Study to assess the sleep quality of undergraduate medical students in Jammu region of Union Territory of Jammu and Kashmir during COVID-19 pandemic

Authors

Keywords:

COVID-19, sleep quality, medical students, jammu

Abstract

Background: COVID-19 has inflicted uncounted miseries on one and all, since its onset. Every sphere of life of lakhs of population, including medical students have been affected to a lesser or greater extent. Increased levels of stress due to pandemic have a bearing on the quality of sleep among medical students. Authors aimed to assess the quality of sleep among medical students during this pandemic and the relationship, if any, between sleep quality and socio-demographic variables.

Methods: An online survey was conducted among medical students in the month of January 2022 when India was in the grip of third wave of pandemic. This cross-sectional study was conducted in a tertiary care teaching hospital in Jammu city of UT of J&K, India using Pittsburgh Sleep Quality Index (PSQI) questionnaire.

Results: Among 307 participants, mean global PSQI score was 9.91± 3.62 which indicated a poor quality of sleep. Among the component scores,  habitual sleep efficiency had the highest score of 2.99± 0.16. Majority (91.53%) of the respondents had a poor sleep quality with global PSQI score >5. Among the socio-demographic variables, alcohol intake and any conflict in the family were found to be statistically significant (p<0.05).

Conclusion: With nine out of every ten medical students having poor quality of sleep, it is indeed a cause for concern. Authors recommend anxiety (stress) management, lifestyle modification and sleep education programs to be incorporated in medical curriculum and updated at frequent intervals.

Key words: COVID-19, sleep quality, medical students, Jammu.

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References

Ranasinghe AN, Gayathri R, Vishnu PV. Awareness of effects of sleep deprivation among college students. Drug Invention Today. 2018;10(9).

Gautam P, Dahal M, Baral K, Acharya R, Khanal S, Kasaju A, et al. Sleep Quality and its correlates among Adolescents of Western Nepal: A Population-based study. Sleep Disorders. 2021. https://doi.org/10.1155/2021/5590715.

Al-Khani AM, Sarhandi MI, Zaghloul MS, Ewid M, Saquib N. A cross-sectional survey on sleep quality, mental health, and academic performance among medical students in Saudi Arabia. BMC Res Notes.2019;12:665. https://doi.org/10.1186/s13104-019-4713-2.

Lavie P, Pillar G, Malhotra A. Sleep disorders: Diagnosis, management & treatment, A hand book for clinicians. London: Martin Dunitz Ltd; 2002.

Buysse DJ, Reynolds CF, Timothy HM, Susan RB, David JK. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psych Res 1988, 28:193–213.

Meo SA, Alkhalifah JM, Alshammari NF, Alnufaie WS, Algoblan AF. Impact of COVID-19 pandemic on sleep quality among medical and general science students: King Saud University Experience. Pak J Med Sci. 2022 Mar-Apr;38(3Part-I):639-644. doi: 10.12669/pjms.38.3.5171. PMID: 35480539; PMCID: PMC9002417.

Corrêa C de C, Oliveira F K de, Pizzamiglio D S, Ortolan E V P, Weber SAT. Sleep Quality in Medical Students: A Comparison Across the Various Phases of the Medical Course. JornalBrasileiro de Pneumologia. 2017;43(4):285–89.

Saguem BN, Nakhli J, Romdhane I, Nasr SB. Predictors of sleep quality in medical students during COVID-19 confinement. Encephale. 2022 Feb;48(1):3-12. doi: 10.1016/j.encep.2021.03.001. Epub 2021 Mar 18. PMID: 33863513; PMCID: PMC8828364.

Saat NZM, Hanawi SA, Chan KS, Hanafiah H, Teh SC, Aznan SR, et al. Sleep Quality among University students: Associations between Demographic Factors and Physical Activity level. Int.J. Pharm. Res. Allied Sci2020;9(3):57-65.

Tahir MJ, Malik NI, Ullah I, Khan HR, Perveen S, Ramalho R, Siddiqi AR, Waheed S, Shalaby MMM, et al. Internet addiction and sleep quality among medical students during the COVID-19 pandemic: A multinational cross-sectional survey. PLoS One. 2021 Nov 5;16(11):e0259594. doi: 10.1371/journal.pone.0259594. PMID: 34739502; PMCID: PMC8570473.

Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. May 1989;28(2):193-213.

Saguem BN, Nakhli J, Romdhane I, Nasr SB. Predictors of Sleep Quality in Medical Students during COVID-19 Confinement. Encephale; 2021. https://doi.org/10.1016/j. encep.2021.03.001. Published online.

Basu M, Saha SK, Majumder S, Chatterjee S, Misra R. A study on sleeping pattern among undergraduate medical students of a tertiary care teaching hospital of Kolkata. Int J Med Publ Health. 2019;9(4):118–124. https://doi.org/10.5530/ ijmedph.2019.4.26.

Wondie T, Molla A, Mulat H, et al. Magnitude and correlates of sleep quality among undergraduate medical students in Ethiopia: cross –sectional study. Sleep Sci Pract. 2021;5(7). https://doi.org/10.1186/s41606-021-00058-2.

NK I, FA B, YM M, et al. Sleep quality among medical students at king Abdulaziz university: a cross-sectional study. J Community Med Health Educ. 2017;7(5). https:// doi.org/10.4172/2161-0711.1000561.

Mishra J, Panigrahi A, Samanta P, Dash K, Mahapatra P, Behera MR. Sleep quality and associated factors among undergraduate medical students during COVID-19 confinement. Clinical Epidemiology and Global Health.2022;15. https://doi.org/10.1016/j.cegh.2022.101004.

Sundas N, Ghimire S, Bhusal S, Pandey R, Rana K, Dixit H. Sleep quality among medical students of a tertiary care hospital: a descriptive cross-sectional study. J Nepal Med Assoc JNMA. 2020;58(222):76–79. https://doi.org/10.31729/ jnma.4813.

Goyal N, Gupta SK. Sleep quality among medical students. Int J Community Med Public Heal. 2020;7(1):274–278. https://doi.org/10.1016/j.eurpsy.2016.01.2216.

Tahir MJ, Malik NI, Ullah I, Khan HR, Perveen S, Ramalho R et al. Internet addiction and sleep quality among medical students during the COVID-19 pandemic: A multinational cross-sectional survey. Plos One. 2021;16(11). https://doi.org/10.1371/journal.pone.0259594.

Attal BA, Bezdan M, Abdulqader A. Quality of Sleep and its Correlates among Yemeni Medical Students: A Cross-Sectional Study. Hindawi Sleep Disorders. 2021;1-10. https://doi.org/10.1155/2021/8887870.

Natarajan A, Kanagamuthu R, Reddy MS, Sindhuja AS. Assessment of influence of screen time on quality of sleep among dental students. Ann Int Med Dent Res. 2020;6 (5):1–4. https://doi.org/10.21276/aimdr.2020.6.5.PH1.

Ma C, Zhou L, Xu W, Ma S, Wang Y. Associations of physical activity and screen time with suboptimal health status and sleep quality among Chinese college freshmen: a cross-sectional study. PLoS One. 2020;15. https://doi.org/10.1371/journal. pone.0239429.

Wu X, Tao S, Zhang Y, Zhang S, Tao F. Low physical activity and high screen time can increase the risks of mental health problems and poor sleep quality among Chinese college students. PLoS One. 2015;10(3). https://doi.org/10.1371/journal. pone.0119607.

Foerster M, Henneke A, Chetty-Mhlanga S, R¨o¨osli M. Impact of adolescents’ screen time and nocturnal mobile phone-related awakenings on sleep and general health symptoms: a prospective cohort study. Int J Environ Res Publ Health. 2019;16(518). https://doi.org/10.3390/ijerph16030518.

Magee CA, Lee JK, Vella SA. Bidirectional relationships between sleep duration and screen time in early childhood. JAMA Pediatr. 2014;168(5):465–470. https://doi. org/10.1001/jamapediatrics.2013.4183.

Shrestha D, Adhikari SP, Rawal N, Budhathoki P, Pokharel S, Adhikari Y et al. Sleep quality among undergraduate students of a medical college in Nepal during COVID-19 pandemic: an online survey [version 2, peer review, 2 approved]. F1000 Research. 2021;10:505. https://doi.org/10.12688/f1000research.53904.2.

Saraswathi I, Saikarthik J, Kumar KS, et al.: Impact of COVID-19 outbreak on the mental health status of undergraduate medical students in a COVID-19 treating medical college: A prospective longitudinal study. PeerJ. 2020 Oct 16; 8.

Alnofaiey YH, Alshehri HA, Alosaimi MM, et al.: Sleep disturbances among physicians during COVID-19 pandemic. BMC Res Notes. 2020 Dec 1; 13(1): 1–7.

Kwon M, Oh J. Factors Affecting Sleep Quality Of College Students During Coronavirus Disease 2019 Pandemic: A Cross-Sectional Study. Medicina 2023, 59(2), 416; https://doi.org/10.3390/medicina59020416

Published

2024-06-30

How to Cite

1.
Mahajan R, Gupta RK, Mahajan R, Gupta R, Langer B, Kumari R. Study to assess the sleep quality of undergraduate medical students in Jammu region of Union Territory of Jammu and Kashmir during COVID-19 pandemic. Indian J Community Health [Internet]. 2024 Jun. 30 [cited 2024 Jul. 3];36(3). Available from: https://iapsmupuk.org/journal/index.php/IJCH/article/view/2856

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Original Article