Online ISSN: 2515-8260

Keywords : Sleep quality

Prevalence of sleep Quality and daytime Sleepiness among medical student in association with stress, anxiety, depression after Covid 19 Pandemic lockdown in South India: A Cross sectional study

Govindaraj Suganthi, Perumal Srinivasan, Nagarajan Nandha Kumar, Vajiravelu Suganthi, Panneerselvam Periasamy, Sasikala Gunasekaran

European Journal of Molecular & Clinical Medicine, 2023, Volume 10, Issue 1, Pages 4880-4891

The purpose of this study is to investigate the prevalence and relationships between stress, anxiety, and depression and daytime sleepiness among medical students in the Erode area of Tamil Nadu. Methods: Using a stratified random sample technique, a cross-sectional research of 288 Government Erode Medical College medical students was conducted. The survey was self-administered electronically. The daytime sleepiness, sleep quality, and stress, depression, and anxiety were evaluated by the Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index (PSQI), and DASS 42, respectively. Results: Overall, 22.6% of students reported excessive daytime sleepiness. Depression, anxiety, and stress all had prevalence rates of 40.6%, 39.9%, and 29.9%, respectively. 78.5% of people reported having undesirable or poor sleep quality (total PSQI score 5). Epworth Sleepiness Scale Grade and DASS Levels are not correlated (P>0.05). The findings show that women are substantially more stressed than women are (P< 0.05). Stress and poor sleep quality were substantially correlated (P <0.05), indicating that stress level is a significant predictor of poor sleep quality. The study's findings show that students have a high level of stress and poor sleep quality, and they are strongly correlated. We advise creating classes that instruct students on good sleeping habits and coping mechanisms for stressful situations.
Medical students were reported to have a significant prevalence of night-time sleepiness and excessive daytime sleepiness. Overuse of mobile devices was found to be causally related to both excessive daytime sleepiness and poor sleep quality. When compared to students who get low quality sleep, the former performed better academically. Those who had low quality sleep showed an escalating pattern of excessive daytime drowsiness. There was a high prevalence of sleep problems, anxiety, stress, and depression among pre-clinical medical students. Those medical students who struggled with their academic performances, poor lifestyle factors, and poor Social and COVID management had significantly higher levels of sleeping disorders, anxiety, stress, and depression.

Impact of SARS-CoV-2 pandemic on Sleep Quality

Akanksha Togra, Sudhir Pawar, Jaisen Lokhande, Zarrin Ansari, Sanjay Kumar

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 848-859

The coronavirus disease 2019 (COVID-19) pandemic has led to considerable stress and anxiety, adversely affecting the quality of the sleep. A study was conducted to evaluate if the COVID-19 pandemic had any effects(s) on the sleeping pattern and on overall sleep quality. Study was conducted as a cross sectional, questionnaire-based survey in Indian population on an online platform utilising Pittsburgh Sleep Quality Index (PSQI) to assess pattern and quality of sleep before and during the pandemic. The survey questionnaire was conducted during pandemic; hence the data collected for “before pandemic” duration was retrospective. A total of 1615 participants’ responses were received of which there were 756 female and 859 male participants. The mean PSQI score (global) before the pandemic was 4.68 ± 2.98 while that during the pandemic is 6.02 ± 3.62 indicating a significant change in the sleep quality. The proportion of poor sleepers also increased dramatically from 26.1% pre-covid to 49.3% during covid. Both sleep deprivation and poor-quality of sleep are well-known to produce significant mood disturbances and to lower the immunity. Thus, it can be extrapolated that those individuals who developed significant sleep disturbances during COVID-19 are likely to be at a greater risk for negative health consequences even if they did not develop active COVID-19 infection. As sleep is vital for both mental and physical health of the human body, adequate measures should be taken at an individual level as well as at the community level to maintain quality of the sleep during pandemic or other disasters like war that trigger considerable stress

Effect of COVID 19 pandemic lockdown on sleep pattern of university students: A web based cross sectional study

Dr. Satyajit Bagudai, Dr. Ketaki Poorey, Dr. Neerja Shastri .

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 1266-1273

Objectives: In addition to the physical morbidity and mortality, COVID-19 Pandemic has created a mental burden on the population as a whole. In our present web based cross sectional study we tried to assess the prevalence of the sleep pattern and different psychological problem in young University students.
Material and Methods: Using a web based study we collected data from 100 University students who volunteered to participate. We analyzed the demographic data, generalized anxiety disorder (GAD), depressive symptoms and sleep quality.
Results: The overall prevalence of GAD, depressive symptoms and sleep quality of the students were 100%, 79% and 79% respectively. Bivariate regression analysis showed female students to be more likely to have mild anxiety and moderately severe depression whereas younger age students were more likely to have mild anxiety. There was a reduction in physical activity in 58% of students.
Conclusion: In our study, we found the recent COVID-19 outbreak as a major psychological burden for the student population irrespective of gender and age. Formulation of a prior guideline, targeted at such group of population during a pandemic is necessary to avoid the development of such psychological problems as well as their fatal consequences.

Sleep Quality, Fatigue And Medication Adherence Among Breast Cancer Survivors At Chennai - A Descriptive Study.

Dr.Shankar Shanmugam Rajendran; Dr. Pradeep Kumar Naik; Mr.Kannan Kasinathan; Mr. Anbalagan Murudan; Mrs.Rizwana Ibrahim; Mrs.Nirmala Asaithambi

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 3, Pages 1424-1439

The cancer survival journey starts for the person at the time of diagnosis and lasts until the end of life, with adverse effects on normal activities. Breast cancer mortality is strongly associated with poor sleep. Fatigation and decreased appetite are the hallmarks of cachexia in terminally ill patients. Inadequate medication adherence may cause alterations in risk-benefit ratios. Aim: To assess the sleep quality , fatigue, and medication adherence among breast cancer survivors and to find their association with the selected demographic variables. Methods: This was a descriptive cross-sectional analysis involving 60 samples of OPD medical oncology using a convenient sampling technique and the study duration was one week. Pittsburgh sleep quality index scale, Perform questionnaire, Medication adherence rating scale were used to assess the patients. RESULTS: The study concluded that 61.67% of the cancer survivors were disordered sleepers, 45.00% of the cancer survivors were having low fatigue score and 71.67% of the breast cancer survivors were having good medication adherence score. There was a strong positive equal correlation between the Sleep Quality Index score and the Fatigue score, which indicates that the quality of sleep raises the fatigue score. CONCLUSION: Clients suffering with breast cancer should be assessed for sleep quality, which directly helps to reduce the fatigue level. Evidence-based practice interventions like Exercises, cognitive behavior therapy, yoga, and aerobic exercises could help the patient to have adequate sleep.


Shivani P. Lanjewar; Shravani G. Deolia; Rutuj N. Waghmare; Surbhi R. Kankriya; Simran D. Badki; Shivani D. Jaiswal

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 1692-1702

INTRODUCTION- Doctor’s stress has an impact for health and doctor’s satisfactory level involved which ultimately has an effect on care quality for the patients. Stress induced sleep disturbance is prominent.
AIM-This study was designed with aim of assessing the influence of work characteristics on the association between doctor’s stress and sleep quality METHOD- This cross-sectional study was conducted on doctors of Tertiary Care Hospitals of Wardha city using questionnaire, containing 24 questions. The stress was evaluated using 10 items “Global perceived stress scale” and for sleep quality “Pittsburgh Sleep Quality Index” of 
total 14 items was used. The variables were compared in unpaired t test and Pearson correlation test to know the level of significant of determinacy which was set at less than 0.05.
RESULTS –The Positive PSS Score for post-graduates was 14.03 ± 4.55 and staff was 15.69 ± 4.44, the Negative PSS score was 13.57 ± 5.15 and 11.37 ± 4.39, respectively which was statistically significant (p<0.05). Negative PSS scores of females were higher (13.92 ± 5.36) as compared to males (11.96 ± 4.54) but the difference was also statistically insignificant (p <0.05). The total PSS and Total PSQI scores were almost equals in post-graduates and staff, males and females, day and night shift duty doctors.
CONCLUSION- Certain characteristic of work shift among doctors can directly affects the stress and sleep quality and indirectly affect the patient care and treatment. The study indicates that work characteristic may influence sleep quality and stress among doctors. We need to improve work shift schedule in order to provide good health and well-being of doctor which will further improve the quality of patient care.