Effects of sleep quality on mental health and academic performance among final-year pharmacy students at a university in Enugu, Nigeria

Document Type : Original Article

Authors

Department of Clinical Pharmacy and Pharmacy Management, University of Nigeria, 410001, Nsukka, Enugu State, Nigeria

Abstract

Background: Pharmacy students have a rigorous academic workload that can interfere with their sleeping time. This study aimed to determine the correlates of sleep quality with mental health and academic performance of final-year pharmacy students at a Nigerian university.
Method: The present study used the paper-based self-administered questionnaires such as the Pittsburgh Sleep Quality Index, Generalized Anxiety Disorder Scale, and Patient Health Questionnaire to conduct a cross-sectional study among final-year pharmacy students at the University of Nigeria, Nsukka, Enugu State, Nigeria. The questionnaires were validated and reliable, as their Cronbach’s alpha were within acceptable range (α > 0.7). The examination score in clinical pharmacy courses was used to assess students' academic performance. The data analysis was performed using descriptive statistics and Pearson correlation.
Results: Of the 274 respondents, about 186 (68%) students had bad sleeping habits. The prevalence of anxiety and depression were found to be present in 134 (48.9%) and 128 (46.7%), respectively. Anxiety (r = 0.229, p < 0.01) and depression (r = 0.211, p < 0.01) had a positive relationship with students’ quality of sleep. However, no connection was found between sleep quality and academic performance (r = -0.022, p > 0.05).
Conclusion: The quality of sleep among final-year pharmacy students was linked to anxiety and depression. However, student’s sleep quality has no bearing on academic success.

Keywords


  1. Cho JW, Duffy JF. Sleep, sleep disorders, and sexual dysfunction. World J Men's Health 2019; 37:261–75.
  2. Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM, Buysse DJ. Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society. Sleep 2015; 38:1161–83.
  3. Buxton OM, Marcelli E. Short and long sleep are positively associated with obesity, diabetes, hypertension, and cardiovascular disease among adults in the United States. Soc Sci Med. 2010;71(5):1027–36.
  4. Cappuccio FP, Cooper D, Delia L, Strazzullo P, Miller MA. (2011). Sleep duration predicts cardiovascular outcomes: A systematic review and meta-analysis of prospective studies. Eur Heart J. 2011;32(12):1484–92.
  5. Vedaa Ø, Krossbakken E, Grimsrud ID, Bjorvatn B, Sivertsen B, Magerøy N, et al. Prospective study of predictors and consequences of insomnia: Personality, lifestyle, mental health, and work-related stressors. Sleep Med. 2016;20:51–58.
  6. Sarbazvatan H, Amini A, Aminisani N, Shamshirgaran SM. Sleep Quality and Academic Progression among Students of Tabriz University of Medical Sciences, Northwest of Iran. Res Dev Med Educ 2017;6:29–33.
  7. Azad MC, Fraser K, Rumana N, Abdullah AF, Shahana N, Hanly PJ, et al. Sleep disturbances among medical students: A global perspective. J Clin Sleep Med. 2015;11(01):69–74.
  8. Veldi M, Aluoja A, Vasar V. Sleep quality and more common sleep-related problems in medical students. Sleep Med. 2005;6(3):269–75.
  9. Ghoreishi SA, Aghajani AH. Sleep quality in Zanjan University Medical students. Tehran University Med J. 2008;6: 61–67.
  10. Abdulghani HM, Alrowais NA, Bin-Saad NS, Al-Subaie NM, Haji AMA, Alhaqwi AI. Sleep disorder among medical students: Relationship to their academic performance. Med Teach. 2012;34. https://doi.org/10.3109/0142159X.2012.656749.
  11. Vilchez-Cornejo J, Quiñones-Laveriano D, Failoc-Rojas V, Acevedo-Villar T, Larico-Calla, G, Mucching-Toscano S, et al. Mental health and quality of sleep from eight faculties of medical students in Peru. Revista Chilena de Neuropsiquiatria 2016;54:272–81.
  12. Al-Khani AM, Sarhandi MI, Zaghloul MS, Ewid M, Saquib N. A cross-sectional survey on sleep quality, mental health, and academic performance among medical students in Saudi Arabia. BMC Res Notes 2019;12.
  13. Said AH, Yusof MZ, Mohd FN, Azmi MANH, Mohd HH, Abdullah AW. Poor sleep quality among medical students in international Islamic university Malaysia (IIUM) and its association with mental health and other factors. Int Med J Malaysia 2020;19:49–57.
  14. Cates ME, Clark A, Woolley TW, Saunders A. Sleep quality among pharmacy students. Am J Pharm Educ. 2015;79:1–6.
  15. Ogaji J, Ojabo C. Pharmacy education in Nigeria: The journey so far. Arch Pharm Pract 2014;5:47.
  16. Ikhile IJ, Chijioke-Nwauche IN. Pharmacy Education in Nigeria: The Profression. World J Pharm Res 2016;5:258–72.
  17. Agofure O, Okandeji-Barry OR, Ume IS. Knowledge and perception of mental disorders among relatives of mentally ill persons in a rural community in South-South Nigeria. J Community Med Primary Health Care 2019;31:66–77.
  18. Adewuya AO, Atilola O, Ola BA, Coker OA, Zachariah MP, Olugbile O, et al. Current prevalence, comorbidity and associated factors for symptoms of depression and generalized anxiety in the Lagos State Mental Health Survey (LSMHS), Nigeria. Comprehensive Psychiatry 2018;81:60–65.
  19. Aluh DO, Abba A, Afosi AB. Prevalence and correlates of depression, anxiety and stress among undergraduate pharmacy students in Nigeria. Pharm Educ 2020;20:236–48.
  20. Mollayeva T, Thurairajah P, Burton K, Mollayeva S, Shapiro CM, Colantonio A. The Pittsburgh sleep quality index as a screening tool for sleep dysfunction in clinical and non-clinical samples: A systematic review and meta-analysis. Sleep Med Rev 2016;25:52–73.
  21. Lee B, Kim YE. The psychometric properties of the Generalized Anxiety Disorder scale (GAD-7) among Korean university students. Psychiatr Clin Psychopharmacol 2019;29:864–71.
  22. Saldivia S, Aslan J, Cova F, Vicente B, Inostroza C, Rincón P. Psychometric characteristics of the patient health questionnaire (PHQ-9). Revista Medica de Chile 2019;147:53–60.
  23. Lai PP, Say YH. Associated factors of sleep quality and behavior among students of two tertiary institutions in Northern Malaysia. Med J Malaysia 2013;68:196–203.
  24. Choueiry N, Salamoun T, Jabbour H, El Osta N, Hajj A, Khabbaz LR. Insomnia and relationship with anxiety in university students: A cross-sectional designed study. PLoS One 2016;11.
  25. Jambi SK, Ibrahim NK, Fatani AN, Badawi FA, Andijani RA, Mansouri YM. Sleep Quality among Medical Students at King Abdulaziz University: A Cross-sectional Study. J Community Med Health Educ 2017;7. Available from: https://doi.org/10.4172/2161-0711.1000561.
  26. Fischbein R, Bonfine N. Pharmacy and medical students’ mental health symptoms, experiences, attitudes and help-seeking behaviors. Am J Pharm Educ 2019;83:2204–15.
  27. Niroumand S, Naseroddin M, Talebi M, Dadgarmoghaddam M, Moodi Ghalibaf A. Mental Health as a Determinant Factor in Academic Performance: A cross-sectional study among medical students of Mashhad University of Medical Sciences, Mashhad, Iran. Future Med Educ J. 2021;11(4):40-5.
  28. Yusof NSM, Zainal ZA, Huri HZ, Jacob SA, Alwi MNM, Hassan Y, et al. Prevalence of depression among undergraduate pharmacy students in Malaysia. Int J Pharm Res 2020;12:2033–42.
  29. Fawzy M, Hamed SA. Prevalence of psychological stress, depression and anxiety among medical students in Egypt. Psychiatr Res. 2017;255:186–94.
  30. Fiorillo A, Gorwood P. The consequences of the COVID-19 pandemic on mental health and implications for clinical practice. European psychiatry : the journal of the Association of European Psychiatrists 2020; 63: e32.
  31. Mastour H, Moodi Ghalibaf A, Niroumand S. Remote Online Test Anxiety during the COVID-19 Crisis: A Cross-Sectional Study among Medical Students. Iran. Red. Crescent. Med. J. [Internet] 2022;24(3):e1645
  32. Tafoya SA, Jurado MM, Yépez NJ, Fouilloux M, Lara MC. Sleep difficulties and psychological symptoms in medicine students in Mexico. Medicina (B Aires) 2013;73:247–51.
  33. Shuang FG, Wu CJ, Zhen YX. Study on the status and quality of sleep-related influencing factors in medical college students. Zhonghua Liu Xing Bing Xue Za Zhi 2005;26:328–31.
  34. Ahrberg K, Dresler M, Niedermaier S, Steiger A, Genzel L. The interaction between sleep quality and academic performance. J Psychiatr Res. 2012;46:1618–22.
  35. Alotaibi A, Alosaimi F, Alajlan A, Bin Abdulrahman K. (2020). The relationship between sleep quality, stress, and academic performance among medical students. J Fam Community Med 2020;27:23–28.
  36. Genzel L, Ahrberg K, Roselli C, Niedermaier S, Steiger A, Dresler M, et al. Sleep timing is more important than sleep length or quality for medical school performance. Chronobiol Int 2013;30:766–71.
  37. Jalali R, Khazaei H, Khaledi PB, Hayrani Z, Menati L. The effect of sleep quality on students’ academic performance. Adv Med Educ Pract 2020;11:497–502.
  38. Medeiros ALD, Mendes DBF, Lima PF, Araujo JF. The relationships between sleep-wake cycle and academic performance in medical students. Biological Rhythm Res 2001;32:263–70.