Tıp Fakültesi Öğrencilerinde Yetersiz Uyku Ve Anksiyete Yaygınlığı Endişe Verici

Abstract

Amaç: Tıp fakültesi öğrencilerinde anksiyete ve uyku bozuklukları sık görüldüğü raporlanmıştır. Bu çalışmanın amacı; öğrencilerde kötü uyku kalitesinin, anksiyete semptomlarının sıklığının belirlenmesidir. Ayrıca, sosyodemografik özellikler, yaşam tarzı verileri, mesleki gelecek algıları, akademik performans ile anksiyete ve uyku kalitesi arasındaki ilişkiyi ortaya koymaktır. Gereç ve Yöntemler: Çalışmaya 2022-23 akademik yılında Kafkas Üniversitesi Tıp Fakültesinde öğrenim gören 1-5. sınıflar arasındaki toplam 225 katılımcı katılmıştır. Katılımcılara sosyodemografik verileri, uykuyu etkileyebilecek yaşam tarzı bilgileri, Pittsburg Uyku Kalitesi İndeksi (PUKİ), Yaygın Anksiyete Bozukluğu-7 (YAB-7) ölçeği yöneltildi. İstatistiksel analizler R istatistik yazılımı kullanılarak (v4.2.2; R Core Team 2022) yapıldı. Bulgular: Katılımcıların %76'sında PUKİ ölçeğine göre kötü uyku kalitesi vardı. Katılımcıların %31.56'sının YAB-7 puanı 10 ve üzerindeydi. Katılımcılarda kötü uyku kalitesi ve anksiyete arasında bir ilişki bulundu (p<0.001). Akademik performansın kötü uyku kalitesi ve anksiyete ile ilişkisiz olduğu görüldü. Gönüllülerin kaygılarının çoğu mesleki kariyerleriyle ilgili olup, bunu belirten katılımcıların akademik puanlarının daha yüksek olduğu tespit edildi. Sonuç: Bu çalışmada tıp öğrencilerinde kaygı düzeylerinin yüksek olduğu ve uyku bozukluğunun çok yaygın olduğu görülmüştür. Öğrencilerin kaygılarının çoğunun mesleki kariyerleriyle ilgili olduğu ve bunu belirten katılımcıların akademik puanlarının daha yüksek olduğu ortaya konmuştur.

Keywords

• Uyku kalitesi
• akademik performans
• anksiyete
• öğrenci
• anksiyete bozuklukları.

Supporting Institution

Herhangi bir kurum veya kişide herhangi bir finansal destek alınmamıştır.

Ethical Statement

Çalışma, Kafkas Üniversitesi Tıp Fakültesi Etik Kurulu tarafından 08/06/2022 tarih ve 86 sayılı karar ile onaylanmıştır.

Thanks

Dr. Fatih Kara verilerin değerlendirilmesine katkıda bulunmuştur.

ALARMING PREVALENCE OF POOR SLEEP AND ANXIETY IN MEDICAL STUDENTS

Abstract

Objective: Anxiety and sleep disorders have been reported to be common in medical students. This study aimed to determine the frequency of poor sleep quality and anxiety symptoms in medical students. Moreover, to reveal the relationship between sociodemographic characteristics, lifestyle data, perceptions of professional future, academic performance with anxiety, and sleep quality. Material and Methods: A total of 225 participants enrolled in the first through fifth years of education in Kafkas University’s Faculty of Medicine in the 2022-23 academic year participated in the study. Participants were asked to complete a questionnaire encompassed sociodemographic data, lifestyle information that may affect sleep, the Pittsburgh Sleep Quality Index (PSQI), Generalized Anxiety Disorder-7 (GAD-7) scale. Statistical analyses were performed with R Statistical Software (v4.2.2; R Core Team 2022). Results: It was found that 76% of the participants had poor sleep quality according to the PSQI, while 31.56% of the participants had GAD-7 scores of 10 or above. There was a relationship between the poor sleep quality and anxiety of the participants (p<0.001). Academic performance was not found to be significantly associated with poor sleep quality or anxiety. Most of the participants with anxiety were related to their future professional careers, and the academic performances of participants who indicated such anxiety were higher than others. Conclusion: This study has revealed that anxiety levels are high and sleep disturbances are very common among medical students. Most of the students’ anxiety was related to their professional careers, and the academic performances of the participants who indicated such anxiety were higher.

Keywords

• Sleep quality
• academic performance
• student
• anxiety
• anxiety disorders

Supporting Institution

No financial support was obtained from any organization or individual.

Ethical Statement

The study was approved by the Ethics Committee of Kafkas University’s Faculty of Medicine with a decision dated 08/06/2022 and numbered 86.

Thanks

Dr. Fatih Kara contributed to the evaluation of the data.

References

1. Takil NB, Sari BA. Trait anxiety vs career anxiety in relation to attentional control. Curr Psychol. 2021;40(5):2366-2370.
2. Alvaro PK, Roberts RM, Harris JK. A systematic review assessing bidirectionality between sleep disturbances, anxiety, and depression. Sleep. 2013;36(7):1059-1068.
3. Palmer CA, Alfano CA. Anxiety modifies the emotional effects of sleep loss. Curr Opin Psychol. 2020;34:100-104.
4. Ohl A, Schelly D, Reid J, Boolani A. Sleep quality and quantity of occupational therapy and other allied health students. Occup Ther Ment Health. 2019;35(4):407-421.
5. Brewer JA, Roy A, Deluty A, Liu T, Hoge EA. Can mindfulness mechanistically target worry to improve sleep disturbances? Theory and study protocol for app-based anxiety program. Health Psycho. 2020;39(9):776-784.
6. Džaferović A, Ulen K. Sleep habits among medical students and correlation between sleep quality and academic performance. Eur J Public Health. 2018;28 (suppl_4):214-141.
7. Moreira de Sousa J, Moreira CA, Telles-Correia D. Anxiety, depression and academic performance: A study amongst Portuguese medical students versus non-medical students. Acta Med Port. 2018;31(9):454-462.
8. Quek TT, Tam WW, Tran BX, et al. The global prevalence of anxiety among medical students: A meta-analysis. Int J Environ Res Public Health. 2019;16(15):2735.

9. Zebb BJ, Beck JG. Worry versus anxiety. Behav Modif. 1998;22(1):45-61.
10. Du JY, Hallford DJ, Busby Grant J. Characteristics of episodic future thinking in anxiety: A systematic review and meta-analysis. Clin Psychol Rev. 2022;95:102162.
11. 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. JNMA. 2020;58(222):76-79.
12. Spitzer RL, Kroenke K, Williams JBW, Löwe B. A brief measure for assessing generalized anxiety disorder. Arch Intern Med. 2006;166(10):1092-1097.
13. Konkan R, Şenormancı Ö, Güçlü O, Aydın E, Sungur MZ. Validity and Reliability Study for the Turkish Adaptation of the Generalized Anxiety Disorder-7 (GAD- 7) Scale. Arch Neuropsychiatr. 2013;50(1):53-59.
14. Agargun MY. The Validity and Reliability of the Pittsburgh Sleep Quality Index. Turk Psikiyatri Derg. 1996;7:107-115.
15. Remes O, Brayne C, Van Der Linde R, Lafortune L. A systematic review of reviews on the prevalence of anxiety disorders in adult populations. Brain and Behav. 2016;6(7):e00497.
16. Rao WW, Li W, Qi H, et al. Sleep quality in medical students: A comprehensive meta-analysis of observational studies. Sleep Breath. 2020;24(3):1151-1165.
17. Foulkes L, McMillan D, Gregory AM. A bad night’s sleep on campus: An interview study of first-year university students with poor sleep quality. Sleep Health. 2019;5(3):280-287.
18. Aysan E, Zaybak A, İsmailoğlu EG, Karaköse S. Sleep quality among undregraduate students and influencing factors. Deuhyo Ed. 2014;7(3):193-198.
19. Chen H, Bo QG, Jia CX, Liu X. Sleep problems in relation to smoking and alcohol use in chinese adolescents. J Nerv Ment Dis. 2017;205(5):353-360.
20. Yin H, Zhang L, Li D, Xiao L, Cheng M. The gray matter volume of the right insula mediates the relationship between symptoms of depression/anxiety and sleep quality among college students. J Health Psychol. 2021;26(7): 1073-1084.
21. Azad MC, Fraser K, Rumana N, et al. Sleep disturbances among medical students: A global perspective. J Clin Sleep Med. 2015;11(1):69-74.
22. Al Hwayan O. Predictive ability of future anxiety in professional decision-making skill among a Syrian refugee adolescent in Jordan. Occup Ther Int. 2020;2020:1-6.
23. Jalali R, Khazaie H, Khaledi Paveh B, Hayrani Z, Menati L. The effect of sleep quality on students’ academic achievement. Adv Med Educ Pract. 2020;11:497-502.
24. Ahrberg K, Dresler M, Niedermaier S, Steiger A, Genzel L. The interaction between sleep quality and academic performance. J Psychiatr Res. 2012;46(12):1618-1622.
25. Yeniçeri N, Mevsim V, Özçakar N, el at. Comparing trait anxiety and future occupational anxiety of final year medical students. J DEU Med Fac. 2007;21(1):19-24.