The Prevalence and Association of Stress with Sleep Quality during the COVID-19 Pandemic among Medical Students at Airlangga University

Authors

DOI:

https://doi.org/10.35882/ijahst.v3i1.215

Keywords:

Correlation, COVID-19, Sleep Quality, Stress Level

Abstract

The COVID-19 pandemic requires students to adapt to circumstances and cause various kinds of psychological problems during a pandemic outbreak. Some may experience stress, insomnia or hypersomnia. There are many factors causing poor sleep quality in students, including psychological problems such as stress which can worsen the quality of student’s sleep during the COVID-19 pandemic. This study aims to prove that there is a relationship between stress and the sleep quality of medical students at Airlangga University during the COVID-19 pandemic. This study is an observational analytic study using the cross-sectional design to assess the relationship between stress and sleep quality of respondents using the Pittsburgh Sleep Quality Index (PSQI) and Depression, Anxiety, Stress Scale - 42 (DASS-42) questionnaires. The research subjects were active pre-clinical students in the medical study program, Faculty of Medicine, Airlangga University, totaling 280 students who were divided into 3 batches, namely Class of 2019, Class of 2020, and Class of 2021. From the results of the study, it was found that 84.7% of students experienced poor sleep quality and a normal stress level of 55.5%. Sleep quality and stress levels are related to each other. This is proven by the Spearman rank analysis, which shows sleep quality is related to the stress level with a p-value = 0.000 and rho = 0.230. Based on these results, it was concluded that sleep quality and stress level have a positive correlation. The researcher expects that the institution will be able to use the study's findings as information about student stress levels and sleep quality in order to prevent stress and poor sleep or to implement health-related stress management programs for students.

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References

M. R. Zielinski, J. T. McKenna, and R. W. McCarley, “Functions and Mechanisms of Sleep,” AIMS Neurosci, vol. 3, no. 1, p. 67, 2016, doi: 10.3934/NEUROSCIENCE.2016.1.67.

J. P. B. Manzoli, M. D. L. Correia, and E. C. M. Duran, “Conceptual and operational definitions of the defining characteristics of the nursing diagnosis Disturbed Sleep Pattern,” Rev Lat Am Enfermagem, vol. 26, Nov. 2018, doi: 10.1590/1518-8345.2582.3105.

N. Sundas, S. Ghimire, S. Bhusal, R. Pandey, K. Rana, and H. Dixit, “Sleep Quality among Medical Students of a Tertiary Care Hospital: A Descriptive Cross-sectional Study,” JNMA J Nepal Med Assoc, vol. 58, no. 222, p. 76, Feb. 2020, doi: 10.31729/JNMA.4813.

M. Rezaei, M. Khormali, S. Akbarpour, K. Sadeghniiat-Hagighi, and M. Shamsipour, “Sleep quality and its association with psychological distress and sleep hygiene: a cross-sectional study among pre-clinical medical students,” Sleep Science, vol. 11, no. 4, p. 274, 2018, doi: 10.5935/1984-0063.20180043.

D. Kocevska, T. F. Blanken, E. J. W. van Someren, and L. Rösler, “Sleep quality during the COVID-19 pandemic: not one size fits all,” Sleep Med, vol. 76, p. 86, Dec. 2020, doi: 10.1016/J.SLEEP.2020.09.029.

L. A. Fowler and N. Kumte, “The effect of COVID-19 pandemic stay-at-home orders on sleep deprivation in medical students: a retrospective study,” SN Social Sciences 2022 2:3, vol. 2, no. 3, pp. 1–12, Mar. 2022, doi: 10.1007/S43545-022-00323-W.

B. Javed, A. Sarwer, E. B. Soto, and Z. ur R. Mashwani, “The coronavirus (COVID-19) pandemic’s impact on mental health,” Int J Health Plann Manage, vol. 35, no. 5, pp. 993–996, Sep. 2020, doi: 10.1002/HPM.3008.

F. Kaligis, M. T. Indraswari, and R. I. Ismail, “Stress during COVID-19 pandemic: mental health condition in Indonesia,” Medical Journal of Indonesia, vol. 29, no. 4, pp. 436–41, Oct. 2020, doi: 10.13181/MJI.BC.204640.

E. S. Epel et al., “More than a feeling: A unified view of stress measurement for population science,” Front Neuroendocrinol, vol. 49, pp. 146–169, Apr. 2018, doi: 10.1016/J.YFRNE.2018.03.001.

M. N. Silverman, C. M. Heim, U. M. Nater, A. H. Marques, and E. M. Sternberg, “Neuroendocrine and immune contributors to fatigue,” PM R, vol. 2, no. 5, pp. 338–346, May 2010, doi: 10.1016/J.PMRJ.2010.04.008.

A. Kumar, P. Rinwa, G. Kaur, and L. MacHawal, “Stress: Neurobiology, consequences and management,” J Pharm Bioallied Sci, vol. 5, no. 2, p. 91, 2013, doi: 10.4103/0975-7406.111818.

M. A. Alsaggaf, S. O. Wali, R. A. Merdad, and L. A. Merdad, “Sleep quantity, quality, and insomnia symptoms of medical students during clinical years: Relationship with stress and academic performance,” Saudi Med J, vol. 37, no. 2, p. 173, Feb. 2016, doi: 10.15537/SMJ.2016.2.14288.

A. Winsler, A. Deutsch, R. D. Vorona, P. A. Payne, and M. Szklo-Coxe, “Sleepless in Fairfax: the difference one more hour of sleep can make for teen hopelessness, suicidal ideation, and substance use,” J Youth Adolesc, vol. 44, no. 2, pp. 362–378, Feb. 2015, doi: 10.1007/S10964-014-0170-3.

A. I. Almojali, S. A. Almalki, A. S. Alothman, E. M. Masuadi, and M. K. Alaqeel, “The prevalence and association of stress with sleep quality among medical students,” J Epidemiol Glob Health, vol. 7, no. 3, p. 169, Sep. 2017, doi: 10.1016/J.JEGH.2017.04.005.

M. Safhi et al., “The association of stress with sleep quality among medical students at King Abdulaziz University,” J Family Med Prim Care, vol. 9, no. 3, p. 1662, 2020, doi: 10.4103/JFMPC.JFMPC_745_19.

N. J. Awadalla et al., “Increased mental stress among undergraduate medical students in south-western Saudi Arabia during the COVID-19 pandemic,” PeerJ, vol. 10, Aug. 2022, doi: 10.7717/peerj.13900.

D. J. Buysse, C. F. Reynolds, T. H. Monk, S. R. Berman, and D. J. Kupfer, “The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research,” Psychiatry Res, vol. 28, no. 2, pp. 193–213, 1989, doi: 10.1016/0165-1781(89)90047-4.

S. R. Marsidi, “IDENTIFICATION OF STRESS, ANXIETY, AND DEPRESSION LEVELS OF STUDENTS IN PREPARATION FOR THE EXIT EXAM COMPETENCY TEST,” Journal of Vocational Health Studies, vol. 5, no. 2, p. 87, Nov. 2021, doi: 10.20473/jvhs.v5.i2.2021.87-93.

R. Gracia Hutahaean and J. Novina Sitepu, “Hubungan Stres dengan Kualitas Tidur pada Mahasiswa/i Fakultas Kedokteran Universitas HKBP Nommensen,” NJM, vol. 8, no. 1, p. 2022.

K. S. Birditt, A. Turkelson, K. L. Fingerman, C. A. Polenick, and A. Oya, “Age Differences in Stress, Life Changes, and Social Ties During the COVID-19 Pandemic: Implications for Psychological Well-Being,” Gerontologist, vol. 61, no. 2, p. 205, Mar. 2021, doi: 10.1093/GERONT/GNAA204.

K. Garg, M. Agarwal, and P. K. Dalal, “Stress among medical students: A cross-sectional study from a North Indian Medical University,” Indian J Psychiatry, vol. 59, no. 4, pp. 502–504, Oct. 2017, doi: 10.4103/PSYCHIATRY.INDIANJPSYCHIATRY_239_17.

C. Yurita Priharyuni and B. Wicaksono, “Pengaruh Tingkat Stres Mahasiswa Kedokteran yang Mengerjakan Skripsi terhadap Prestasi Akademik di Universitas Sebelas Maret.”

M. A. Tantra and E. Irawaty, “Hubungan antara tingkat stres dengan hasil belajar pada mahasiswa Fakultas Kedokteran Universitas Tarumanagara angkatan 2014,” 2019.

J. Tristianingsih and S. Handayani, “Determinan Kualitas Tidur Mahasiswa Kampus A di Universitas Muhammadiyah Prof DR Hamka,” Perilaku dan Promosi Kesehatan: Indonesian Journal of Health Promotion and Behavior, vol. 3, no. 2, p. 120, Dec. 2021, doi: 10.47034/ppk.v3i2.5275.

A. Gadie, M. Shafto, Y. Leng, R. A. Kievit, and Cam-CAN, “How are age-related differences in sleep quality associated with health outcomes? An epidemiological investigation in a UK cohort of 2406 adults,” BMJ Open, vol. 7, no. 7, p. e014920, Aug. 2017, doi: 10.1136/BMJOPEN-2016-014920.

C. de C. Corrêa, F. K. de Oliveira, D. S. Pizzamiglio, E. V. P. Ortolan, and S. A. T. Weber, “Qualidade de sono em estudantes de medicina: Comparação das diferentes fases do curso,” Jornal Brasileiro de Pneumologia, vol. 43, no. 4, pp. 285–289, Jul. 2017, doi: 10.1590/S1806-37562016000000178.

N. Qalbi, “The Correlation Quality Between Sleeping With Learning Students Medical Faculty In Muhammadiyah University Of Makassar Approch 2017,” Universitas Muhammadiyah Makassar, Makassar, 2018.

M. M. S. P. Catur, A. Rahmatika, and D. Oktaria, “Faktor-Faktor yang Memengaruhi Prestasi Akademik pada Mahasiswa Kedokteran Tahap Preklinik,” JIMKI, vol. 6, no. 2, pp. 109–116, Sep. 2018.

W. Clariska, Y. Yuliana, and K. Kamariyah, “Hubungan Tingkat Stres dengan Kualitas Tidur pada Mahasiswa Tingkat Akhir di Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi,” Jurnal Ilmiah Ners Indonesia, vol. 1, no. 2, pp. 94–102, Nov. 2020, doi: 10.22437/JINI.V1I2.13516.

A. A. Karitka, “Hubungan Tingkat Stres Dengan Kualitas Tidur Mahaiswa/i Fakultas Kedokteran Universitas Prima Indonesia Pada Saat Pandemi COVID-19,” Universitas Prima Indonesia, Medan, 2021.

S. Karitini, “The Association Between Stress Level to Sleep Quality On Students of Faculty Medicine University of Muhammadiyah Makassar,” Universitas Muhammadiyah Makassar , Makassar, 2018.

Y. Li et al., “Relationship between stressful life events and sleep quality: Rumination as a mediator and resilience as a moderator,” Front Psychiatry, vol. 10, no. MAY, p. 348, May 2019, doi: 10.3389/FPSYT.2019.00348/BIBTEX.

E. v. Sukhareva, “The role of the corticotropin-releasing hormone and its receptors in the regulation of stress response,” Vavilov Journal of Genetics and Breeding, vol. 25, no. 2, p. 216, 2021, doi: 10.18699/VJ21.025.

N. C. Nicolaides, A. N. Vgontzas, I. Kritikou, and G. Chrousos, “HPA Axis and Sleep,” Endotext, Nov. 2020, Accessed: Jan. 11, 2023. [Online]. Available: https://www.ncbi.nlm.nih.gov/books/NBK279071/

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Published

2023-02-26

How to Cite

[1]
A. R. Nugraha, F. Fidiana, K. Khairina, and W. R. . Islamiyah, “The Prevalence and Association of Stress with Sleep Quality during the COVID-19 Pandemic among Medical Students at Airlangga University”, International Journal of Advanced Health Science and Technology, vol. 3, no. 1, Feb. 2023.

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Section

Health Science