Depressions, anxiety, stresses, and sleep quality among medical undergraduate students and its correlation with sociodemographic factors and academic performance
Background: Medical undergraduate students are exposed to intense academic and psychological stress, placing them at high risk for mental health issues such as depression, anxiety, stress, and sleep disturbances, all of which can adversely affect academic performance. Aims and Objectives: This st...
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| Format: | Article |
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Manipal College of Medical Sciences, Pokhara
2025-08-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://ajmsjournal.info/index.php/AJMS/article/view/4595 |
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| author | Rahul Singh Abhishek Pathak Vishesh Yadav Jaymin Pandav Divya Kushwaha Manish Singh Yogi Rana |
| author_facet | Rahul Singh Abhishek Pathak Vishesh Yadav Jaymin Pandav Divya Kushwaha Manish Singh Yogi Rana |
| author_sort | Rahul Singh |
| collection | DOAJ |
| description | Background: Medical undergraduate students are exposed to intense academic and psychological stress, placing them at high risk for mental health issues such as depression, anxiety, stress, and sleep disturbances, all of which can adversely affect academic performance.
Aims and Objectives: This study aims to determine the prevalence of depression, anxiety, stress, and poor sleep quality among medical students and to analyze their correlation with sociodemographic characteristics and academic performance.
Materials and Methods: A descriptive cross-sectional study was conducted among 384 MBBS students at Hind Institute of Medical Sciences, Sitapur, over 18 months. Psychological distress was measured using the depression, anxiety, and stress scale-42, and sleep quality via the Pittsburgh Sleep Quality Index. Academic performance was assessed using a validated 8-item scale. Statistical analyses included Chi-square tests, t-tests, analysis of variance, and multivariate logistic regression.
Results: The prevalence of depression, anxiety, and stress was 32%, 38%, and 45%, respectively, with 58% of students reporting poor sleep quality. A significant negative correlation was found between academic performance, severity of psychological symptoms, and poor sleep (P<0.001). Independent predictors of poor academic performance included low attendance (adjusted odds ratios [AOR]=3.42), poor sleep quality (AOR=2.71), moderate-to-severe depression (AOR=2.63), anxiety, stress, male sex, 2nd-year status, day scholar residence, and absence of siblings.
Conclusion: Depression, anxiety, stress, and poor sleep are highly prevalent and significantly affect academic outcomes among MBBS students. Targeted mental health interventions, promotion of sleep hygiene, and academic support strategies are crucial to improving student well-being and performance. |
| format | Article |
| id | doaj-art-721ccaadfc6c41698e43728dbfacb65e |
| institution | DOAJ |
| issn | 2467-9100 2091-0576 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj-art-721ccaadfc6c41698e43728dbfacb65e2025-08-20T02:47:43ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762025-08-011682327https://doi.org/10.71152/ajms.v16i8.4595Depressions, anxiety, stresses, and sleep quality among medical undergraduate students and its correlation with sociodemographic factors and academic performanceRahul Singh 0https://orcid.org/0000-0002-0592-2499Abhishek Pathak 1https://orcid.org/0000-0002-0470-0659Vishesh Yadav 2https://orcid.org/0009-0009-8174-5234Jaymin Pandav 3https://orcid.org/0009-0002-8042-9191Divya Kushwaha 4https://orcid.org/0009-0000-3689-5668Manish Singh 5https://orcid.org/0009-0000-3649-0708Yogi Rana 6https://orcid.org/0009-0000-7367-1225Postgraduate Resident, Department of Psychiatry, Hind Institute of Medical Sciences, Sitapur, Uttar Pradesh, India Professor, Department of Psychiatry, Hind Institute of Medical Sciences, Sitapur, Uttar Pradesh, India Postgraduate Resident, Department of Psychiatry, Hind Institute of Medical Sciences, Sitapur, Uttar Pradesh, India Postgraduate Resident, Department of Psychiatry, Hind Institute of Medical Sciences, Sitapur, Uttar Pradesh, India Postgraduate Resident, Department of Psychiatry, Hind Institute of Medical Sciences, Sitapur, Uttar Pradesh, India Senior Resident, Department of Psychiatry, Hind Institute of Medical Sciences, Sitapur, Uttar Pradesh, India Postgraduate Resident, Department of Psychiatry, Hind Institute of Medical Sciences, Sitapur, Uttar Pradesh, India Background: Medical undergraduate students are exposed to intense academic and psychological stress, placing them at high risk for mental health issues such as depression, anxiety, stress, and sleep disturbances, all of which can adversely affect academic performance. Aims and Objectives: This study aims to determine the prevalence of depression, anxiety, stress, and poor sleep quality among medical students and to analyze their correlation with sociodemographic characteristics and academic performance. Materials and Methods: A descriptive cross-sectional study was conducted among 384 MBBS students at Hind Institute of Medical Sciences, Sitapur, over 18 months. Psychological distress was measured using the depression, anxiety, and stress scale-42, and sleep quality via the Pittsburgh Sleep Quality Index. Academic performance was assessed using a validated 8-item scale. Statistical analyses included Chi-square tests, t-tests, analysis of variance, and multivariate logistic regression. Results: The prevalence of depression, anxiety, and stress was 32%, 38%, and 45%, respectively, with 58% of students reporting poor sleep quality. A significant negative correlation was found between academic performance, severity of psychological symptoms, and poor sleep (P<0.001). Independent predictors of poor academic performance included low attendance (adjusted odds ratios [AOR]=3.42), poor sleep quality (AOR=2.71), moderate-to-severe depression (AOR=2.63), anxiety, stress, male sex, 2nd-year status, day scholar residence, and absence of siblings. Conclusion: Depression, anxiety, stress, and poor sleep are highly prevalent and significantly affect academic outcomes among MBBS students. Targeted mental health interventions, promotion of sleep hygiene, and academic support strategies are crucial to improving student well-being and performance.https://ajmsjournal.info/index.php/AJMS/article/view/4595depression; anxiety; stress; sleep quality; academic performance; medical students; mental health; sociodemographic factors; depressionanxietyand stress scale-42; pittsburgh sleep quality index |
| spellingShingle | Rahul Singh Abhishek Pathak Vishesh Yadav Jaymin Pandav Divya Kushwaha Manish Singh Yogi Rana Depressions, anxiety, stresses, and sleep quality among medical undergraduate students and its correlation with sociodemographic factors and academic performance Asian Journal of Medical Sciences depression; anxiety; stress; sleep quality; academic performance; medical students; mental health; sociodemographic factors; depression anxiety and stress scale-42; pittsburgh sleep quality index |
| title | Depressions, anxiety, stresses, and sleep quality among medical undergraduate students and its correlation with sociodemographic factors and academic performance |
| title_full | Depressions, anxiety, stresses, and sleep quality among medical undergraduate students and its correlation with sociodemographic factors and academic performance |
| title_fullStr | Depressions, anxiety, stresses, and sleep quality among medical undergraduate students and its correlation with sociodemographic factors and academic performance |
| title_full_unstemmed | Depressions, anxiety, stresses, and sleep quality among medical undergraduate students and its correlation with sociodemographic factors and academic performance |
| title_short | Depressions, anxiety, stresses, and sleep quality among medical undergraduate students and its correlation with sociodemographic factors and academic performance |
| title_sort | depressions anxiety stresses and sleep quality among medical undergraduate students and its correlation with sociodemographic factors and academic performance |
| topic | depression; anxiety; stress; sleep quality; academic performance; medical students; mental health; sociodemographic factors; depression anxiety and stress scale-42; pittsburgh sleep quality index |
| url | https://ajmsjournal.info/index.php/AJMS/article/view/4595 |
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