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Tıp Fakültesi Öğrencilerinde Klinik Staj Sınav Döneminin Uyku ve Yeme Davranışlarına Etkisi

Yıl 2023, Cilt: 3 Sayı: 2, 15 - 27, 31.12.2023

Öz

Giriş: Bu çalışma, tıp fakültesi öğrencilerinde akademik başarı, yeme tutumları, uyku ve stres düzeyleri arasındaki ilişkiyi incelemektedir.
Yöntem: Bu çalışmaya Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi 4. ve 5. sınıflarında öğrenim gören 169 öğrenci dahil edildi. Staj sınav haftasında katılımcılar sosyodemografik veri formu, Pittsburgh Uyku Kalitesi İndeksi, Üç Faktör Yeme Anketi ve Depresyon Kaygı Stres Ölçeği-21'i doldurdu. Akademik başarı, sınav notları, sınıf tekrar sayıları ve bütünleme sınavlarına kalan staj sayılarına göre değerlendirildi.
Bulgular: 169 katılımcının %67,3'ü kadın, %75,8'i 5. sınıf öğrencisiydi. %78,8'inin tıbbi hastalığı, %81,1'inin psikiyatrik hastalığı yoktu ve %82,4'ü psikiyatrik ilaç kullandığını bildirmemişti. Katılımcılar akademik başarı puanlarının ortalamasına göre yüksek akademik başarı gösteren grup ve düşük akademik başarı gösteren grup olmak üzere iki gruba ayrıldı. Akademik başarısı yüksek ve düşük gruplar arasında PUKİ toplam puanı, TFEQ ve DASS-21 puanları açısından istatistiksel olarak anlamlı fark yoktu. Ancak TFEQ ve DASS-21 ölçek puanları ile PUKİ ve DASS-21 ölçek puanları arasında anlamlı korelasyon bulundu (p<0,05). PSQI ile TFEQ toplam ve alt ölçek puanları arasında anlamlı bir ilişki yoktu.
Sonuç: Sonuç olarak, çalışmamız akademik başarının uyku, yeme davranışı ve stres düzeyi ile ilişkili olmadığını gösterse de, tıp fakültesi öğrencilerinde stres düzeyi, uyku sorunları ve anormal yeme davranışları arasında anlamlı bir ilişki gözlenmektedir. Bu nedenle tıp fakültesi öğrencilerini stres yönetimi, uyku düzeni ve sağlıklı beslenme uygulamaları konusunda desteklemek çok önemlidir.

Kaynakça

  • Ağargün, M. Y., Kara, H., & Anlar, O. (1996). Pittsburgh uyku kalitesi indeksinin geçerliği ve güvenirliği. Türk Psikiyatri Dergisi, 7(2), 107–115.
  • Al-Khani, A. M., Sarhandi, M. I., Zaghloul, M. S., Ewid, M., & Saquib, N. (2019). A cross-sectional survey on sleep quality, mental health, and academic performance among medical students in Saudi Arabia. BMC Research Notes, 12(1), 1–5. https://doi.org/10.1186/S13104-019-4713-2/TABLES/3
  • Almojali, A. I., Almalki, S. A., Alothman, A. S., Masuadi, E. M., & Alaqeel, M. K. (2017). The prevalence and association of stress with sleep quality among medical students. Journal of Epidemiology and Global Health, 7(3), 169–174. https://doi.org/10.1016/J.JEGH.2017.04.005
  • Alotaibi, A., Alosaimi, F., Alajlan, A., & Bin Abdulrahman, K. (2020). The relationship between sleep quality, stress, and academic performance among medical students. Journal of Family & Community Medicine, 27(1), 23. https://doi.org/10.4103/JFCM.JFCM_132_19
  • Alsalhi, A. H., Almigbal, T. H., Alsalhi, H. H., & Batais, M. A. (2018). The relationship between stress and academic achievement of medical students in King Saud University: A cross-sectional study. Kuwait Med J, 50(1), 60–65.
  • American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders. Diagnostic and Statistical Manual of Mental Disorders. https://doi.org/10.1176/APPI.BOOKS.9780890425596
  • Brick, C. A., Seely, D. L., & Palermo, T. M. (2010). Association between sleep hygiene and sleep quality in medical students. Behavioral Sleep Medicine, 8(2), 113–121. https://doi.org/10.1080/15402001003622925
  • Brougham, R. R., Zail, C. M., Mendoza, C. M., Miller, J. R., Brougham, R. R., Zail, C. M., Mendoza, C. M., & Miller, J. R. (2009). Stress, sex differences, and coping strategies among college students. Current Psychology , 28(2), 85–97. https://doi.org/10.1007/s12144-009-9047-0
  • Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. https://doi.org/10.1016/0165-1781(89)90047-4
  • Çilli, A. S. (1996). A RetrospectIve Study On College Students PsychIatrIc ComplaInts And DIagnosIs. Selcuk Medical Journal, 12(3), 287–293.
  • De Lauzon, B., Romon, M., Deschamps, V., Lafay, L., Borys, J. M., Karlsson, J., Ducimetière, P., & Charles, M. A. (2004). The Three-Factor Eating Questionnaire-R18 Is Able to Distinguish among Different Eating Patterns in a General Population. The Journal of Nutrition, 134(9), 2372–2380. https://doi.org/10.1093/JN/134.9.2372
  • El Ansari, W., & Berg-Beckhoff, G. (2015). Nutritional Correlates of Perceived Stress among University Students in Egypt. International Journal of Environmental Research and Public Health, 12, 14164-14176. https://doi.org/10.3390/IJERPH121114164
  • Fawzy, M., & Hamed, S. A. (2017a). Prevalence of psychological stress, depression and anxiety among medical students in Egypt. Psychiatry Research, 255, 186–194. https://doi.org/10.1016/J.PSYCHRES.2017.05.027
  • Fawzy, M., & Hamed, S. A. (2017b). Prevalence of psychological stress, depression and anxiety among medical students in Egypt. Psychiatry Research, 255, 186–194. https://doi.org/10.1016/J.PSYCHRES.2017.05.027
  • Fish, C., & Nies, M. A. (1996). Health Promotion Needs of Students in a College Environment. Public Health Nursing, 13(2), 104–111. https://doi.org/10.1111/J.1525-1446.1996.TB00227.X
  • Gica, S., Yunden, S., Kirkas, A., Sevil, F., Ozdengul, F., & Ak, M. (2020). The Effect of Social Media/Smartphone Addiction and Sleep Quality on Academic Success in Medical Faculty Students. Selcuk University Medical Journal, 36(4).
  • Giri, P. A., Baviskar, M. P., & Phalke, D. B. (2013). Study of sleep habits and sleep problems among medical students of Pravara Institute of Medical Sciences Loni, Western Maharashtra, India. Annals of Medical and Health Sciences Research, 3(1), 51–54.
  • Guthrie, E., Black, D., Bagalkote, H., Shaw, C., Campbell, M., & Creed, F. (1998). Psychological stress and burnout in medical students: A five-year prospective longitudinal study. Journal of the Royal Society of Medicine, 91(5), 237–243. https://doi.org/10.1177/014107689809100502
  • Hoteit, M., Mohsen, H., Bookari, K., Moussa, G., Jurdi, N., & Yazbeck, N. (2022). Prevalence, correlates, and gender disparities related to eating disordered behaviors among health science students and healthcare practitioners in Lebanon: Findings of a national cross sectional study. Frontiers in Nutrition, 9, 956310. https://doi.org/10.3389/FNUT.2022.956310/BIBTEX
  • Ibrahim, N. K., Badawi, F., Mansouri, Y., Ainousa, A., Jambi, S., & Fatani, A. N. (2017). Sleep quality among medical students at King Abdulaziz University: a cross-sectional study. J Community Med Health Educ, 7(561), 2161–2711.
  • Iyer, S., Shriraam, V., Iyer, S., & Shriraam, V. (2021). Prevalence of Eating Disorders and Its Associated Risk Factors in Students of a Medical College Hospital in South India. Cureus, 13(1). https://doi.org/10.7759/CUREUS.12926
  • Kıraç, D., Kaspar, E. Ç., Avcılar, T., Çakır, Ö. K., Ulucan, K., Kurtel, H., Deyneli, O., & Güney, A. İ. (2015). Obeziteyle ilişkili beslenme alışkanlıklarının araştırılmasında yeni bir yöntem “Üç faktörlü beslenme anketi.” Clinical and Experimental Health Sciences, 5(3), 162–169.
  • Lawson, H. J., Wellens-Mensah, J. T., & Attah Nantogma, S. (2019). Evaluation of sleep patterns and self-reported academic performance among medical students at the University of Ghana School of Medicine and Dentistry. Sleep Disorders, 2019.
  • Lemma, S., Gelaye, B., Berhane, Y., Worku, A., & Williams, M. A. (2012). Sleep quality and its psychological correlates among university students in Ethiopia: A cross-sectional study. BMC Psychiatry, 12. https://doi.org/10.1186/1471-244X-12-237
  • Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343. https://doi.org/10.1016/0005-7967(94)00075-U
  • Malathi, A., & Damodaran, A. (1999). Stress due to exams in medical students-a role of Yoga. Indian Journal of Physiology and Pharmacology, 43, 218–224.
  • Ngan, S. W., Chern, B. C. K., Rajarathnam, D. D., Balan, J., Hong, T. S., Tiang, K.-P., Ngan, S. W., Chern, B. C. K., Rajarathnam, D. D., Balan, J., Hong, T. S., & Tiang, K.-P. (2017a). The Relationship between Eating Disorders and Stress among Medical Undergraduate: A Cross-Sectional Study. Open Journal of Epidemiology, 7(2), 85–95. https://doi.org/10.4236/OJEPI.2017.72008
  • Ngan, S. W., Chern, B. C. K., Rajarathnam, D. D., Balan, J., Hong, T. S., Tiang, K.-P., Ngan, S. W., Chern, B. C. K., Rajarathnam, D. D., Balan, J., Hong, T. S., & Tiang, K.-P. (2017b). The Relationship between Eating Disorders and Stress among Medical Undergraduate: A Cross-Sectional Study. Open Journal of Epidemiology, 7(2), 85–95. https://doi.org/10.4236/OJEPI.2017.72008
  • Ngan, S. W., Chern, B. C. K., Rajarathnam, D. D., Balan, J., Hong, T. S., Tiang, K.-P., Ngan, S. W., Chern, B. C. K., Rajarathnam, D. D., Balan, J., Hong, T. S., & Tiang, K.-P. (2017c). The Relationship between Eating Disorders and Stress among Medical Undergraduate: A Cross-Sectional Study. Open Journal of Epidemiology, 7(2), 85–95. https://doi.org/10.4236/OJEPI.2017.72008
  • Oliver, G., & Wardle, J. (1999). Perceived effects of stress on food choice. Physiology & Behavior, 66(3), 511–515.
  • Papier, K., Ahmed, F., Lee, P., & Wiseman, J. (2015). Stress and dietary behaviour among first-year university students in Australia: Sex differences. Nutrition, 31(2), 324–330.
  • Pilcher, J. J., Ginter, D. R., & Sadowsky, B. (1997). Sleep quality versus sleep quantity: relationships between sleep and measures of health, well-being and sleepiness in college students. Journal of Psychosomatic Research, 42(6), 583–596.
  • Safhi, M., Alafif, R., Alamoudi, N., Alamoudi, M., Alghamdi, W., Albishri, S., & Rizk, H. (2020). The association of stress with sleep quality among medical students at King Abdulaziz University. Journal of Family Medicine and Primary Care, 9(3), 1662. https://doi.org/10.4103/JFMPC.JFMPC_745_19
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The Effects of Exam Periods on Sleep and Eating Behaviors in Medical Students during Clinical Rotations

Yıl 2023, Cilt: 3 Sayı: 2, 15 - 27, 31.12.2023

Öz

Introduction: This study examines the relationship between academic achievement, eating attitudes, sleep, and stress levels among medical school students.
Method: This study included 169 students from the 4th and 5th grades of Necmettin Erbakan University Meram Medical Faculty. During the internship exam week, participants completed a sociodemographic data form, the Pittsburgh Sleep Quality Index, Three-Factor Eating Questionnaire, and the Depression Anxiety Stress Scale-21. Academic achievement was evaluated based on exam grades, grade repetition numbers, and the number of internships left for makeup exams.
Results: Out of the 169 participants, 67.3% were female, and 75.8% were 5th-grade students. 78.8% had no medical illness, 81.1% had no psychiatric illness, and 82.4% did not report using psychiatric medication. The participants were divided into two groups based on their average academic achievement scores: a group demonstrating high academic achievement and a group demonstrating low academic achievement. There was no statistically significant difference between the high and low academic achiever groups regarding PSQI total score, TFEQ, and DASS-21 scores. However, significant correlations were found between TFEQ and DASS-21 scale scores and PSQI and DASS-21 scales (p<0.05). There was no significant correlation between PSQI and TFEQ total and subscale scores.
Conclusion: In conclusion, although our study shows academic achievement is not associated with sleep, eating behavior, and stress levels, a significant relationship between stress levels, sleep problems and abnormal eating behaviors is observed in medical school students. Therefore, supporting medical school students in stress management, sleep patterns, and healthy eating practices is crucial.

Kaynakça

  • Ağargün, M. Y., Kara, H., & Anlar, O. (1996). Pittsburgh uyku kalitesi indeksinin geçerliği ve güvenirliği. Türk Psikiyatri Dergisi, 7(2), 107–115.
  • Al-Khani, A. M., Sarhandi, M. I., Zaghloul, M. S., Ewid, M., & Saquib, N. (2019). A cross-sectional survey on sleep quality, mental health, and academic performance among medical students in Saudi Arabia. BMC Research Notes, 12(1), 1–5. https://doi.org/10.1186/S13104-019-4713-2/TABLES/3
  • Almojali, A. I., Almalki, S. A., Alothman, A. S., Masuadi, E. M., & Alaqeel, M. K. (2017). The prevalence and association of stress with sleep quality among medical students. Journal of Epidemiology and Global Health, 7(3), 169–174. https://doi.org/10.1016/J.JEGH.2017.04.005
  • Alotaibi, A., Alosaimi, F., Alajlan, A., & Bin Abdulrahman, K. (2020). The relationship between sleep quality, stress, and academic performance among medical students. Journal of Family & Community Medicine, 27(1), 23. https://doi.org/10.4103/JFCM.JFCM_132_19
  • Alsalhi, A. H., Almigbal, T. H., Alsalhi, H. H., & Batais, M. A. (2018). The relationship between stress and academic achievement of medical students in King Saud University: A cross-sectional study. Kuwait Med J, 50(1), 60–65.
  • American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders. Diagnostic and Statistical Manual of Mental Disorders. https://doi.org/10.1176/APPI.BOOKS.9780890425596
  • Brick, C. A., Seely, D. L., & Palermo, T. M. (2010). Association between sleep hygiene and sleep quality in medical students. Behavioral Sleep Medicine, 8(2), 113–121. https://doi.org/10.1080/15402001003622925
  • Brougham, R. R., Zail, C. M., Mendoza, C. M., Miller, J. R., Brougham, R. R., Zail, C. M., Mendoza, C. M., & Miller, J. R. (2009). Stress, sex differences, and coping strategies among college students. Current Psychology , 28(2), 85–97. https://doi.org/10.1007/s12144-009-9047-0
  • Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. https://doi.org/10.1016/0165-1781(89)90047-4
  • Çilli, A. S. (1996). A RetrospectIve Study On College Students PsychIatrIc ComplaInts And DIagnosIs. Selcuk Medical Journal, 12(3), 287–293.
  • De Lauzon, B., Romon, M., Deschamps, V., Lafay, L., Borys, J. M., Karlsson, J., Ducimetière, P., & Charles, M. A. (2004). The Three-Factor Eating Questionnaire-R18 Is Able to Distinguish among Different Eating Patterns in a General Population. The Journal of Nutrition, 134(9), 2372–2380. https://doi.org/10.1093/JN/134.9.2372
  • El Ansari, W., & Berg-Beckhoff, G. (2015). Nutritional Correlates of Perceived Stress among University Students in Egypt. International Journal of Environmental Research and Public Health, 12, 14164-14176. https://doi.org/10.3390/IJERPH121114164
  • Fawzy, M., & Hamed, S. A. (2017a). Prevalence of psychological stress, depression and anxiety among medical students in Egypt. Psychiatry Research, 255, 186–194. https://doi.org/10.1016/J.PSYCHRES.2017.05.027
  • Fawzy, M., & Hamed, S. A. (2017b). Prevalence of psychological stress, depression and anxiety among medical students in Egypt. Psychiatry Research, 255, 186–194. https://doi.org/10.1016/J.PSYCHRES.2017.05.027
  • Fish, C., & Nies, M. A. (1996). Health Promotion Needs of Students in a College Environment. Public Health Nursing, 13(2), 104–111. https://doi.org/10.1111/J.1525-1446.1996.TB00227.X
  • Gica, S., Yunden, S., Kirkas, A., Sevil, F., Ozdengul, F., & Ak, M. (2020). The Effect of Social Media/Smartphone Addiction and Sleep Quality on Academic Success in Medical Faculty Students. Selcuk University Medical Journal, 36(4).
  • Giri, P. A., Baviskar, M. P., & Phalke, D. B. (2013). Study of sleep habits and sleep problems among medical students of Pravara Institute of Medical Sciences Loni, Western Maharashtra, India. Annals of Medical and Health Sciences Research, 3(1), 51–54.
  • Guthrie, E., Black, D., Bagalkote, H., Shaw, C., Campbell, M., & Creed, F. (1998). Psychological stress and burnout in medical students: A five-year prospective longitudinal study. Journal of the Royal Society of Medicine, 91(5), 237–243. https://doi.org/10.1177/014107689809100502
  • Hoteit, M., Mohsen, H., Bookari, K., Moussa, G., Jurdi, N., & Yazbeck, N. (2022). Prevalence, correlates, and gender disparities related to eating disordered behaviors among health science students and healthcare practitioners in Lebanon: Findings of a national cross sectional study. Frontiers in Nutrition, 9, 956310. https://doi.org/10.3389/FNUT.2022.956310/BIBTEX
  • Ibrahim, N. K., Badawi, F., Mansouri, Y., Ainousa, A., Jambi, S., & Fatani, A. N. (2017). Sleep quality among medical students at King Abdulaziz University: a cross-sectional study. J Community Med Health Educ, 7(561), 2161–2711.
  • Iyer, S., Shriraam, V., Iyer, S., & Shriraam, V. (2021). Prevalence of Eating Disorders and Its Associated Risk Factors in Students of a Medical College Hospital in South India. Cureus, 13(1). https://doi.org/10.7759/CUREUS.12926
  • Kıraç, D., Kaspar, E. Ç., Avcılar, T., Çakır, Ö. K., Ulucan, K., Kurtel, H., Deyneli, O., & Güney, A. İ. (2015). Obeziteyle ilişkili beslenme alışkanlıklarının araştırılmasında yeni bir yöntem “Üç faktörlü beslenme anketi.” Clinical and Experimental Health Sciences, 5(3), 162–169.
  • Lawson, H. J., Wellens-Mensah, J. T., & Attah Nantogma, S. (2019). Evaluation of sleep patterns and self-reported academic performance among medical students at the University of Ghana School of Medicine and Dentistry. Sleep Disorders, 2019.
  • Lemma, S., Gelaye, B., Berhane, Y., Worku, A., & Williams, M. A. (2012). Sleep quality and its psychological correlates among university students in Ethiopia: A cross-sectional study. BMC Psychiatry, 12. https://doi.org/10.1186/1471-244X-12-237
  • Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343. https://doi.org/10.1016/0005-7967(94)00075-U
  • Malathi, A., & Damodaran, A. (1999). Stress due to exams in medical students-a role of Yoga. Indian Journal of Physiology and Pharmacology, 43, 218–224.
  • Ngan, S. W., Chern, B. C. K., Rajarathnam, D. D., Balan, J., Hong, T. S., Tiang, K.-P., Ngan, S. W., Chern, B. C. K., Rajarathnam, D. D., Balan, J., Hong, T. S., & Tiang, K.-P. (2017a). The Relationship between Eating Disorders and Stress among Medical Undergraduate: A Cross-Sectional Study. Open Journal of Epidemiology, 7(2), 85–95. https://doi.org/10.4236/OJEPI.2017.72008
  • Ngan, S. W., Chern, B. C. K., Rajarathnam, D. D., Balan, J., Hong, T. S., Tiang, K.-P., Ngan, S. W., Chern, B. C. K., Rajarathnam, D. D., Balan, J., Hong, T. S., & Tiang, K.-P. (2017b). The Relationship between Eating Disorders and Stress among Medical Undergraduate: A Cross-Sectional Study. Open Journal of Epidemiology, 7(2), 85–95. https://doi.org/10.4236/OJEPI.2017.72008
  • Ngan, S. W., Chern, B. C. K., Rajarathnam, D. D., Balan, J., Hong, T. S., Tiang, K.-P., Ngan, S. W., Chern, B. C. K., Rajarathnam, D. D., Balan, J., Hong, T. S., & Tiang, K.-P. (2017c). The Relationship between Eating Disorders and Stress among Medical Undergraduate: A Cross-Sectional Study. Open Journal of Epidemiology, 7(2), 85–95. https://doi.org/10.4236/OJEPI.2017.72008
  • Oliver, G., & Wardle, J. (1999). Perceived effects of stress on food choice. Physiology & Behavior, 66(3), 511–515.
  • Papier, K., Ahmed, F., Lee, P., & Wiseman, J. (2015). Stress and dietary behaviour among first-year university students in Australia: Sex differences. Nutrition, 31(2), 324–330.
  • Pilcher, J. J., Ginter, D. R., & Sadowsky, B. (1997). Sleep quality versus sleep quantity: relationships between sleep and measures of health, well-being and sleepiness in college students. Journal of Psychosomatic Research, 42(6), 583–596.
  • Safhi, M., Alafif, R., Alamoudi, N., Alamoudi, M., Alghamdi, W., Albishri, S., & Rizk, H. (2020). The association of stress with sleep quality among medical students at King Abdulaziz University. Journal of Family Medicine and Primary Care, 9(3), 1662. https://doi.org/10.4103/JFMPC.JFMPC_745_19
  • Sariçam, H. (2018). The psychometric properties of Turkish version of Depression Anxiety Stress Scale-21 (DASS-21) in health control and clinical samples. JCBPR, 7(1). https://doi.org/10.5455/JCBPR.274847
  • Satti, M. Z., Khan, T. M., Qurat-Ul-Ain, Q.-U.-A., Azhar, M. J., Javed, H., Yaseen, M., Raja, M. T., Zamir, A., & Hamza, M. (2019). Association of physical activity and sleep quality with academic performance among fourth-year MBBS students of Rawalpindi Medical University. Cureus.Com. https://doi.org/10.7759/cureus.5086
  • Serlachius, A., Hamer, M., & Wardle, J. (2007). Stress and weight change in university students in the United Kingdom. Physiology & Behavior, 92(4), 548–553.
  • Sethia, R., Sharma, G., Shekhawat, K., Aacharya, A., Acharya, R., & Meena, R. R. (2019). Study of perceived stress and stressors among undergraduate medical students. International Journal Of Community Medicine And Public Health, 6(4), 1690. https://doi.org/10.18203/2394-6040.IJCMPH20191406
  • Shad, R., Thawani, R., & Goel, A. (2015). Burnout and sleep quality: a cross-sectional questionnaire-based study of medical and non-medical students in India. Cureus, 7(10).
  • Shaikh, B., Kahloon, A., Kazmi, M., Khalid, H., Nawaz, K., Khan, N., & Khan, S. (2004). Students, stress and coping strategies: a case of Pakistani medical school. Education for Health: Change in Learning & Practice, 17(3).
  • Sherina, M. S., Rampal, L., & Kaneson, N. (2004). Psychological stress among undergraduate medical students. Medical Journal of Malaysia, 59(2), 207–211.
  • Sreeramareddy, C. T., Shankar, P. R., Binu, V. S., Mukhopadhyay, C., Ray, B., & Menezes, R. G. (2007). Psychological morbidity, sources of stress and coping strategies among undergraduate medical students of Nepal. BMC Medical Education, 7(1), 1–8.
  • Suchecki, D., Machado, R. B., & Tiba, P. A. (2009). Stress-induced sleep rebound: adaptive behavior and possible mechanisms. Sleep Science, 2(3), 151–160.
  • Terlemez, A., Pekdemir, S., & Gıca, Ş. (2022). Diş Hekimliği Öğrencilerinde Tükenmişlik Derecesi ve Endodonti Preklinik Akademik Başarısı ile İlişkisinin Değerlendirilmesi. Necmettin Erbakan Üniversitesi Diş Hekimliği Dergisi. 2022; 4(1): 1-6. https://doi.org/10.51122/neudentj.2022.1
  • Unusan, N. (2006). Linkage between stress and fruit and vegetable intake among university students: an empirical analysis on Turkish students. Nutrition Research, 26(8), 385–390.
  • Vargas, P. A., Flores, M., & Robles, E. (2014). Sleep quality and body mass index in college students: The role of sleep disturbances. Journal of American College Health, 62(8), 534–541. https://doi.org/10.1080/07448481.2014.933344
  • Waqas, A., Khan, S., Sharif, W., Khalid, U., & Ali, A. (2015a). Association of academic stress with sleeping difficulties in medical students of a Pakistani medical school: A cross sectional survey. PeerJ, 2015(3). https://doi.org/10.7717/PEERJ.840
  • Waqas, A., Khan, S., Sharif, W., Khalid, U., & Ali, A. (2015b). Association of academic stress with sleeping difficulties in medical students of a Pakistani medical school: A cross sectional survey. PeerJ, 2015(3). https://doi.org/10.7717/PEERJ.840
  • Wear, D. (2002). “Face-to-face with It”: Medical Students’ Narratives about Their End-of-life Education. Academic Medicine, 77(4).
  • Zellner, D. A., Loaiza, S., Gonzalez, Z., Pita, J., Morales, J., Pecora, D., & Wolf, A. (2006). Food selection changes under stress. Physiology & Behavior, 87(4), 789–793
Toplam 49 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Psikiyatri, Klinik Psikoloji
Bölüm Araştırma Makaleleri
Yazarlar

Mustafa Karaağaç 0000-0001-5737-5880

Hüda Eroğlu 0009-0000-3543-2469

Hale Rodrıguez Camacho 0000-0001-6174-0350

Beyza Aydın 0009-0007-0288-4574

Zeynep İrem Özcan 0009-0000-2534-9522

Ayşe Büşra Madenci 0000-0001-9987-6771

Hasan Bakay 0000-0002-8864-2942

Şakir Gıca 0000-0001-7387-8840

Yayımlanma Tarihi 31 Aralık 2023
Gönderilme Tarihi 25 Temmuz 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 3 Sayı: 2

Kaynak Göster

APA Karaağaç, M., Eroğlu, H., Rodrıguez Camacho, H., Aydın, B., vd. (2023). The Effects of Exam Periods on Sleep and Eating Behaviors in Medical Students during Clinical Rotations. Current Research and Reviews in Psychology and Psychiatry, 3(2), 15-27.