Bruno Perotta1,2, Fernanda M Arantes-Costa2,3, Sylvia C Enns3, Ernesto A Figueiro-Filho4, Helena Paro5, Itamar S Santos2,3, Geraldo Lorenzi-Filho6, Milton A Martins7,8, Patricia Z Tempski2,3. 1. Mackenzie Evangelical School of Medicine - Parana, Curitiba, Brazil. 2. Department of Medicine, School of Medicine of the University of Sao Paulo, Sao Paulo, Brazil. 3. Center for Development of Medical Education, School of Medicine of University of Sao Paulo, Sao Paulo, Brazil. 4. Department of Gynecology & Obstetrics, University of Toronto, Toronto, Canada. 5. Department of Gynecology & Obstetrics, Federal University of Uberlandia, Uberlandia, Brazil. 6. Department of Cardio-Pneumology, School of Medicine of the University of Sao Paulo, Sao Paulo, Brazil. 7. Department of Medicine, School of Medicine of the University of Sao Paulo, Sao Paulo, Brazil. mmartins@usp.br. 8. Center for Development of Medical Education, School of Medicine of University of Sao Paulo, Sao Paulo, Brazil. mmartins@usp.br.
Abstract
BACKGROUND: It has been previously shown that a high percentage of medical students have sleep problems that interfere with academic performance and mental health. METHODS: To study the impact of sleep quality, daytime somnolence, and sleep deprivation on medical students, we analyzed data from a multicenter study with medical students in Brazil (22 medical schools, 1350 randomized medical students). We applied questionnaires of daytime sleepiness, quality of sleep, quality of life, anxiety and depression symptoms and perception of educational environment. RESULTS: 37.8% of medical students presented mild values of daytime sleepiness (Epworth Sleepiness Scale - ESS) and 8.7% presented moderate/severe values. The percentage of female medical students that presented ESS values high or very high was significantly greater than male medical students (p < 0.05). Students with lower ESS scores presented significantly greater scores of quality of life and perception of educational environment and lower scores of depression and anxiety symptoms, and these relationships showed a dose-effect pattern. Medical students reporting more sleep deprivation showed significantly greater odds ratios of presenting anxiety and depression symptoms and lower odds of good quality of life or perception of educational environment. CONCLUSIONS: There is a significant association between sleep deprivation and daytime sleepiness with the perception of quality of life and educational environment in medical students.
RCT Entities:
BACKGROUND: It has been previously shown that a high percentage of medical students have sleep problems that interfere with academic performance and mental health. METHODS: To study the impact of sleep quality, daytime somnolence, and sleep deprivation on medical students, we analyzed data from a multicenter study with medical students in Brazil (22 medical schools, 1350 randomized medical students). We applied questionnaires of daytime sleepiness, quality of sleep, quality of life, anxiety and depression symptoms and perception of educational environment. RESULTS: 37.8% of medical students presented mild values of daytime sleepiness (Epworth Sleepiness Scale - ESS) and 8.7% presented moderate/severe values. The percentage of female medical students that presented ESS values high or very high was significantly greater than male medical students (p < 0.05). Students with lower ESS scores presented significantly greater scores of quality of life and perception of educational environment and lower scores of depression and anxiety symptoms, and these relationships showed a dose-effect pattern. Medical students reporting more sleep deprivation showed significantly greater odds ratios of presenting anxiety and depression symptoms and lower odds of good quality of life or perception of educational environment. CONCLUSIONS: There is a significant association between sleep deprivation and daytime sleepiness with the perception of quality of life and educational environment in medical students.
Entities:
Keywords:
Academic environment; Anxiety; Daytime sleepiness; Depression; Medical education; Medical students; Quality of life; Sleep disorders; Sleep quality
Authors: Munique Peleias; Patricia Tempski; Helena Bms Paro; Bruno Perotta; Fernanda B Mayer; Sylvia C Enns; Silmar Gannam; Maria Amelia D Pereira; Paulo S Silveira; Itamar S Santos; Celso Rf Carvalho; Milton A Martins Journal: BMJ Open Sport Exerc Med Date: 2017-06-02
Authors: Nicoli Abrão Fasanella; Clarissa Garcia Custódio; Júlia Santos do Cabo; Gabriel Sousa Andrade; Fernando Antônio de Almeida; Maria Valéria Pavan Journal: Sao Paulo Med J Date: 2022 Sep-Oct Impact factor: 1.838