Association between mental health screening by self-report questionnaire and insomnia in medical students

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Hidalgo, Maria Paz Loayza ; Ponte, T.S. ; Carvalho, Clarissa Gutierrez ; Pedrotti, Michel Rogerio ; Nunes, Paula Vianna ; Souza, Camila Morelatto de ; Zanette, Camila Bressan ; Voltolini, Sara ; Chaves, Marcia Lorena Fagundes (2001)
  • Publisher: Academia Brasileira de Neurologia - ABNEURO
  • Journal: (issn: 0004-282X, eissn: 1678-4227)
  • Subject: Psychiatric disorder | Gender | Neurosciences. Biological psychiatry. Neuropsychiatry | RC321-571 | Distúrbios do início e da manutenção do sono | Estudantes de medicina | Questionários | Insomnia | Sleep | Distribuição por sexo | Estudos transversais | Diagnóstico [Transtornos mentais] | Efeitos adversos [Privação do sono]

Epidemiological research points to the high prevalence of psychiatric disorders among insomniacs. We carried out a cross-sectional study with medical students with the aim of evaluating the association between insomnia and suspicion of psychiatric disorder; 302 medical students were included (184 males and 118 females; mean age = 20.47±1.89 years). The main association was tested by logistic regression analysis. The overall prevalence of positivity in a screening test for psychiatric disorder was 22.19%; and of insomnia, 28.15%. Difficulty initiating sleep (OR=3.45), difficulty maintaining sleep (OR=7.61), falling asleep later (OR=1.99) and waking up earlier (OR=1.91) were associated with suspicion of psychiatric disorder. As a group, the variables difficulty initiating sleep, difficulty maintaining sleep, falling asleep after 11 pm, and waking up before 6 am presented an odds ratio of 5.96 for positivity in the screening for psychiatric disorder. Furthermore, difficulty maintaining sleep (OR=2.24) was associated with "being female," and falling asleep later (OR=0.43) was associated with "being male". These results underscore the importance of determining in what cases difficulty sleeping may have severe clinical repercussions or affect performance.
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