ABSTRACT
Objective: To determine the prevalence of sleep disturbance among Lebanese University medical students and residents during their clinical years and investigate associations with night versus day shifts, psychological stress, and fatigue.Methods: A single-center cross-sectional study was conducted with medical students in their sixth and seventh years of study as well as residents. A total of 226 medical trainees participated in the study. A self-administered questionnaire was distributed electronically in August 2022. The survey included the Pittsburgh Sleep Quality Index to diagnose sleep disturbance levels as well as questions about demographic data and associated factors. The Epworth Sleepiness Scale, Perceived Stress Scale, and Fatigue Severity Scale were also included.Results: Among 226 participants, the prevalence of significant sleep disturbance was found to be 81%. Academic year (P = .009), night shifts (P < .001), stress (P < .001), fatigue (P < .001), and hypnotic use (P = .045) were found to be associated with sleep disturbance. Of the participants, 82% had moderate stress levels, and 74% were found to have fatigue. Excessive daytime sleepiness was reported in 38% of participants.Conclusions: The frequency of significant sleep disturbance among the medical students and residents was found to be high. Academic year, night shifts, stress, fatigue, and hypnotic use were associated with sleep disturbance.Prim Care Companion CNS Disord 2023;25(5):23m03492. Author affiliations are listed at the end of this article.
Subject(s)
Fatigue , Sleep Wake Disorders , Humans , Cross-Sectional Studies , Universities , Fatigue/epidemiology , Sleep , Stress, Psychological/epidemiology , Hypnotics and Sedatives , Sleep Wake Disorders/epidemiologyABSTRACT
BACKGROUND AND OBJECTIVES: Migraine is a common neurologic disorder and has a great influence on medical students' life. This study aims to determine the prevalence of migraine as well as its association with different factors, and its impact on daily activities among medical students in the Lebanese university. METHODS: This is a cross sectional, monocentric study. A self-administered questionnaire was distributed electronically in March 2021. It included the headache society criteria to diagnose migraine as well as questions about demographic data and some associated factors. The impact of migraine on daily activities was measured using the MIDAS scale. RESULTS: Among 471 participants, prevalence of migraine was found to be 12.1%. Age (p = 0.02), family history (p < 0.001), academic year (p = 0.009), online education (p < 0.001), anxiety (p = 0.017), depression (p = 0.001) as well as insomnia (p < 0.001) were found to be associated with migraine. Lastly, based on the MIDAS scale, half of the students suffering from migraine (55%) suffered from severe disability (grade 4 MIDAS). CONCLUSION: High prevalence of migraine was apparent among medical students in our current study. Anxiety, depression, insomnia as well as the presence of online education were considered as factors associated with this disease.