Impact of Examination Stress on Sleep Pattern and Academic Performance of Medical and Dental Students
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Abstract
Introduction: In this study, we first established the normal sleep pattern prevalent in a group of undergraduate medical and dental students and then assessed changes in this pattern a week before examination. Concurrently, we explored how examination stress can impact the academic performance of the subjects. Methods: A self-administered questionnaire in English language only, in the form of Google docs was given to 201 medical and dental undergraduates in their first year in Chettinad Hospital and Research Institute (Chennai, India), which contained a variety of questions in line with seven chosen parameters. The questionnaire was administered in a single setting, with questions requiring subjective answers on sleep pattern on regular and stress days. The results were statistically analysed using SPSS V 26. Results: Sleep rhythm was found to be strongly influenced by examination stress (p < 0.05). Notably, day time sleeping was widespread among the students. Conclusion: With our results indicating that non-stressful sleep has a strong impact on the academic performance of students, we suggest changes like double shift college and small group discussions that can help students overcome stress induced setbacks.
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Marshall GJ, Turner AN. The importance of sleep for athletic performance. Strength & Conditioning Journal. 2016;38(1):61-7. doi: 10.1519/SSC.0000000000000189
Grant MC, Glen J. An investigation into sleep patterns and the effect of time of day on performance in youth swimmers. Biol Rhythm Res. 2018 Nov 2;49(6):830–43. doi: 10.1080/09291016.2018.1424774
Saddoud A, Rekik G, Belkhir Y, Kammoun N, Hidouri S, Chlif M, et al. One night of total sleep deprivation impairs decision-making skills, anaerobic performances, mood states, and perceptual responses in elite Kung-Fu athletes. Biol Rhythm Res. 2023;54(1):102–16. doi: 10.1080/09291016.2022.2090673
Wahlstrom KL, Plog AE, McNally J, Meltzer LJ. Impact of Changing School Start Times on Teacher Sleep Health and Daytime Functioning. Journal of School Health. 2023;93(2):128–34. doi: 10.1111/josh.13254
Deng Y, Cherian J, Kumari K, Samad S, Abbas J, Sial MS, et al. Impact of Sleep Deprivation on Job Performance of Working Mothers: Mediating Effect of Workplace Deviance. Int J Environ Res Public Health. 2022;19(7):1-17. doi: 10.3390/ijerph19073799
Zhang Y, Tian S, Zou D, Zhang H, Pan CW. Screen time and health issues in Chinese school-aged children and adolescents: a systematic review and meta-analysis. BMC Public Health. 2022;22(1):810. doi:10.1186/s12889-022-13155-3
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(1):69-74. doi: 10.5664/jcsm.4370.
Aljasem A, Alsahafi W, Aljubour A, Alobaid A, Binsaeed A, Alshamoosi M, et al. Sleep pattern and dozing chance among university students. J Family Med Prim Care. 2020;9(12):6249-6253. doi: 10.4103/jfmpc.jfmpc_941_20.
Basu M, Saha SK, Majumder S, Chatterjee S, Misra R. A Study on Sleeping Pattern among Undergraduate Medical Students of a Tertiary Care Teaching Hospital of Kolkata. Int J Med Public Health. 2019;9(4):118–24. doi: 10.5530/ijmedph.2019.4.26
Alalageri KM, Sobagaih RT. A cross sectional study to determine the sleep pattern and impact of sleep deprivation on the health and academics of medical students of BMCRI Bengaluru. Int J Community Med Public Health. 2017;4:3731-4. doi: 10.18203/2394-6040.ijcmph20174241
Gowda N R V, Maria Paul A, S Sumadevi V. Sleep pattern and life style habits in medical students and interns. Indian J Clin Anat Physiol. 2020;7(1):56–61. doi: 10.18231/j.ijcap.2020.013
Ali A, Majeed MB, Saba K, Bodenarain A, Bukhari MH. Effects of different sleeping patterns on academic performance in medical school students. Nat Sci (Irvine). 2013;05(11):1193–8. doi: 10.4236/ns.2013.511146
Hamed H, Miskey A, Alkurd R, Ghazal Z, Sami R, Abduljaleel N, Shahwan M. The effect of sleeping pattern on the academic performance of undergraduate medical students at Ajman University of Science and Technology. Journal of Pharmacy and Pharmaceutical Sciences. 2015;4(4):18-21.
Okano K, Kaczmarzyk JR, Dave N, Gabrieli JDE, Grossman JC. Sleep quality, duration, and consistency are associated with better academic performance in college students. NPJ Sci Learn. 2019;4(1):16 doi: 10.1038/s41539-019-0055-z
Zeek ML, Savoie MJ, Song M, Kennemur LM, Qian J, Jungnickel PW, Westrick SC. Sleep duration and academic performance among student pharmacists. American journal of pharmaceutical education. 2015;79(5):63. doi: 10.5688/ajpe79563
Bjørnnes AK, Torbjørnsen A, Valeberg BT, Sparboe-Nilsen BB, Sandbekken IH, Almendingen K, et al. What is Known About Students and Sleep: Systematic Review and Evidence Map. Sage Open. 2021;11(3). doi: 10.1177/21582440211032162
Wang F, Bíró É. Determinants of sleep quality in college students: A literature review. Explore. 2021;17(2):170-7. doi: 10.1016/j.explore.2020.11.003
Lawson HJ, Wellens-Mensah JT, Attah Nantogma S. Evaluation of Sleep Patterns and Self-Reported Academic Performance among Medical Students at the University of Ghana School of Medicine and Dentistry. Sleep Disord. 2019;2019:1–8. doi: 10.1155/2019/1278579
Giri P, Baviskar M, Phalke D. Study of Sleep Habits and Sleep Problems Among Medical Students of Pravara Institute of Medical Sciences Loni, Western Maharashtra, India. Ann Med Health Sci Res.2013;3(1):51. doi: 10.4103/2141-9248.109488
Veldi M, Aluoja A, Vasar V. Sleep quality and more common sleep-related problems in medical students. Sleep Med. 2005;6(3):269–75. doi: 10.1016/j.sleep.2004.12.003
Nojomi M, Farhad M, Bandi G, Kaffashi Bs S. Sleep Pattern in Medical Students and Residents. Archives of Iranian Medicine. 2009; 12(6):542-9. PMID: 19877745.
Goel N, Malhotra V, Tripathi Y. Sleep habits among first year medical students. J. Evolution Med. Dent. Sci. 2016;5(38):2276-2278. doi: 10.14260/jemds/2016/529
Thomas PC, Sundar B. Sleep Quality, Day Time Sleepiness and Academic Performance in First Year Medical Students. J Evol Med Dent Sci. 2019;8(39):2934–8. doi: 10.14260/jemds/2019/638
Lima PF, Medeiros AL, Araujo JF. Sleep-wake pattern of medical students: early versus late class starting time. Brazilian Journal of Medical and Biological Research. 2002;35:1373-7. doi: 10.1590/S0100-879X2002001100016
Ansari M. Sleeping pattern of medical students preceding viva examination and their performance. Journal of the Nepal Medical Association. 2015;53(200):262–5. doi: 10.31729/jnma.2742
Gandhi K, Godaria Y, Revadi G. Evaluation of sleep pattern due to stress in undergraduate medical students and its impact on health and academic performance: A cross-sectional study from tertiary health center of Central India. medRxiv. 2021 Sep 23:2021-09. doi:10.1101/2021.09.19.21263802
Sitticharoon C, Srisuma S, Kanavitoon S, Summachiwakij S, Srisuma S. Exploratory study of factors related to educational scores of first preclinical year medical students. Adv Physiol Educ [Internet]. 2014;38:25–33. doi: 10.1152/advan.00162.2012.