Anxiety symptoms, sleep disturbance, and academic achievement among Afghan female school students: A cross-sectional study

Background: Anxiety is a common psychological disorder in school-aged children and adolescents. The present study aimed to assess the prevalence of anxiety symptoms and sleep disturbances and their relationship with academic achievement among female students in Herat, Afghanistan. Methods: A cross-s...

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Main Authors: Ahmad Neyazi, Bilal Ahmad Rahimi, Abdul Qadim Mohammadi, Nosaibah Razaqi, Laila Qanawezi, Shaharah Sarem, Saida Said, Raz Mohammad Tabib, Habibah Afzali, Mehrab Neyazi, Mark D. Griffiths
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Sleep Epidemiology
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Online Access:http://www.sciencedirect.com/science/article/pii/S2667343624000283
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author Ahmad Neyazi
Bilal Ahmad Rahimi
Abdul Qadim Mohammadi
Nosaibah Razaqi
Laila Qanawezi
Shaharah Sarem
Saida Said
Raz Mohammad Tabib
Habibah Afzali
Mehrab Neyazi
Mark D. Griffiths
author_facet Ahmad Neyazi
Bilal Ahmad Rahimi
Abdul Qadim Mohammadi
Nosaibah Razaqi
Laila Qanawezi
Shaharah Sarem
Saida Said
Raz Mohammad Tabib
Habibah Afzali
Mehrab Neyazi
Mark D. Griffiths
author_sort Ahmad Neyazi
collection DOAJ
description Background: Anxiety is a common psychological disorder in school-aged children and adolescents. The present study aimed to assess the prevalence of anxiety symptoms and sleep disturbances and their relationship with academic achievement among female students in Herat, Afghanistan. Methods: A cross-sectional survey of 737 female students (mean age 11.8 years old) was conducted across 10 randomly selected schools in Herat, Afghanistan, covering Grades 1 to 6. Students were randomly chosen within these schools. The Depression Anxiety Stress Scale for Youth (DASS-Y) and Pittsburgh Sleep Quality Index (PSQI) assessed anxiety and sleep disturbance, while academic achievement ratings were provided by schoolteachers. Results: Using the DASS-Y and the PSQI, 65.5% reported anxiety symptoms and 46.4% reported sleep disturbance. Low academic achievement correlated significantly with anxiety (r = 0.228) and sleep issues (r = 0.161). Multiple logistic regression analysis identified predictors for anxiety and sleep disturbance. Predictors for anxiety included being aged 13–16 years, having lower class grade, being of low economic status, and having unemployed parents. Predictors for sleep disturbance included being aged 13–16 years, having lower class grade, having an uneducated father, being of low economic status, and having unemployed parents. Conclusion: There is a high prevalence of anxiety symptoms and sleep disturbances among female school students in Herat, Afghanistan. Significant correlations exist between students' academic achievement, anxiety, and sleep disturbances. Addressing anxiety and sleep disturbances among Afghan female school students could be facilitated by revising current government policies concerning students' health. Educational campaigns focused on sleep hygiene and anxiety management for both students and their parents may also prove beneficial.
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spelling doaj-art-a6769c3ea63649a6aa8f1ef8d9ffcf2f2025-08-20T01:59:09ZengElsevierSleep Epidemiology2667-34362024-12-01410010210.1016/j.sleepe.2024.100102Anxiety symptoms, sleep disturbance, and academic achievement among Afghan female school students: A cross-sectional studyAhmad Neyazi0Bilal Ahmad Rahimi1Abdul Qadim Mohammadi2Nosaibah Razaqi3Laila Qanawezi4Shaharah Sarem5Saida Said6Raz Mohammad Tabib7Habibah Afzali8Mehrab Neyazi9Mark D. Griffiths10Afghanistan Center for Epidemiological Studies, Herat, Afghanistan; Faculty of Medicine, Ghalib University, Herat, Afghanistan; Corresponding author at: Afghanistan Center for Epidemiological Studies, Herat, Afghanistan.Faculty of Medicine, Kandahar University, Kandahar, AfghanistanDepartment of Mental Health, Herat Regional Hospital, Herat, AfghanistanAfghanistan Center for Epidemiological Studies, Herat, AfghanistanDepartment of Gynecology and Obstetrics, Herat Regional Hospital, Herat, AfghanistanDepartment of Gynecology and Obstetrics, Herat Regional Hospital, Herat, AfghanistanDepartment of Gynecology and Obstetrics, Herat Regional Hospital, Herat, AfghanistanAfghanistan Center for Epidemiological Studies, Herat, AfghanistanAfghanistan Center for Epidemiological Studies, Herat, AfghanistanAfghanistan Center for Epidemiological Studies, Herat, AfghanistanDepartment of Psychology, Nottingham Trent University, United KingdomBackground: Anxiety is a common psychological disorder in school-aged children and adolescents. The present study aimed to assess the prevalence of anxiety symptoms and sleep disturbances and their relationship with academic achievement among female students in Herat, Afghanistan. Methods: A cross-sectional survey of 737 female students (mean age 11.8 years old) was conducted across 10 randomly selected schools in Herat, Afghanistan, covering Grades 1 to 6. Students were randomly chosen within these schools. The Depression Anxiety Stress Scale for Youth (DASS-Y) and Pittsburgh Sleep Quality Index (PSQI) assessed anxiety and sleep disturbance, while academic achievement ratings were provided by schoolteachers. Results: Using the DASS-Y and the PSQI, 65.5% reported anxiety symptoms and 46.4% reported sleep disturbance. Low academic achievement correlated significantly with anxiety (r = 0.228) and sleep issues (r = 0.161). Multiple logistic regression analysis identified predictors for anxiety and sleep disturbance. Predictors for anxiety included being aged 13–16 years, having lower class grade, being of low economic status, and having unemployed parents. Predictors for sleep disturbance included being aged 13–16 years, having lower class grade, having an uneducated father, being of low economic status, and having unemployed parents. Conclusion: There is a high prevalence of anxiety symptoms and sleep disturbances among female school students in Herat, Afghanistan. Significant correlations exist between students' academic achievement, anxiety, and sleep disturbances. Addressing anxiety and sleep disturbances among Afghan female school students could be facilitated by revising current government policies concerning students' health. Educational campaigns focused on sleep hygiene and anxiety management for both students and their parents may also prove beneficial.http://www.sciencedirect.com/science/article/pii/S2667343624000283AfghanistanAcademic achievementAnxietySleep disturbanceSchoolchildren
spellingShingle Ahmad Neyazi
Bilal Ahmad Rahimi
Abdul Qadim Mohammadi
Nosaibah Razaqi
Laila Qanawezi
Shaharah Sarem
Saida Said
Raz Mohammad Tabib
Habibah Afzali
Mehrab Neyazi
Mark D. Griffiths
Anxiety symptoms, sleep disturbance, and academic achievement among Afghan female school students: A cross-sectional study
Sleep Epidemiology
Afghanistan
Academic achievement
Anxiety
Sleep disturbance
Schoolchildren
title Anxiety symptoms, sleep disturbance, and academic achievement among Afghan female school students: A cross-sectional study
title_full Anxiety symptoms, sleep disturbance, and academic achievement among Afghan female school students: A cross-sectional study
title_fullStr Anxiety symptoms, sleep disturbance, and academic achievement among Afghan female school students: A cross-sectional study
title_full_unstemmed Anxiety symptoms, sleep disturbance, and academic achievement among Afghan female school students: A cross-sectional study
title_short Anxiety symptoms, sleep disturbance, and academic achievement among Afghan female school students: A cross-sectional study
title_sort anxiety symptoms sleep disturbance and academic achievement among afghan female school students a cross sectional study
topic Afghanistan
Academic achievement
Anxiety
Sleep disturbance
Schoolchildren
url http://www.sciencedirect.com/science/article/pii/S2667343624000283
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