Psychiatry Department, Farhat Hached University Hospital, Ibn Jazzar Avenue, Sousse 4000, Tunisia; University of Sousse, Tunisia; Faculty of medicine of Sousse, Sousse, Tunisia.
Psychiatry Department, Farhat Hached University Hospital, Ibn Jazzar Avenue, Sousse 4000, Tunisia; University of Sousse, Tunisia; Faculty of medicine of Sousse, Sousse, Tunisia.
Encephale. 2022 Feb;48(1):3-12. doi: 10.1016/j.encep.2021.03.001. Epub 2021 Mar 18.
We aimed to assess sleep quality of Tunisian medical students during home confinement due to the COVID-19 pandemic, and to analyze the relationship between sleep quality and sociodemographic, clinical, confinement-related and psychological variables.
A correlational cross-sectional study was conducted from April 11th to May 3rd 2020. Medical students who have been in home confinement and who accepted to participate in an online survey were targeted. Sociodemographic data, clinical variables, and data related to home confinement were collected. Participants also completed Pittsburgh Sleep Quality Index, Depression, Anxiety and Stress Scale and Beck Hopelessness Scale.
Results showed a high prevalence of poor sleepers among medical students (72.5%) with poor subjective sleep quality, increased sleep latency, sleep disturbances and daytime dysfunction. Multiple regression analysis revealed that family history of suicide attempts, tobacco use, perception of home confinement and reduced physical activity during home confinement significantly contributed to poor sleep quality. Among the psychological variables, anxiety and hopelessness significantly contributed to poor sleep quality in medical students during home confinement.
Results revealed a high prevalence of poor sleep quality in medical students who have been in home confinement due to the COVID-19 pandemic. Except family history of suicide attempts, factors that significantly contributed to poor sleep quality were modifiable factors. Sleep quality and sleep parameters need to be assessed in this particular population and adequate measures aiming to promote quality of sleep need to be enhanced, given the crucial regenerative, homeostatic and psychological roles of sleep.
我们旨在评估 COVID-19 大流行期间突尼斯医学生的居家隔离期间的睡眠质量，并分析睡眠质量与社会人口学、临床、隔离相关和心理变量之间的关系。
这是一项 2020 年 4 月 11 日至 5 月 3 日进行的相关性横断面研究。研究对象为居家隔离并接受在线调查的医学生。收集了社会人口学数据、临床变量以及与居家隔离相关的数据。参与者还完成了匹兹堡睡眠质量指数、抑郁、焦虑和压力量表以及贝克绝望量表。
结果显示，医学生中有很高比例的睡眠质量差者（72.5%），表现为主观睡眠质量差、入睡潜伏期延长、睡眠障碍和日间功能障碍。多因素回归分析显示，自杀未遂家族史、吸烟、对居家隔离的认知以及居家隔离期间体力活动减少与睡眠质量差显著相关。在心理变量中，焦虑和绝望程度对医学生居家隔离期间的睡眠质量有显著影响。
结果显示，COVID-19 大流行期间居家隔离的医学生中睡眠质量差的发生率很高。除自杀未遂家族史外，导致睡眠质量差的主要因素是可改变的因素。鉴于睡眠在再生、稳态和心理方面的重要作用，需要对这一特定人群进行睡眠质量和睡眠参数评估，并加强旨在改善睡眠质量的措施。
