Laishram Jalina, Fernandez Sandra, Devi Pangambam A, Bhowmick Mani R, Heigrujam Roshnee, Devi Hanjabam S
Department of Community Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India.
J Family Med Prim Care. 2025 Jan;14(1):276-282. doi: 10.4103/jfmpc.jfmpc_1160_24. Epub 2025 Jan 13.
Sleep and mental health are deeply interlinked, with poor sleep quality, a common issue among medical students, having a profound impact on their mental well-being.
A cross-sectional study was conducted among medical students in a tertiary care hospital in Imphal, Manipur. Data were collected using a self-administered questionnaire consisting of the Pittsburgh Sleep Quality Index (PSQI) and Depression Anxiety Stress Scale (DASS-21). Descriptive statistics, Chi-square test, and Pearson correlation test were applied, and < 0.05 was considered statistically significant.
A total of 425 respondents took part in the study, including 268 undergraduate and 157 postgraduate students. Most participants, 236 (55.5%) had poor sleep quality. Among the participants, 168 (39.5%) had depression, 167 (39.3%) had anxiety, and 95 (22.4%) had stress. Poor sleep quality was significantly associated with academic year among undergraduate students ( = 0.005), increased total screentime per day ( = 0.024), and increased screentime before sleep ( = 0.007). Depression, anxiety, and stress were significantly associated with younger age ( = 0.001), the undergraduate course being pursued ( = 0.001, 0.003, and 0.001), and increased screen time before sleep ( = 0.021, 0.046, and 0.039). Depression, anxiety and stress scores had a significant positive correlation with the global PSQI score.
More than half of the participants experienced poor sleep quality, with four out of ten experiencing depression or anxiety, and two out of ten experiencing stress. Hence, medical institutes must implement sleep hygiene education and screen time reduction initiatives to enhance students' sleep quality and overall well-being.
睡眠与心理健康紧密相连，睡眠质量差是医学生中常见的问题，对他们的心理健康有深远影响。
在曼尼普尔邦英帕尔的一家三级护理医院对医学生进行了一项横断面研究。使用由匹兹堡睡眠质量指数（PSQI）和抑郁焦虑压力量表（DASS - 21）组成的自填问卷收集数据。应用描述性统计、卡方检验和皮尔逊相关检验，P<0.05被认为具有统计学意义。
共有425名受访者参与了该研究，其中包括268名本科生和157名研究生。大多数参与者，即236名（55.5%）睡眠质量差。在参与者中，168名（39.5%）有抑郁，167名（39.3%）有焦虑，95名（22.4%）有压力。睡眠质量差与本科生的学年显著相关（P = 0.005），每天总屏幕时间增加（P = 0.024），以及睡前屏幕时间增加（P = 0.007）。抑郁、焦虑和压力与较年轻的年龄显著相关（P = 0.001），正在攻读的本科课程（P = 0.001、0.003和0.001），以及睡前屏幕时间增加（P = 0.021、0.046和0.039）。抑郁、焦虑和压力得分与全球PSQI得分有显著正相关。
超过一半的参与者睡眠质量差，十分之四的人有抑郁或焦虑，十分之二的人有压力。因此，医学院校必须实施睡眠卫生教育和减少屏幕时间的举措，以提高学生的睡眠质量和整体幸福感。
