RELATIONSHIP OF SLEEP QUALITY WITH MENTAL WELL-BEING AND ACADEMIC PRODUCTIVITY

Authors

  • Hamid Hassan Associate Professor, Department of Physiology, Nishtar Medical University, Multan, Pakistan https://orcid.org/0000-0002-1142-5552
  • Muhammad Muzammil Final Year MBBS, Nishtar Medical University-Multan
  • Muhammad Talal Malik Final Year MBBS, Nishtar Medical University-Multan
  • Muhammad Ahmad Karim Final Year MBBS, Nishtar Medical University-Multan
  • Marwah Asif Lodhi Final Year MBBS, Nishtar Medical University-Multan
  • Umar Jamil Recent Graduate, Nishtar Medical University-Multan

Keywords:

depression, anxiety, sleep quality, medical students, academic performance

Abstract

Background: Better sleep quality is associated with better mental health. This study aimed to link sleep quality of medical students with their psychiatric health and academic performance. Methods: Sleep quality of 104 medical students (52 each from 1st and 5th year of MBBS with equal gender distribution) was measured on Pittsburgh Sleep Quality Index (PSQI) while Hamilton Depression Rating Scale (HDRS) along with Hamilton Anxiety Rating Scale (HAM-A) was used to assess their psychiatric health, both of which were later correlated with their academic scores. Results: Sleep quality of 1st year medical students was significantly better as compared to their final year counterparts (p=0.001) and (p=0.000) respectively which affected indices of psychiatric health in such a way that 1st year medical students scored significantly lower on scales of depression as well as anxiety as compared to final year medical students (p=0.001), (p=0.000) and (p=0.001, p=0.000). Within 1st and final year (male and female) medical students, sleep quality had a strong positive correlation with scores of depression and anxiety (r=0.547, p=0.004), (r=0.587, p=0.002), (r=0.66, p=0.000) ,(r=0.490, p=0.011) and (r=0.518, p=0.007), (r=0.527, p=0.006), (r=0.541, p=0.004), (r=0.596, p=0.001) respectively, which in turn had a negative correlation with academic performance of theirs (r=-0.400, p=0.043), (r=-0.614, p=0.001) and (r=-0.550, p=0.004), (r=-0.573, p=0.002) respectively. Conclusion:  Medical students with poor sleep quality, harbour higher degrees of depression and anxiety and perform poorly on academic front as compared to those with better sleep quality.

Pak J Physiol 2023;19(3):15–9

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References

Schneider L. Neurobiology and neuroprotective benefits of sleep. Continuum (Minneap Minn) 2020;26(4):848–70.

Vaseghi S, Arjmandi-Rad S, Eskandari M, Ebrahimnejad M, Kholghi G, Zarrindast MR. Modulating role of serotonergic signaling in sleep and memory. Pharmacol Rep 2022;74:1–26.

Agrawal S, Kumar V, Singh V, Singh C, Singh A. A review on pathophysiological aspects of sleep deprivation. CNS & Neurological Disorders-Drug Targets (Formerly Current Drug Targets-CNS & Neurological Disorders). 2023;22(8):1194–208.

Begdache L, Kianmehr H, Sabounchi N, Marszalek A, Dolma N. Principal component regression of academic performance, substance use and sleep quality in relation to risk of anxiety and depression in young adults. Trends Neurosci Educ 2019;15:29–37.

Benazzi F. Various forms of depression. Dialogues Clin Neurosci. 2006;8(2):151–61.

Daviu N, Bruchas MR, Moghaddam B, Sandi C, Beyeler A. Neurobiological links between stress and anxiety. Neurobiol Stress 2019;11:100191.

Vaseghi S, Mostafavijabbari A, Alizadeh MS, Ghaffarzadegan R, Kholghi G, Zarrindast MR. Intricate role of sleep deprivation in modulating depression: focusing on BDNF, VEGF, serotonin, cortisol, and TNF-?. Metab Brain Dis 2023;38(1):195–219.

Eydipour Z, Nasehi M, Vaseghi S, Jamaldini SH, Zarrindast MR. The role of 5-HT4 serotonin receptors in the CA1 hippocampal region on memory acquisition impairment induced by total (TSD) and REM sleep deprivation (RSD). Physiol Behav 2020;215:112788.

Xie JF, Shao YF, Wang HL, Wang C, Cui GF, Kong XP, et al. Neuropeptide S Counteracts Paradoxical Sleep Deprivation-Induced Anxiety-Like Behavior and Sleep Disturbances. Front Cell Neurosci 2018;12:64.

Choueiry N, Salamoun T, Jabbour H, El Osta N, Hajj A, Rabbaa Khabbaz L. Insomnia and Relationship with Anxiety in University Students: A Cross-Sectional Designed Study. PLoS One 2016;11(2):e0149643.

Morris JL, Rohay J, Chasens ER. Sex differences in the psychometric properties of the Pittsburgh sleep quality index. J Women’s Health (Larchmt) 2018;27(3):278–82.

Obeid S, Abi Elias Hallit C, Haddad C, Hany Z, Hallit S. Validation of the Hamilton Depression Rating Scale (HDRS) and sociodemographic factors associated with Lebanese depressed patients. Encephale 2018;44(5):397–402.

Barbar S, Haddad C, Sacre H, Dagher D, Akel M, Kheir N, et al. Factors associated with problematic social media use among a sample of Lebanese adults: The mediating role of emotional intelligence. Perspect Psychiatr Care 2021;57(3):1313–22.

Bhatti AA, Khan UA, Khan HF. Sleep habits of first year and final year medical student. Rawal Med J 2012;37(2):148–51.

Shao R, He P, Ling B, Tan L, Xu L, Hou Y, et al. Prevalence of depression and anxiety and correlations between depression, anxiety, family functioning, social support and coping styles among Chinese medical students. BMC Psychol 2020;8(1):38.

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(1):665.

Bhat A, Pires AS, Tan V, Babu Chidambaram S, Guillemin GJ. Effects of Sleep Deprivation on the Tryptophan Metabolism. Int J Tryptophan Res 2020;13:1178646920970902.

Quek TT, Tam WW, Tran BX, Zhang M, Zhang Z, Ho CS, et al. The global prevalence of anxiety among medical students: A meta-analysis. Int J Environ Res Public Health 2019;16(15):2735.

Chanana P, Kumar A. Possible involvement of nitric oxide modulatory mechanisms in the neuroprotective effect of Centella Asiatica against sleep deprivation induced anxiety like behaviour, oxidative damage and neuro inflammation. Phytother Res 2016;30(4):671–80.

Pokhrel NB, Khadayat R, Tulachan P. Depression, anxiety, and burnout among medical students and residents of a medical school in Nepal: a cross-sectional study. BMC Psychiatry 2020;20(1):298.

Giannini A, Caretto M, Genazzani AR, Simoncini T. Neuroendocrine changes during menopausal transition. Endocrines 2021;2(4):405–16.

Frau R, Traccis F, Bortolato M. Neurobehavioural complications of sleep deprivation: Shedding light on the emerging role of neuroactive steroids. J Neuroendocrinol 2020;32(1):e12792.

Singh R, Suri JC, Sharma R, Suri T, Adhikari T. Sleep Pattern of Adolescents in a School in Delhi, India: Impact on their Mood and Academic Performance. Indian J Pediatr 2018;85(10):841–8.

Liaqat H, Parveen A, Kim SY. Neuroprotective Natural Products' Regulatory Effects on Depression via Gut-Brain Axis Targeting Tryptophan. Nutrients 2022;14(16):3270.

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Published

30-09-2023

How to Cite

1.
Hassan H, Muzammil M, Malik MT, Karim MA, Lodhi MA, Jamil U. RELATIONSHIP OF SLEEP QUALITY WITH MENTAL WELL-BEING AND ACADEMIC PRODUCTIVITY. Pak J Phsyiol [Internet]. 2023 Sep. 30 [cited 2024 May 17];19(3):15-9. Available from: https://www.pjp.pps.org.pk/index.php/PJP/article/view/1551

Issue

Vol. 19 No. 3 (2023): Pakistan Journal of Physiology

Section

Original Article

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