SYNOPSIS FOR RESEARCH PAPER
1. PRIMARY THEJAS GK
INVESTIGATOR THEJAS O
VARDA CHAUHAN
KVG MEDICAL COLLEGE
SULLIA - 575327
2. NAME OF THE KVG MEDICAL COLLEGE
INSTITUTION AND HOSPITAL ,
KURUNJIBHAG,
SULLIA,
KARNATAKA - 574327
3. COURSE OF STUDY AND UNDER-GRADUATION
SUBJECT MBBS[FINAL YEAR]
4. NAME OF GUIDE DR. MAHESH BABU
DR. DINESH PV
5. TITLE TOPIC SLEEP DISORDERS AMONG
INDIAN MEDICAL
STUDENTS: PREVALENCE
AND ASSOCIATED FACTORS
INTRODUCTION:
Sleep disorders are a group of conditions that disturb normal
sleep patterns[1]. Sleep disorders are one of the most
common clinical problems encountered. Inadequate or non-
restorative sleep can interfere with normal physical, mental,
social, and emotional functioning[1]. Sleep disorders can affect
overall health, safety, and quality of life[2].
Sleep disturbances are a common complaint among college
students worldwide, likely as a result of stress due to
increased academic demands[2]. Moreover, busy schedules,
new social opportunities, and a sudden change in sleeping
environment can be additional contributing factors[3]
Various studies have aimed to estimate the prevalence of
sleep disorders among college students. In particular,
insomnia, restless leg syndrome (RLS), circadian rhythm
disorders (CRDs), affective disorders, narcolepsy, and
obstructive sleep apnoea (OSA) are frequently reported in
college students [2,3].Previous studies have found the
prevalence of insomnia to be approximately 69% among
college students[4]. Other disorders, like CRDs (19.6%),
affective disorders (14.5%), nightmares (6.6%), sleepwalking
(5.7%), and narcolepsy (1.3%), are less frequently identified.
However, varying prevalence rates of sleep disorders have
been reported among college students. Notably, these
disorders have been found to vary according to gender,
socioeconomic status, and culture.
The relationship between sleep and academic performance is
well-established. Inadequate sleep leads to increased
drowsiness and daytime sleepiness, which subsequently
decreases mental alertness and concentration[5].This can
affect the ability to deal with tasks involving problem-solving,
memory, and attention to detail[6]. Thus, students who suffer
from sleep disorders have been found to be at a higher risk of
failing academically.
Medical students are prone to stress because of their highly
demanding professional roles and academic requirements[10].
As per our knowledge, despite the high population of medical
students in India, no specific study has been conducted to
evaluate sleep disturbances among the Indian medical
population.
REVIEW OF LITERATURE:
1)In a study, Ambar Chakravarthy describes his personal
experience of systemic effects of late night sleep deprivation
and non-restorative sleep - A common experience amongst
doctors. Results of some simple self-experimentations have
been mentioned to highlight the possible pathogenetic
mechanisms.
2)The pattern of sleep, prevalence of anxiety and depression
and the overall impact of the nature of their employment on
their lifestyle were studied in a segment of BPO workers
employed in the call centres around New Delhi by Suri J.C. et
al. in 2007. It was found that Circadian rhythm sleep
disorders (CRSD) are not infrequently seen amongst shift
workers who, in turn, comprise a large segment of the
population employed in the BPO industry.
3)Suri J.C., et al. using the Chervin and the Stanford Sleep
Clinic questionnaire had conducted a study on a sample of
adult population of Delhi which reflected that the impact of
sleep disorders on the morbidity profile on this strata of
society, the phenomenal burden of undiagnosed sleep
disorders and its impact on social, mental, physical and
economic health of the society.
4)Another questionnaire based survey by Suri J.C., et al. was
performed to determine the prevalence of sleep related
disorders in Indian school-going children residing in Delhi. It
was of great concern that the findings suggested that no
effort was made on the part of parents to seek medical help
in significantly large number of children in whom sleep
disorders were present, indicating a total lack of awareness
amongst the general population about the larger implications
of sleep disorders in children.
OBJECTIVE:
1)To evaluate the prevalence of sleep disorders among
undergraduate medical college students.
MATERIALS AND METHODOLOGY:
MATERIALS :
1) Place of study: KVGMCH, Sullia
2) Source of data: undergraduate medical students from
India
3) Study design: Cross sectional study
4) Sample size: Total number of response to the
questionnaire
INCLUSION CRITERIA:
Undergraduate medical students from 1st to 4th year
EXCLUSION CRITERIA:
1) Those who have sleep disorder or chronic medical
disease
2) Those who are currently taking medication for any sleep
disorder
3) Students who refused to give full consent to participate
in the study
METHODOLOGY:
This cross sectional study was conducted on the medical
students across India for 3 months.
An online standardised, self administrated questionnaire will
be used for data collection, using a google form.
● The first part covers the details of research and consent
was taken.
● The second part covers demographic and academic
characteristics of the studied population, including the
gender, age, previous year percentage of the students,
in their annual exam, college, and residential status (i.e.
whether the student lived on campus, with Family or
alone, or with friends).
● The third part of the survey consists of the previously
validated SLEEP-50 Questionnaire[7]. This questionnaire
consists of 50 short statements, with each statement
rated by the subject in terms of frequency on a 4-point
Likert scale as either 1 (not at all), 2 (somewhat), 3
(rather much), or 4 (very much).
For this study, all participants were asked to rate how often
each item had occurred over the preceding four-week period.
The items included in the original SLEEP-50 Questionnaire
have been formulated to cover the diagnostic criteria for
sleep disorders according to the Diagnostic and Statistical
Manual of Mental Disorders, fourth edition [7]. The individual
sub scales include Sleep Apnoea, Insomnia, Narcolepsy,
Restless Legs/Periodic Limb Movement Disorder, Circadian
Rhythm Sleep Disorder, Sleepwalking, Nightmares, Factors
Influencing Sleep, and the Impact of Sleep Complaints on
Daily Functioning..
Data analysis:
The data will be entered in Microsoft Excel 2007 and
IBMSPSS version 20 will be used for analysis of the data. The
data will be expressed in the form of frequency, percentage,
mean and standard deviation.
Reference:
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