Harm avoidance and depression, anxiety, insomnia, and migraine in fifth-year medical students in Taiwan

Chen, Ching-Yen; Yu, Nan-Wen; Huang, Tien-Hao; Wang, Wei-Shin; Fang, Ji‐Tseng

doi:10.2147/ndt.s163021

Cited by 13 publications

(15 citation statements)

References 23 publications

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“…During the COVID-19 pandemic, our research revealed that depressive medical clinical students have 3.10 times higher insomnia problem. Previous research study also found the same ( Chen et al, 2018 ).…”

Section: Discussionsupporting

confidence: 74%

Prevalence of insomnia and related psychological factors with coping strategies among medical students in clinical years during the COVID-19 pandemic

Alrashed

Sattar

Ahmad

et al. 2021

Saudi Journal of Biological Sciences

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We explored the prevalence of insomnia, confirm the associated psychological factors and current coping strategies among undergraduate medical during their clinical years. This cross-sectional, quantitative, descriptive study was conducted at the department of medical education, college of medicine, King Saud University (KSU), Riyadh, Saudi Arabia. The participants (n = 463) were the 3rd to 5th year, and intern medical clinical students. We collected responses about sleep, using the Insomnia Severity Index (ISI). We also used Kessler-10 (K10), Psychological Distress and the Patient Health Questionnaire (PHQ-9). Items related to Coping strategies were also used from our previously published study and COVID-19 issues were explored using a self-developed questionnaire. According to the ISI ranking, 162 (34.9 %) of the participants had insomnia, among them 57.4% of females and 42.6% were males. Age groups between 22 and 25 have more sleeping disorder (43.2%) as compared to other age groups. 3rd-year students have more insomnia 36.41% as compared to other years. Individuals with insomnia symptoms were more likely (1.67 times higher) to be female students (OR = 1.67; P = 0.005) as compared to male students. A significantly high prevalence (3.37 times high) of insomnia was noted for those students or interns who have attended their clinical training irregularly as compare to regularly attending participants (OR = 2.32; P = 0.12) during COVID-19. Transition time i.e. year 3 of medical program was more stressful for the students and female students perceived stress and insomnia more than their male counterparts. It is important to address identified disorder early in order to reduce psychological morbidity and its harmful implications for medical students and young physicians.

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Section: Discussionsupporting

confidence: 74%

Prevalence of insomnia and related psychological factors with coping strategies among medical students in clinical years during the COVID-19 pandemic

Alrashed

Sattar

Ahmad

et al. 2021

Saudi Journal of Biological Sciences

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“…For the women in this study, anxiety was significantly associated with having nightmares and feeling tired in the morning, after controlling for other sleep problems and habits in a multiple regression analysis [8]. Another cross-sectional study conducted with 143 (94 males) Taiwanese fifth-year medical students revealed that anxiety, measured using the Beck Anxiety Inventory, was significantly associated with sleep quality as assessed by the ISI [9]. Parkerson et al [10] reported that adequate sleep has a significant negative association with anxiety in first-year medical students.…”

Section: Discussionmentioning

confidence: 56%

“…The results indicated that preclinical year insomnia predicted higher anxiety levels at year 4 after controlling for the students' age, sex, and preclinical chronotype. We also reviewed other studies that explored the association between sleep quality and anxiety in medical students [6][7][8][9][10]. One cross-sectional study showed that poor sleep quality as measured with Pittsburgh Sleep Quality Index (PSQI) was associated with significant anxiety [7].…”

Section: Discussionmentioning

confidence: 99%

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Sleep Quality as a Predictor of Post-Clerkship Anxiety in Korean Medical Students: A Preliminary Report

Kang¹,

Lee²,

Kim³

et al. 2020

Chronobiol Med

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Objective: This study investigated whether preclinical year insomnia predicted post-clerkship anxiety and whether preclinical year depression predicted post-clerkship insomnia among Korean medical students. Methods: A total of 57 students (38 males and 19 females) aged 23-34 years (27.40±2.76 years) completed questionnaires that included the hospital anxiety and depression scale, insomnia severity index, and morningness-eveningness assessment at the beginning and end of the clerkship. Results: A multiple linear regression analysis revealed that preclinical year sleep quality (β=0.291, p=0.032) was a statistically significant predictor of post-clerkship anxiety after controlling for preclerkship age, sex, and chronotype. Another multiple linear regression analysis revealed that preclinical year depression (β=0.541, p<0.001) was a statistically significant predictor of poor post-clerkship sleep quality, after controlling for age, sex, post-clerkship year anxiety, and chronotype. Conclusion: This study found that preclinical year insomnia may be related to post-clerkship anxiety. Post-clerkship insomnia was related to preclinical year depression. These findings may help medical school administrators reduce their students' anxiety and poor sleep through a cognitive behavioral approach and with psychological education.

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“…Migraine is being recognized as a significant health problem affecting the quality of life [2]. During university life, students often report increased levels of stress, depression, anxiety [3], and irregular sleep, all of which are associated with migraines. Based on available data, migraine is on the rise in both general populations [4] as well as university students [5].…”

Section: Introductionmentioning

confidence: 99%

Migraine screen questionnaire: further psychometric evidence from categorical data methods

Manzar

Hameed²,

Salahuddin

et al. 2020

Health Qual Life Outcomes

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Background: Psychometric investigations of tools used in the screening of migraine including the migraine screen questionnaire (MS-Q), using an adequate statistical approach is needed. We assessed the psychometric properties of the migraine screen questionnaire (MS-Q) using categorical data methods. Material and methods: A total of 343 students at Mizan-Tepi University, Ethiopia, age range = 18-35 years were selected by a simple random sampling method to participate in a cross-sectional study. The respondents completed the MS-Q, a semi-structured socio-demographic questionnaire, and a visual analog scale for attention (VAS-A). Results: The cumulative variance rule (> 40%), the Kaiser's criteria (Eigenvalue> 1), the Scree test and, the parallel analysis (minimum rank) identified a 1-factor model for the MS-Q with the factor loadings in the range of 0.78 to 0.84. Fit indices favored a 1-factor model of the MS-Q as indicated by comparative fit index (0.993), weighted root mean square residual (0.048), root mean square error of approximation (0.067), the goodness of fit index (1.00), and non-normed fit index (0.987). The values of the Factor Determinacy Index (0.953), marginal reliability (0.909), H-latent (0.909), H-observed (0.727), explained common variance (0.906) and the mean item residual absolute loadings (0.225) further complimented finding of the 1-Factor model. McDonald's Omega (0.903) suggested adequate internal consistency. Discriminative validity was supported by significantly higher scores for the total and all the MS-Q items except one among those with complaints of attention. Conclusion: The categorical methods support the psychometric validity of the MS-Q in the study population.

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Harm avoidance and depression, anxiety, insomnia, and migraine in fifth-year medical students in Taiwan

Cited by 13 publications

References 23 publications

Prevalence of insomnia and related psychological factors with coping strategies among medical students in clinical years during the COVID-19 pandemic

Prevalence of insomnia and related psychological factors with coping strategies among medical students in clinical years during the COVID-19 pandemic

Sleep Quality as a Predictor of Post-Clerkship Anxiety in Korean Medical Students: A Preliminary Report

Migraine screen questionnaire: further psychometric evidence from categorical data methods

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