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CC BY-NC-ND 4.0 · Sleep Sci 2021; 14(S 02): 125-132
DOI: 10.5935/1984-0063.20200090
ORIGINAL ARTICLE

National Survey on the importance of sleep in the quality of academic life and mental health of college students in Portugal

Marta Reis
1   Faculdade de Motricidade Humana/Universidade de Lisboa, Lisboa, Portugal.
2   ISAMB/Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal.
,
Lúcia Ramiro
1   Faculdade de Motricidade Humana/Universidade de Lisboa, Lisboa, Portugal.
2   ISAMB/Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal.
,
Teresa Paiva
1   Faculdade de Motricidade Humana/Universidade de Lisboa, Lisboa, Portugal.
3   CENC - Sleep Medicine Center, Lisboa, Portugal.
,
Margarida Gaspar-de-Matos
1   Faculdade de Motricidade Humana/Universidade de Lisboa, Lisboa, Portugal.
2   ISAMB/Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal.
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The academic years are a period of vulnerability when considering sleep problems and mental health. Growing evidence suggests poor sleep patterns are related to impaired academic life and lower psychological well-being. The aim of this study was to explore the importance of sleep habits and report the associations of sleep problems with quality of academic life and different dimensions of mental health (e.g. worries, anxiety, self-regulation and resilience) in a large sample of college students. The HBSC/JUnP data base comprises a representative sample of 2991 college students (n=2203; 73.7% women), aged from 18 to 35 years old (22.43±3.83). Participants socio-demographic characteristics included sex and age. Besides, participants were inquired about sleep duration, characteristics of their sleep habits, questions about quality academic life, namely feeling bored in university, pressure from academic work and academic performance perception and mental health, namely worries, anxiety, self-regulation and resilience. Results showed most young people report an average value for sleep habits (M=4.41; SD=1.46) and that they sleep an average of 7 hours a night. More than half of the young people report either being affected by difficulty falling asleep, showing signs of sleep onset insomnia (67.7%). The conducted analyses indicated that the difficulty falling asleep (having insomnia) was associated with poor/reasonable academic performance perception, higher levels of concerns and anxiety, and lower levels of self-regulation and resilience, thus jeopardizing the mental health of college students. In turn, that characteristics of sleep was also associated with poor sleep habits. In conclusion, this study showed that poor sleep habits were associated with a worse level of academic performance perception and low levels of mental health among college students in Portugal. Universities offer enormous potential as settings to promote sleep-health programs since they can reach many young people who are future-oriented and willing to learn. There is then the need for academic researchers, teaching staff and health professionals working for college students health, to develop and test a wide array of sleep-promoting interventions (e.g., education classes, online programs, adjustment of class time), thus preventing negative secondary outcomes.

Sleep - Quality of academic life - Mental Health - College students - Portugal


Publication History

Received: 07 August 2020

Accepted: 11 January 2021

Article published online:
30 November 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • REFERENCES

  • 1 Zochil ML, Thorsteinsson EB. Exploring poor sleep, mental health, and help-seeking intention in university students. Aust J Psychol. 2018;70(1):41-7. DOI: https://doi.org/10.1111/ajpy.12160
  • 2 Milojevich HM, Lukowski AF. Sleep and mental health in undergraduate students with generally healthy sleep habits. PLoS One. 2016;11(6):e0156372.
  • 3 Gomes AA, Tavares J, Azevedo MHP. Sleep and academic performance in undergraduates: a multi-measure, multi-predictor approach. Chronobiol Int. 2011 Nov;28(9):786-801.
  • 4 Saïas T, Du Roscocät E, Véron L, Guignard R, Richard JP, Legleye S, et al. Psychological distress in French college students: demographic, economic and social stressors. Results from the 2010 National Health Barometer. BMC Public Health. 2014 Mar;14(1):256. DOI: https:// dx.doi.org/10.1186%2F1471-2458-14-256
  • 5 Matos MG, Marques A, Gaspar T, Paiva T. Perception of quantity and quality of sleep and their association with health related quality of life and life satisfaction during adolescence. Health Education Care. 2017 Mar;2(2):1-6. DOI: https://doi.org/10.15761/HEC.1000117
  • 6 Consensus Conference Panel; Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM, et al. Joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society on the recommended amount of sleep for a healthy adult: methodology and discussion. Sleep. 2015 Aug;38(8):1161-83.
  • 7 Alhola P, Polo-Kantola P. Sleep deprivation: impact on cognitive performance. Neuropsychiatr Dis Treat. 2007 Oct;3(5):553-67.
  • 8 Kelly WE, Kelly WE, Clanton RC. The relationship between sleep length and grade-point average among college students. Coll Stud J. 2001 Jan;35(1):84-6.
  • 9 Paiva T, Cunhal P, Cunhal M. Sleep schedules and academic success in Technical University Students. J Sleep Res. 2008;17(1):51-2.
  • 10 Stickgold R. Sleep-dependent memory consolidation. Nature. 2005 Oct;437(7063):1272-8.
  • 11 Matos MG, Marques A, Peralta M, Gaspar T, Simões C, Pinto HR, et al. Sleep in adolescence: sex matters?. Sleep Sci. 2019;12(3):138-46. DOI: https://doi.org/10.5935/1984-0063.20190075
  • 12 Matos MG, Paiva T, Costa D, Gaspar T, Galvão D. Caffeine, sleep duration and adolescents’ perception of health related quality of life. Br J Educ Soc Behav Sci. 2016;16(2):1-9. DOI: https://doi.org/10.9734/ BJESBS/2016/23894
  • 13 Zivin K, Eisenberg D, Gollust SE, Golberstein E. Persistence of mental health problems and needs in a college student population. J Affect Disord. 2009 Oct;117(3):180-5.
  • 14 Alvaro PK, Roberts RM, Harris JK. A systematic review assessing bidirectionality between sleep disturbances, anxiety, and depression. Sleep. 2013 Jul;36(7):1059-68. DOI: https://doi.org/10.5665/sleep.2810
  • 15 Hah M, Hasan S, Malik S, Sreeramareddy CT. Perceived stress, sources and severity of stress among medical undergraduates in a Pakistani medical school. BMC Med Educ. 2010 Jan;10(1):2. DOI: http://dx.doi. org/10.1186/1472-6920-10-2
  • 16 Bayram N, Bilgel N. The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatry Psychiatr Epidemiol. 2008 Apr;43(8):667-72. DOI: https://doi.org/10.1007/s00127-008-0345-x
  • 17 Hunt J, Eisenberg D. Mental health problems and help-seeking behavior among college students. J Adolesc Health. 2010 Jan;46(1):3-10. DOI: https://doi.org/10.1016/j.jadohealth.2009.08.008
  • 18 Silva DR, Spielberger CD. Manual do inventário de estado-traço de ansiedade (STAI). Menlo Park: Mind Garden, Inc.; 2007.
  • 19 Spielberger CD, Gorsuch RL, Lushene RD. Manual for the state - trait anxiety inventory. Palo Alto, CA: Consulting Psychologists Press; 1970.
  • 20 Dias P, Del Castillo JA, Moilanen KL. The adolescent self-regulatory inventory (ASRI) adaptation to Portuguese context. Paidéia. 2014 Aug;24(58):155-63. DOI: https://doi.org/10.1590/1982-43272458201403
  • 21 Constantine N, Benard B, Diaz M. Measuring protective factors and resilience traits in youth: the healthy kids resilience assessment [Internet]. Oakland: School and Community Health Research Group; 1999. Available from: http://citeseerx.ist.psu.edu/viewdoc/download?doi;10.1.1.524.3690&rep;rep1&type;pdf
  • 22 Montagni I, Qchiqach S, Pereira E, Tully PJ, Tzourio C. Sex-specific associations between sleep and mental health in university students: a large cross-sectional study. J Am Coll Health. 2019;68(3):278-85. DOI: https://doi.org/10.1080/07448481.2018.1546183
  • 23 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. 2010 Feb;46(2):124-32. DOI: https://doi.org/10.1016/j.jadohealth.2009.06.016
  • 24 Gomez-Baya D, Tomé G, Reis M, Matos MG. Long-term self-regulation moderates the role of internal resources for resilience in positive youth development in Portugal. J Gen Psychol. 2020;181(2-3):127-49. DOI: https://doi.org/10.1080/00221325.2020.1735986
  • 25 Matos MG, Camacho I, Reis M, Costa D, Galvão D; Team Aventure Social. Worries, coping strategies and well-being in adolescence: highlights from HBSC study in Portugal. Vulnerable Chil Youth Stud. 2016;11(3):274-80. DOI: https://doi.org/10.1080/17450128.2016.1220655
  • 26 Reis M, Ramiro L, Matos MG. Worries, mental and emotional health difficulties of Portuguese University Students. Adv Soc Sci Res J. 2019 Jul;6(7):558-69. DOI: https://doi.org/10.14738/assrj.67.6818
  • 27 Caldwell K, Hall ED, Harrison M, Adams M. Developing mindfulness in college students through movement based courses: effects on selfregulatory self-efficacy, mood, stress, and sleep quality. J Am Coll Heal. 2011 Mar/Apr;58(5):433-42.
  • 28 Brown FC, Buboltz Junior WC, Soper B. Development and evaluation of the sleep treatment and education program for students (STEPS). J Am Coll Heal. 2006 Jan/Feb;54(4):231-7.
  • 29 Trockel M, Manber R, Chang V, Thurston A, Tailor CB. An e-mail delivered CBT for sleep-health program for college students: effects on sleep quality and depression symptoms. J Clin Sleep Med. 2011 Jun;7(3):276-81. DOI: https://doi.org/10.5664/JCSM.1072