Quality of sleep and anxiety are related to circadian preference in university students

Silva, Victor Menezes; Magalhães, Joedyson Emmanuel de Macedo; Duarte, Leandro Lourenção

doi:10.1371/journal.pone.0238514

Cited by 50 publications

(42 citation statements)

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“…Silva and colleagues (2020) stated that E-type university students are typically characterized by poor sleep quality and higher anxiety traits compared to their M-types colleagues. Possible explanations could be academic demand in addition to the circadian desynchronization due to university schedules [ 169 ], and similar conclusions were previously reported in other studies [ 170 , 171 ]. In the same way, E-types workers forced to be active in early hours report poor sleep quality [ 172 ].…”

Section: Resultssupporting

confidence: 78%

“…A lack of synchronization with cultural standards related to activity timing can lead to worse academic achievement, higher anxiety, cardiometabolic risk, and complicated relationships with family members and school friends [ 26 , 169 , 179 , 185 , 186 , 187 , 188 ]. In this regard, the misalignment associated with eveningness can be partly considered a biological vulnerability factor concerning physical and cognitive performance as well as the development of psychological problems [ 20 ].…”

Section: Resultsmentioning

confidence: 99%

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Biological Rhythm and Chronotype: New Perspectives in Health

et al. 2021

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The circadian rhythm plays a fundamental role in regulating biological functions, including sleep–wake preference, body temperature, hormonal secretion, food intake, and cognitive and physical performance. Alterations in circadian rhythm can lead to chronic disease and impaired sleep. The circadian rhythmicity in human beings is represented by a complex phenotype. Indeed, over a 24-h period, a person’s preferred time to be more active or to sleep can be expressed in the concept of morningness–eveningness. Three chronotypes are distinguished: Morning, Neither, and Evening-types. Interindividual differences in chronotypes need to be considered to reduce the negative effects of circadian disruptions on health. In the present review, we examine the bi-directional influences of the rest–activity circadian rhythm and sleep–wake cycle in chronic pathologies and disorders. We analyze the concept and the main characteristics of the three chronotypes.

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Section: Resultssupporting

confidence: 78%

Section: Resultsmentioning

confidence: 99%

Biological Rhythm and Chronotype: New Perspectives in Health

et al. 2021

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“…The researchers used the Insomnia ISI and GAD-7 to measure both of these variables. The ISI score was interpreted as absence of insomnia (0-7), subthreshold insomnia (8)(9)(10)(11)(12)(13)(14), moderate insomnia (15)(16)(17)(18)(19)(20)(21), and severe insomnia (22)(23)(24)(25)(26)(27)(28); with excellent reliability and validity among university student 12 . GAD-7 score was categorized into minimal (0-4), mild (5-9), moderate (10)(11)(12)(13)(14), and severe (15)(16)(17)(18)(19)(20)(21).…”

Section: Methodsmentioning

confidence: 99%

“…5 The occurrence of anxiety has been associated with insomnia in several studies. 6,7,8 Both are problems which are often found in college students and young adults in general. Insomnia is a sleep disorder that can be characterized by difficulty starting or maintaining sleep or waking up too early and unable to return…”

Section: Introductionmentioning

confidence: 99%

Relationship between anxiety and insomnia in clinical clerkship students during COVID-19 pandemic

Sekartaji

Sari

Irsan

et al. 2021

J Community Empowerment for Health

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During the COVID-19 pandemic, there is an increase in anxiety disorder towards the general population, including those clinical clerkship students who are associated with health care services. There has been limited study conducted regarding to the topic, especially during the COVID-19 pandemic. This study was aimed to know the prevalence of anxiety and insomnia, as well as the correlation between them, in clinical clerkship students during COVID-19 pandemic. An online survey was conducted using a cross-sectional approach to 229 clinical clerkship students batch 2015 at the Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada. This study used the Insomnia Severity Index (ISI) and General Anxiety Disorder-7 (GAD-7), administered using Google Forms. Data were analysed using the Chi-Square test. We collected 101 responses. There were 41.6% of males and 58.4% of females with ages ranging from 21 to 26. The result shows 26.7% (95% CI: 8.1-35.4%) of students undergo anxiety and 44.6% (95% CI: 34.9-54.3%) of students experienced insomnia throughout the COVID-19 pandemic. There is a correlation between anxiety and insomnia on clinical clerkship students during the COVID-19 pandemic. Clinical clerkship students with an anxiety disorder have 2.62 times greater risk of experiencing insomnia (p<0.001). The correlation between insomnia and anxiety during COVID-19 pandemic is vital because clinical clerkship students are directly involved in health care services and could risk the safety of patients. Thus, it is important to conduct the course of actions to reduce the risk of mental health problems during pandemic conditions. Also, further research is needed to have a better understanding of the impact on learning performance.

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“…Исследование недельной активности у студентов выявило частую проблему вечернего типа: меньшее количество и худшее качество сна в будние дни по сравнению с утренним типом и попытки наверстать недостаток сна в выходные [24]. Другое исследование с участием студентов дополнило эту связь: у испытуемых с поздним хронотипом было не только худшее качество сна, но и повышенная тревожность по сравнению с ранним типом [25]. Вечерний хронотип является фактором, повышающим риск появления жалоб на бессонницу у студентов [26].…”

Section: хронотип как фактор риска нарушений снаunclassified

Sleep as a biological rhythm: clinical aspects

Puchkova

Полуэктов

2021

Medicinskij sovet

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Insomnia is a widespread disorder affecting not only sleep quantity and quality, but also daytime well-being and performance, as well as having a negative impact on physical and mental health. Many people have problems falling asleep and maintaining sleep that do not reach the clinical criteria of insomnia. For all the prevalence of such sleep disorders, specialists often overlook a fundamentally important factor that affects sleep and wakefulness cycle, ease of falling asleep and daytime performance. These are circadian rhythms of the body under the control of the biological clock.This review highlights the specifics of the human biological clock and its relationship to insomnia and complaints of poor sleep. The phenomenon of the human chronotype as a set of individual preferences in sleep-wake rhythm is considered. Late chronotype, tat tends to wake up late and be active in the evening turns out to be the most vulnerable to the appearance of complaints of poor sleep and development of insomnia. This result is typical for different age groups. The reason for problems sleep for the late chronotype is the need to adjust to social demands and to fall asleep and wake up too early relative to the phase of one’s own circadian rhythm.Circadian rhythms may contribute to the formation and maintenance of insomnia. Both chronic and acute insomnia may have a chronobiological component that is not always considered. Late chronotype may be a factor further exacerbating the course of insomnia. The regularity of circadian rhythms may also be impaired in insomnia.The importance of the biological clock in the regulation of sleep and wakefulness also explains the successful approach to insomnia treatment with melatonin, which plays an important signaling role in the circadian regulation of the body.

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Quality of sleep and anxiety are related to circadian preference in university students

Cited by 50 publications

References 50 publications

Biological Rhythm and Chronotype: New Perspectives in Health

Biological Rhythm and Chronotype: New Perspectives in Health

Relationship between anxiety and insomnia in clinical clerkship students during COVID-19 pandemic

Sleep as a biological rhythm: clinical aspects

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