students (20)(21)(22). Previous studies also identified both female and male substance abusers that are usually diagnosed with emotional disorders.…”

Section: Introductionmentioning

confidence: 99%

Gender Differences in Mental Health Disorder and Substance Abuse of Chinese International College Students During the COVID-19 Pandemic

Liao

et al. 2021

Front. Psychiatry

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Introduction: The outbreak of coronavirus disease has negatively impacted college students' mental health across the world. In addition, substance abuse also is trouble among these students. This study aims to find the gender difference in Chinese international college students' mental health and substance abuse during the COVID-19 pandemic.Method: We conducted an online survey using PHQ-9, GAD-7, and several questions related to substance abuse frequency, self-injury, and suicidal thoughts, 535 male and 475 female Chinese international college students whose ages ranged from 18 to 23 years old (x = 20.19, SD = 1.50) were recruited during the epidemic. We utilized t-test and binary logistic regression in our study to find out the difference and statistical significance between substance abuse issues and mental health problems across gender.Results: Both male and female Chinese international college students had statistical significance with self-injury ideas and behaviors (t = −2.21, p < 0.05). Furthermore, the male college students with anxiety problems had positive statistical significance with medicine (OR = 3.47, 95%CI = 1.45–8.30, p < 0.01) and negative statistical significance with drinks (OR = 0.23, 95%CI = 0.08–0.65, p < 0.01). While for female college students with an anxiety problem, they had positive statistical significance with medicine (OR = 4.88, 95%CI = 1.53–15.57, p < 0.01), drugs (OR = 4.48, 95%CI = 1.41–14.25, p < 0.05) and cigarettes (OR = 6.63, 95%CI = 1.95–22.57, p < 0.01) and negative statistical significance with drinks (OR = 0.18, 95%CI = −0.05 to 0.65, p < 0.01).Conclusion: This is the first cross-sectional study focusing on the Chinese international college students' mental health and substance abuse problems during the COVID-19 pandemic. We found that Chinese international college students' mental health and substance abuse situation has been negatively influenced during this period. In addition, the self-injury ideas and behaviors also showed a high tendency for these students. The findings of our study also highlight the need to find more interventions and preventions to solve the different mental health and substance abuse problems for college students, especially for female Chinese international college students.

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“…Also, there is evidence of greater sleep latency and poorer sleep efficiency during the pandemic. 13,17 Especially, undergraduate medical students have poor sleep quality, internet addiction, and depression. [18][19][20] Sufficient studies have not been done in Nepal regarding the sleep quality of medical students during the COVID-19 pandemic.…”

Section: Introductionmentioning

confidence: 99%

Sleep quality among undergraduate students of a medical college in Nepal during COVID-19 pandemic: an online survey

Shrestha¹,

Adhikari

Rawal

et al. 2021

F1000Res

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Background Good sleep quality is associated with a diverse range of positive outcomes such as better health, less daytime sleepiness, well-being and proper psychological functioning. Sleep deprivation or poor sleep quality leads to many metabolic, endocrine, and immune changes. Many studies have shown changes in sleep schedule along with worsening of sleep quality during the COVID-19 pandemic. Methods This cross-sectional study was conducted among students of a medical college in Kathmandu, Nepal from January 13, 2021 to February 15, 2021. A stratified random sampling technique was used. Data were collected using the Pittsburgh Sleep Quality Index (PSQI). Questionnaires that were completely filled were included and analyzed using STATA vs. 15. Results 168(n=190) medical students filled out the questionnaires with a response rate of 88.42%. Around 30% (n=51) of respondents had poor sleep quality (PSQI total score of > 5) with an average PSQI score of 4.24±2.19. Unadjusted logistic regression analysis showed significantly higher odds of poor sleep quality among females (OR, 2.25; CI, 1.14-4.43) compared with male and the relation persists even after adjusting with age and year in medical school (aOR, 2.81; CI, 1.35-5.86). Adjusting with age and gender, 4 th-year MBBS students had 82% lesser odds of having poor sleep quality compared to 2 nd-year MBBS students (aOR, 0.18; CI, 0.04-0.76). Our study is suggestive of poor sleep quality common among medical students. Conclusions More than a quarter of medical students have a poor sleep quality as per our study. So, education and awareness should be raised among medical students regarding the detrimental effects of poor quality sleep on daily activities, physical and mental well-being, and the overall quality of life.

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Stress and sleep in college students prior to and during the COVID‐19 pandemic

Cited by 122 publications

References 53 publications

Stress, coping, resilience, and sleep during the COVID‐19 pandemic: A representative survey study of US adults

Stress, coping, resilience, and sleep during the COVID‐19 pandemic: A representative survey study of US adults

Gender Differences in Mental Health Disorder and Substance Abuse of Chinese International College Students During the COVID-19 Pandemic

Sleep quality among undergraduate students of a medical college in Nepal during COVID-19 pandemic: an online survey

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