Wang Shuo, Luo Guoshuai, Zhang Xue, Jing Yifan, Yao Cong, Li Meijuan, Chen Hongli, Li Jie
Institute of Mental Health, Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, 13 Liulin Road, Tianjin, 300222, China.
State Key Laboratory of Separation Membrane and Membrane Process, Tiangong University, Tianjin, 300387, China.
Eur Arch Psychiatry Clin Neurosci. 2025 Feb;275(1):89-98. doi: 10.1007/s00406-023-01707-6. Epub 2023 Nov 26.
Medical students may feel severe psychological stress during COVID-19, which might impair their ability to sleep. This research aimed to look at the risk factors for sleep disturbance and the prevalence of sleep disturbance among medical students.
538 medical students in total were recruited for this research. Anxiety, depression, and sleep disturbance were assessed using the Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS), and Pittsburgh Sleep Quality Index (PSQI). To evaluate the possible risk variables, we computed descriptive statistics for each assessment item and ran univariate and logistic regression analyses.
Medical students had a 63.6% prevalence of sleep disturbance (n = 342). According to logistic regression, introverted students are 1.77 times more likely than extroverted students to have sleep disturbance (OR = 1.77, 95% CI 1.08-2.91). Medical students with depression had a 5.6-times higher risk of sleep disturbance than those without depression (OR = 5.60, 95% CI 3.43-9.15). Additionally, medical students with anxiety were 3.95 times more likely than those without anxiety to have sleep disturbance (OR = 3.95, 95% CI 2.04-7.64).
According to this research, the COVID-19 pandemic caused significant sleep disturbance among medical students. Additionally, among medical students, introversion, anxiety, and depression were risk factors for sleep disturbance.
在新冠疫情期间，医学生可能会感到严重的心理压力，这可能会损害他们的睡眠能力。本研究旨在探讨医学生睡眠障碍的风险因素及睡眠障碍的患病率。
本研究共招募了538名医学生。使用焦虑自评量表（SAS）、抑郁自评量表（SDS）和匹兹堡睡眠质量指数（PSQI）评估焦虑、抑郁和睡眠障碍情况。为评估可能的风险变量，我们对每个评估项目进行了描述性统计，并进行了单因素和逻辑回归分析。
医学生睡眠障碍的患病率为63.6%（n = 342）。根据逻辑回归分析，内向型学生出现睡眠障碍的可能性是外向型学生的1.77倍（比值比=1.77，95%置信区间1.08 - 2.91）。患有抑郁症的医学生出现睡眠障碍的风险比未患抑郁症的学生高5.6倍（比值比=5.60，95%置信区间3.43 - 9.15）。此外，患有焦虑症的医学生出现睡眠障碍的可能性是未患焦虑症学生的3.95倍（比值比=3.95，95%置信区间2.04 - 7.64）。
根据本研究，新冠疫情在医学生中造成了显著的睡眠障碍。此外，在内向型、焦虑和抑郁是医学生睡眠障碍的风险因素。
