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

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 ma...

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Published in:Arquivos de neuro-psiquiatria Vol. 59; no. 2-A; pp. 180 - 185
Main Authors: Loayza H, M P, Ponte, T S, Carvalho, C G, Pedrotti, M R, Nunes, P V, Souza, C M, Zanette, C B, Voltolini, S, Chaves, M L
Format: Journal Article
Language:English
Published: Brazil Academia Brasileira de Neurologia - ABNEURO 01-06-2001
Academia Brasileira de Neurologia (ABNEURO)
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Summary: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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ISSN:0004-282X
1678-4227
0004-282X
1678-4227
DOI:10.1590/s0004-282x2001000200005