Abstract
Objective
The authors describe the sleep habits of second year medical students and look for associations between reported sleep duration and depression, burnout, overall quality of life, self-reported academic success, and falling asleep while driving.
Methods
The authors conducted a cross-sectional descriptive study of two consecutive cohorts of second year medical students at a large public university in the USA. Participants completed an anonymous survey about their sleep habits, daytime sleepiness (Epworth sleepiness scale), burnout (Maslach burnout inventory), depression (PRIME MD), and perceived stress (perceived stress scale). Categorical and continuous variables were compared using chi square tests and t tests, respectively.
Results
Sixty-eight percent of the students responded. Many (34.3%) reported fewer than 7 h of sleep on typical weeknights, including 6.5% who typically sleep less than 6 h. Twenty-five students (8.4%) reported nodding off while driving during the current academic year. Low typical weeknight sleep (fewer than 6 h vs 6–6.9 h vs 7 or more hours) was associated with (1) higher Epworth sleepiness scale scores, (2) nodding off while driving, (3) symptoms of burnout or depression, (4) decreased satisfaction with quality of life, and (5) lower perceived academic success (all p values ≤0.01). Students reporting under 6 h of sleep were four times more likely to nod off while driving than those reporting 7 h or more.
Conclusion
Educational, behavioral, and curricular interventions should be explored to help pre-clinical medical students obtain at least 7 h of sleep most on weeknights.
References
Watson NF et al. Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society on the Recommended Amount of Sleep for a Healthy Adult: methodology and discussion. J Clin Sleep Med. 2015;11:931–52.
Ball S, Bax A. Self-care in medical education: effectiveness of health-habits interventions for first-year medical students. Acad Med. 2002;77:911–7.
Wolf TM, Kissling GE. Changes in life-style characteristics, health, and mood of freshman medical students. J Med Educ. 1984;59:806–14.
Pagnin D et al. The relation between burnout and sleep disorders in medical students. Acad Psychiatry. 2014;38:438–44.
Wolf MR, Rosenstock JB. Inadequate sleep and exercise associated with burnout and depression among medical students. Acad Psychiatry. 2016. doi:10.1007/s40596-016-0526-y.
Dyrbye LN et al. Relationship between burnout and professional conduct and attitudes among US medical students. JAMA. 2010;304:1173–80.
Dyrbye LN et al. Burnout and serious thoughts of dropping out of medical school: a multi-institutional study. Acad Med. 2010;85:94–102.
Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Acad Med. 2006;81:354–73.
Parkerson GR, Broadhead WE, Tse CK. The health status and life satisfaction of first-year medical students. Acad Med. 1990;65:586–8.
Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991;14:540–5.
Maslach C, Jackson SE, Leiter MP. Maslach burnout inventory manual. 3rd ed. Palo Alto: Consulting Psychologists Press; 1996.
Spitzer RL et al. Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study. JAMA. 1994;272:1749–56.
Ware JE et al. How to score and interpret single-item health status measures: a manual for users of the SF-8 health survey. QualityMetric Incorporated: Lincoln; 2001.
Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24:385–96.
Smith PC et al. Primary care validation of a single-question alcohol screening test. J Gen Intern Med. 2009;24:783–8.
Abe T, Komada Y, Inoue Y. Short sleep duration, snoring and subjective sleep insufficiency are independent factors associated with both falling asleep and feeling sleepiness while driving. Intern Med. 2012;51:3253–60.
American Association of Medical Colleges. Medical school year two questionnaire: 2014 all schools summary report; 2014. https://www.aamc.org/download/426076/data/y2q2014report.pdf. Accessed 11 Jan 2016.
Kushner RF, Kessler S, McGaghie WC. Using behavior change plans to improve medical student self-care. Acad Med. 2011;86:901–6.
Dyrbye LN, Shanafelt TD. Commentary: medical student distress: a call to action. Acad Med. 2011;86:801–3.
Slavin SJ, Schindler DL, Chibnall JT. Medical student mental health 3.0: improving student wellness through curricular changes. Acad Med. 2014;89:573–7.
Acknowledgements
The authors thank Erika Goldstein, Julie Calcavecchia, and Karen McDonough for the support of data collection and entry.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
This study was determined exempt by the University of Washington Institutional Review Board.
Ethical Considerations
Surveys were filled out anonymously.
Disclosure
On behalf of all authors, the corresponding author states that there is no conflict of interest.
Funding Sources
None.
Rights and permissions
About this article
Cite this article
Johnson, K.M., Simon, N., Wicks, M. et al. Amount of Sleep, Daytime Sleepiness, Hazardous Driving, and Quality of Life of Second Year Medical Students. Acad Psychiatry 41, 669–673 (2017). https://doi.org/10.1007/s40596-017-0668-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40596-017-0668-6