Influence of stress, anxiety, and depression on sleep quality and academic performance of medical students in Fallujah University, Iraq

Background: There is a relation between sleep quality, mental health, and academic performance among medical students. Students who experience better sleep quality and have good mental health will exhibit higher academic performance compared to those who have reduced sleep quality and poor psycholog...

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Veröffentlicht in:International journal of social psychiatry 2024-06, Vol.70 (4), p.772-777
Hauptverfasser: Al Ani, Hajer MJ, Al Shawi, Ameel F, Lafta, Riyadh K, Abdulqadir, Omnia, Nadhim, Sarah, Abdulkarim, Shaffa
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container_end_page 777
container_issue 4
container_start_page 772
container_title International journal of social psychiatry
container_volume 70
creator Al Ani, Hajer MJ
Al Shawi, Ameel F
Lafta, Riyadh K
Abdulqadir, Omnia
Nadhim, Sarah
Abdulkarim, Shaffa
description Background: There is a relation between sleep quality, mental health, and academic performance among medical students. Students who experience better sleep quality and have good mental health will exhibit higher academic performance compared to those who have reduced sleep quality and poor psychological health. Objective: To assess the relation between mental health problems, sleep quality, and academic performance among medical students in the stage of clinical training at the University of Fallujah, Iraq. Methods: In this cross-sectional study, a self-administered questionnaire was adopted that gathered three validated and previously used screening tools: The Pittsburgh Sleep Quality Index (PSQI), Depression Anxiety Stress Scale (DASS-21), and the AHELO Self-Assessment Questionnaire. Results: The findings revealed a high prevalence of anxiety, 40% of the students reported experiencing mild to moderate anxiety, while 24.1% showed severe anxiety, 20.0% experienced mild depression, and 10.8% had moderate depression. There was a significant negative correlation between stress and academic performance (Pearson’s r = −.333, p 
doi_str_mv 10.1177/00207640241229381
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Students who experience better sleep quality and have good mental health will exhibit higher academic performance compared to those who have reduced sleep quality and poor psychological health. Objective: To assess the relation between mental health problems, sleep quality, and academic performance among medical students in the stage of clinical training at the University of Fallujah, Iraq. Methods: In this cross-sectional study, a self-administered questionnaire was adopted that gathered three validated and previously used screening tools: The Pittsburgh Sleep Quality Index (PSQI), Depression Anxiety Stress Scale (DASS-21), and the AHELO Self-Assessment Questionnaire. Results: The findings revealed a high prevalence of anxiety, 40% of the students reported experiencing mild to moderate anxiety, while 24.1% showed severe anxiety, 20.0% experienced mild depression, and 10.8% had moderate depression. There was a significant negative correlation between stress and academic performance (Pearson’s r = −.333, p &lt; .001), between depression and academic performance (Pearson’s r = −.437, p &lt; .001), and between anxiety and academic performance (Pearson’s r = −.417, p &lt; .001). Conclusion: Mental health problems are prevalent among medical students represented by the study sample, and are significantly correlated to the students’ academic performance.</description><identifier>ISSN: 0020-7640</identifier><identifier>ISSN: 1741-2854</identifier><identifier>EISSN: 1741-2854</identifier><identifier>DOI: 10.1177/00207640241229381</identifier><identifier>PMID: 38327031</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Academic achievement ; Academic Performance ; Adolescent ; Adult ; Anxiety ; Anxiety - epidemiology ; Clinical assessment ; Clinical training ; College students ; Cross-Sectional Studies ; Depression - epidemiology ; Female ; Health problems ; Health status ; Humans ; Iraq ; Male ; Medical screening ; Medical students ; Mental depression ; Mental disorders ; Mental Health ; Psychiatric Status Rating Scales ; Psychological well being ; Questionnaires ; Self evaluation ; Sleep ; Sleep Quality ; Stress ; Stress, Psychological - epidemiology ; Students, Medical - psychology ; Surveys and Questionnaires ; Universities ; Young Adult</subject><ispartof>International journal of social psychiatry, 2024-06, Vol.70 (4), p.772-777</ispartof><rights>The Author(s) 2024</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c320t-fbbb453927c7e36e6f75c6b4cce21419699fac060252d994161bf04f2d85a26b3</cites><orcidid>0000-0001-5190-6564 ; 0000-0003-3555-3492</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/00207640241229381$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/00207640241229381$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,30999,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38327031$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Al Ani, Hajer MJ</creatorcontrib><creatorcontrib>Al Shawi, Ameel F</creatorcontrib><creatorcontrib>Lafta, Riyadh K</creatorcontrib><creatorcontrib>Abdulqadir, Omnia</creatorcontrib><creatorcontrib>Nadhim, Sarah</creatorcontrib><creatorcontrib>Abdulkarim, Shaffa</creatorcontrib><title>Influence of stress, anxiety, and depression on sleep quality and academic performance of medical students in Fallujah University, Iraq</title><title>International journal of social psychiatry</title><addtitle>Int J Soc Psychiatry</addtitle><description>Background: There is a relation between sleep quality, mental health, and academic performance among medical students. Students who experience better sleep quality and have good mental health will exhibit higher academic performance compared to those who have reduced sleep quality and poor psychological health. Objective: To assess the relation between mental health problems, sleep quality, and academic performance among medical students in the stage of clinical training at the University of Fallujah, Iraq. Methods: In this cross-sectional study, a self-administered questionnaire was adopted that gathered three validated and previously used screening tools: The Pittsburgh Sleep Quality Index (PSQI), Depression Anxiety Stress Scale (DASS-21), and the AHELO Self-Assessment Questionnaire. Results: The findings revealed a high prevalence of anxiety, 40% of the students reported experiencing mild to moderate anxiety, while 24.1% showed severe anxiety, 20.0% experienced mild depression, and 10.8% had moderate depression. There was a significant negative correlation between stress and academic performance (Pearson’s r = −.333, p &lt; .001), between depression and academic performance (Pearson’s r = −.437, p &lt; .001), and between anxiety and academic performance (Pearson’s r = −.417, p &lt; .001). Conclusion: Mental health problems are prevalent among medical students represented by the study sample, and are significantly correlated to the students’ academic performance.</description><subject>Academic achievement</subject><subject>Academic Performance</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Anxiety</subject><subject>Anxiety - epidemiology</subject><subject>Clinical assessment</subject><subject>Clinical training</subject><subject>College students</subject><subject>Cross-Sectional Studies</subject><subject>Depression - epidemiology</subject><subject>Female</subject><subject>Health problems</subject><subject>Health status</subject><subject>Humans</subject><subject>Iraq</subject><subject>Male</subject><subject>Medical screening</subject><subject>Medical students</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental Health</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychological well being</subject><subject>Questionnaires</subject><subject>Self evaluation</subject><subject>Sleep</subject><subject>Sleep Quality</subject><subject>Stress</subject><subject>Stress, Psychological - epidemiology</subject><subject>Students, Medical - psychology</subject><subject>Surveys and Questionnaires</subject><subject>Universities</subject><subject>Young Adult</subject><issn>0020-7640</issn><issn>1741-2854</issn><issn>1741-2854</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kcGKFDEQhoMo7uzqA3iRgBcP22sqSacnR1lcHVjw4p6bdLqiGdLpnqRbnCfwtU07o4IiBJKq-uqvIj8hL4DdADTNG8Y4a5RkXALnWmzhEdlAI6Hi21o-Jpu1Xq3ABbnMec9KDEw8JRdiK3jDBGzI9110YcFokY6O5jlhztfUxG8e5-P66GmP05r1Y6Tl5IA40cNigp-PP-vGmh4Hb-mEyY1pMGexAXtvTSiiS49xztRHemdCWPbmC32I_ium7Nchu2QOz8gTZ0LG5-f7ijzcvft0-6G6__h-d_v2vrKCs7lyXdfJWmje2AaFQuWa2qpOWoscJGiltTOWKcZr3mstQUHnmHS839aGq05ckdcn3SmNhwXz3A4-WwzBRByX3HLNhWa6VrKgr_5C9-OSYtmuFUwJkDWDulBwomwac07o2in5waRjC6xdXWr_can0vDwrL135pd8dv2wpwM0JyOYz_hn7f8UfUB6aFQ</recordid><startdate>20240601</startdate><enddate>20240601</enddate><creator>Al Ani, Hajer MJ</creator><creator>Al Shawi, Ameel F</creator><creator>Lafta, Riyadh K</creator><creator>Abdulqadir, Omnia</creator><creator>Nadhim, Sarah</creator><creator>Abdulkarim, Shaffa</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5190-6564</orcidid><orcidid>https://orcid.org/0000-0003-3555-3492</orcidid></search><sort><creationdate>20240601</creationdate><title>Influence of stress, anxiety, and depression on sleep quality and academic performance of medical students in Fallujah University, Iraq</title><author>Al Ani, Hajer MJ ; Al Shawi, Ameel F ; Lafta, Riyadh K ; Abdulqadir, Omnia ; Nadhim, Sarah ; Abdulkarim, Shaffa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c320t-fbbb453927c7e36e6f75c6b4cce21419699fac060252d994161bf04f2d85a26b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Academic achievement</topic><topic>Academic Performance</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Anxiety</topic><topic>Anxiety - epidemiology</topic><topic>Clinical assessment</topic><topic>Clinical training</topic><topic>College students</topic><topic>Cross-Sectional Studies</topic><topic>Depression - epidemiology</topic><topic>Female</topic><topic>Health problems</topic><topic>Health status</topic><topic>Humans</topic><topic>Iraq</topic><topic>Male</topic><topic>Medical screening</topic><topic>Medical students</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental Health</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychological well being</topic><topic>Questionnaires</topic><topic>Self evaluation</topic><topic>Sleep</topic><topic>Sleep Quality</topic><topic>Stress</topic><topic>Stress, Psychological - epidemiology</topic><topic>Students, Medical - psychology</topic><topic>Surveys and Questionnaires</topic><topic>Universities</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Al Ani, Hajer MJ</creatorcontrib><creatorcontrib>Al Shawi, Ameel F</creatorcontrib><creatorcontrib>Lafta, Riyadh K</creatorcontrib><creatorcontrib>Abdulqadir, Omnia</creatorcontrib><creatorcontrib>Nadhim, Sarah</creatorcontrib><creatorcontrib>Abdulkarim, Shaffa</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; 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Students who experience better sleep quality and have good mental health will exhibit higher academic performance compared to those who have reduced sleep quality and poor psychological health. Objective: To assess the relation between mental health problems, sleep quality, and academic performance among medical students in the stage of clinical training at the University of Fallujah, Iraq. Methods: In this cross-sectional study, a self-administered questionnaire was adopted that gathered three validated and previously used screening tools: The Pittsburgh Sleep Quality Index (PSQI), Depression Anxiety Stress Scale (DASS-21), and the AHELO Self-Assessment Questionnaire. Results: The findings revealed a high prevalence of anxiety, 40% of the students reported experiencing mild to moderate anxiety, while 24.1% showed severe anxiety, 20.0% experienced mild depression, and 10.8% had moderate depression. 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source Access via SAGE; MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA)
subjects Academic achievement
Academic Performance
Adolescent
Adult
Anxiety
Anxiety - epidemiology
Clinical assessment
Clinical training
College students
Cross-Sectional Studies
Depression - epidemiology
Female
Health problems
Health status
Humans
Iraq
Male
Medical screening
Medical students
Mental depression
Mental disorders
Mental Health
Psychiatric Status Rating Scales
Psychological well being
Questionnaires
Self evaluation
Sleep
Sleep Quality
Stress
Stress, Psychological - epidemiology
Students, Medical - psychology
Surveys and Questionnaires
Universities
Young Adult
title Influence of stress, anxiety, and depression on sleep quality and academic performance of medical students in Fallujah University, Iraq
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