Carvalho Aguiar Melo Matias, das Chagas Medeiros Francisco, Meireles Sales de Bruin Veralice, Pinheiro Santana José Abraão, Bastos Lima Alexandre, De Francesco Daher Elizabeth
Federal University of Ceará, Fortaleza, Ceará, Brazil
Federal University of Ceará, Fortaleza, Ceará, Brazil.
Can J Psychiatry. 2016 Jan;61(1):44-9. doi: 10.1177/0706743715620410.
Medical residency programs are traditionally known for long working hours, which can be associated with a poor quality of sleep and daytime sleepiness. However, few studies have focused on this theme. Our objective was to investigate sleep quality, daytime sleepiness, and their relation with anxiety, social phobia, and depressive symptoms.
This cross-sectional observational study involved 59 psychiatry residents. The Pittsburgh Sleep Quality Index (PSQI) and the Epworth Sleepiness Scale (ESS) were used to measure the quality of sleep and excessive daytime sleepiness ([EDS] and ESS > 10), respectively.
Among the 59 psychiatry residents, 59.3% had poor sleep quality (PSQI > 5) and 28.8% had EDS. Poor sleep quality was associated with higher EDS (P = 0.03) and the year of residency program (P = 0.03). Only 20% of residents with poor sleep had consulted at least once for sleep problems; 54.2% had used medications for sleep; and 16.9% were using medications at the time of interview. Only 30% obtained medication during medical consultations. Poor sleep was associated with irregular sleep hours (P = 0.001) and long periods lying down without sleep (P = 0.03). Poor sleep quality was also associated with high scores of anxiety symptoms (P < 0.001) and social phobia symptoms (P = 0.02).
Psychiatry residents frequently have poor sleep quality and EDS. Considering that sleep disorders can affect quality of life, predispose to metabolic syndrome, and be associated with worse performance at work, attention to this clinical problem is needed.
传统上，医学住院医师培训项目以工作时间长而闻名，这可能与睡眠质量差和日间嗜睡有关。然而，很少有研究关注这一主题。我们的目的是调查睡眠质量、日间嗜睡及其与焦虑、社交恐惧症和抑郁症状的关系。
这项横断面观察性研究涉及59名精神科住院医师。匹兹堡睡眠质量指数（PSQI）和爱泼华嗜睡量表（ESS）分别用于测量睡眠质量和日间过度嗜睡（[EDS]且ESS>10）。
在59名精神科住院医师中，59.3%的人睡眠质量差（PSQI>5），28.8%的人有日间过度嗜睡。睡眠质量差与更高的日间过度嗜睡（P=0.03）和住院医师培训年限（P=0.03）相关。睡眠质量差的住院医师中只有20%至少因睡眠问题咨询过一次；54.2%的人使用过助眠药物；16.9%的人在访谈时正在使用药物。只有30%的人在医疗咨询期间获得了药物。睡眠差与不规律的睡眠时间（P=0.001）和长时间躺卧未入睡（P=0.03）相关。睡眠质量差还与焦虑症状（P<0.001）和社交恐惧症症状（P=0.02）的高分相关。
精神科住院医师经常睡眠质量差且有日间过度嗜睡。鉴于睡眠障碍会影响生活质量，易患代谢综合征，并与工作表现较差有关，需要关注这一临床问题。
