Predictors of sleep quality in medical students during COVID-19 confinement
Open accessAbstract
Objectives We aimed to assess sleep quality of Tunisian medical students during home confinement due to the COVID-19 pandemic, and to analyze the relationship between sleep quality and sociodemographic, clinical, confinement-related and psychological variables.Methods A correlational cross-sectional study was conducted from April 11th to May 3rd 2020. Medical students who have been in home confinement and who accepted to participate in an online survey were targeted. Sociodemographic data, clinical variables, and data related to home confinement were collected. Participants also completed Pittsburgh Sleep Quality Index, Depression, Anxiety and Stress Scale and Beck Hopelessness Scale.Results Results showed a high prevalence of poor sleepers among medical students (72.5%) with poor subjective sleep quality, increased sleep latency, sleep disturbances and daytime dysfunction. Multiple regression analysis revealed that family history of suicide attempts, tobacco use, perception of home confinement and reduced physical activity during home confinement significantly contributed to poor sleep quality. Among the psychological variables, anxiety and hopelessness significantly contributed to poor sleep quality in medical students during home confinement.Conclusions Results revealed a high prevalence of poor sleep quality in medical students who have been in home confinement due to the COVID-19 pandemic. Except family history of suicide attempts, factors that significantly contributed to poor sleep quality were modifiable factors. Sleep quality and sleep parameters need to be assessed in this particular population and adequate measures aiming to promote quality of sleep need to be enhanced, given the crucial regenerative, homeostatic and psychological roles of sleep.
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Poor mental health is associated with lifestyle in undergraduate students.
“Several studies have found that poor mental health is associated with lifestyle in undergraduate students [45,46].”
From Gender Differences in Psychological Stress Factors of Physical Therapy Degree Students in the COVID-19 Pandemic: A Cross-Sectional Study (2022) · cites this paper as [46]
The Discussion (page unavailable) reports that tobacco use and reduced physical activity—lifestyle factors—were associated with poor sleep quality, while the Results (page unavailable) link poor sleep quality with depression, anxiety, stress and hopelessness. The paper does not establish a direct association between lifestyle and poor mental health; it studies medical students during COVID-19 confinement, rather than undergraduate students generally. (LLM, conf=0.82)
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Lin, Y.-K., Saragih, I. D., Lin, C.-J., Liu, H.-L., Chen, C.-W., & Yeh, Y.-S. (2024) · Figshare · doi:10.6084/m9.figshare.26731744
Lin, Y.-K., Saragih, I. D., Lin, C.-J., Liu, H.-L., Chen, C.-W., & Yeh, Y.-S. (2024) · Figshare · doi:10.6084/m9.figshare.26731741
Lin, Y.-K., Saragih, I. D., Lin, C.-J., Liu, H.-L., Chen, C.-W., & Yeh, Y.-S. (2024) · Figshare · doi:10.6084/m9.figshare.26731747
Assessment of Sleep Quality and Depression Among Medical Students: A Cross-Sectional Study
Alsalloum, T., Alawaisheh, A., Daoud, A., Alnajjar, A. Z., Meky, A., & Funjan, K. (2025) · Avicenna Journal of Medicine · doi:10.1055/s-0045-1815851 · Cited by 1 · see citing works
Ba, F., Guene, A., Faye, A., Diallo, K., Diouf, I., Diop, L., Sène, M., & Ba, E. (2026) · Advances in Applied Physiology · doi:10.11648/j.aap.20261102.12
- Authors
- Saguem, B. N., Nakhli, J., Romdhane, I., & Nasr, S. B.
- Affiliations
- Hôpital Farhat Hached (TN)
- Corresponding author
- Saguem, B.N.
- Venue
- L'Encéphale
- Publisher
- Elsevier BV
- Published
- 2022-02
- Volume
- 48
- Issue
- 1
- Pages
- 3-12
- ISSN
- 0013-7006 (ISSN-L)
- PMC
- PMC8828364
- OpenAlex
- W3138851215
- Cited by
- 52
- References
- 40
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 13 · 2023: 14 · 2022: 9 · 2021: 7
- FWCI
- 10.39
- Type
- journal article
- Language
- fr
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- L Encéphale (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- sleep quality, medical students, COVID-19 lockdown, home confinement, sleep disorders, anxiety, hopelessness, tobacco use, physical activity, sleep latency, daytime dysfunction
- MeSH terms
- COVID-19, SARS-CoV-2, Sleep Quality, Cross-Sectional Studies, Humans, Sleep, Students, Medical, Pandemics
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