Stress and sleep quality in medical students: a cross-sectional study from Vietnam

Tran, Duc-Si; Nguyen, Duy-Thai; Nguyen, Thai-Hang; Tran, Cao-Thinh-Phuoc; Duong-Quy, Sy; Nguyen, Thanh-Hiep

doi:10.3389/fpsyt.2023.1297605

Cited by 3 publications

(3 citation statements)

References 35 publications

(26 reference statements)

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“…We found that anxiety and depression mediated the relationship between perceived stress and sleep quality. Additionally, the present study demonstrated that perceived stress directly affected sleep quality that brought sleep difficulties among medical students that was similar as hypotheses and prior reaches of pandemic (21). On the other hand, Perceived stress also indirectly affected sleep quality by the mediating effect of anxiety and depression.…”

Section: Discussionsupporting

confidence: 83%

Association of perceived stress and sleep quality among medical students: the mediating role of anxiety and depression symptoms during COVID-19

Huang,

Wen,

et al. 2024

Front. Psychiatry

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COVID-19 has intensified the influence on medical students by changing the lifestyle, online study and clinical practice which bring out series of stress, sleep disturbance and mental health problems. This cross-sectional study aim to explore the association between perceived stress and sleep quality among medical students and investigated whether anxiety and depression mediated this association during pandemic. A total of 1,021 medical students in two universities who were from Guangdong Province, China participated this study and from January to September 2020 through the online question are, with 28.80% reporting sleep disturbances. The medical students were finished various self-reported questionnaires, including the Perceived Stress Scale-10, Pittsburgh Sleep Quality Index, Generalized Anxiety Disorder-7 Scale, and Patient Health Questionnaire-9, the study found positive correlations among sleep quality, perceived stress, anxiety, and depression. The data was analyzed with The Amos 26.0 system. Result demonstrated that perceived stress was associated with poor sleep quality. Anxiety and depression partially mediated the association between perceived stress and poor sleep quality, explaining 73.08% of the association. This study’s structural equation model offers a useful framework for assessing mechanisms mediating associations between perceived stress and sleep quality. The findings emphases the importance of addressing psychological factors in high-pressure situations, which can exacerbate sleep disturbances among medical students. It is important to screen the level of stress, mental health problems and investigate the risk factors of sleep quality among medical students during emergency public health events.

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Section: Discussionsupporting

confidence: 83%

Association of perceived stress and sleep quality among medical students: the mediating role of anxiety and depression symptoms during COVID-19

Huang,

Wen,

et al. 2024

Front. Psychiatry

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“…Similarly, in a study by Tran et al in Vietnam, 22% of medical students experienced a low-stress level, 63% had mild stress, and 15% had a high-stress level. 15 The main limitations of this study are that it is a uni-centered and single-subject-based study. We did not inquire about any pharmacological treatment students received before sleep.…”

Section: Discussionmentioning

confidence: 98%

Sleep Health of Medical Students Before the Annual Objective Structured Clinical Examination (Osce)

Khan,

Javed,

Haider

et al. 2024

JMS

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OBJECTIVES: To determine the sleep health of medical students before the annual OSCE at Khyber Medical College Peshawar (KMC) / Khyber Teaching Hospital Peshawar (KTH). MATERIALS AND METHODS: This descriptive cross-sectional study was conducted from April 6–14, 2022, in the Department of Medicine, KTH Peshawar. All students of final-year MBBS of KMC appearing in Final OSCE were included in the study after receiving informed consent. Students were classified as day scholars and hostelites. Levels of stress alertness, sleep efficiency, duration, and timing of sleep were checked in both genders, and all were categorized according to the SATED questionnaire. RESULTS: A total of 245 students were included in this study, of which 148 were male and 97 were female. Among these students, 84 were day scholars, and 161 were hostelites. Thirty-two students were completely unsatisfied with their sleep, 45 % were satisfied sometimes, 20.2% felt drowsy during most of their daytime, and 46.5% felt drowsy during some of the day. Males had significantly better sleep health (5.35 ± 2.0) compared to females (4.4 ± 1.9)-p < .001. Males had significantly higher average satisfaction (0.99 ± 0.72, p =.027) and average duration (1.34 ± 0.69, p < .001) of sleep compared to females (0.77 ± 0.74, 0.93 ± 0.74, respectively). CONCLUSIONS: Students' sleep health was considerably worse before the annual practical examination, and this difference was somewhat higher among hostelites. KEYWORDS: Sleep health, Sleep quality, medical students

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“…Stress and coping strategies have increasingly been studied, particularly in the population of medical students [ 1 – 5 ]. Studies in Vietnam show that the prevalence of experiencing stress among medical students are high, with more than 30% of the students perceived moderate to high level of stress [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Sources of stress, coping strategies and associated factors among Vietnamese first-year medical students

Nguyen,

Pu,

Waits

et al. 2024

PLoS ONE

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Objectives This study aims to examine the sources of stress among first-year medical students; the frequency of their coping strategies; the factors associated with specific stressors and specific coping strategies adopted by the participants. Methods We conducted a cross-sectional study with 409 first-year students at the University of Medicine and Pharmacy, Vietnam. The Vietnamese versions of the Higher Education Stress Inventory (V_HESI) and Brief Coping Orientation to Problems Experienced (V_Brief COPE) were validated and were used as measurement instruments for participants’ sources of stress and coping strategies frequencies. The survey comprised questions of socioeconomic status, stress-related issues, the six sources of stress (using the V_HESI), and the nine coping strategies (using the V_Brief COPE). Results Among the six sources of stress, “Worries about future competence/endurance” had the highest mean score (3.02±0.64), while “Mismatch in professional role expectations” had the lowest score (1.60±0.53). “Financial concerns” and “Academic workloads” were also significant sources of stress. Regarding coping strategies, Self-distraction was most frequently adopted by the participants (2.80 ± 0.68). Problem-solving (2.72±0.53) and seeking Social support (2.62±0.70) were also common adaptive strategies. Avoidance (1.87±0.55) and substance-use (1.27±0.55) were the least frequent strategies. Students who experienced acute stress event were more likely to have financial concerns compared to others. Substance use was positively associated with stressors from “Mismatch in professional role expectations”, “Non-supportive educational environment”, “Having physical issues” and “Having part-time job”. Self-blame was more frequent among students with “Worries about future competence/endurance”, “Financial concerns”, and “Academic workload”. Male student tended to adopt humor strategy (β = 0.19, p = 0.02), while less likely to utilize religious practices (β = -0.21, p = 0.01). Conclusions Two-thirds of the participants reported moderate to high levels of stress. “Worries about future competence/endurance” was the most concerned stressor, followed by “Academic workload”, and “Financial concerns”. The first-year medical students reported high frequency of utilization “Self-distraction”, “Problem-solving” and “Social support” when confronting stress. The findings may help inform the school management to better support students’ well-being.

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Stress and sleep quality in medical students: a cross-sectional study from Vietnam

Cited by 3 publications

References 35 publications

Association of perceived stress and sleep quality among medical students: the mediating role of anxiety and depression symptoms during COVID-19

Association of perceived stress and sleep quality among medical students: the mediating role of anxiety and depression symptoms during COVID-19

Sleep Health of Medical Students Before the Annual Objective Structured Clinical Examination (Osce)

Sources of stress, coping strategies and associated factors among Vietnamese first-year medical students

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