失眠及其对医学学生精神运动反应,自主功能和心理健康的影响:一项横断分析研究
Balasubramaniam Dhanusri1, Rajasegaran Rajalakshmi1, Praveen Prakash1
1Department of Physiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.
Cureus
|December 15, 2025
概括
失眠影响了超过四分之一的医学学生,导致精神运动警觉性受损,心理痛苦增加. 早期干预对于这个脆弱的人群来说至关重要,以解决睡眠健康问题.
科学领域:
- 医学教育 医学教育
- 睡眠医学 睡眠医学
- 心理生理学 心理生理学
背景情况:
- 失眠是一种普遍存在的睡眠障碍,影响认知功能,心理健康和整体健康.
- 医学学生面临的高度脆弱性睡眠障碍,由于要求的学术时间表和生活方式因素.
研究的目的:
- 为了确定医学学生中失眠的患病率和严重程度.
- 调查失眠和心脏自主状态,精神运动警,心理健康和身体组成之间的联系.
主要方法:
- 一项涉及118名医学学生 (MBBS第二,第三年和最后一年) 的横截面研究.
- 使用失眠严重程度指数 (ISI) 评估失眠,使用抑郁,焦虑和压力度量表 (DASS-21) 评估心理健康.
- 通过听觉和视觉反应时间 (RTs) 测量精神运动警,通过心率变化 (HRV) 测量心脏自主状态,并使用生物电阻分析测量身体组成.
主要成果:
- 临床显著失眠 (ISI ≥10) 的患病率为27.1%.
- 低值失眠与显著更长的听觉和视觉RT和更高的DASS-21分数 (p < 0.001) 有关.
- 失眠严重程度 (ISI分数) 与听觉RT (r=0.456),视觉RT (r=0.247) 和DASS-21分数 (r=0.508) 有正相关.
结论:
- 失眠在医学学生中非常普遍,与精神运动性能受损和心理痛苦增加有显著的关联.
- 在这个队列中,不眠症和心率变化或身体组成之间没有发现显著的关联.
- 失眠的认知和心理影响可能会在年轻人的自主或代谢变化之前发生,这突显了早期查和干预的必要性.
相关概念视频
Insomnia
380
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...
380
Management of Insomnia
499
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
499
Insufficient Sleep and Sleep Deprivation
805
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
805
Substance Use Disorders Affecting Sleep
366
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
366
Sleep-Wake Cycles
2.7K
Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
2.7K
Blind Procedures
12.8K
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
12.8K


