Evaluation of the Relationship between Depression, Anxiety, and Stress with Sleep Quality in Nursing Students
-
Fazel Dehvan
,
Sahar Dalvand
,
Keivan Mirhassani
,
Mitra Amini
,
Soran Hosseini
,
Parinoush Kheirabadi
,
Reza Ghanei-Gheshlagh
Abstract
Background and Objective: Sleep disorder is highly prevalent among students and can cause neurological, behavioral, and physiological changes and academic decline. Current study aimed to evaluate the association between depression, anxiety, and stress with sleep quality in nursing students of Kurdistan University of Medical Sciences, Sanandaj, Iran.
Materials and Methods: This cross-sectional study was performed on 204 nursing students selected by convenience sampling method. Data were collected using demographic characteristics form, Pittsburgh Sleep Quality Index (PSQI), and Depression, Anxiety, and Stress Scale (DASS-21). Data analysis was performed by SPSS software.
Results: In this study, 115 participants (56.4%) were female and 84 students (41.2%) had poor sleep quality. The results indicated a significant and positive correlation between sleep quality score and depression (r = 0.492), anxiety (r = 0.391), and stress (r = 0.414). Moreover, there was a relationship between the mean score of sleep quality with de-pression and part-time job of students (P < 0.05).
Conclusion: The results of multivariate regression demonstrated that by increasing one unit in depression score and part-time job in students, sleep quality score increased by 0.238 and 1.850 units, respectively. According to the results of the study and concerning the relationship between students' part-time job and depression with sleep disorders, provi-sion of special interventions to enhance sleep quality in students seems necessary.
1. Mansouri A, Mokhayeri Y, Mohammadi Farrokhran E, et al. Sleep quality of students living in dormitories in Tehran University of Medical Sciences (TUMS) in 2011. Iran J Epidemiol 2012; 8: 71-82. [In Persian].
2. Ghoreishi A, Aghajani AH. Sleep quality in Zanjan University medical students. Tehran Univ Med J 2008; 66: 61-7. [In Persian].
3. Ghanei R, Hemmati Maslakpak M, Rezaei K, et al. Nursing students quality of sleep in dormitories of Urmia University of Medical Sciences. J Urmia Nurs Midwifery Fac 2011; 9: 277-82. [In Persian].
4. Ranjbaran M, Khorsandi. Prevalence of poor sleep quality in college students of Iran: Systematic review and meta-analysis. Razi J Med Sci 2016; 23: 1-7. [In Persian].
5. Dehdari T, Taatti R, Chaboksavar F. The relationship between sleep quality and psychological condition in college students. Rahavard Salamat 2016; 2: 1-9. [In Persian].
6. Javadi N, Darvishpour A, Mehrdad N, et al. Survey of sleep status and its related factors among hospitalized patients with heart failure. J Tehran Heart Cent 2015; 10: 9-17.
7. Revathi R, Manjula A, Sujitha P. Correlation be-tween knowledge and practice on sleep hygiene and sleep quality among nursing students. Manipal Journal of Nursing and Health Sciences 2016; 2: 46-9.
8. El Desouky EM, A. Lawend JAA, Awed HAM. Relationship between quality of sleep and academic performance among female nursing students. International Journal of Nursing Didactics 2015; 5: 6-13.
9. Mohammadi Farrokhran E, Mokhayeri Y, Tavakkol Z, et al. Relationship between quality of sleep and mental health among students living in dormitories. Knowledge Health 2012; 7: 112-7. [In Persian].
10. Beiter R, Nash R, McCrady M, et al. The prevalence and correlates of depression, anxiety, and stress in a sample of college students. J Affect Disord 2015; 173: 90-6.
11. Adewuya AO, Ola BA, Aloba OO, et al. Depression amongst Nigerian university students. Prevalence and sociodemographic correlates. Soc Psychiatry Psychiatr Epidemiol 2006; 41: 674-8.
12. Bayram N, Bilgel N. The prevalence and sociodemographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatry Psychiatr Epidemiol 2008; 43: 667-72.
13. Nerdrum P, Rustoen T, Ronnestad MH. Student psychological distress: A psychometric study of 1750 Norwegian 1st-year undergraduate students. Scand J Educ Res 2006; 50: 95-109.
14. Ovuga E, Boardman J, Wasserman D. Undergraduate student mental health at Makerere University, Uganda. World Psychiatry 2006; 5: 51-2.
15. Najafi Kalyani M, Pourjam E, Jamshidi N, et al. Survey of stress, anxiety, depression and self-concept of students of Fasa University of Medical Sciences, 2010. J Fasa Univ Med Sci 2013; 3: 235-40. [In Persian].
16. Seun-Fadipe CT, Mosaku KS. Sleep quality and psychological distress among undergraduate students of a Nigerian university. Sleep Health 2017; 3: 190-4.
17. Tao S, Wu X, Zhang Y, et al. Effects of sleep quality on the association between problematic mobile phone use and mental health symptoms in Chinese college students. Int J Environ Res Public Health 2017; 14.
18. Teker AG, Luleci NE. Sleep quality and anxiety level in employees. North Clin Istanb 2018; 5: 31-6.
19. Staner L. Sleep and anxiety disorders. Dialogues Clin Neurosci 2003; 5: 249-58.
20. Rezaei M, Khormali M, Akbarpour S, et al. Sleep quality and its association with psychological distress and sleep hygiene: A cross-sectional study among preclinical medical students. Sleep Sci 2018; 11: 274-80.
21. Mokros L, Witusik A, Michalska J, et al. Sleep quality, chronotype, temperament and bipolar features as predictors of depressive symptoms among medical students. Chronobiol Int 2017; 34: 708-20.
22. Augner C. Associations of subjective sleep quality with depression score, anxiety, physical symptoms and sleep onset latency in students. Cent Eur J Public Health 2011; 19: 115-7.
23. Demirci K, Akgonul M, Akpinar A. Relationship of smartphone use severity with sleep quality, depression, and anxiety in university students. J Behav Addict 2015; 4: 85-92.
24. Barahona-Correa JE, Aristizabal-Mayor JD, Lasalvia P, et al. Sleep disturbances, academic performance, depressive symptoms and substance use among medical students in Bogota, Colombia. Sleep Sci 2018; 11: 260-8.
25. Eslami Akbar R. The prevalence of sleep disorder and its causes and effects on students residing in Jahrom University of Medical Sciences dormitories, 2008. J Jahrom Univ Med Sci 2011; 9: 14-9. [In Persian].
26. Jafari A, Heidari Soureshjani R, Zare K. Investigation of relationship between sleep quality and stress, anxiety and depression among students in the shoushtar faculty of medical sciences. Educational Development of Jundishapur 2018; 9: 197-205. [In Persian].
27. Regestein Q, Natarajan V, Pavlova M, et al. Sleep debt and depression in female college students. Psychiatry Res 2010; 176: 34-9.
28. Bahrami M, Dehdashti A, Karami M. Sleep quality and its causes and consequences from the perspectives of students residing in the dormitories of school of health: A cross-sectional study in Semnan University of Medical Sciences in 2016. Koomesh 2018; 20: 96-104.
29. Araste M. Evaluation of insomnia in medical students of Kurdistan University. Sci J Kurdistan Univ Med Sci2007; 12: 58-63. [In Persian]
30. Mohammad A, Sakineh P, Arezoo M. Factors under-lying the late sleep among female students of the dormitory of Tabriz University based on grounded theory. Journal of Applied Sociology 2017; 28: 1-18. [In Persian].
31. Beachy KA, Moore C, Smith MM. The effects of part-time work on sleep quality in college students. Undergraduate Research Posters 2015: 137.
32. Manouchehri H, Imani E, Atashzadeh-Shoorideh F, et al. Challenges of work during studying from the perspective of nurses: A qualitative study with content analysis approach. Koomesh 2017; 19: 294-308. [In Persian].
2. Ghoreishi A, Aghajani AH. Sleep quality in Zanjan University medical students. Tehran Univ Med J 2008; 66: 61-7. [In Persian].
3. Ghanei R, Hemmati Maslakpak M, Rezaei K, et al. Nursing students quality of sleep in dormitories of Urmia University of Medical Sciences. J Urmia Nurs Midwifery Fac 2011; 9: 277-82. [In Persian].
4. Ranjbaran M, Khorsandi. Prevalence of poor sleep quality in college students of Iran: Systematic review and meta-analysis. Razi J Med Sci 2016; 23: 1-7. [In Persian].
5. Dehdari T, Taatti R, Chaboksavar F. The relationship between sleep quality and psychological condition in college students. Rahavard Salamat 2016; 2: 1-9. [In Persian].
6. Javadi N, Darvishpour A, Mehrdad N, et al. Survey of sleep status and its related factors among hospitalized patients with heart failure. J Tehran Heart Cent 2015; 10: 9-17.
7. Revathi R, Manjula A, Sujitha P. Correlation be-tween knowledge and practice on sleep hygiene and sleep quality among nursing students. Manipal Journal of Nursing and Health Sciences 2016; 2: 46-9.
8. El Desouky EM, A. Lawend JAA, Awed HAM. Relationship between quality of sleep and academic performance among female nursing students. International Journal of Nursing Didactics 2015; 5: 6-13.
9. Mohammadi Farrokhran E, Mokhayeri Y, Tavakkol Z, et al. Relationship between quality of sleep and mental health among students living in dormitories. Knowledge Health 2012; 7: 112-7. [In Persian].
10. Beiter R, Nash R, McCrady M, et al. The prevalence and correlates of depression, anxiety, and stress in a sample of college students. J Affect Disord 2015; 173: 90-6.
11. Adewuya AO, Ola BA, Aloba OO, et al. Depression amongst Nigerian university students. Prevalence and sociodemographic correlates. Soc Psychiatry Psychiatr Epidemiol 2006; 41: 674-8.
12. Bayram N, Bilgel N. The prevalence and sociodemographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatry Psychiatr Epidemiol 2008; 43: 667-72.
13. Nerdrum P, Rustoen T, Ronnestad MH. Student psychological distress: A psychometric study of 1750 Norwegian 1st-year undergraduate students. Scand J Educ Res 2006; 50: 95-109.
14. Ovuga E, Boardman J, Wasserman D. Undergraduate student mental health at Makerere University, Uganda. World Psychiatry 2006; 5: 51-2.
15. Najafi Kalyani M, Pourjam E, Jamshidi N, et al. Survey of stress, anxiety, depression and self-concept of students of Fasa University of Medical Sciences, 2010. J Fasa Univ Med Sci 2013; 3: 235-40. [In Persian].
16. Seun-Fadipe CT, Mosaku KS. Sleep quality and psychological distress among undergraduate students of a Nigerian university. Sleep Health 2017; 3: 190-4.
17. Tao S, Wu X, Zhang Y, et al. Effects of sleep quality on the association between problematic mobile phone use and mental health symptoms in Chinese college students. Int J Environ Res Public Health 2017; 14.
18. Teker AG, Luleci NE. Sleep quality and anxiety level in employees. North Clin Istanb 2018; 5: 31-6.
19. Staner L. Sleep and anxiety disorders. Dialogues Clin Neurosci 2003; 5: 249-58.
20. Rezaei M, Khormali M, Akbarpour S, et al. Sleep quality and its association with psychological distress and sleep hygiene: A cross-sectional study among preclinical medical students. Sleep Sci 2018; 11: 274-80.
21. Mokros L, Witusik A, Michalska J, et al. Sleep quality, chronotype, temperament and bipolar features as predictors of depressive symptoms among medical students. Chronobiol Int 2017; 34: 708-20.
22. Augner C. Associations of subjective sleep quality with depression score, anxiety, physical symptoms and sleep onset latency in students. Cent Eur J Public Health 2011; 19: 115-7.
23. Demirci K, Akgonul M, Akpinar A. Relationship of smartphone use severity with sleep quality, depression, and anxiety in university students. J Behav Addict 2015; 4: 85-92.
24. Barahona-Correa JE, Aristizabal-Mayor JD, Lasalvia P, et al. Sleep disturbances, academic performance, depressive symptoms and substance use among medical students in Bogota, Colombia. Sleep Sci 2018; 11: 260-8.
25. Eslami Akbar R. The prevalence of sleep disorder and its causes and effects on students residing in Jahrom University of Medical Sciences dormitories, 2008. J Jahrom Univ Med Sci 2011; 9: 14-9. [In Persian].
26. Jafari A, Heidari Soureshjani R, Zare K. Investigation of relationship between sleep quality and stress, anxiety and depression among students in the shoushtar faculty of medical sciences. Educational Development of Jundishapur 2018; 9: 197-205. [In Persian].
27. Regestein Q, Natarajan V, Pavlova M, et al. Sleep debt and depression in female college students. Psychiatry Res 2010; 176: 34-9.
28. Bahrami M, Dehdashti A, Karami M. Sleep quality and its causes and consequences from the perspectives of students residing in the dormitories of school of health: A cross-sectional study in Semnan University of Medical Sciences in 2016. Koomesh 2018; 20: 96-104.
29. Araste M. Evaluation of insomnia in medical students of Kurdistan University. Sci J Kurdistan Univ Med Sci2007; 12: 58-63. [In Persian]
30. Mohammad A, Sakineh P, Arezoo M. Factors under-lying the late sleep among female students of the dormitory of Tabriz University based on grounded theory. Journal of Applied Sociology 2017; 28: 1-18. [In Persian].
31. Beachy KA, Moore C, Smith MM. The effects of part-time work on sleep quality in college students. Undergraduate Research Posters 2015: 137.
32. Manouchehri H, Imani E, Atashzadeh-Shoorideh F, et al. Challenges of work during studying from the perspective of nurses: A qualitative study with content analysis approach. Koomesh 2017; 19: 294-308. [In Persian].
| Files | ||
| Issue | Vol 4 No 3-4 (2019): Summer-Autumn | |
| Section | Original Article(s) | |
| Keywords | ||
| Students; Nursing; Sleep; Depression; Anxiety; Life stress | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Dehvan F, Dalvand S, Mirhassani K, Amini M, Hosseini S, Kheirabadi P, Ghanei-Gheshlagh R. Evaluation of the Relationship between Depression, Anxiety, and Stress with Sleep Quality in Nursing Students. J Sleep Sci. 2020;4(3-4):81-85.
