Use of hypnotics, sleep quality and Burnout syndrome in medical students
DOI:
https://doi.org/10.11606/issn.1806-6976.smad.2021.176488Keywords:
Burnout Psychological, Education Medical Undergraduate, Education Medical, Sleep Aids Pharmaceutical, Sleep Initiation and Maintenance Disorders , SleepAbstract
Objective: the aim of this study was to investigate possible associations between Burnout, use of hypnotics and sleep quality among medical students. Method: a cross-sectional quantitative study was conducted among medical students of a university center of northeastern Brazil, with the problem-based learning (PBL) methodology. The Maslach Burnout Inventory-Student Survey, the Pittsburgh Sleep Quality Index (PSQI) and a sociodemographic questionnaire were applied among pre-clerkship students of the course. Results: the study included 523 students and found 48 (9.2%) with tridimensional diagnosis criteria for Burnout syndrome (BS). Poor sleep quality and use of hypnotic drugs for sleep were associated with BS (p < 0.001 and p = 0.003, respectively). There were no statistical differences in age, gender, religion, marital status, student financing and performing paid work, between individuals with and without BS. Conclusion: there was an association between BS, use of hypnotics and poor sleep quality among pre-clerkship medical students.
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Maslach C, Leiter MP. Understanding the burnout experience: recent research and its implications for psychiatry. Wld Psychiatry. 2016;15(2):103-11. doi: 10.1002/wps.20311
Maslach C, Jackson SE. The measurement of experienced burnout. J Occup Behav. 1981;2:99-113. doi: 10.1002/job.4030020205
Song PP, Walline JH. Physician burnout. Lancet. 2020;1;395(10221):333. doi: 10.1016/S0140-6736(19)32480-8
Ishak W, Nikravesh R, Lederer S, Perry R, Ogunyemi D, Bernstein C. Burnout in medical students: a systematic review. Clin Teach. 2013;10(4):242–5. doi: 10.1111/tct.12014
Cecil J, McHale C, Hart J, Laidlaw A. Behaviour and burnout in medical students. Med Educ Online. 2014;19:25209. doi: 10.3402/meo.v19.25209
Costa EF, Santos SA, Santos AT, Melo EV, Andrade TM. Burnout Syndrome and associated factors among medical students: a cross-sectional study. Clinics. 2012;67(6):573-80. doi: 10.6061/clinics/2012(06)05
Boni RADS, Paiva CE, de Oliveira MA, Lucchetti G, Fregnani JHTG, Paiva BSR. Burnout among medical students during the first years of undergraduate school: Prevalence and associated factors. PLoS One. 2018;13(3):e0191746. doi: 10.1371/journal.pone.0191746
Lin SH, Huang YC. Life stress and academic burnout. Active Learning in Higher Education. 2014;15(1):77-90. doi: 10.1177/1469787413514651
Moreira HA, Souza KN, Yamaguchi MU. Burnout syndrome in physicians: a systematic review. Rev Bras Saude Ocup. 2018;43:e3. doi: 10.1590/2317-6369000013316
Arbabisarjou A, Hashemi SM, Sharif MR, Alizadeh KH, Yarmohammadzadeh P, Feyzollahi Z. The Relationship between Sleep Quality and Social Intimacy, and Academic Burn-Out in Students of Medical Sciences. Glob J Health Sci. 2015;8(5):231-8. doi: 10.5539/gjhs.v8n5p231
Rique GL, Fernandes Filho GM, Ferreira AD, de Sousa-Muñoz RL. Relationship between chronotype and quality of sleep in medical students at the Federal University of Paraiba, Brazil. Sleep Sci. 2014;7(2):96-102. doi: 10.1016/j.slsci.2014.09.004
Söderström M, Jeding K, Ekstedt M, Perski A, Akerstedt T. Insufficient sleep predicts clinical burnout. J Occup Health Psychol. 2012;17(2):175-83. doi: 10.1037/a0027518
Lund HG, Reider BD, Whiting AB, Prichard JR. Sleep patterns and predictors of disturbed sleep in a large population of college students. J Adolesc Health Care. 2010;46(2):124–32. doi: 10.1016/j.jadohealth.2009.06.016
Owens JA. Sleep loss and fatigue in medical training. Curr Opin Pulm Med. 2001;7(6):411-418. doi: 10.1097/00063198-200111000-00009
Seun-Fadipe CT, Mosaku KS. Sleep quality and psychological distress among undergraduate students of a Nigerian university. Sleep Health. 2017;3(3):190-4. doi: 10.1016/j.sleh.2017.02.004
Santos ATA, Grosseman S, Costa EFO, de Andrade TM. Burnout syndrome among internship medical students. Med Educ. 2011;45(11):1146. doi: 10.1111/j.1365-2923.2011.04108.x
Almeida GD, Souza HR, Almeida PC, Almeida BD, Almeida GH. The prevalence of burnout syndrome in medical students. Arch Clin Psychiatry. (São Paulo). 2016;43(1):6-10. doi: 10.1590/0101-60830000000072
Pagnin D, de Queiroz V, Carvalho YT, Dutra AS, Amaral MB, Queiroz TT. The relation between burnout and sleep disorders in medical students. Acad Psychiatry. 2014;38(4):438-44. doi: 10.1007/s40596-014-0093-z
Pagnin D, de Queiroz V. Influence of burnout and sleep difficulties on the quality of life among medical students. Springerplus. 2015;4(1):676. doi: 10.1186/s40064-015-1477-6
Kish L. Methods for design effects. J Off Stat. 1995;11(1):55-77. Available from: https://www.scb.se/contentassets/ca21efb41fee47d293bbee5bf7be7fb3/methods-for-design-effects.pdf
Pacheco JP, Giacomin HT, Tam WW, Ribeiro TB, Arab C, Bezerra IM, et al. Mental health problems among medical students in Brazil: a systematic review and meta-analysis. Bras J Psychiatry. 2017;39(4):369-78. doi: 10.1590/1516-4446-2017-2223
Campos JA, Maroco J. Maslach Burnout Inventory - Student Survey: Portugal-Brazil cross-cultural adaptation. Rev Saúde Pública. 2012;46(5):816-24. doi: 10.1590/S0034-89102012000500008.
Bertolazi AN, Fagondes SC, Hoff LS, Dartora EG, Miozzo IC, de Barba ME, et al. Barreto SS. Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index. Sleep Med. 2011;12(1):70-5. doi: 10.1016/j.sleep.2010.04.020
Shad R, Thawani R, Goel A. Burnout and Sleep Quality: A Cross-Sectional Questionnaire-Based Study of Medical and Non-Medical Students in India. Cureus. 2015;7(10):e361. doi: 10.7759/cureus.361
Corrêa CC, Oliveira FK, Pizzamiglio DS, Ortolan EVP, Weber SAT. Sleep quality in medical students: a comparison across the various phases of the medical course. J Bras Pneumol. 2017;43(4):285–9. doi: 10.1590/s1806-37562016000000178
Ribeiro CR, Oliveira SMCD, Silva YMGP. The impact of sleep quality in medical education. Rev Soc Bras Clin Med. 2014;12(1):8-14. Available from: http://files.bvs.br/upload/S/1679-1010/2014/v12n1/a4027.pdf
Alsaggaf MA, Wali SO, Merdad RA, Merdad LA. Sleep quantity, quality, and insomnia symptoms of medical students during clinical years: Relationship with stress and academic performance. Saudi Med J. 2016;37(2):173-82. doi: 10.15537/smj.2016.2.14288
Haghighi M, Gerber M. Does mental toughness buffer the relationship between perceived stress, depression, burnout, anxiety, and sleep? Int J Stress Manage. 2019;26(3):297-305. doi:10.1037/str0000106
Wolf MR, Rosenstock JB. Inadequate sleep and exercise associated with burnout and depression among medical students. Acad Psychiatry. 2016;41(2):174–9. doi: 10.1007/s40596-016-0526-y
Johnson KM, Simon N, Wicks M, Barr K, O'Connor K, Schaad D. Amount of Sleep, Daytime Sleepiness, Hazardous Driving, and Quality of Life of Second Year Medical Students. Acad Psychiatry. 2017;41(5):669-73. doi: 10.1007/s40596-017-0668-6
Tavares HHF, da Silva HRS, Miranda IMM, Braga MS, Santos RO, Guerra HS. Factors associated with Burnout Syndrome in medical students. Mundo da Saúde. 2020;44:280-9, e0082020. doi: 10.15343/0104-7809.202044280289
Moura G, Brito M, Pinho L, Reis V, Souza L, Magalhães T. Prevalência e fatores associados à síndrome de burnout entre universitários: revisão de literatura. Psicol Saúde Doenças. 2019;20(2):300-18. doi: 10.15309/19psd200203
Mazurkiewicz R, Korenstein D, Fallar R, Ripp J. The prevalence and correlations of medical student burnout in the pre-clinical years: a cross-sectional study. Psychol Health Med. 2012;17(2):188-95. doi: 10.1080/13548506.2011.597770
Rosen IM, Gimotty PA, Shea JA, Bellini LM. Evolution of sleep quantity, sleep deprivation, mood disturbances, empathy, and burnout among interns. Acad Med. 2006;81(1):82-5. doi: 10.1097/00001888-200601000-00020
Wolf MR, Rosenstock JB. Inadequate Sleep and Exercise Associated with Burnout and Depression Among Medical Students. Acad Psychiatry. 2017;41(2):174-9. doi: 10.1007/s40596-016-0526-y
Fowler LA, Ellis S. The Effect of 12 Hour Shifts, Time of Day, and Sleepiness on Emotional Empathy and Burnout in Medical Students. Clocks Sleep. 2019;1(4):501-9. doi: 10.3390/clockssleep1040038
Brubaker JR, Swan A, Beverly EA. A brief intervention to reduce burnout and improve sleep quality in medical students. BMC Med Educ. 2020;20:345. doi: 10.1186/s12909-020-02263-6
Dyrbye LN, West CP, Satele D, Boone S, Tan L, Sloan J, et al. Burnout among US medical students, residents, and early career physicians relative to the general US population. Acad Med. 2014;89(3):443-51. doi: 10.1097/ACM.0000000000000134
Campos ICM, Pereira SS, Schiavon ICA, Alves M. Maslach burnout inventory - human services survey (Mbi-hss): revisão integrativa de sua utilização em pesquisas brasileiras. Arq Ciências Saúde UNIPAR. 2020;24(3):187-95. doi: 10.25110/arqsaude.v24i3.2020.7875
Hancock J, Mattick K. Tolerance of ambiguity and psychological well-being in medical training: A systematic review. Med Educ. 2020;54:125–37. doi: 10.1111/medu.14031