A cross-sectional survey on sleep quality, mental health, and academic performance among medical students in Saudi Arabia
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Objective: Adequate sleep is integral to better mental health and facilitates students’ learning. We aimed to assess sleep quality among medical students and to see whether it was associated with their mental health (e.g., depression, anxiety, and stress) and academic performance. Results: A total of 206 responded, and 95 of them had complete data on demography, lifestyle, academic performance, sleep quality (Pittsburgh Sleep Quality Index), and mental health (Depression Anxiety Stress Scales). The prevalence of poor sleep was 63.2%; it was higher among students who were physically inactive and had more screen time. Poor sleepers demonstrated higher academic performance than sufficient sleepers ( p = 0.04). The prevalence of depression, anxiety, and stress were 42%, 53%, and 31% respectively. Sleep quality was significantly associated with depression ( p = 0. 03), anxiety ( p = 0.007), and stress ( p = 0.01).
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Nineteen studies included measures of anxiety and/or depression.
“Nineteen studies (n=19) included measures of anxiety and/or depression [35,39,41-44,50,5254,56-60,63,64,66,69] .”
From A systematic review and meta-analysis of poor sleep, insomnia symptoms and stress in undergraduate students (2022) · cites this paper as [35]
Ten of the 34 studies were included after study authors provided clarifications, statistics, or additional data by email.
“Ten of the 34 [29,35-43] studies were included after study authors provided clarifications, statistics, or additional data by email.”
From A systematic review and meta-analysis of poor sleep, insomnia symptoms and stress in undergraduate students (2022) · cites this paper as [35]
The Methods describe a cross-sectional survey of medical students, but do not address its inclusion in a 34-study review. Searches for author correspondence, email, clarifications, and additional data found no passage establishing that the authors supplied information by email before inclusion. (LLM, conf=0.77)
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“Of these, 10 studies used variants of the DASS to measure stress and thus, reporting the subscales of anxiety and depression [35,39,41,42,44,54,60,63,64,69] (See Table 1).”
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- Authors
- Al-Khani, A. M., Sarhandi, M. I., Zaghloul, M. S., Ewid, M., & Saquib, N.
- Affiliations
- Sulaiman Al Rajhi Colleges (SA)
- Cairo University (EG)
- Corresponding author
- Al-Khani, Abdullah Murhaf
- Venue
- BMC Research Notes
- Published
- 2019-10-21
- Volume
- 12
- Issue
- 1
- Pages
- 665-665
- ISSN
- 1756-0500 (ISSN-L)
- PMC
- PMC6802108
- OpenAlex
- W2981906970
- Cited by
- 221
- References
- 9
- Citations by year
- 2026: 28 · 2025: 36 · 2024: 44 · 2023: 47 · 2022: 22 · 2021: 26 · 2020: 18
- FWCI
- 19.46
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Research Notes (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Sulaiman AlRajhi Colleges
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- sleep quality, medical students, mental health, academic performance, depression, anxiety, stress, physical inactivity, screen time
- MeSH terms
- Academic Performance, Adult, Anxiety, Cross-Sectional Studies, Depression, Female, Health Surveys, Humans, Sleep Initiation and Maintenance Disorders, Male, Mental Health, Saudi Arabia, Sleep, Stress, Psychological, Students, Medical, Prevalence
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