Sleep disruption in medicine students and its relationship with impaired academic performance: A systematic review and meta-analysis.
Open accessAbstract
Sleep disruption severely impairs learning ability, affecting academic performance in students. This systematic review and meta-analysis aimed at assessing the prevalence of sleep disruption in medical students and its relationship with academic performance. PubMed, Web of Sciences, EBSCO and SciELO databases searches allowed to retrieve 41 papers with data about the prevalence of sleep deprivation, 20 of which also contained data on its association with academic performance. Poor sleep quality was reported by 5646 out of 14,170 students in 29 studies (39.8%, 95% confidence interval = 39.0-40.6%), insufficient sleep duration by 3762/12,906 students in 28 studies (29.1%, 23.3-29.9%) and excessive diurnal sleepiness by 1324/3688 students in 13 studies (35.9%, 34.3-37.4). Academic grades correlated significantly with sleep quality scores (r, 95% CI = 0.15, 0.05-0.26, random-effects model; p = 0.002, n = 10,420 subjects, k = 15 studies) and diurnal sleepiness (r = -0.12, -0.19/-0.06 under the fixed effects model, p < 0.001, n = 1539, k = 6), but not with sleep duration (r = 0.03, -0.12/0.17 under the random-effects model, p = 0.132, n = 2469, k = 9). These findings advocate for an urgent intervention aiming at improving sleep quality among medical students as a way of increasing academic achievements and, ultimately, the quality of health care.
AI snapshot
Written from the paper’s full text.
TL;DR
This systematic review and meta-analysis of medical students found that poor sleep quality, short sleep duration, and daytime sleepiness were common, and that worse sleep quality and greater sleepiness—but not shorter sleep—were associated with lower academic performance. The authors recommend routine sleep assessment and sleep-hygiene education for medical students.
Key findings
- Pooled prevalence estimates were 39.8% for poor sleep quality (5,646/14,170; 95% CI 39.0–40.6%; k=28), 29.1% for insufficient sleep duration (3,762/12,906; 95% CI 28.3–29.9%; k=21), and 35.9% for excessive daytime sleepiness (1,324/3,688; 95% CI 34.3–37.4%; k=13).
- Better sleep quality correlated with better academic performance: r=0.15 (95% CI 0.05–0.26; p=0.002; 15 studies; n=10,420), with significant heterogeneity (I²=90.23%).
- Sleep duration was not significantly related to academic performance: r=0.03 (95% CI −0.12–0.17; p=0.67; 9 studies; n=2,469).
- Greater daytime sleepiness was associated with worse academic performance: r=−0.12 (95% CI −0.19 to −0.06; p<0.001; 6 studies; n=1,539). Subgroup analyses found stronger sleep-quality correlations in the Middle East and Asia/Oceania, in studies from 2012 or later, and where women made up more than half the sample; sleep-duration correlations were stronger in studies with fewer than 150 students.
Methods
- Systematic review and meta-analysis following PRISMA, registered as PROSPERO CRD42019127734; searches covered PubMed, Web of Sciences, EBSCO, and SciELO from 1980 to 2018, plus reference-list checks, in English, Spanish, French, or Portuguese.
- Inclusion required medical students or mixed medical/related-career samples, at least one subjective or objective sleep measure covering more than one night, and academic performance data; 2,332 records were initially retrieved plus 21 from secondary searches, yielding 41 studies for prevalence and 20 for performance associations.
- All included studies were cross-sectional. Effect sizes were Pearson correlations between sleep measures and academic performance, transformed to Fisher’s z, pooled with fixed- or random-effects models using Meta-Essentials; heterogeneity was assessed with Q and I², and publication bias with funnel plots and Egger regression.
Limitations
- Stated by the authors: female medical students may have been overrepresented; heterogeneity was significant for sleep quality and sleep duration relationships; no study used objective sleep measures; performance and sleep assessments were not standardized; demographic and comorbidity data were insufficient for moderator analyses; organic sleep disorders were not assessed; and a stronger sleep-duration correlation in small studies suggested possible publication bias.
- Evident from the text: because every included study was cross-sectional, the analyses cannot establish whether sleep disruption causes worse academic performance or vice versa.
- Evident from the text: reliance on self-reported sleep measures and varied definitions of academic performance limits comparability across studies and may contribute to the high heterogeneity observed.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
4 of 8 cited sources checked · 2 supported · 0 flagged · accuracy not yet measured
- Interpretationown data
The prevalence of sleep disruption observed in medical students is higher than in the general population.
“The prevalence herein observed is higher than in the general population, which was 16.6% in Asia and Africa prevalence, 62 20% in Canada and the US, 63,64 22.7% in Latin America, 65 23% in Japan, and 31% in Western Europe.66”
Quote in the paperNot a substantial claim2 of 4 sources checked- cites [62] Stranges, 2012, Sleep problems: an emerging global epidemic? Findings from the INDEPTH WHO-SAGE study among more than 40,000 older adults from 8 countries across Africa and Asia, Sleep source
The Results report that 16.6% of participants had nocturnal sleep problems. However, the study sampled adults aged 50–106 at eight sites in Africa and Asia, not the general population across those continents. It does not compare that prevalence with medical students. (LLM, conf=0.87)
Experimental — accuracy not yet measured - cites [63] Hossain, 2002, The prevalence, cost implications, and management of sleep disorders: an overview, Sleep Breath source
- cites [64] Sutton, 2001, Insomnia and health problems in Canadians, Sleep source
- cites [65] Blanco, 2003, Attitudes towards treatment among patients suffering from sleep disorders. A Latin American survey, BMC Fam Pract source
The Background (page unavailable) reports that sleep disturbances affect 25–45% of outpatients visiting primary care centers, but does not give the cited 22.7% prevalence for the Latin American general population. The Methods (page unavailable) say the survey selected fixed numbers of sufferers and non-sufferers, so its sample cannot establish that prevalence. The comparison with medical students is the citing authors’ framing, not a finding attributed to this source. (LLM, conf=0.84)
Experimental — accuracy not yet measured
- Findingown data
Twenty studies were used for the study of the association between sleep disruption and academic performance.
“Forty-one studies met all criteria and were selected for calculating the prevalence of sleep disruption , while 20 could also be used for the study of its association with academic performance 22, 23, 25-27, 30, 32-35, 38, 43, 44, 51, 53, 56-60 .”
Quote in the paperSubstantial claim - Findingown data
Mean PSQI total score was 5.1±2.7 points (k=13).
“As can be observed in Table 3, mean ± SD of the PSQI total scores was 5.1±2.7 points (k= 13 studies)”
Quote in the paperNot a substantial claim - Findingown data
The prevalence of excessive daytime sleepiness was 35.9% (1,324/3,688; 95% CI 34.3 to 37.4; k=13).
“while the prevalence of excessive daytime sleepiness was 1,324/3,688 students= 35.9%, 95%CI= 34.3 to 37.4 (k=13).”
Quote in the paperNot a substantial claim - Findingown data
The prevalence of insufficient sleep duration was 29.1% (3762/12,906; 95% CI 28.3 to 29.9%; k=21).
“the prevalence of insufficient sleep duration was 3762 students / 12,906= 29.1%, 95%CI=28.3to 29.9% (k=21).”
Quote in the paperNot a substantial claim
- Findingown data
All included studies had a cross-sectional design.
“All studies had a cross-sectional design.”
Quote in the paperNot a substantial claim - Findingown data
Poor sleep quality was reported by 5,646 out of 14,170 students (39.8%, 95% CI 39.0 to 40.6%; k=28).
“poor sleep quality was reported by 5,646 students out of 14,170 (39.8%, 95% confidence interval [95% CI] = 39.0 to 40.6%; k=28).”
Quote in the paperNot a substantial claim - Findingown data
Forty-one studies met all criteria and were selected for calculating the prevalence of sleep disruption.
“Forty-one studies met all criteria and were selected for calculating the prevalence of sleep disruption , while 20 could also be used for the study of its association with academic performance 22, 23, 25-27, 30, 32-35, 38, 43, 44, 51, 53, 56-60 .”
Quote in the paperSubstantial claim - Findingown data
There was no statistically significant difference in the pooled correlation between sleep quality and academic performance between career groups (p = 0.69).
“Medicine + Others | 0.13 (0.06;0.20) | 0.69 | - | -”
Quote in the paperNot a substantial claim - Findingown data
The pooled correlation coefficient between sleep quality and academic performance in studies with <50% males was 0.21 (95% CI 0.01 to 0.40).
“<50% | 0.21 (0.01;0.40) | 0.03 | 0.00 (-0.24;0.25) | 0.62”
Quote in the paperNot a substantial claim - Findingown data
The pooled correlation coefficient between sleep duration and academic performance in Europe was 0.14 (95% CI -0.24 to 0.48).
“Europe | 0.12 (-0.10;0.32) | | 0.14 (-0.24;0.48) | |”
Quote in the paperNot a substantial claim - Findingown data
The pooled correlation coefficient between sleep quality and academic performance in studies with ≥50% males was 0.07 (95% CI -0.04 to 0.17).
“≥50% | 0.07 (-0.04;0.17) | | 0.08 (-0.34;0.46) | |”
Quote in the paperNot a substantial claim - Findingown data
The pooled correlation coefficient between sleep duration and academic performance in studies with sample size ≥150 was -0.04 (95% CI -0.20 to 0.13).
“≥150 | 0.13 (0.07;0.19) | | -0.04 (-0.20;0.13) | |”
Quote in the paperNot a substantial claim - Findingown data
The pooled correlation coefficient between sleep quality and academic performance in studies using PSQI was 0.17 (95% CI 0.02 to 0.31).
“Used | 0.17 (0.02;0.31) | | 0.05 (-0.30;0.38) | |”
Quote in the paperNot a substantial claim - Findingown data
The pooled correlation coefficient between sleep duration and academic performance in studies using PSQI was 0.05 (95% CI -0.30 to 0.38).
“Used | 0.17 (0.02;0.31) | | 0.05 (-0.30;0.38) | |”
Quote in the paperNot a substantial claim - Findingown data
The pooled correlation coefficient between sleep quality and academic performance in studies not using PSQI was 0.12 (95% CI -0.05 to 0.28).
“Not used | 0.12 (-0.05;0.28) | 0.52 | 0.09 (-0.05;0.22) | 0.69”
Quote in the paperNot a substantial claim - Findingown data
There was no statistically significant difference in the pooled correlation between sleep duration and academic performance between male proportion groups (p = 0.62).
“<50% | 0.21 (0.01;0.40) | 0.03 | 0.00 (-0.24;0.25) | 0.62”
Quote in the paperNot a substantial claim - Findingown data
The pooled correlation coefficient between sleep duration and academic performance in the Americas was 0.12 (95% CI -0.36 to 0.54).
“Americas | 0.07 (-0.02;0.17) | | 0.12 (-0.36;0.54) | |”
Quote in the paperNot a substantial claim - Findingown data
There was a statistically significant difference in the pooled correlation between sleep quality and academic performance across regions (p < 0.01).
“Middle East | 0.23 (-0.16;0.57) | <0.01 | -0.03 (-0.36;0.30) | 0.53”
Quote in the paperNot a substantial claim - Findingown data
Heterogeneity for the daytime sleepiness-academic performance correlation was non-significant (Q=4.7, p<0.45).
“Heterogeneity was non-significant (Q-score=4.7,p<0.45).”
Quote in the paperNot a substantial claim - Findingown data
The pooled correlation coefficient between sleep duration and academic performance in studies of only medicine careers was 0.03 (95% CI -0.12 to 0.17).
“Only medicine | 0.16 (0.04;0.27) | | 0.03 (-0.12;0.17) | |”
Quote in the paperNot a substantial claim - Findingown data
Mean sleep duration was 6.5±4.9 hours (k=28).
“Mean ± SD sleep duration was 6.5±4.9 hours (k=28)”
Quote in the paperNot a substantial claim - Findingown data
The pooled correlation coefficient between sleep quality and academic performance in Asia/Oceania was 0.23 (95% CI -0.14 to 0.55).
“Asia/Oceania | 0.23 (-0.14;0.55) | | -0.03 (-0.15;0.10) | |”
Quote in the paperNot a substantial claim - Findingown data
There was no statistically significant difference in the pooled correlation between sleep quality and academic performance between sample size groups (p = 0.69).
“<150 | 0.20 (-0.23;0.57) | 0.69 | 0.21 (-0.05;0.43) | 0.01”
Quote in the paperNot a substantial claim - Findingown data
Sleep disruption was observed in about 40% of a worldwide sample of 14,000 medical students.
“In summary, we observed sleep disruption in about 40% of a worldwide sample of 14,000 medical students.”
Quote in the paperNot a substantial claim - Findingown data
There was a statistically significant difference in the pooled correlation between sleep quality and academic performance between male proportion groups (p = 0.03).
“<50% | 0.21 (0.01;0.40) | 0.03 | 0.00 (-0.24;0.25) | 0.62”
Quote in the paperNot a substantial claim - Findingown data
The pooled correlation coefficient between sleep duration and academic performance in studies with sample size <150 was 0.21 (95% CI -0.05 to 0.43).
“<150 | 0.20 (-0.23;0.57) | 0.69 | 0.21 (-0.05;0.43) | 0.01”
Quote in the paperNot a substantial claim - Findingown data
There was no statistically significant difference in the pooled correlation between sleep quality and academic performance between studies using and not using PSQI (p = 0.52).
“Not used | 0.12 (-0.05;0.28) | 0.52 | 0.09 (-0.05;0.22) | 0.69”
Quote in the paperNot a substantial claim - Findingown data
Sensitivity analysis excluding studies using non-standard PSQI cut-off values produced results essentially similar to the full-set analysis.
“In a sensitivity analysis, the meta-analysis was run after excluding studies using non-standard cut-off values in the PSQI (which is normally >5 points). Results were essentially similar to the full-set analysis.”
Quote in the paperNot a substantial claim - Findingown data
The pooled correlation coefficient between sleep quality and academic performance for studies published before 2012 was 0.07 (95% CI -0.01 to 0.14).
“< 2012 | 0.07 (-0.01;0.14) | <0.01 | -0.04 (-0.26;0.18) | 0.19”
Quote in the paperNot a substantial claim - Findingown data
The pooled correlation coefficient between sleep quality and academic performance in the Americas was 0.07 (95% CI -0.02 to 0.17).
“Americas | 0.07 (-0.02;0.17) | | 0.12 (-0.36;0.54) | |”
Quote in the paperNot a substantial claim - Findingown data
The pooled correlation coefficient between sleep quality and academic performance in studies of only medicine careers was 0.16 (95% CI 0.04 to 0.27).
“Only medicine | 0.16 (0.04;0.27) | | 0.03 (-0.12;0.17) | |”
Quote in the paperSubstantial claim - Findingown data
The pooled correlation coefficient between sleep duration and academic performance in studies not using PSQI was 0.09 (95% CI -0.05 to 0.22).
“Not used | 0.12 (-0.05;0.28) | 0.52 | 0.09 (-0.05;0.22) | 0.69”
Quote in the paperNot a substantial claim - Findingown data
The correlation between sleep quality and academic performance was significantly stronger in the Middle East and Asia/Oceania regions.
“Subgroup analysis revealed that the correlation between sleep quality and academic performance was significantly stronger in the Middle East and Asia/Oceania regions, in studies conducted in 2012 or after, and in those in which women comprised > 50% of the sample (Table 4).”
Quote in the paperNot a substantial claim - Findingown data
The pooled correlation coefficient between sleep duration and academic performance in the Middle East was -0.03 (95% CI -0.36 to 0.30).
“Middle East | 0.23 (-0.16;0.57) | <0.01 | -0.03 (-0.36;0.30) | 0.53”
Quote in the paperNot a substantial claim - Findingown data
The pooled correlation coefficient between sleep duration and academic performance for studies published before 2012 was -0.04 (95% CI -0.26 to 0.18).
“< 2012 | 0.07 (-0.01;0.14) | <0.01 | -0.04 (-0.26;0.18) | 0.19”
Quote in the paperNot a substantial claim - Findingown data
The pooled correlation coefficient between sleep duration and academic performance in Asia/Oceania was -0.03 (95% CI -0.15 to 0.10).
“Asia/Oceania | 0.23 (-0.14;0.55) | | -0.03 (-0.15;0.10) | |”
Quote in the paperNot a substantial claim - Findingown data
Mean ESS score was 8.9±4.9 points (k=6).
“Finally, mean±SD ESS scores was 8.9±4.9 points (k=6)”
Quote in the paperNot a substantial claim - Findingown data
The pooled correlation coefficient between sleep quality and academic performance in studies with sample size <150 was 0.20 (95% CI -0.23 to 0.57).
“<150 | 0.20 (-0.23;0.57) | 0.69 | 0.21 (-0.05;0.43) | 0.01”
Quote in the paperNot a substantial claim - Findingown data
The overall correlation between sleep duration and academic performance under the random-effects model was 0.03 (95% CI -0.12 to 0.17; Z=0.42, p=0.67).
“Overall correlation coefficient (95% CI) under the random-effects model was 0.03 (-0.12 to 0.17; Z-score=0.42,p=0.67).”
Quote in the paperSubstantial claim - Findingown data
The overall correlation between daytime sleepiness and academic performance under the fixed effects model was -0.12 (95% CI -0.19 to -0.06; Z=4.78, p<0.001).
“Overall correlation coefficient under the fixed effects model was -0.12 (-0.19 to -0.06; Z-score=4.78,p<0.001).”
Quote in the paperSubstantial claim - Findingown data
The correlation between sleep duration and academic performance was significantly stronger in studies with sample sizes <150 students.
“Subgroup analysis revealed a significantly stronger correlation in studies with sample sizes <150 students (Table 4).”
Quote in the paperNot a substantial claim - Findingown data
The pooled correlation coefficient between sleep duration and academic performance in studies with <50% males was 0.00 (95% CI -0.24 to 0.25).
“<50% | 0.21 (0.01;0.40) | 0.03 | 0.00 (-0.24;0.25) | 0.62”
Quote in the paperNot a substantial claim - Findingown data
The correlation between sleep quality and academic performance was significantly stronger in studies conducted in 2012 or after.
“Subgroup analysis revealed that the correlation between sleep quality and academic performance was significantly stronger in the Middle East and Asia/Oceania regions, in studies conducted in 2012 or after, and in those in which women comprised > 50% of the sample (Table 4).”
Quote in the paperNot a substantial claim - Findingown data
The pooled correlation coefficient between sleep quality and academic performance in Europe was 0.12 (95% CI -0.10 to 0.32).
“Europe | 0.12 (-0.10;0.32) | | 0.14 (-0.24;0.48) | |”
Quote in the paperNot a substantial claim - Findingown data
The correlation between sleep quality and academic performance was significantly stronger in studies in which women comprised >50% of the sample.
“Subgroup analysis revealed that the correlation between sleep quality and academic performance was significantly stronger in the Middle East and Asia/Oceania regions, in studies conducted in 2012 or after, and in those in which women comprised > 50% of the sample (Table 4).”
Quote in the paperNot a substantial claim - Findingown data
The pooled correlation coefficient between sleep duration and academic performance in studies with ≥50% males was 0.08 (95% CI -0.34 to 0.46).
“≥50% | 0.07 (-0.04;0.17) | | 0.08 (-0.34;0.46) | |”
Quote in the paperNot a substantial claim - Findingown data
Heterogeneity for the sleep quality-academic performance correlation was significant (Q=142.3, p<0.001; I2=90.23%).
“Heterogeneity was significant (Q-score= 142.3 p<0.001), with an I 2 value of 90.23%.”
Quote in the paperNot a substantial claim - Findingown data
There was a statistically significant difference in the pooled correlation between sleep duration and academic performance between sample size groups (p = 0.01).
“<150 | 0.20 (-0.23;0.57) | 0.69 | 0.21 (-0.05;0.43) | 0.01”
Quote in the paperNot a substantial claim - Findingown data
The overall correlation between sleep quality and academic performance under the random-effects model was 0.15 (95% CI 0.05 to 0.26; Z=3.07, p=0.002).
“the overall correlation coefficient and 95% CI under the random-effects model were 0.15, 0.05 to 0.26 (Z-score=3.07,p=0.002).”
Quote in the paperSubstantial claim - Findingown data
The pooled correlation coefficient between sleep duration and academic performance for studies published in 2012 or later was 0.13 (95% CI -0.15 to 0.39).
“≥ 2012 | 0.24 (0.02;0.44) | | 0.13 (-0.15;0.39) | |”
Quote in the paperNot a substantial claim - Findingown data
There was no statistically significant difference in the pooled correlation between sleep duration and academic performance across regions (p = 0.53).
“Middle East | 0.23 (-0.16;0.57) | <0.01 | -0.03 (-0.36;0.30) | 0.53”
Quote in the paperNot a substantial claim - Findingown data
Heterogeneity for the sleep duration-academic performance correlation was significant (Q=60.6, p<0.001; I2=86.74%).
“Heterogeneity was significant (Q-score=60.6,p<0.001,I 2 =86.74%).”
Quote in the paperNot a substantial claim - Findingown data
There was no statistically significant difference in the pooled correlation between sleep duration and academic performance across publication year groups (p = 0.19).
“< 2012 | 0.07 (-0.01;0.14) | <0.01 | -0.04 (-0.26;0.18) | 0.19”
Quote in the paperNot a substantial claim - Findingown data
The pooled correlation coefficient between sleep quality and academic performance in studies of medicine + other careers was 0.13 (95% CI 0.06 to 0.20).
“Medicine + Others | 0.13 (0.06;0.20) | 0.69 | - | -”
Quote in the paperSubstantial claim - Findingown data
The pooled correlation coefficient between sleep quality and academic performance in the Middle East was 0.23 (95% CI -0.16 to 0.57).
“Middle East | 0.23 (-0.16;0.57) | <0.01 | -0.03 (-0.36;0.30) | 0.53”
Quote in the paperNot a substantial claim - Findingown data
There was a statistically significant difference in the pooled correlation between sleep quality and academic performance across publication year groups (p < 0.01).
“< 2012 | 0.07 (-0.01;0.14) | <0.01 | -0.04 (-0.26;0.18) | 0.19”
Quote in the paperNot a substantial claim - Findingown data
Sensitivity analysis excluding studies using non-standard ESS cut-off values produced results essentially similar to the full-set analysis.
“In a sensitivity analysis, the meta-analysis was run after excluding studies using non-standard cut-off values in the ESS (which is normally >10).Results were essentially similar to the full-set analysis.”
Quote in the paperNot a substantial claim - Findingown data
The pooled correlation coefficient between sleep quality and academic performance for studies published in 2012 or later was 0.24 (95% CI 0.02 to 0.44).
“≥ 2012 | 0.24 (0.02;0.44) | | 0.13 (-0.15;0.39) | |”
Quote in the paperNot a substantial claim - Findingown data
Publication bias was not evident from funnel plots.
“Funnel plots are shown in Figure 3. Publication bias was not evident.”
Quote in the paperNot a substantial claim - Findingown data
There was no statistically significant difference in the pooled correlation between sleep duration and academic performance between studies using and not using PSQI (p = 0.69).
“Not used | 0.12 (-0.05;0.28) | 0.52 | 0.09 (-0.05;0.22) | 0.69”
Quote in the paperNot a substantial claim - Findingown data
The pooled correlation coefficient between sleep quality and academic performance in studies with sample size ≥150 was 0.13 (95% CI 0.07 to 0.19).
“≥150 | 0.13 (0.07;0.19) | | -0.04 (-0.20;0.13) | |”
Quote in the paperNot a substantial claim - Premisecitation
Sleep is essential for efficient consolidation of both declarative knowledge and procedural skills.
“It is clear that sleep is essential for efficient consolidation of both (declarative) knowledge and (procedural) skills.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [1] Curcio, 2006, Sleep loss, learning capacity and academic performance, Sleep Med Rev source
- Study design and conductown data
Organic sleep disorders were not assessed in any of the included studies.
“In particular, organic sleep disorders were not assessed in any of the included studies.”
Quote in the paperNot a substantial claim - Interpretationown data
Sleep disruption is pandemic in the population of medical students.
“Our results indicate that sleep disruption is pandemic in the population of medical students.”
Quote in the paperSubstantial claim - Study design and conductown data
The authors were not able to extract sufficient data on demographics and comorbidities to allow for moderator analyses.
“Another important limitation is that we were not able to extract sufficient data on demographics and comorbidities to allow for moderator analyses.”
Quote in the paperNot a substantial claim - Study design and conductnone given
Objective measures of sleep characteristics were not employed in any included study.
“Furthermore, objectives measures of sleep characteristics were not employed in any study.”
Quote in the paperSubstantial claim
- Classified as probably not a substantial claim. 9
- May combine two claims. 4
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThis systematic review and meta-analysis followed the PRISMA guidelines.
“This systematic review and meta-analysis followed the PRISMA guidelines.17”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [17] Moher, 2009, Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement, J Clin Epidemiol source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationMedical students are more affected by sleep disturbances than students of other careers.
“It has been observed that medical students are more affected than students of other careers.15,16”
Quote in the paperNot a substantial claim1 of 2 sources checkedMay combine two claims.
Findingown dataSequential exclusion sensitivity analysis showed results remained unchanged, indicating no individual study significantly influenced the overall results.
“A sensitivity analysis was conducted for each correlational analysis, by sequentially excluding each study from the dataset and recalculating the overall combined correlation coefficient.Results remained unchanged, which indicates that no individual study significantly influenced the overall results.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataPoor sleep quality and excessive diurnal somnolence, but not insufficient sleep duration, were significantly associated with worse academic performance.
“Poor sleep quality and excessive diurnal somnolence, but not insufficient sleep duration, were significantly associated with worse academic performance.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataEgger regression models were not significant for sleep quality, sleep duration, and daytime sleepiness, indicating no correlation between correlation coefficients and their standard errors.
“Furthermore, Eggert regression models were not significant, indicating no correlation between correlation coefficients and their standard errors (sleep quality: t= 0.08, p= 0.94; sleep duration: t= 1.89, p= 0.10; daytime sleepiness: t=0.53, p=0.63).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe study was registered in PROSPERO with registration number CRD42019127734.
“PROSPERO registration number is CRD42019127734.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenFunnel plots and Egger regression were used to evaluate publication bias.
“Funnel plots and Egger regression were used to evaluate publication bias.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown dataAgreement between reviewers was close to 100% and discrepancies were solved by a third reviewer.
“In all cases, agreement was close to 100% and discrepancies were solved by a third reviewer.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataData extraction was performed by two independent coders.
“Data extraction from articles selected in the second stage was performed by two independent coders randomly selected from a list (LM, FO, JO, ES, MIC, SPLL).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataTwo independent reviewers screened titles and abstracts and selected studies.
“Two independent reviewers randomly selected from a list (HS, LM, FO, JO, ES, MIC, SPLL) screened the titles and abstracts and selected those that contained references to sleep characteristics in medical students, and were written in English, Spanish, French, or Portuguese.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Interpretationown dataThe finding of a significantly stronger correlation between sleep duration and academic performance in studies with sample sizes <150 students could suggest publication bias.
“Notwithstanding, the findings of a significantly stronger correlation coefficient between sleep duration and academic performance in studies with sample sizes <150 students could be suggesting publication bias.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenAll studies included in the review were cross-sectional.
“All studies were cross-sectional.”
Quote in the paperNot a substantial claim
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Prior work relied on cross-sectional, retrospective self-report assessments of TST to assess the relationship between TST and GPA in college student samples.
“While researchers have long suspected that sleep may play a key role in academic success, prior work has relied on cross-sectional, retrospective self-report assessments of TST to assess the relationship between TST and GPA in college student samples (11, 12, 21).”
From Nightly sleep duration predicts grade point average in the first year of college (2023) · cites this paper as [21]
The Results report that all included studies were cross-sectional, that sleep duration was assessed with the PSQI or custom questionnaires, and that nine studies examined its relationship with academic performance. Table 1 lists GPA as an academic-performance measure in several studies. The review focuses predominantly on medical students and does not establish that every assessment was retrospective, so it does not fully support the broader description of prior work in college-student samples. (LLM, conf=0.84)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Medeiros study year differs by a decade
MinorThe tables label study 43 as 2013, but reference 43 gives its publication year as 2003.
“| Medeiros 2013 43 | Brazil | GPA | - | PSQI | >5 | PSQI | <6hs | - | - |”
“43. Medeiros ALD, Mendes DBF, Lima PF, Araujo JF. The Relationships between Sleep-Wake Cycle and Academic Performance in Medical Students. Biol Rhythm Res 2003;32:263-70.”
Correa is listed as an academic-performance study despite a blank outcome entry
MinorThe results include study 30 among those used to examine academic performance, but Table 1 records no academic-performance assessment for that study.
“while 20 could also be used for the study of its association with academic performance 22, 23, 25-27, 30, 32-35, 38, 43, 44, 51, 53, 56-60”
“| Correa 2017 30 | Brazil | - | - | PSQI | ≥5 | PSQI | <6hs | - | - |”
Albhlal study has conflicting country labels
MinorTable 1 places study 24 in India, whereas its cited title identifies Saudi Arabia.
“| Albhlal 2017 24 | India | - | - | - | - | Own questionnaire | <6hs | ESS | Not identified |”
“24. Albhlal LA, Alanzi FG, Ghannam KB, Alqahtani A, Alenazi AQ, Alanazi MQ, et al. Sleep Disturbance Patterns among Medical Students, Saudi Arabia. Arch Med 2017;9:5-9.”
Cites
Measuring inconsistency in meta-analyses
Higgins, J. P. T., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003) · BMJ · doi:10.1136/bmj.327.7414.557 · Cited by 63,139 · see citing works
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859 · see citing works
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2009.06.005 · Cited by 19,575 · see citing works
(2000) · Cited by 9,198 · see citing works
The molecular biology of memory storage: a dialogue between genes and synapses
Kandel, E. R. (2001) · Science · doi:10.1126/science.1067020 · Cited by 3,917 · see citing works
Epidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention?
Ford, D. E. (1989) · JAMA · doi:10.1001/jama.262.11.1479 · Cited by 2,440 · see citing works
Epidemiologic Study of Sleep Disturbances and Psychiatric Disorders: An Opportunity for Prevention?
Ford, D. E. (1989) · JAMA · doi:10.1001/jama.1989.03430110069030 · Cited by 2,252 · see citing works
Neurocognitive consequences of sleep deprivation
Goel, N., Rao, H., Durmer, J., & Dinges, D. (2009) · Seminars in Neurology · doi:10.1055/s-0029-1237117 · Cited by 2,154 · see citing works
Watson, N. F., Badr, M. S., Belenky, G. L., Bliwise, D. L., Buxton, O. M., Buysse, D. J., Dinges, D. F., Gangwisch, J. E., Grandner, M. A., Kushida, C. A., et al. (2015) · SLEEP · doi:10.5665/sleep.4716 · Cited by 1,587 · see citing works
Dewald, J. F., Meijer, A. M., Oort, F. J., Kerkhof, G. A., & Bögels, S. M. (2010) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2009.10.004 · Cited by 1,526 · see citing works
Watson, N. F., Badr, M. S., Belenky, G., Bliwise, D. L., Buxton, O. M., Buysse, D., Dinges, D. F., Gangwisch, J., Grandner, M. A., Kushida, C., et al. (2015) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.4758 · Cited by 1,320 · see citing works
Sleep loss, learning capacity and academic performance
CURCIO, G., FERRARA, M., & DEGENNARO, L. (2006) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2005.11.001 · Cited by 1,310 · see citing works
Walker, M. P., & Stickgold, R. (2006) · Annual Review of Psychology · doi:10.1146/annurev.psych.56.091103.070307 · Cited by 1,075 · see citing works
Effects of early and late nocturnal sleep on declarative and procedural memory
Plihal, W., & Born, J. (1997) · Journal of Cognitive Neuroscience · doi:10.1162/jocn.1997.9.4.534 · Cited by 1,026 · see citing works
Suurmond, R., van Rhee, H., & Hak, T. (2017) · Research Synthesis Methods · doi:10.1002/jrsm.1260 · Cited by 881 · see citing works
Causes and consequences of sleepiness among college students
Hershner, S. D., & Chervin, R. D. (2014) · Nature and Science of Sleep · doi:10.2147/nss.s62907 · Cited by 818 · see citing works
Are spatial memories strengthened in the human hippocampus during slow wave sleep?
Peigneux, P., Laureys, S., Fuchs, S., Collette, F., Perrin, F., Reggers, J., Phillips, C., Degueldre, C., Del Fiore, G., Aerts, J., et al. (2004) · Neuron · doi:10.1016/j.neuron.2004.10.007 · Cited by 766 · see citing works
Stranges, S., Tigbe, W., Gómez-Olivé, F. X., Thorogood, M., & Kandala, N.-B. (2012) · Sleep · doi:10.5665/sleep.2012 · Cited by 592 · see citing works
The prevalence and association of stress with sleep quality among medical students
Almojali, A. I., Almalki, S. A., Alothman, A. S., Masuadi, E. M., & Alaqeel, M. K. (2017) · Journal of Epidemiology and Global Health · doi:10.1016/j.jegh.2017.04.005 · Cited by 588 · see citing works
Sleep disturbances among medical students: a global perspective
Azad, M. C., Fraser, K., Rumana, N., Abdullah, A. F., Shahana, N., Hanly, P. J., & Turin, T. C. (2015) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.4370 · Cited by 456 · see citing works
Prevalence of psychological stress, depression and anxiety among medical students in Egypt
Fawzy, M., & Hamed, S. A. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.05.027 · Cited by 455 · see citing works
An international survey of sleeping problems in the general population
Léger, D., Poursain, B., Neubauer, D. N., & Uchiyama, M. (2007) · Current Medical Research and Opinion · doi:10.1185/030079907x253771 · Cited by 396 · see citing works
The interaction between sleep quality and academic performance
Ahrberg, K., Dresler, M., Niedermaier, S., Steiger, A., & Genzel, L. (2012) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2012.09.008 · Cited by 371 · see citing works
Sleep states and memory processes in humans: procedural versus declarative memory systems
Smith, C. (2001) · Sleep Medicine Reviews · doi:10.1053/smrv.2001.0164 · Cited by 355 · see citing works
The Effects of Total Sleep Deprivation on Cerebral Responses to Cognitive Performance
Drummond, S. (2001) · Neuropsychopharmacology · doi:10.1016/s0893-133x(01)00325-6 · Cited by 306 · see citing works
Working memory and sleep in 6- to 13-year-old schoolchildren
STEENARI, M.-R., VUONTELA, V., PAAVONEN, E. J., CARLSON, S., FJÄLLBERG, M., & ARONEN, E. T. (2003) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200301000-00014 · Cited by 274 · see citing works
Sleep disorder among medical students: relationship to their academic performance
Abdulghani, H. M., Alrowais, N. A., Bin-Saad, N. S., Al-Subaie, N. M., Haji, A. M. A., & Alhaqwi, A. I. (2012) · Medical Teacher · doi:10.3109/0142159x.2012.656749 · Cited by 273 · see citing works
Alsaggaf, M. A., Wali, S. O., Merdad, R. A., & Merdad, L. A. (2016) · Saudi Medical Journal · doi:10.15537/smj.2016.2.14288 · Cited by 255 · see citing works
A systematic review of studies on the prevalence of insomnia in university students
Jiang, X.-L., Zheng, X.-Y., Yang, J., Ye, C.-P., Chen, Y.-Y., Zhang, Z.-G., & Xiao, Z.-J. (2015) · Public Health · doi:10.1016/j.puhe.2015.07.030 · Cited by 248 · see citing works
The Prevalence, Cost Implications, and Management of Sleep Disorders: An Overview
Hossain, J. L., & Shapiro, C. M. (2002) · Sleep And Breathing · doi:10.1007/s11325-002-0085-1 · Cited by 243 · see citing works
The Relationships between Sleep-Wake Cycle and Academic Performance in Medical Students
Medeiros, A. L. D. D., Mendes, D. B. F., Lima, P. F., & Araújo, J. F. (2001) · Biological Rhythm Research · doi:10.1076/brhm.32.2.263.1359 · Cited by 232 · see citing works
Giri, P., Baviskar, M. P., & Phalke, D. (2013) · Annals of Medical and Health Sciences Research · doi:10.4103/2141-9248.109488 · Cited by 222 · see citing works
Association Between Sleep Hygiene and Sleep Quality in Medical Students
Brick, C., Seely, D. L., & Palermo, T. M. (2010) · Behavioral Sleep Medicine · doi:10.1080/15402001003622925 · Cited by 215 · see citing works
Prevalence of sleep disturbances in Chinese university students: a comprehensive meta-analysis
Li, L., Wang, Y., Wang, S., Zhang, L., Li, L., Xu, D., Ng, C. H., Ungvari, G. S., Cui, X., Liu, Z., et al. (2018) · Journal of Sleep Research · doi:10.1111/jsr.12648 · Cited by 209 · see citing works
Insomnia and health problems in Canadians
Sutton, D. A., Moldofsky, H., & Badley, E. M. (2001) · Sleep · doi:10.1093/sleep/24.6.665 · Cited by 207 · see citing works
The prevalence, cost implications, and management of sleep disorders: an overview
Hossain, J. L., & Shapiro, C. M. (2002) · Sleep And Breathing · doi:10.1055/s-2002-32322 · Cited by 195 · see citing works
Sleep quality and more common sleep-related problems in medical students
Veldi, M., Aluoja, A., & Vasar, V. (2005) · Sleep Medicine · doi:10.1016/j.sleep.2004.12.003 · Cited by 187 · see citing works
Sleep quality in medical students: a comparison across the various phases of the medical course
Corrêa, C. D. C., de Oliveira, F. K., Pizzamiglio, D. S., Ortolan, É. V. P., & Weber, S. A. T. (2017) · Jornal Brasileiro de Pneumologia · doi:10.1590/s1806-37562016000000178 · Cited by 176 · see citing works
Preišegolavičiūtė, E., Leskauskas, D., & Adomaitienė, V. (2010) · Medicina · doi:10.3390/medicina46070070 · Cited by 160 · see citing works
Daytime sleepiness and academic performance in medical students
Rodrigues, R. N. D., Viegas, C. A., Rodrigues, A. A. A. D. A. E. S., & Tavares, P. (2002) · Arquivos de Neuro-Psiquiatria · doi:10.1590/s0004-282x2002000100002 · Cited by 160 · see citing works
Sleep recalibrates homeostatic and associative synaptic plasticity in the human cortex
Kuhn, M., Wolf, E., Maier, J. G., Mainberger, F., Feige, B., Schmid, H., Bürklin, J., Maywald, S., Mall, V., Jung, N. H., et al. (2016) · Nature Communications · doi:10.1038/ncomms12455 · Cited by 152 · see citing works
Good sleep quality is associated with better academic performance among Sudanese medical students
Mirghani, H. O., Mohammed, O. S., Almurtadha, Y. M., & Ahmed, M. S. (2015) · BMC Research Notes · doi:10.1186/s13104-015-1712-9 · Cited by 124 · see citing works
Daytime sleepiness and sleep quality among Malaysian medical students.
Hassan, Z. A., Teng, C. L., Chung, Y. C., Teow, T. L., Lee, P. N., & Jagmohni, K. S. (2009) · PubMed · Cited by 113 · see citing works
Sei, H., Saitoh, D., Yamamoto, K., Morita, K., & Morita, Y. (2000) · Brain Research · doi:10.1016/s0006-8993(00)02708-6 · Cited by 99 · see citing works
Avaliação da qualidade do sono em estudantes de Medicina
Cardoso, H. C., Bueno, F. C. D. C., da Mata, J. C., et al. (2009) · Revista Brasileira de Educação Médica · doi:10.1590/s0100-55022009000300005 · Cited by 98 · see citing works
Perez-Lloret, S., Videla, A. J., Richaudeau, A., Vigo, D., Rossi, M., Cardinali, D. P., Perez-Chada, D., & On behalf of the Buenos Aires Sleep Disorders Study Group (2013) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.2668 · Cited by 93 · see citing works
Self-citationSleep timing is more important than sleep length or quality for medical school performance
Genzel, L., Ahrberg, K., Roselli, C., Niedermaier, S., Steiger, A., Dresler, M., & Roenneberg, T. (2013) · Chronobiology International · doi:10.3109/07420528.2012.763132 · Cited by 92 · see citing works
Hidalgo, M. P. L., Ponte Talles, S., Carvalho, C. G., Pedrotti, M. R., Nunes, P. V., de Souza, C. M., Zanette, C., Voltolini, S., & Chaves, M. L. F. (2001) · Arquivos de Neuro-Psiquiatria · doi:10.1590/s0004-282x2001000200005 · Cited by 88 · see citing works
Sleep Duration and Sleep Patterns in Chinese University Students: A Comprehensive Meta-Analysis
Lu, L., Wang, Y. Y., Wang, S., Li, L., Lu, L., Ng, C. H., Ungvari, G. S., Chiu, H. F. K., Hou, C., Jia, F., et al. (2017) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.6760 · Cited by 87 · see citing works
Morgan, H. L., Petry, A. F., Licks, P. A. K., et al. (2017) · Revista Brasileira de Educação Médica · doi:10.1590/1981-52712015v41n1rb20160035 · Cited by 86 · see citing works
Sleep Improves Memory: The Effect of Sleep on Long Term Memory in Early Adolescence
Potkin, K. T., & Bunney, W. E. (2012) · PLoS ONE · doi:10.1371/journal.pone.0042191 · Cited by 76 · see citing works
Wang, L., Qin, P., Zhao, Y., Duan, S., Zhang, Q., Liu, Y., Hu, Y., & Sun, J. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.04.011 · Cited by 76 · see citing works
Cvejic, E., Huang, S., & Vollmer-Conna, U. S. (2017) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867417716543 · Cited by 58 · see citing works
Factors Modifying Burnout in Osteopathic Medical Students
Lapinski, J., Yost, M., Sexton, P. S., & LaBaere, R. J. (2015) · Academic Psychiatry · doi:10.1007/s40596-015-0375-0 · Cited by 51 · see citing works
Sawah, M. A., Ruffin, N., Rimawi, M., Concerto, C., Aguglia, E., Chusid, E., Infortuna, C., & Battaglia, F. (2015) · Journal of the American Podiatric Medical Association · doi:10.7547/14-082 · Cited by 43 · see citing works
Salud mental y calidad de sueño en estudiantes de ocho facultades de medicina humana del Perú
Vilchez‐Cornejo, J., Quiñones-Laveriano, D. M., Failoc‐Rojas, V. E., et al. (2016) · Revista chilena de neuro-psiquiatría · doi:10.4067/s0717-92272016000400002 · Cited by 42 · see citing works
Sitticharoon, C., Srisuma, S., Kanavitoon, S., & Summachiwakij, S. (2014) · AJP Advances in Physiology Education · doi:10.1152/advan.00162.2012 · Cited by 40 · see citing works
Do medical students in Hong Kong have enough sleep?
HUEN, L.-L. E., CHAN, T.-W. G., Yu, M. W. M., & Wing, Y. K. (2007) · Sleep and Biological Rhythms · doi:10.1111/j.1479-8425.2007.00278.x · Cited by 39 · see citing works
Somnolencia y calidad del sueño en estudiantes de medicina de una universidad peruana
Rosales-Mayor, E., Egoavil, M., Dávila, C. C. L. C., & de Castro, J. R. (2013) · Anales de la Facultad de Medicina · doi:10.15381/anales.v68i2.1225 · Cited by 36 · see citing works
Investigation of Sleep Quality and Sleep Disorders in Students of Medicine
Saygın, M. (2016) · Turkish Thoracic Journal · doi:10.5578/ttj.30513 · Cited by 35 · see citing works
Sleep deprivation and drowsiness of medical residents and medical students.
Purim, K. S. M., Guimarães, A. T., Titski, A. C., & Leite, N. (2016) · Revista do Colégio Brasileiro de Cirurgiões · doi:10.1590/0100-69912016006005 · Cited by 32 · see citing works
Abdulah, D. M., & Piro, R. S. (2018) · Annals of Saudi Medicine · doi:10.5144/0256-4947.2018.57 · Cited by 30 · see citing works
Yeung, W., Chung, K., & Chan, T. C. Y. (2008) · Biological Rhythm Research · doi:10.1080/09291010701425124 · Cited by 26 · see citing works
Attitudes towards treatment among patients suffering from sleep disorders. A Latin American survey
Blanco, M., Kriguer, N., Lloret, S. P., & Cardinali, D. P. (2003) · BMC Family Practice · doi:10.1186/1471-2296-4-17 · Cited by 19 · see citing works
Self-citationQuality of Sleep among Medical Students: Relationship with Personality Traits
Rathi, A., Ransing, R. S., Mishra, K. K., et al. (2018) · JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH · doi:10.7860/jcdr/2018/24685.12025 · Cited by 19 · see citing works
Sleep/wake disturbances in working life.
Åkerstedt, T. (1987) · PubMed · Cited by 18 · see citing works
Ez ElArab, H., Rabie, M. A. M., & Ali, D. H. (2014) · Middle East Current Psychiatry · doi:10.1097/01.xme.0000444452.76469.05 · Cited by 17 · see citing works
(2004) · PubMed Central · Cited by 17 · see citing works
Calidad del dormir, insomnio y rendimiento académico en estudiantes de medicina
Monterrosa Castro, A., Ulloque Caamaño, L., & Carriazo Julio, S. (2014) · Duazary · doi:10.21676/2389783x.814 · Cited by 16 · see citing works
Sleep and memory: mechanisms and implications for psychiatry
Maier, J. G., & Nissen, C. (2017) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000365 · Cited by 15 · see citing works
Stranges, S., Tigbe, W. W., Gómez-Olivé, F. X., Thorogood, M., & Kandala, N.-B. (2012) · Journal of Epidemiology & Community Health · doi:10.1136/jech-2012-201753.108 · Cited by 15 · see citing works
Calidad del sueño en una facultad de medicina de Lambayeque
Granados-Carrasco, Z., Bartra-Aguinaga, A., Bendezú-Barnuevo, D., et al. (2014) · Anales de la Facultad de Medicina · doi:10.15381/anales.v74i4.2704 · Cited by 10 · see citing works
Obesity in Medical Students and its Correlation with Sleep Patterns and Sleep Duration.
Israel, M., Patil, U., Shinde, S., et al. (2018) · PubMed · Cited by 8 · see citing works
Abdulah, D. M., & Piro, R. S. (2018) · Annals of Saudi Medicine · doi:10.5144/0256-4947.2018.537 · Cited by 7 · see citing works
SÍNDROME DE BURNOUT Y FACTORES ASOCIADOS EN ESTUDIANTES DE UNA ESCUELA DE MEDICINA DE CHILE
Alfaro-Toloza, P., Olmos-de-Aguilera, R., Fuentealba, M., et al. (2013) · DOAJ (DOAJ: Directory of Open Access Journals) · doi:10.23961/cimel.2013.182.400 · Cited by 6 · see citing works
Sleep Disturbance Patterns among Medical Students, Saudi Arabia
Albhlal, L. A., Alanzi, F. G., Ghannam, K. B., Alqahtani, A. A., Alenazi, A. Q., Alanazi, M. Q., Alanazi, A. Q., & Alenzi, F. Q. (2017) · Archives of Medicine · doi:10.21767/1989-5216.1000220 · Cited by 5 · see citing works
Hamed, H., Miskey, A., Alkurd, R., et al. (2015) · Research and reviews : journal of pharmacy and pharmaceutical sciences · Cited by 4 · see citing works
Medical Students Circadian Sleep Rhythms and Academic Performance
Pérez-Olmos, I., Talero‐Gutiérrez, C., González-Reyes, R. E., & Moreno, C. B. (2006) · DOAJ (DOAJ: Directory of Open Access Journals) · Cited by 2 · see citing works
Ochoa, Y. C., Gómez, A. U., Fonseca, S., et al. (2015) · Ciencia e Investigación Medico Estudiantil Latinoamericana · doi:10.23961/cimel.2015.202.584 · Cited by 2 · see citing works
The prevalence and association of stress with sleep quality among medical students
Almojali, A. I., Almalki, S., Alothman, A., et al. (2017) · Journal of Epidemiology and Global Health · doi:10.1016/jjegh.2017.04.005
Flagged first, then by citations
2 of the 82 references couldn’t be matched to a known paper.
Research works printed but not linked: 3
- Escobar-Córdoba, 2011, Somnolencia durna excesiva en estudiantes de noveno semestre de medicina de la Universidad Nacional de Colombia, Rev Fac Med, 59, 191
- Pérez-Olmos, 2006, Ritmos circadianos de sueño y rendimiento académico en estudiantes de medicina, Rev Cien Salud, 4, 147
- Priya, 2017, Study of the factors associated with poor sleep among medical students, IJBAMR, 6, 422
Cited by
Sorted by citations
Bin-Jabr, M. A., Alalawi, I. S., Alzahrani, R. A., Albalawi, O. S., Hamzah, R. H., Ibrahim, Y. S., Buali, F., Husni, M., BaHammam, A. S., Vitiello, M. V., et al. (2023) · Current Sleep Medicine Reports · doi:10.1007/s40675-023-00258-5 · Cited by 115 · see citing works
“Sleep disruption is described as a pandemic in the population of medical students compared to the general population [24], with Extended author information available on the last page of the article”
Leow, M. Q. H., Chiang, J., Chua, T. J. X., Wang, S., & Tan, N. C. (2023) · PLoS ONE · doi:10.1371/journal.pone.0290724 · Cited by 88 · see citing works
Mehta, K. J. (2022) · Humanities and Social Sciences Communications · doi:10.1057/s41599-021-01031-1 · Cited by 72 · see citing works
Jahrami, H., AlKaabi, J., Trabelsi, K., Pandi-Perumal, S. R., Saif, Z., Seeman, M. V., & Vitiello, M. V. (2023) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2023.111479 · Cited by 72 · see citing works
Time to Sleep?—A Review of the Impact of the COVID-19 Pandemic on Sleep and Mental Health
Neculicioiu, V. S., Colosi, I. A., Costache, C. A., Sevastre-Berghian, A., & Clichici, S. V. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19063497 · Cited by 62 · see citing works
“Multiple countries Medical students 2001–2018 29 <6–8 h or NS [32]”
BackgroundZhu, Y., Huang, J., & Yang, M. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20010197 · Cited by 60 · see citing works
“Not getting enough sleep has also been confirmed by numerous studies to be associated with many other health problems, including lower life satisfaction [71], high levels of anxiety and depression [72], poor academic performance and daytime sleepiness [73].”
BackgroundNakie, G., Takelle, G. M., Rtbey, G., Andualem, F., Tinsae, T., Kassa, M. A., Tadesse, G., Fentahun, S., Wassie, Y. A., Segon, T., et al. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1370757 · Cited by 55 · see citing works
“For instance, in a global systematic review and meta-analysis study conducted on sleep disruption in medicine students and its relationship with impaired academic performance, 39.8% of them reported having poor sleep quality (93).”
BackgroundInfluentialNightly sleep duration predicts grade point average in the first year of college
Creswell, J. D., Tumminia, M. J., Price, S., Sefidgar, Y., Cohen, S., Ren, Y., Brown, J., Dey, A. K., Dutcher, J. M., Villalba, D., et al. (2023) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2209123120 · Cited by 53 · see citing works
“While researchers have long suspected that sleep may play a key role in academic success, prior work has relied on cross-sectional, retrospective self-report assessments of TST to assess the relationship between TST and GPA in college student samples (11, 12, 21).”
Wüst, L. N., Capdevila, N. C., Lane, L. T., Reichert, C., & Lasauskaite, R. (2024) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2024.101940 · Cited by 54 · see citing works
Halat, D. H., Hallit, S. R., Younes, S., Alfikany, M., Khaled, S., Krayem, M., Khatib, S. E., & Rahal, M. K. (2023) · BMC Public Health · doi:10.1186/s12889-023-16184-8 · Cited by 47 · see citing works
“In a systematic review and meta-analysis of sleep disruption in medical students, sleep rhythm and impairment were found to severely affect learning ability and grades, [41].”
BackgroundHamvai, C., Kiss, H., Vörös, H., Fitzpatrick, K. M., Vargha, A., & Piko, B. F. (2023) · BMC Medical Education · doi:10.1186/s12909-023-04522-8 · Cited by 47 · see citing works
Bousgheïri, F., Allouch, A., Sammoud, K., Navarro-Martínez, R., Valle, V. I.-D., Senhaji, M., Cauli, O., Mlili, N. E., & Najdi, A. (2024) · Diseases · doi:10.3390/diseases12050089 · Cited by 36 · see citing works
“In medical students, academic grades correlated significantly with sleep quality scores [14].”
BackgroundSleep Quality and Sleep Hygiene Behaviours Among University Students in Qatar
Ali, R. M., Zolezzi, M., Awaisu, A., & Eltorki, Y. H. (2023) · International Journal of General Medicine · doi:10.2147/ijgm.s402399 · Cited by 34 · see citing works
“Studies have also demonstrated that poor sleep quality is associated with worse academic performance among college students.(24,33) There is limited information on the sleep quality and sleep hygiene patterns among higher education students in Qatar, although studies in other populations have been conducted.”
BackgroundFalloon, K., Bhoopatkar, H., Moir, F., Nakatsuji, M., & Wearn, A. M. (2022) · SLEEP Advances · doi:10.1093/sleepadvances/zpac019 · Cited by 27 · see citing works
“A recent systematic review and meta-analysis of the impact of sleep disruption on academic performance in medical students showed significant associations between both poorer sleep quality and higher daytime sleepiness scores with poorer academic performance [14].”
BackgroundMethodIzquierdo‐Condoy, J. S., Paz, C., Nati-Castillo, H. A., Gollini-Mihalopoulos, R., Aveiro-Róbalo, T. R., Paucar, J. R. V., Mamami, S. E. L., Caicedo, J. F., Loaiza-Guevara, V., Mejía, D. C., et al. (2024) · Journal of Medical Internet Research · doi:10.2196/60630 · Cited by 28 · see citing works
“These include compulsive information seeking, excessive use of online games and shopping platforms, and problematic online interactions such as cybersexuality and cybercontacts [14].”
Chaabane, S., Chaabna, K., Khawaja, S., Aboughanem, J., Mittal, D., Mamtani, R., & Cheema, S. (2024) · Scientific Reports · doi:10.1038/s41598-024-53818-2 · Cited by 28 · see citing works
Cross-cultural adaptation and validation of the Chinese version of the Sleep Health Index
Mu, Y., Wang, Y., Yuan, J., Knutson, K. L., Zhu, D., Izci‐Balserak, B., Wu, Y., & Zhu, B. (2022) · Sleep Health · doi:10.1016/j.sleh.2022.09.005 · Cited by 23 · see citing works
Mota Albuquerque, P., Ribeiro Franco, C. M., & Sampaio Rocha-Filho, P. A. (2023) · Acta Neurologica Belgica · doi:10.1007/s13760-023-02250-w · Cited by 23 · see citing works
“Changes in sustained attention, working memory, and executive function have mainly been reported [7, 21].”
BackgroundAhlstrand, I., Larsson, I., Larsson, M., Ekman, A., Hedén, L., Laakso, K., Lindmark, U., Nunstedt, H., Oxelmark, L., Pennbrant, S., et al. (2022) · BMC Public Health · doi:10.1186/s12889-022-13690-z · Cited by 23 · see citing works
Sirtoli, R., Balboa‐Castillo, T., Fernández‐Rodríguez, R., Rodrigues, R., Morales, G. I., Garrido‐Miguel, M., Valencia-Marín, Y., Guidoni, C. M., & Mesas, A. E. (2022) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-022-00763-8 · Cited by 23 · see citing works
“Both alcohol consumption and sleep disorders can affect not only their quality of life and general health but also their academic performance (Lund et al., 2010; Saether et al., 2019; Seoane et al., 2020; Tembo et al., 2017).”
BackgroundLi, M., Han, Q., Pan, Z., Wang, K., Xie, J., Zheng, B., & Lv, J. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192215337 · Cited by 24 · see citing works
“Given the current situation of prevalent sleep problems among medical students, a systematic review in 2020 advocated for an urgent intervention aiming at improving sleep quality of medical students [11].”
BackgroundSleep deprivation-induced shifts in gut microbiota: Implications for neurological disorders
Wankhede, N. L., Kale, M. B., Kyada, A., Rekha, M. M., Chaudhary, K., Naidu, K. S., Rahangdale, S. R., Shende, P. V., Taksande, B. G., Khalid, M., et al. (2024) · Neuroscience · doi:10.1016/j.neuroscience.2024.11.070 · Cited by 21 · see citing works
Sleep quality of medical students and relationships with academic performances
Christodoulou, N., Maruani, J., d’Ortho, M., Lejoyeux, M., & Geoffroy, P. A. (2021) · L Encéphale · doi:10.1016/j.encep.2021.09.006 · Cited by 18 · see citing works
Lu, L., Dong, M., Jian, S., Gao, J., Ye, L., Chen, H.-R., Zhang, T., Liu, Y., Shen, H., Gai, X.-Y., et al. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.04.025 · Cited by 18 · see citing works
“Nevertheless, one meta-analysis indicated a non-significant correlation coefficient between impaired academic performance and the length of sleep duration in medicine students (Seoane et al., 2020).”
BackgroundDigital technology and its impacts on the sleep quality and academic performance during the pandemic
Cabral, L. G. L., Queiroz, T. N., Fachin, L. P., et al. (2022) · Arquivos de Neuro-Psiquiatria · doi:10.1055/s-0042-1755395 · Cited by 16 · see citing works
“9 Thus, the rate of 92,8% of drowsiness during school hours and of 40% to 65% ofdecreased sleep qualityobserved in the present study do represent high prevalence rates.”
Gupta, S. K., Prithviraj, M., Gangwar, A., & Rath, R. S. (2023) · Cureus · doi:10.7759/cureus.50413 · Cited by 20 · see citing works
“Moreover, poor GPA scores reflecting poor academic performances, found in poor sleepers and those with daytime dysfunction, concord with previous reports among medical students [12,14,15].”
BackgroundResultYang, Y., Gong, S., Yao, L., Qiu, Y., Wang, J., & Xu, X. (2024) · Current Psychology · doi:10.1007/s12144-024-06260-6 · Cited by 15 · see citing works
Ibrahim, F. M., Salmi, R. N., Saif, M. A., & Mohammed, A. (2024) · SAGE Open Nursing · doi:10.1177/23779608241274229 · Cited by 15 · see citing works
“A review by Seoane et al. (2020) indicates that sleep disruption is a pandemic in the population of medical and nursing students.”
BackgroundWhatnall, M. C., Ashton, L., Patterson, A. J., Smith, J. J., Duncan, M. J., Burrows, T. L., KAY‐LAMBKIN, F. J., & Hutchesson, M. (2022) · Journal of American College Health · doi:10.1080/07448481.2022.2063024 · Cited by 16 · see citing works
Jafari, M. J., Mostafazadeh, P., Mojebi, M. R., Nemati‐Vakilabad, R., & Mirzaei, A. (2024) · BMC Nursing · doi:10.1186/s12912-024-01725-2 · Cited by 14 · see citing works
“Seoane et al. also indicated that short SDU leads to daytime sleepiness among medical students, which is associated with reduced attention and ultimately leads to poor academic performance [47].”
BackgroundKuhn, T., Karsan, S., Heisz, J. J., & Middleton, L. E. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1396579 · Cited by 12 · see citing works
Dagani, J., Buizza, C., Cela, H., Sbravati, G., Rainieri, G., & Ghilardi, A. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13092626 · Cited by 12 · see citing works
“Moreover, insomnia has been linked to decreased academic performance and unhealthy behaviors [4,17], which are highly prevalent among university students, including problematic internet use and alcohol/cannabis misuse [18–20].”
BackgroundResultIncreased Salivary IL-1 Beta Level Is Associated with Poor Sleep Quality in University Students
Ballestar‐Tarín, M. L., Valle, V. I.-D., Mafla-España, M. A., Cauli, O., & Navarro-Martínez, R. (2023) · Diseases · doi:10.3390/diseases11040136 · Cited by 14 · see citing works
“In addition, it has been shown that the absence of adequate sleep may affect academic performance [8] and has been associated with an increased likelihood of complications such as obesity [9], anxiety, stress, depression, and increased consumption of hypnotics and stimulants [10].”
BackgroundResultInfluentialThe Effects of Sleep Deprivation on College Students
Guadiana, N., & Okashima, T. (2020) · doi:10.33015/dominican.edu/2021.nurs.st.09 · Cited by 12 · see citing works
“Although poor sleep quality and excessive daytime sleepiness were mild, it was highly associated with impaired academic performance (Seoane et al., 2020).”
InfluentialChaabane, S., Chaabna, K., Khawaja, S., Aboughanem, J., Mamtani, R., & Cheema, S. (2025) · Journal of Global Health · doi:10.7189/jogh.15.04099 · Cited by 14 · see citing works
“However, previous data showed that both poor sleep quality [ 43 , 48 , 60 , 90 – 93 ] and EDS [ 48 , 91 , 94 ] were associated with poor academic performance in medical students.”
InfluentialShafiee, A., Fili, J., Ghafari, S., Sattari, M. A., Borna, N., & Pourramzani, A. (2024) · Sleep Medicine X · doi:10.1016/j.sleepx.2024.100107 · Cited by 11 · see citing works
“The constant juggling of theoretical knowledge acquisition, practical skills development, and the emotional toll of dealing with illness and suffering can significantly impact their sleep patterns [5].”
BackgroundMétais, A., Besnard, L., Valero, B., Henry, A., Schott, A., Gilles Rode, A., Haesebaert, J., Fassier, J., & Schlatter, S. (2025) · BMC Medical Education · doi:10.1186/s12909-025-07209-4 · Cited by 10 · see citing works
“Since unhealthy behaviors can cause significant deterioration in their wellbeing, quality of life, health, and performance, it is essential to provide them with support [1, 3–5, 10, 23, 33, 34].”
Arastoo, H. S., Ghalehbandi, M. F., Alavi, K., Kashaninasab, F., & Nojomi, M. (2024) · Sleep Science · doi:10.1055/s-0043-1777776 · Cited by 11 · see citing works
“Seoane et al. 27 published a systematic review in 2020 about “ sleep disruption in medicine students and its relationship with impaired academic performance ” .”
BackgroundLiu, J., Hao, Q., Li, B., Zhang, R., Luo, G., & Sun, D. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05980-0 · Cited by 10 · see citing works
“This result aligns with previous research [42].”
BackgroundRuet, A., Mayi, E.-F. N., Métais, A., Valero, B., Henry, A., Duclos, A., Lilot, M., Rode, G., & Schlatter, S. (2025) · BMC Medical Education · doi:10.1186/s12909-024-06422-x · Cited by 9 · see citing works
“A recent meta-analysis indicated that academic grades were positively correlated with sleep quality scores and negatively with diurnal sleepiness [6].”
Fernandez, M. D. S., Pontes, A. F. L., Casarin, M., Feijo, J. D. S., Pola, N. M., & Muniz, F. W. M. G. (2022) · Journal of Dental Education · doi:10.1002/jdd.13134 · Cited by 8 · see citing works
Sleep and Learning: A Systematic Review
Pérez, M. L. G., Machado, J. A. L., Lavado, V. L., & Pimiento, D. C. N. (2024) · International Archives of Otorhinolaryngology · doi:10.1055/s-0043-1777294 · Cited by 7 · see citing works
“41 Furthermore,severalscaleshavebeen used to assess sleep deprivation objectively, such as the Pittsburgh quality sleep index (PSQI) and sleepiness with the Epworth sleepiness scale (ESS) also considered evaluating the correlation between sleep quality and academic performance.”
MethodBijlsma, N., Conduit, R., Kennedy, G. A., & Cohen, M. M. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1481537 · Cited by 10 · see citing works
Roizenblatt, M., Gehlbach, P. L., Marin, V. D. G. B., Roizenblatt, A., Saraiva, V. S., Nakanami, M. H., Noia, L. D. C., Watanabe, S. E. S., Yasaki, E. S., Passos, R. M., et al. (2023) · Ophthalmology Retina · doi:10.1016/j.oret.2023.05.001 · Cited by 7 · see citing works
Yuan, J., Bai, J., Wang, Y., Wu, H., Mu, Y., Zhao, C., & Zhu, B. (2023) · Sleep And Breathing · doi:10.1007/s11325-023-02888-z · Cited by 8 · see citing works
“…or dissatisfaction with sleep quality or quantity (i.e., poor sleep quality and short sleep) [3], are associated with an increased risk of chronic conditions (e.g., obesity and diabetes) and mental diseases (e.g., depression) as well as impaired learning capacity and academic performance [1, 2, 4].”
Nguyen, D., Tuan, D. L., Abdelaziz, E. O., Alsayed, G. M., Hassan, T. A., Le, Q. T., Mera-Lojano, L. D., Nguyen, D. H., Tawfik, G. M., Thao, H. L. P., et al. (2025) · Current Sleep Medicine Reports · doi:10.1007/s40675-025-00323-1 · Cited by 7 · see citing works
“A 2020 MA that combined results from six studies found that DS was significantly positively associated with poor AP in medical school students [76].”
Chen, Z., Xiong, J., Bai, J., Hu, Y., Wu, H. L., Zhou, B., & Wang, Y. (2025) · Psychology Health & Medicine · doi:10.1080/13548506.2025.2481195 · Cited by 7 · see citing works
“%) of medical students reported poor sleep quality (Seoane et al., 2020).”
Zarski, A., Bernstein, K., Baumeister, H., Lehr, D., Wernicke, S., Küchler, A., Kählke, F., Spiegelhalder, K., & Ebert, D. D. (2025) · Journal of Medical Internet Research · doi:10.2196/58024 · Cited by 7 · see citing works
Elshewey, A. M., Ibrahim, A. F., Abdelhamid, A. A., Eid, M. M., Singla, M. K., & Farhan, A. K. (2024) · Journal of Artificial Intelligence in Engineering Practice. · doi:10.21608/jaiep.2024.355008 · Cited by 7 · see citing works
“For instance, educators can apply such data to develop more accommodating and educative teaching techniques that consider student differences supported by the individualized teaching approach [10-12].”
BackgroundSouza, A. K. R., Sandes, R. S., Vasco, R. F. V., & Albuquerque, E. V. D. A. (2024) · Revista da Associação Médica Brasileira · doi:10.1590/1806-9282.20231141 · Cited by 6 · see citing works
Wang, M., Zhao, M., Ma, D., Ji, X., Li, D., & Xu, Z. (2025) · International Journal of Mental Health Promotion · doi:10.32604/ijmhp.2025.067133 · Cited by 8 · see citing works
“Sleep constitutes a fundamental physiological necessity for human functioning, with high-quality sleep significantly enhancing students’ academic performance [64].”
Aanapanasati Meditation and Stress Reduction Among Health Science University Students
Patarathipakorn, O., Pawa, K. K., Sritipsukho, P., Tansuhaj, K., Bhamarapravatana, K., & Suwannarurk, K. (2025) · The Open Public Health Journal · doi:10.2174/0118749445380247250225075656 · Cited by 5 · see citing works
Seura, T., NAGAI, R., YAMAZAKI, S., BANDO, K., & Sogawa, M. (2025) · Journal of Nutritional Science and Vitaminology · doi:10.3177/jnsv.71.339 · Cited by 5 · see citing works
Zakiei, A., Khazaie, H., & Komasi, S. (2025) · Scientific Reports · doi:10.1038/s41598-025-01308-4 · Cited by 5 · see citing works
“This finding aligns with previous studies 42,43 that emphasize the prevalence of sleep problems among students, showing that sleep issues are a significant concern in this population.”
Medical Students' Wellness from the Perspective of Ergonomics and Occupational Mental Health
Gupta, R. M., Gupta, R. K., & Negi, G. (2021) · Indian Journal of Social Psychiatry · doi:10.4103/ijsp.ijsp_47_21 · Cited by 5 · see citing works
A chain mediating model of the impact of physical exercise on sleep quality
Zhang, Z., & Liu, X. (2025) · BMC Public Health · doi:10.1186/s12889-025-22728-x · Cited by 4 · see citing works
“In addition to mobile phone dependence, a significant factor affecting college students’ sleep quality is the widespread problem of insufficient sleep [8], which may be related to factors such as mobile phone dependence.”
Zhang, P., Yan, J., Jiao, W., Li, Y., & Sun, C. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.10.080 · Cited by 4 · see citing works
Zhong, S., Zhang, L., Wang, M., Shen, J., Mao, Y., Du, X., & Ma, J. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.966362 · Cited by 4 · see citing works
Kalbacher, L. S., & Randler, C. (2024) · Chronobiology International · doi:10.1080/07420528.2024.2383396 · Cited by 5 · see citing works
“Seoane et al. (2020) reported that academic grades correlated significantly with sleep quality scores ( r = 0.15) and diurnal sleepiness ( r = 0.12), but not with sleep duration ( r = 0.03).”
InfluentialWithin- and Between-Person Correlates of Affect and Sleep Health Among Health Science Students
Wang, Y., Yang, J., Yuan, J., Izci‐Balserak, B., Mu, Y., Chen, P., & Zhu, B. (2024) · Brain Sciences · doi:10.3390/brainsci14121250 · Cited by 3 · see citing works
Bayard, S., Faccini, J., Del-Monte, J., & Madiouni, C. (2025) · Journal of Sleep Research · doi:10.1111/jsr.70042 · Cited by 3 · see citing works
“In this context, sleep–wake disturbances are related to poor academic achievement and poor mental health status (Carrión-Pantoja et al. 2022; Seoane et al. 2020).”
Asdaq, S. M. B., Alharbi, M. S., Alansari, M. A., Alshuqayr, S., Alanazi, M. F., Alshahrani, S. R., Nayeem, N., Alsanie, W. F., Alamri, A. S., Alhomrani, M., et al. (2025) · PLoS ONE · doi:10.1371/journal.pone.0328350 · Cited by 4 · see citing works
The relationship between job precariousness and student burnout: a serial indirect effects model
Creed, P., Hood, M., Selenko, E., Hu, S.-J., & Bagley, L. (2022) · Journal of Education and Work · doi:10.1080/13639080.2022.2149713 · Cited by 5 · see citing works
“…confirmed in this study, sleep disruption impairs other functioning, such as cognitive processing, learning, and academic performance in students (Seoane et al. 2020; Shad, Thawani, and Goel 2015), and is a potential risk factor for physical health problems and sport and occupational injuries…”
BackgroundSleep disturbance and medical requests among university and college students in Chongqing, China
Wang, T., Yin, J., Hu, C., Tang, W., Che, X., & Liu, Y. (2023) · Saudi Medical Journal · doi:10.15537/smj.2023.44.11.20230420 · Cited by 3 · see citing works
Maghsoudi, S., Amra, B., & Teimouri, A. (2021) · Immunopathologia Persa · doi:10.34172/ipp.2022.07 · Cited by 3 · see citing works
La calidad del sueño y su relación con el rendimiento académico en estudiantes de medicina.
Ocampo, M. D. M. D. (2022) · Revista Ciencia y Salud Integrando conocimientos · doi:10.34192/cienciaysalud.v6i2.407 · Cited by 3 · see citing works
A Larger Lens: Medical Students Benefit from Consciousness-Based Self-Care
Nader, T., Carroll, R. J., Travis, F. W., Bray, J. B., Gruener, G., Rothenberg, S., Brown, D. H., & Brown, C. L. (2023) · Palgrave studies in workplace spirituality and fulfillment · doi:10.1007/978-3-031-05839-4_2 · Cited by 3 · see citing works
Psychotic Experiences and Sleep Quality in the Emerging Adulthood
Lenzo, V., Franceschini, C., Manari, T., Corsano, P., Quattropani, M. C. A., & Musetti, A. (2021) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000001454 · Cited by 4 · see citing works
“At the same time, poor sleep quality represents a common problem among emerging adults such as university students, with a possible negative effect on academic performance (Seoane et al., 2020; Suardiaz-Muro et al., 2020).”
BackgroundHe, H., Zeng, Y., Chen, Z., Wu, M., & Wang, Y. (2025) · Nature and Science of Sleep · doi:10.2147/nss.s536854 · Cited by 3 · see citing works
“38 Sleep quality also emerged as a key independent factor associated with depression, aligning with recent findings.”
Gao, X., Mu, S., Zhang, D., Li, P., Wang, W., Hu, X., & Wang, P. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1675266 · Cited by 3 · see citing works
Lin, C.-T., Liang, S.-F., & Shaw, F. (2025) · Scientific Reports · doi:10.1038/s41598-025-33775-0 · Cited by 2 · see citing works
“Numerous studies in systematic review articles have shown the association between sleep and academic performance 19,46 .”
Sivertsen, B., Harvey, A. G., Vedaa, Ø., Pallesen, S., & Hysing, M. (2026) · Journal of Sleep Research · doi:10.1111/jsr.70312 · Cited by 3 · see citing works
“The persistence of sleep problems in the student population is concerning, given established links with academic difficulties, impaired daily functioning and long-term mental and physical health risks (Becker et al. 2018; Seoane et al. 2020; McMahon et al. 2019).”
The Effect of Sleep Quality on Students’ Academic Achievement [Response to Letter]
Jalali, R., Khazaie, H., Paveh, B. K., et al. (2020) · Advances in Medical Education and Practice · doi:10.2147/amep.s277808 · Cited by 2 · see citing works
Mančevska, S., Pislevski, M., & Gligoroska, J. P. (2024) · Journal of Morphological Sciences · doi:10.55302/jms2471017m · Cited by 2 · see citing works
Jaradat, J. H., Al‐Dwairi, R., Riyad, J., Al-Rawashdeh, I., & Elmazar, H. (2024) · JAP Academy Journal · doi:10.58877/japaj.v2i2.146 · Cited by 3 · see citing works
Skipping Breakfast is Associated with Shorter Sleep Duration in Medical Students
Bhoopatkar, H., Sharma, S., Moir, F., Nakatsuji, M., Wearn, A., & Falloon, K. (2024) · International Journal of Medical Students · doi:10.5195/ijms.2024.2062 · Cited by 2 · see citing works
Sabu, A., Ghosh, P., Sarika, K., Ks, S., Varma, N. S., & Ajith, V. V. (2025) · Cureus · doi:10.7759/cureus.86624 · Cited by 2 · see citing works
“However, these prevalence rates among dental students are higher compared to the global prevalence rate of 40% among medical students [12].”
Omar, Y., Paxton, J. Z., Hui, R., et al. (2020) · Brazilian Journal of Psychiatry · doi:10.1590/1516-4446-2020-1371 · Cited by 2 · see citing works
Pourramzani, A., Ghafari, S., Shafiee, A., Fili, J., Sattari, M. A., Borna, N., & Hajishah, H. (2024) · Sleep Science and Practice · doi:10.1186/s41606-024-00096-6 · Cited by 2 · see citing works
“Numerous studies indicate an increasing prevalence of sleep disorders and mental illnesses among medical students (Seoane et al. 2020).”
BackgroundAhlstrand, I., Larsson, I., Larsson, M., et al. (2021) · Research Square · doi:10.21203/rs.3.rs-965295/v1 · Cited by 2 · see citing works
Relationship Between Sleep Quality and Achievement of Medical Students in Indonesia
Putri, N. M. I. K., Kurniawan, K. W., & Sakina, S. (2023) · International Journal of Research Publications · doi:10.47119/ijrp1001171120234461 · Cited by 1 · see citing works
The Relationship Between Anxiety and Sleep Quality Among Medical Students
Bazaz, M. M., Shahsavan, F., Torshizian, A., Parvizi, Y., Sangani, P. S., & Dana, S. M. M. A. (2023) · Sleep and Vigilance · doi:10.1007/s41782-023-00242-7 · Cited by 1 · see citing works
Doi, K., Sogawa, R., Eguchi, Y., Matsuo, M., & Shimanoe, C. (2024) · Biological and Pharmaceutical Bulletin · doi:10.1248/bpb.b24-00147 · Cited by 1 · see citing works
“Notably, existing reports have shown that somnolence during the day affects academic performance, 20,21) and somnolence associated with guanfacine use may also have this adverse effect.”
Impact of Sleep Loss in Residency – A Reflection
Kim, G. E. (2024) · Heart and Mind · doi:10.4103/hm.hm-d-24-00047 · Cited by 1 · see citing works
Mourlon, P., Blanchard, L., Guenneugues, T., Loustaunau, P., Jordana, F., Enkel, B., & Guihard, G. (2024) · Mesure et évaluation en éducation · doi:10.7202/1118273ar · Cited by 1 · see citing works
Bingge, H., & Keat, O. B. (2025) · Sociological research and innovation · doi:10.32350/sri.31.01 · Cited by 1 · see citing works
“Seoane et al. (2020) elaborated this connection further showing that a lack of sleep also impacts students' academic grades adversely as does irregular sleep patterns.”
Bruzos, M. J., Sutherland, B. D., Sutherland, M. T., & Trucco, E. M. (2025) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph22111722 · Cited by 1 · see citing works
“Sleep problems may also negatively impact adolescents’ cognitive abilities, such as working memory and executive functioning [5,6], ultimately affecting academic performance [7].”
Sleep Quality in Nursing Students: Systematic Review and Meta-Analysis of Prevalence Studies
Castaño, J. H. O., Cañón-Montañéz, W., Bedoya-Carvajal, O. A., Uribe, J. C. G., & Noriega, A. A. (2025) · Aquichan · doi:10.5294/aqui.2025.25.4.2 · Cited by 2 · see citing works
“To date, the systematic reviews that exist to synthesize the evidence on sleep quality in students are those reported by Gardani et al. (25); these authors explored the symptoms of insomnia and stress in university students in general, while Seoane et al. (26) reviewed the relationship between academic performance and…”
Shen, Z., Wang, T. N., Zeng, X. N., & Wang, J. N. (2025) · Behavioral Psychology/Psicología Conductual · doi:10.31083/bp44349 · Cited by 2 · see citing works
“Medical students exhibited 39.4% depression, 41.7% stress, and 32.5% anxiety (Jahrami et al, 2023), with 39.8% poor sleep quality, 29.1% insufficient sleep, and 35.9% excessive sleepiness (Seoane et al, 2020).”
InfluentialFu, L.-Q., Wang, Z., Li, X., et al. (2026) · Healthcare · doi:10.3390/healthcare14070908 · Cited by 1 · see citing works
Makkawi, R. M., Alnefaie, S. N., Aljuhani, A., Alshehri, J. M., Alzahrani, H. K., Alsharif, J., & Shaker, A. (2026) · Cureus · doi:10.7759/cureus.106708 · Cited by 1 · see citing works
“With the rapid advancement of technology and increased use of electronic devices, such as laptops, tablets, and smartphones, students are at heightened risk of sleep disturbances [6-8].”
Zhang, Y., Liu, M., Yu, W., Gao, Z., Zhao, D., Yan, W., Wang, W., Gao, X. Y., & Wang, Q. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1839572 · Cited by 1 · see citing works
“Globally, medical students are considered to be particularly susceptible to sleep related problems (24, 25), which is closely tied to the unique pressure context of medical education.”
Sadowski, A., Wexler, R. S., Hanes, D. A., Buttolph, L., Torrens, T., Moehle, J., Sarrar, H., Harnett, J., Zava, D. T., & Bradley, R. D. (2022) · BMC Complementary Medicine and Therapies · doi:10.1186/s12906-022-03582-5 · Cited by 2 · see citing works
“Similarly, a recent meta-analysis of over 14,000 medical students evaluating the association of sleep with academic performance estimated 40% of students experience poor sleep quality and 29% report insufficient sleep [15].”
BackgroundVirani, Q.-U.-A., Thobani, H., & Fatima, S. S. (2023) · BioSight · doi:10.46568/bios.v4i1.99 · Cited by 1 · see citing works
Measuring Sleep Quality Among Medical Students Using the Epworth Sleepiness Scale
Sharma, A., Austerlitz, J., Najjar, F., McDermott, J., Matalon, J., & Varma, M. (2024) · Cureus · doi:10.7759/cureus.63319 · Cited by 1 · see citing works
“Poor sleep quality may also impair academic performance as evidenced by multiple studies; however, Johnson et al. failed to show this connection in their cohort [12,14,16,17].”
BackgroundResultInfluentialSleep Disturbances in Health Professional Students During the COVID ‐19 Pandemic: A Concept Analysis
Chen, P., Cao, Y., Tanglai, W., Zhu, B., Fink, A. M., & Izci‐Balserak, B. (2024) · Nursing Open · doi:10.1002/nop2.70059 · Cited by 1 · see citing works
“Sleep disturbances remain a common issue among health professional students due to a variety of factors, including academic stress, irregular schedules and demanding clinical rotations (Seoane et al. 2020).”
BackgroundUnveiling the association between 24-hour movement guidelines and academic engagement in adolescents
Miguel, P. A. S., López‐Gil, J. F., & Tapia‐Serrano, M. Á. (2024) · Pediatric Research · doi:10.1038/s41390-024-03663-w · Cited by 1 · see citing works
Lin, C.-T., Shaw, F., & Liang, S. (2025) · World Congress on Medical Physics and Biomedical Engineering, September 7 - 12, 2009, Munich, Germany · doi:10.1007/978-3-031-86323-3_33 · Cited by 1 · see citing works
Puchkova, A. N., Tkachenko, O. N., Gandina, E. O., & Ефимович, Ш. Д. (2025) · S S Korsakov Journal of Neurology and Psychiatry · doi:10.17116/jnevro202512505222 · Cited by 1 · see citing works
Caixeta, P. C. M., Spinelli, L. A., Promissia, J. P., Branco, G. F., Rosa, G., Hadad, P. J., Silva, R. G. D., & Ribeiro, M. D. L. (2023) · CERES - Health & Education Medical Journal · doi:10.62234/ceresv1n1-005 · Cited by 1 · see citing works
- Authors
- Seoane, H. A., Moschetto, L., Orliacq, F., Orliacq, J., Serrano, E., Cazenave, M. I., Vigo, D. E., & Perez-Lloret, S.
- Affiliations
- Pontificia Universidad Católica Argentina (AR)
- Consejo Nacional de Investigaciones Científicas y Técnicas (AR)
- Venue
- Sleep Medicine Reviews
- Publisher
- Elsevier BV
- Published
- 2020-10
- Volume
- 53
- Pages
- 101333
- ISSN
- 1087-0792 (ISSN-L)
- OpenAlex
- W3024810966
- Cited by
- 150
- References
- 82
- Citations by year
- 2026: 30 · 2025: 30 · 2024: 36 · 2023: 25 · 2022: 19 · 2021: 6 · 2020: 4
- FWCI
- 1.97
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Sleep Medicine Reviews (publishedVersion)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, cc-by-nc-sa)
- Americanae (AECID Library) (submittedVersion, cc-by-nc-sa)
- Lirias (submittedVersion)
- Conicet (submittedVersion, cc-by-nc-sa)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- sleep disruption, medical students, academic performance, sleep deprivation, sleep quality, insufficient sleep duration, excessive daytime sleepiness, learning ability, sleep interventions
- MeSH terms
- Academic Success, Humans, Disorders of Excessive Somnolence, Sleep Deprivation, Students, Medical
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-11.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-11.
Cited sources are checked by gpt-6-sol.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
