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

Abstract

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.

The relationship between sleep hygiene and the prevalence of insomnia in medical students during the COVID-19 pandemic at the Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia

“…There were no students who experienced severe insomnia. The results of this study are not in line with other studies which found that 44.6% of medical students who underwent on clinical clerkship experienced insomnia while studying during a pandemic [10], and research conducted on medical students (pre-clinic) at Gadjah mada University, which showed that 44.6% of students experienced insomnia during the COVID-19 pandemic [11].…”

The prevalence and severity of insomnia symptoms during COVID-19: A global systematic review and individual participant data meta-analysis

“… Age = 22.5 years; Female % = 81.58%. 8 38 Sekartaji et al 2021 [ 101 ] Indonesia n = 101; Population = University students. Age = 22.86 years; Female % = 57.41%.…”

Anxiety Level of Midwifery Clinical Students During Covid-19 Pandemic

“…Anxiety is a feeling of excessive worry characterized by restlessness, fatigue, difficulty concentrating, irritability, tension, and sleep disturbances ( Sekartaji et al, 2021 ). Anxiety at a moderate level can positively affect the learning process, but it can harm learning at a high level.…”