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

Arquivos de Neuro-Psiquiatria

Maria Paz Loayza H.²  Talles S. Ponte¹  Clarissa G. Carvalho¹  Michell R. Pedrotti¹  Paula V. Nunes¹  Camila M. Souza¹  Camila B. Zanette¹  Sara Voltolini¹  Marcia L. F. Chaves² 

[1] ,Universidade Federal do Rio Grande do Sul Behavioral Sciences Graduate Program in Internal MedicinePorto Alegre RS ,Brazil

关键词: insomnia;    psychiatric disorder;    sleep;    gender;    insônia;    transtorno psiquiátrico;    sono;    gênero;   

DOI  :  10.1590/S0004-282X2001000200005

来源: SciELO

【 摘 要 】

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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