Welcome to Open Science
Contact Us
Home Books Journals Submission Open Science Join Us News
Association of Insomnia and Mental Health Among Medical Students of a Private Medical College in Malaysia (A Cross Sectional Analytical Study)
Current Issue
Volume 3, 2018
Issue 5 (September)
Pages: 72-78   |   Vol. 3, No. 5, September 2018   |   Follow on         
Paper in PDF Downloads: 40   Since Sep. 29, 2018 Views: 4840   Since Sep. 29, 2018
Authors
[1]
Ravinraj Singh, Department of Community Medicine, Melaka Manipal Medical College, Muar, Johor, Malaysia.
[2]
Stephanie Chang Yen Li, Department of Community Medicine, Melaka Manipal Medical College, Muar, Johor, Malaysia.
[3]
Felina Innaci Dass, Department of Community Medicine, Melaka Manipal Medical College, Muar, Johor, Malaysia.
[4]
Nabilah Ismah binti Muhamad Rapidi, Department of Community Medicine, Melaka Manipal Medical College, Muar, Johor, Malaysia.
[5]
Muhammad Hafizuddin bin Ahmad Razid, Department of Community Medicine, Melaka Manipal Medical College, Muar, Johor, Malaysia.
Abstract
The purpose of this research is to determine the association of insomnia and mental health among medical students of Melaka Manipal Medical College. The research conducted was an analytical cross-sectional study using SRQ. The data collection comprises of independent variables under the ISQ questionnaires which are insomnia, psychiatric disorder, circadian rhythm, movement disorder, parasomnia and sleep apnea with confounding factors of gender, usage of sleeping aids and duration of sleep/day. It was carried out for duration of 4 weeks starting from 11th April 2016 till 13th May 2016 on 4th year medical undergraduates. A sample size of 265 was used. Microsoft Excel and Epi Info Version 7 have been used to record and analyze data. Out of all the factors, insomnia, circadian rhythm and parasomnia has the strongest association to mental health. The research on insomnia in medical students is of particular interest as it is known that sleep disturbances has the capability to affect the mental well-being of an individual. Based on a study, the association of insomnia and mental health is significant (OR=2.97). Circadian rhythm disorder is defined as disruptions in a person’s circadian rhythm. Circadian rhythm regulates the estimated 24-hour cycle of biological processes. To date, there are still no significant evidence to portray the relationship between both circadian rhythm disorder and mental health. Sleep apnea is characterized by repeated pharyngeal obstruction, during sleep causing apnea and hypopnea. Depressive disorder (21.75%), anxiety disorders (16.67%), PTSD (11.85%), psychotic disorders (5.13%), bipolar disorder (4.06%), and dementia (2.13%) were statistically significantly more prevalent in the apnea group compared with the non-apnea group. The study looked at the prevalence by gender of different types of common mental illnesses. The researchers also found that women with anxiety disorders are more likely to internalize emotions, which typically results in withdrawal, loneliness and depression. Men, on the other hand, are more likely to externalize emotions, which leads to aggressive, impulsive, coercive and noncompliant behavior, according to the study. Sleeping aids has also shown association to affect mental health. Other factors such as sleeping hours per day and parasomnia are also the variables being analyzed.
Keywords
Insomnia, Mental Health, Medical Students
Reference
[1]
WHO | Mental health: a state of well-being. Who.int. 2016 [cited 5 May 2016]. Available from: http://www.who.int/features/factfiles/mental_health/en/
[2]
Mohd Sidik S, Rampal L, Kaneson N. Prevalence of emotional disorders among medical students in a Malaysian university. 2016 [cited 5 May 2016]. Available from: http://apfmj-archive.com/afm2.4/afm_89.pdf
[3]
Loayza H M, Ponte T, Carvalho C, Pedrotti M, Nunes P, Souza C et al. Association between mental health screening by self-report questionnaire and insomnia in medical students. Arq Neuro-Psiquiatr. 2001; 59 (2A): 180-185.
[4]
Jpshealthnet.org, Insomnia Screening Questionnaire 2016 [cited 5 May 2016]. https://www.jpshealthnet.org/sites/default/files/insomnia_screening_questionnaire.pdf
[5]
General Information Melaka Manipal Medical College – Admission. 2016 [cited 5 May 2016]. Available from: http://www.mmmc.edu.my/content.php?id=21&sid=3&lang_id=1
[6]
PubMed e. Health correlates of insomnia symptoms and comorbid mental disorders in a nationally representative sample of US adolescents. - PubMed - NCBI. Ncbi.nlm.nih.gov. 2016 [cited 10 May 2016]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25325502
[7]
Sachdeva S, Talwar R, Sachdeva S, Kapoor R. Prevalence Of Anxiety And Insomnia Among Medical Students. 2016 [cited 10 May 2016]. Available from: http://www.conferenceseries.com/eposters/prevalence-of-anxiety-and-insomnia-among-medical-students-stress-management-2015-stress-management-2015.pdf
[8]
Circadian Rhythm Disorders: Sleep Disorders | Cleveland Clinic. My.clevelandclinic.org. 2016 [cited 10 May 2016]. Available from: https://my.clevelandclinic.org/services/neurological_institute/sleep-disorders-center/disorders-conditions/hic-circadian-rhythm-disorders
[9]
B. Boivin DLamont E. The role of circadian clock genes in mental disorders. Dialogues in Clinical Neuroscience. 2007 [cited 10 May 2016]; 9 (3). 333. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3202489/
[10]
Thorpy MPlazzi G. The parasomnias and other sleep-related movement disorders. Cambridge, UK: Cambridge University Press; 2010. Available from: https://books.google.com.my/books?hl=en&lr=&id=bCh5vsI4AjcC&oi=fnd&pg=PR10&dq=parasomnia+leads+to+mental+health&ots=Uk-9r42DAr&sig=1pW3yEw0TONFxzteTee_2wgDeeQ&redir_esc=y#v=onepage&q=parasomnia%20leads%20to%20mental%20health&f=false
[11]
Doghramji KMarkov D. Update on Parasomnias: A Review for Psychiatric Practice. Psychiatry (Edgmont). 2016 [cited 10 May 2016]; 3 (7): 69. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2958868/
[12]
Fisher H, Lereya S, Thompson A, Lewis G, Zammit S, Wolke D. Childhood Parasomnias and Psychotic Experiences at Age 12 Years in a United Kingdom Birth Cohort. SLEEP. 2014. Available from: https://www.researchgate.net/profile/Andrew_Thompson19/publication/260448599_Childhood_Parasomnias_and_Psychotic_Experiences_at_Age_12_Years_in_a_United_Kingdom_Birth_Cohort/links/0c96053277ffe0a472000000.pdf
[13]
Sharafkhaneh A, Richardson P. Association of Psychiatric Disorders and Sleep Apnea in a Large Cohort. 2016 [cited 5 May 2016]. Available from: http://journalsleep.org/Articles/281111.pdf
[14]
What Is Sleep Apnea? - NHLBI, NIH. Nhlbi.nih.gov. 2016 [cited 10 May 2016]. Available from: http://www.nhlbi.nih.gov/health/health-topics/topics/sleepapnea
[15]
Stereotypic Movement Disorder. WebMD. 2016 [cited 10 May 2016]. Available from: http://www.webmd.com/mental-health/mental-health-stereotypic-movement-disorder
[16]
Psychiatric Illness. Mental Health Research Institute. 2016 [cited 10 May 2016]. Available from: http://www.mhri.edu.au/media/Psychiatric%20Illness%20fact%20sheet.pdf
[17]
Study Finds Sex Differences in Mental Illness. American Psychological Association.org. 2016 [cited 10 May 2016]. Available from: http://www.apa.org/news/press/releases/2011/08/mental-illness.aspx
[18]
Lee K, Mcenany G, Weekes D. Gender differences in sleep patterns for early adolescents. Journal of Adolescent Health. 1999; 24 (1): 16-20. Available from: http://www.sciencedirect.com/science/article/pii/S1054139X98000743
[19]
Prior P. Gender and mental health. New York: New York University Press; 1999. Available from: https://books.google.com.my/books?hl=en&lr=&id=QnYVCgAAQBAJ&oi=fnd&pg=PR9&dq=gender+affecting+mental+health&ots=D11Eh9caC2&sig=_uDBjPtwtIVK4fp8AhQvM4B-BwY&redir_esc=y#v=onepage&q=gender%20affecting%20mental%20health&f=false
[20]
Sleep Aids Mental Illness. 2016 [cited 10 May 2016]. Available from: http://www.huffingtonpost.com/2015/04/07/sleep-aids-mental-illness-link_n_7000844.html
Open Science Scholarly Journals
Open Science is a peer-reviewed platform, the journals of which cover a wide range of academic disciplines and serve the world's research and scholarly communities. Upon acceptance, Open Science Journals will be immediately and permanently free for everyone to read and download.
CONTACT US
Office Address:
228 Park Ave., S#45956, New York, NY 10003
Phone: +(001)(347)535 0661
E-mail:
LET'S GET IN TOUCH
Name
E-mail
Subject
Message
SEND MASSAGE
Copyright © 2013-, Open Science Publishers - All Rights Reserved