دانلود مقاله بررسی خواب ضعیف، علائم بی خوابی و استرس در دانشجویان
چکیده
مقدمه
روش ها
نتایج
بحث
نتیجه گیری
منابع
Summary
Introduction
Methods
Results
Discussion
Conclusion
References
چکیده
دانشجویان دانشگاه شیوع بالایی از مشکلات سلامت روان و تشدید مشکلات سلامت روان از جمله اختلالات خواب و استرس را در طول تحصیل خود تجربه می کنند. استرس و کیفیت پایین خواب و/یا بی خوابی پیامدهای مرتبطی برای این جمعیت هستند. هدف انجام یک بررسی سیستماتیک و متاآنالیز، از روابط بین کیفیت خواب و/یا بی خوابی با استرس در دانش آموزان بود.
مقالات کامل متنی از مطالعات که به بررسی ارتباط استرس با کیفیت خواب ضعیف و/یا بی خوابی در دانشجویان مقطع کارشناسی با استفاده از ابزارهای معتبر و منتشر شده در مجلات با داوری همتا می‌پردازند، واجد شرایط ورود بودند.
سی و چهار مطالعه، که به 37 اندازه اثر منجر شد، شامل شد و همه برای متاآنالیز مناسب بودند. اندازه اثر تلفیقی وزنی بین کیفیت خواب و استرس برای 0.39 بود (25 مطالعه، 10065 ¼ n)، در حالی که یک ارتباط ترکیبی کمی بالاتر از 0.41 برای بی خوابی و استرس نشان داده شد (12 مطالعه، 5564.5 ¼ N).
انجمن های تلفیقی اثرات متوسطی را برای ارتباط بین کیفیت خواب، بی خوابی و استرس در دانشجویان مقطع کارشناسی نشان می دهد. ناهمگونی بالایی در متاآنالیزها پیدا شد، که نشان می‌دهد یافته‌ها باید با احتیاط در نظر گرفته شوند. تحقیقات آتی باید بر مطالعات طولی برای بررسی مشکلات خواب در طول سال تحصیلی متمرکز شود، در حالی که خدمات دانشگاهی باید آموزش روانی را برای استرس و خواب در دانشجویان دانشگاه، به ویژه در دوران انتقال به دانشگاه در نظر بگیرند.
توجه! این متن ترجمه ماشینی بوده و توسط مترجمین ای ترجمه، ترجمه نشده است.
Summary
University students experience high prevalence of mental health problems and exacerbation of mental health difficulties, including sleep disturbances and stress during their studies. Stress and poor sleep quality and/or insomnia are interlinked outcomes for this population. The aim was to conduct a systematic review, and meta-analyses, of the relationships between sleep quality and/or insomnia with stress in students.
Full-text articles of studies exploring the associations of stress with poor sleep quality and/or insomnia in undergraduate students using validated tools and published in peer-reviewed journals were eligible for inclusion.
Thirty-four studies, resulting in 37 effect sizes, included and all were suitable for meta-analysis. The weighted pooled effect size between sleep quality and stress was for 0.39 (25 studies, n = 10,065), whereas a slightly higher pooled association of 0.41 was demonstrated for insomnia and stress (12 studies, n = 5564.5).
Pooled associations show moderate effects for associations between sleep quality, insomnia and stress in undergraduate students. High heterogeneity in meta-analyses was found, suggesting the findings should be considered cautiously. Future research should focus on longitudinal studies exploring sleep difficulties across the academic year, whilst university services should consider psychoeducation for stress and sleep in university students, especially during transition to university.
Introduction
University and college students are particularly vulnerable to psychological distress and the exacerbation, or first onset, of mental health difficulties [1]. In individuals that are studying for a degree in higher education stress levels were associated with poorer quality of life and well-being [2]. Over the past five y, poor mental well-being and distress appear to be rising in this population [3] with the most prominently reported difficulties including stress, anxiety, depression, suicidal ideation, and insomnia symptoms [1]. University and college students report insufficient sleep or poor subjective sleep quality [4], with recent evidence showing that approximately 30% of students meet criteria of insomnia [5]. Considering how poor sleep or lack of sleep opportunity negatively affects cognitive functions [6], it is no surprise that poor sleep is associated with decreased academic performance in young adults [7]. Recent evidence highlights the importance of longer, regular sleep as a positive contributor to academic performance in university students [8].
Conclusion
Sleep quality, insomnia and stress are interlinked phenomena which affect university students and have negative consequences for their academic performance and mental health. The pooled associations in this review show moderate and comparable effect sizes for both sleep quality and stress as well as insomnia and stress in undergraduate university students. However, due to the high heterogeneity among studies and a preponderance of cross-sectional studies, the findings from the meta-analysis should be interpreted with care. Our findings also highlight methodological challenges including the high variability between the studies and the lack of longitudinal approaches to capture the interplay between sleep disturbances and the variation in stress across the academic year. Such studies would permit the role of stress in the development and maintenance of insomnia to be more fully elucidated, as well as facilitating the identification of personality traits and risk factors that characterise vulnerable individuals. Given the importance of sleep to wellbeing, it is important for university policy-makers to promote good sleep health amongst students.