Prevalence of sleep problems among medical students: a systematic review and meta-analysis
- PDF / 2,676,345 Bytes
- 18 Pages / 595.276 x 790.866 pts Page_size
- 10 Downloads / 182 Views
REVIEW ARTICLE
Prevalence of sleep problems among medical students: a systematic review and meta-analysis Haitham Jahrami 1,2 Noor AlAnsari 2
&
Julia Dewald-Kaufmann 3,4 & Mo’ez Al-Islam Faris 5 & Ahmed M. S. AlAnsari 2 & Mohamed Taha 2 &
Received: 7 December 2018 / Accepted: 12 March 2019 # Springer-Verlag GmbH Germany, part of Springer Nature 2019
Abstract Aim Several studies have shown high prevalence rates of sleep problems among medical students, including insufficient sleep duration, poor sleep quality, and excessive daytime sleepiness. This review aims to systematically summarize the existing literature on sleep problems among medical students and consequently estimate the prevalence of these disturbances. Subject and Methods The MEDLINE, EMBASE, ScienceDirect, and ProQuest Medical databases, the Google Scholar engine, and reference lists of retrieved articles were systematically searched and evaluated for quality. Results Forty–three studies involving a total of 18,619 students from 13 countries were included in the analyses. Results showed that the mean pooled sleep duration (K = 16, N = 10,512) was 6.3 h per night for medical students, [95% confidence interval (CI) 6.0–6.6]. The results also indicated that 55% [95% CI 48.0%–62.0%] of students reported poor sleep quality (K = 33, N = 15,462) according to the Pittsburgh Sleep Quality Index (PSQI); the mean pooled score of 6.3. Excessive daytime sleepiness (K = 18, N = 5688) was reported by 31.0% [95% CI 24.4%–37.7%] of students according to the Epworth Sleepiness Scale (ESS). Age and gender were not significant moderators for sleep quality or excessive daytime sleepiness. Some differences were obtained between countries, suggesting that cultural values, local conditions, and environment all have an impact on sleep practices and attitudes. Conclusion Sleep problems are highly prevalent among medical students and are therefore a severe problem. Prevention and intervention programs targeting these are therefore highly recommended for future studies. Keywords Sleep disturbance . Pittsburgh sleep quality index . Epworth Sleepiness Scale
Introduction Electronic supplementary material The online version of this article (https://doi.org/10.1007/s10389-019-01064-6) contains supplementary material, which is available to authorized users. * Haitham Jahrami [email protected] 1
Ministry of Health, PO Box 12, Manama, Kingdom of Bahrain
2
College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Kingdom of Bahrain
3
Department of Psychiatry and Psychotherapy, University Hospital, Ludwig Maximilans University Munich, Munich, Germany
4
Hochschule Fresenius, University of Applied Sciences Munich, Munich, Germany
5
Department of Clinical Nutrition and Dietetics, College of Health sciences/Research Institute for Medical and Health Sciences (RIMHS), University of Sharjah, Sharjah, United Arab Emirates
Research evidence indicates that sufficient sleep duration and good sleep quality are essential for neurocognitive functioning (Tononi and Ci
Data Loading...
