The Correlation of Insomnia and Anxiety in Students of The Faculty of Medicine, University of Pelita Harapan

Kinley Dhinata, Nicolaski Lumbuun

Abstract


Background and Aim: Insomnia and anxiety are common disorders with high prevalence rate especially in medical students. Moreover, many confounding factors playing a role in influencing anxiety. Most studies does not include or measure other confounding factors of anxiety into the analysis. This requires research which examines insomnia and anxiety assessing the contribution of the factors influencing anxiety.

Methods: A cross-sectional study methodology with linear regression analysis on a sample of students from the Faculty of Medicine, University of Pelita Harapan using the DASS-21 questionnaire to assess anxiety and ISI to assess insomnia.

Results: Prevalence rates of insomnia was 34.29% and anxiety 32.38% in Pelita Harapan University medical student. From the results of the bivariate linear regression, a weak relationship between insomnia and anxiety (r = 0.322; p = 0.000) is seen. In multivariate results, there were confounding stress variables (r = 0.565; p= 0.000) and trauma (r = 0.250; p = 0.005) which contributed greatly to anxiety (In order of largest).

Conclusion: There is a weak correlation and anxiety. Moreover, high prevalence rate of anxiety in medical students may be contributed heavily not only by insomnia but also stress and childhood trauma.


Keywords


Anxiety; Insomnia; Stress; Childhood Trauma; Medical Students



DOI: http://dx.doi.org/10.19166/med.v10i1.6991

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References


1. Kessler RC, Ruscio AM, Shear K, Wittchen HU. Epidemiology of Anxiety Disorders. Oxford Handbook of Anxiety and Related Disorders. 2008. https://doi.org/10.1093/oxfordhb/9780195307030.013.0002

2. Arthur M. Institute for Health Metrics and Evaluation [Internet]. Vol. 28, Nursing Standard. 2014 [cited 2020 Sep 20]. p. 32-32.

3. Data Resource Center for Child & Adolescent Health. National Survey of Children's Health - Data Resource Center for Child and Adolescent Health [Internet]. 2016 [cited 2020 Sep 20].

4. Quek TTC, Tam WWS, Tran BX, Zhang M, Zhang Z, Ho CSH, et al. The global prevalence of anxiety among medical students: A meta-analysis. Int J Environ Res Public Health [Internet]. 2019 Aug 1 [cited 2020 Sep 19];16(15). https://doi.org/10.3390/ijerph16152735

5. Mekanisme H, Dengan K. Mengalami Ansietas Dan Depresi. 37(April 2014):2-7.

6. Siegfried W. Anxiety [Internet]. The Therapeutic Imagination: Using Literature to Deepen Psychodynamic Understanding and Enhance Empathy. Taylor and Francis; 2014 [cited 2020 Sep 20]. 111-114 p. https://doi.org/10.4324/9781315879826-9

7. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. American Psychiatric Association (2nd ed.) [Internet]. American Psychiatric Association. 1968 [cited 2020 Sep 20]. p. 463-8.

8. Momin RR, Ketvertis K. Primary Insomnia [Internet]. StatPearls. StatPearls Publishing; 2020 [cited 2020 Sep 20].

9. Peltzer K, Pengpid S. Prevalence, social and health correlates of insomnia among persons 15 years and older in Indonesia. Psychol Heal Med [Internet]. 2019 Jul 3 [cited 2020 Sep 20];24(6):757-768. https://doi.org/10.1080/13548506.2019.1566621

10. Sathivel D, Setyawati L. Prevalensi insomnia pada mahasiswa fakultas kedokteran universitas Udayana. Intisari Sains Medis [Internet]. 2017 [cited 2020 Oct 26];8(2):87-92. https://doi.org/10.1556/ism.v8i2.119

11. Javaheri S, Redline S. Insomnia and Risk of Cardiovascular Disease [Internet]. Vol. 152, Chest. Elsevier Inc; 2017 [cited 2020 Sep 21]. p. 435-44. https://doi.org/10.1016/j.chest.2017.01.026

12. Jansson M, Linton SJ. The development of insomnia within the first year: A focus on worry. Br J Health Psychol [Internet]. 2006 Sep [cited 2020 Sep 21];11(3):501-11. https://doi.org/10.1348/135910705X57412

13. Morphy H, Dunn KM, Lewis M, Boardman HF, Croft PR. Epidemiology of insomnia: A longitudinal study in a UK population [Internet]. Vol. 30, Sleep. 2007 [cited 2020 Sep 21]. p. 274-80.

14. Jansson-Fröjmark M, Lindblom K. A bidirectional relationship between anxiety and depression, and insomnia? A prospective study in the general population. J Psychosom Res [Internet]. 2008 Apr [cited 2020 Sep 21];64(4):443-9. https://doi.org/10.1016/j.jpsychores.2007.10.016

15. Johnson EO, Roth T, Breslau N. The association of insomnia with anxiety disorders and depression: Exploration of the direction of risk. J Psychiatr Res [Internet]. 2006 Dec [cited 2020 Sep 21];40(8):700-8. https://doi.org/10.1016/j.jpsychires.2006.07.008

16. Anxiety and Sleep Medications Anxiety and Sleep [Internet]. [cited 2020 Sep 21].

17. Swanenghyun G. Validitas dan Reliabilitas Alat Ukur Insomnia Severity Index Versi Indonesia (ISI-INA) pada Remaja Jalanan Di Yogyakarta. Unpubl Thesis. 2015; Universitas Gadjah Mada.

18. Jaya ES. Intervensi Kelompok Cognitive Behavior Therapy (CBT) Multi-komponen pada Lanjut Usia di Depok untuk Mengatasi Insomnia. Univ Indones. 2012;31-2.

19. Onie S, Kirana AC, Mustika NP, Adesla V, Ibrahim R. Assessing the Predictive Validity and Reliability of the DASS-21, PHQ-9 and GAD-7 in an Indonesian Sample. 2020 [cited 2020 Nov 5]; https://doi.org/10.31234/osf.io/eqcm9

20. Lovibond SH LP. DASS Severity Ratings [Internet]. Manual for the Depression Anxiety Stress Scales. 1995 [cited 2020 Oct 15].

21. Kinanthi MR, Listiyandini RA. Adaptasi DASS 21 versi Indonesia pada Populasi Mahasiswa di Jakarta. Conf Semin Nas Psikol dan Call Pap UMB Yogyakarta 2020 [Internet]. 2020;(April).

22. Damanik ED, Evelina Damanik. Damanik Indonesian translation - Reliability. 2006. p. 1-9.

23. Dass. Overview of the DASS and its uses [Internet]. 2015 [cited 2020 Oct 15]. p. 1-2.

24. Zunhammer M, Eichhammer P, Busch V. Sleep Quality during Exam Stress: The Role of Alcohol, Caffeine and Nicotine. PLoS One [Internet]. 2014 Oct 1 [cited 2021 May 21]; 9(10): 109490. https://doi.org/10.1371/journal.pone.0109490

25. Barakat D, Elwasify M, Elwasify M, Radwan D. Relation between insomnia and stress, anxiety, and depression among Egyptian medical students. Middle East Curr Psychiatry. 2016;23(3):119-127. https://doi.org/10.1097/01.XME.0000484345.57567.a9

26. Kurebayashi LFS, Prado JM do, Silva MJP da. Correlations between stress and anxiety levels in nursing students. J Nurs Educ Pract. 2012;2(3). https://doi.org/10.5430/jnep.v2n3p128

27. Kuo JR, Goldin PR, Werner K, Heimberg RG, Gross JJ. Childhood trauma and current psychological functioning in adults with social anxiety disorder. J Anxiety Disord [Internet]. 2011 May [cited 2021 May 22];25(4):467-73. https://doi.org/10.1016/j.janxdis.2010.11.011


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MEDICINUS is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License. Copyright © Fakultas Kedokteran | Universitas Pelita Harapan | Lippo Karawaci, Tangerang, Indonesia, 15811 . All rights reserved. p-ISSN 1978-3094 | e-ISSN 2622-6995