Association between mental health screening by self-report questionnaire and insomnia in medical students

• Autor(a) principal: Hidalgo, Maria Paz Loayza
• Data de Publicação: 2001
• Outros Autores: Ponte, T.S., Carvalho, Clarissa Gutierrez, Pedrotti, Michel Rogerio, Nunes, Paula Vianna, Souza, Camila Morelatto de, Zanette, Camila Bressan, Voltolini, Sara, Chaves, Marcia Lorena Fagundes
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFRGS
• Texto Completo: http://hdl.handle.net/10183/21884
• topic: Transtornos mentais; Distúrbios do início e da manutenção do sono; Estudantes de medicina; Estudos transversais; Insomnia; Psychiatric disorder; Sleep; Gender

Epidemiological research points to the high prevalence of psychiatric disorders among insomniacs. We carried out a cross-sectional study with medical students with the aim of evaluating the association between insomnia and suspicion of psychiatric disorder; 302 medical students were included (184 males and 118 females; mean age = 20.47±1.89 years). The main association was tested by logistic regression analysis. The overall prevalence of positivity in a screening test for psychiatric disorder was 22.19%; and of insomnia, 28.15%. Difficulty initiating sleep (OR=3.45), difficulty maintaining sleep (OR=7.61), falling asleep later (OR=1.99) and waking up earlier (OR=1.91) were associated with suspicion of psychiatric disorder. As a group, the variables difficulty initiating sleep, difficulty maintaining sleep, falling asleep after 11 pm, and waking up before 6 am presented an odds ratio of 5.96 for positivity in the screening for psychiatric disorder. Furthermore, difficulty maintaining sleep (OR=2.24) was associated with “being female,” and falling asleep later (OR=0.43) was associated with “being male”. These results underscore the importance of determining in what cases difficulty sleeping may have severe clinical repercussions or affect performance.