Prevalence of poor sleep quality in 4th and 5th year clinical medical students at internal medicine department of Chonburi hospital and associated factors

Authors

  • sittikorn srivorrapattarakul chonburi hospital

Keywords:

Keywords: Sleep quality, Medical students, Chonburi Hospital, Internal medicine

Abstract

Background: Poor sleep quality in medical students may hinder academic performance and patient care. This study aimed to determine the prevalence of poor sleep quality among medical students during their internal medicine rotation and factors association

Methods: We conducted a prospective cross-sectional study among fourth- and fifth-year medical students during the 2024 academic year who had completed ≥4 weeks in the internal medicine department. Data on participants demographics, the Thai version of the Pittsburgh Sleep Quality Index (PSQI) questionnaire, were collected. Data were analyzed using with Mann–Whitney U-test or Fisher’s exact test as appropriate methods and analyzed factor association with logistic regression.

Result: Of 44 responded. the mean age was 22.1 years, and 50% were female. The prevalence of poor sleep quality (PSQI>5) was 70.5%. Academic stress was the most cited reason for poor sleep (56.8%). Students with poor sleep had shorter sleep duration (5.2 vs. 6.6 hours, p<0.01) and greater daytime dysfunction (90.3% vs. 46.1%, p<0.01). Sleep duration <7 hours was significantly associated with poor sleep quality (adjusted OR 9.04, p=0.03).

Conclusions: Prevalence of poor sleep quality among clinical-year medical students is 70.5%. Sleep duration <7 hours is associated with poor sleep quality which is needed to further study

Keywords: Sleep quality, Medical students, Chonburi Hospital, Internal medicine

References

เอกสารอ้างอิง

Mellinger GD, Balter MB, Uhlenhuth EH. Insomnia and its treatment. Prevalence and correlates. Arch Gen Psychiatry. 1985;42(3):225-32.

Boontongchuay P. Sleep-related Worry and Sleep Hygiene in Depressed Outpatients at Department of Psychiatry, King Chulalongkorn Memorial Hospital. Chulalongkorn University Theses and Dissertations (Chula ETD). 2021.

Lohsoonthorn V, Khidir H, Casillas G, Lertmaharit S, Tadesse MG, Pensuksan WC, et al. Sleep quality and sleep patterns in relation to consumption of energy drinks, caffeinated beverages, and other stimulants among Thai college students. Sleep Breath. 2013;17(3):1017-28.

Chanamanee P, Taboonpong S, Intanon T. Sleep quality and related factors among university students in southern Thailand. Journal of Health Science and Medical Research (JHSMR). 2006;24.

Azad MC, Fraser K, Rumana N, Abdullah AF, Shahana N, Hanly PJ, et al. Sleep disturbances among medical students: a global perspective. J Clin Sleep Med. 2015;11(1):69-74.

CC. Sleep Quality and Associated Factors in Preclinical Medical Students in Faculty of Medicine Vajira Hospital. Vajira Medical Journal.65(4)(65(4)):332-42.

Auaboonkanok P. Prevalence of Clinical Medical Students who had Poor Sleep Quality; a Study in one of the Medical School in the Northeastern Thailand.Srinagarind Med J 2018

Thaipisuttikul P, Theansukont T, Boonmueng R, Wisajun P. Sleep quality problems in Thai medical students. Sleep Sci. 2022;15(Spec 1):244-8.

Bahammam AS, Alaseem AM, Alzakri AA, Almeneessier AS, Sharif MM. The relationship between sleep and wake habits and academic performance in medical students: a cross-sectional study. BMC Med Educ. 2012;12:61.

Hidalgo MP, Caumo W. Sleep disturbances associated with minor psychiatric disorders in medical students. Neurol Sci. 2002;23(1):35-9.

Alshoaibi Y, Bafil W, Rahim M. The effect of screen use on sleep quality among adolescents in Riyadh, Saudi Arabia. J Family Med Prim Care. 2023;12(7):1379-88.

Chaudhary NS, Grandner MA, Jackson NJ, Chakravorty S. Caffeine consumption, insomnia, and sleep duration: Results from a nationally representative sample. Nutrition. 2016;32(11-12):1193-9.

Chung N, Bin YS, Cistulli PA, Chow CM. Does the Proximity of Meals to Bedtime Influence the Sleep of Young Adults? A Cross-Sectional Survey of University Students. Int J Environ Res Public Health. 2020;17(8).

Li M, Han Q, Pan Z, Wang K, Xie J, Zheng B, et al. Effectiveness of Multidomain Dormitory Environment and Roommate Intervention for Improving Sleep Quality of Medical College Students: A Cluster Randomised Controlled Trial in China. Int J Environ Res Public Health. 2022;19(22).

Hägg-Martinell A, Hult H, Henriksson P, Kiessling A. Medical students' opportunities to participate and learn from activities at an internal medicine ward: an ethnographic study. BMJ Open. 2017;7(2):e013046.

Mollayeva T, Thurairajah P, Burton K, Mollayeva S, Shapiro CM, Colantonio A. The Pittsburgh sleep quality index as a screening tool for sleep dysfunction in clinical and non-clinical samples: A systematic review and meta-analysis. Sleep Med Rev. 2016;25:52-73.

Sitasuwan T, Bussaratid S, Ruttanaumpawan P, Chotinaiwattarakul W. Reliability and validity of the Thai version of the Pittsburgh Sleep Quality Index. J Med Assoc Thai. 2014;97 Suppl 3:S57-67.

Schrempft S, Baysson H, Chessa A, Lorthe E, Zaballa ME, Stringhini S, et al. Associations between bedtime media use and sleep outcomes in an adult population-based cohort. Sleep Med. 2024;121:226-35.

Seow LSE, Tan XW, Chong SA, Vaingankar JA, Abdin E, Shafie S, Chua BY, Heng D, Subramaniam M. Independent and combined associations of sleep duration and sleep quality with common physical and mental disorders: Results from a multi-ethnic population-based study. PLoS One. 2020 Jul 16;15(7)

Steiger A, Pawlowski M. Depression and Sleep. Int J Mol Sci. 2019 Jan 31;20

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Published

2025-12-18