Sleep quality among psychiatry residents
Open accessAbstract
Objective: Medical residency programs are traditionally known for long working hours, which can be associated with a poor quality of sleep and daytime sleepiness. However, few studies have focused on this theme. Our objective was to investigate sleep quality, daytime sleepiness, and their relation with anxiety, social phobia, and depressive symptoms. Methods: This cross-sectional observational study involved 59 psychiatry residents. The Pittsburgh Sleep Quality Index (PSQI) and the Epworth Sleepiness Scale (ESS) were used to measure the quality of sleep and excessive daytime sleepiness ([EDS] and ESS > 10), respectively. Results: Among the 59 psychiatry residents, 59.3% had poor sleep quality (PSQI > 5) and 28.8% had EDS. Poor sleep quality was associated with higher EDS ( P = 0.03) and the year of residency program ( P = 0.03). Only 20% of residents with poor sleep had consulted at least once for sleep problems; 54.2% had used medications for sleep; and 16.9% were using medications at the time of interview. Only 30% obtained medication during medical consultations. Poor sleep was associated with irregular sleep hours ( P = 0.001) and long periods lying down without sleep ( P = 0.03). Poor sleep quality was also associated with high scores of anxiety symptoms ( P < 0.001) and social phobia symptoms ( P = 0.02). Conclusion: Psychiatry residents frequently have poor sleep quality and EDS. Considering that sleep disorders can affect quality of life, predispose to metabolic syndrome, and be associated with worse performance at work, attention to this clinical problem is needed.
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Military medical doctors are at increased risk for sleep disturbances and impaired psychological well-being compared to civilians and non-medical personnel.
“Compared to civilians and non-medical personnel, military medical doctors are at increased risk for sleep disturbances and impaired psychological well-being.”
From Sleep disturbances and psychological well-being among military medical doctors of the Swiss Armed Forces: study protocol, rationale and development of a cross-sectional and longitudinal interventional study (2024) · cites this paper as [47]
The Discussion reports frequent poor sleep quality among psychiatry residents and an association with anxiety and social phobia symptoms. The paper does not establish that military medical doctors have greater risks than civilians or non-medical personnel; its findings concern a different population and provide no such comparison. (LLM, conf=0.83)
Experimental — accuracy not yet measuredSleep issues among medical doctors may lead to symptoms of depression, anxiety, and burnout.
“These issues may lead to symptoms of depression, anxiety (47–54) and burnout (54–59).”
From Sleep disturbances and psychological well-being among military medical doctors of the Swiss Armed Forces: study protocol, rationale and development of a cross-sectional and longitudinal interventional study (2024) · cites this paper as [47]
The Sleep Quality results (page not available) report an association between poor sleep quality and anxiety symptoms in 59 psychiatry residents, but no significant association with depressive symptoms. The introduction mentions burnout alongside long working hours and daytime sleepiness; it does not establish that sleep issues lead to burnout. The study is cross-sectional, so its anxiety finding does not establish that sleep issues cause symptoms. (LLM, conf=0.88)
Experimental — accuracy not yet measuredMedical doctors are at increased risk of mental health issues due to low sleep quality, irregular sleeping schedules, increased sleep latency, and increased sleep interruptions.
“Medical doctors (MDs) are at increased risk of mental health issues due to low sleep quality, irregular sleeping schedules, increased latency in falling asleep and increased frequency of sleep interruptions (47–51).”
From Sleep disturbances and psychological well-being among military medical doctors of the Swiss Armed Forces: study protocol, rationale and development of a cross-sectional and longitudinal interventional study (2024) · cites this paper as [47]
The Abstract and Discussion report that poor sleep quality in psychiatry residents was associated with anxiety and social-phobia symptoms, irregular sleep hours, and long periods lying awake. The study is cross-sectional, so it does not establish that these sleep problems cause mental health issues in medical doctors generally; the cited passages also do not support the claimed increased frequency of sleep interruptions. (LLM, conf=0.88)
Experimental — accuracy not yet measuredMedical doctors and military personnel are at increased risk to report poor sleep compared to the general population.
“Further, compared to the general population, two subgroups are at increased risk to report poor sleep: Medical doctors (47–51), and military personnel (65, 66, 154).”
From Sleep disturbances and psychological well-being among military medical doctors of the Swiss Armed Forces: study protocol, rationale and development of a cross-sectional and longitudinal interventional study (2024) · cites this paper as [47]
The Sleep Quality results (page unavailable) report poor sleep quality in 35 of 59 psychiatry residents, and the Discussion says it is frequent in that group. The cited paper does not establish that medical doctors generally have a higher risk than the general population. The military-personnel claim has separate citations, so it is not attributed to this paper. (LLM, conf=0.86)
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- Authors
- Carvalho Aguiar Melo, M., das Chagas Medeiros, F., Meireles Sales de Bruin, V., Pinheiro Santana, J. A., Bastos Lima, A., & De Francesco Daher, E.
- Affiliations
- Federal University of Ceará, Fortaleza, Ceará, Brazil
- Public Health School of Ceará, Fortaleza, Ceará, Brazil
- Frota Pinto Mental Health Hospital, Ceará, Fortaleza, Ceará, Brazil
- Venue
- The Canadian Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2016-01
- Volume
- 61
- Issue
- 1
- Pages
- 44-49
- ISSN
- 0706-7437 (ISSN-L)
- 1497-0015
- PMC
- PMC4756601
- OpenAlex
- W2324220728
- Cited by
- 28
- References
- 34
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 2 · 2023: 3 · 2022: 7 · 2021: 3 · 2020: 4 · 2019: 1 · 2018: 3
- FWCI
- 1.90
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Canadian Journal of Psychiatry (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- 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 quality, psychiatric residents, excessive daytime sleepiness, anxiety symptoms, social anxiety disorder, depressive symptoms, sleep disorders, sleep medication use
- MeSH terms
- Phobia, Social, Adult, Anxiety, Cross-Sectional Studies, Depression, Female, Humans, Internship and Residency, Male, Physicians, Psychiatry, Sleep Wake Disorders, Young Adult
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