Amin Abdullah Al-Ahdal
Background: Difficulty in sleeping under stressor due to various living style needs appears to be a great risk factor for physical and mental health status. Family medicine residents are a population that appears to be at increased risk for sleep deprivation due to demanding academic and clinical duties. Objectives: To estimate the prevalence of insomnia and determine its associated factors among family medicine residents at joint program of family and community medicine in Makkah Al Mukarramah and Jeddah, 2012.
Subjects and methods: A cross-sectional analytical study was adopted. All family medicine residents in Makkah Al Mukarramah and Jeddah were invited to participate in the study. A validated questionnaire was used based on Pittsburgh Sleep Quality Index (PSQI) and Pittsburg Insomnia Symptoms questionnaire. It differentiates “poor” from “good” sleep by measuring seven areas: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, and daytime dysfunction over the last month.
Results: The study included 105 family medicine residents out of 119 invited to participate in the study, giving a response rate of 88.2%. Their age ranged between 24 and 39 years with a mean of 28.3 years and standard deviation of 2.4 years. Males represent 51.4% of them. Most of them (77.1%) were poor sleepers during the past month, based on Global PSQI Score. sleep complaints were reported by 74.3% of the participants. Of them, 18.1% suffered frequently or always from difficulty falling asleep. Difficulty staying asleep and frequent awakening from sleep were reported as frequent or always complaints by 11.5% and 18.2% of them, respectively. Felling that sleep is not sound and it is unrefreshing were mentioned frequently or always by 16.2% and 25.7% of them, respectively. Sleep complaints had extreme impact on concentration and caused extreme sleepy feeling during the day among 6.4% of family medicine residents.
Conclusion: Poor sleep quality is a common problem affecting most of family medicine residents in Jeddah and Makkah Al-Mukarramah. Sleep complaints have consequences on resident work, social and other important parts of life. They are significantly associated with irritability, sleepy during the day and fatigue feelings as well as trouble in concentration.