Association between nonprescription use of nootropics and sleep quality in medical students

Authors

DOI:

https://doi.org/10.15448/1980-6108.2023.1.43759

Keywords:

Students, Medical, Nootropic Agents, Sleep, Education, Medical

Abstract

Aims: analysing the quality of sleep of the medical students at a private university and its association with the nonprescription use of nootropics (methylphenidate, lisdexamfetamine and modafinil).
Methods: the sleep quality was analyzed by using the Pittsburgh Sleep Quality Index. A sociodemographic questionnaire was considered to identify the psychosocial characteristics of the participants and the use of nootropics. Results were represented as mean and standard deviation (for quantitative variables) or frequency (for qualitative variables), and associations were analyzed using the chi-square test. Results: 362 students answered the questionnaire. The medium levels of global PSQI in students with recent unprescribed use of nootropics was like that observed for students who had never used nootropics (7.76 vs. 7.73; p=0.96). The PSQI analysis by specific domain also showed no statistically significant difference for any domain. It was observed that 23.6% of women and 33,9% of men had good sleep quality, with this difference being statistically significant (p=0.04). The use of six doses or more of alcoholic beverages was related to higher levels of PSQI (7.47 vs. 8.19; p=0.047). Students with poor sleep quality had less satisfaction with their professional choice (OR = 1.84; 95% CI= 1.09 - 3.11), lower perception of skills acquisition (OR= 1.96; 95%CI = 1.16 - 3.31) and a higher proportion of thoughts related to dropping out of the course (OR = 0.46; 95%CI = 0.27 - 0.77). Recent and non-prescription use of nootropics was associated with marijuana use and the desire to drop out of the course. Conclusions: sleep quality was worse in females and in those with higher alcohol intake, and was associated with lower satisfaction with professional choice and desire to drop out of the course. No association was found between non-prescription use of nootropics and sleep quality in medical students.

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Author Biographies

Dênia Alves de Azevedo, José do Rosário Vellano University and Federal University of São João del Rei

Master's Degree in Health Education from the University José do Rosário Velano (Unifenas), in Belo Horizonte, BH, Brazil. Professor at Federal University of São João Del Rei, Divinópolis, MG, Brazil

Maria Aparecida Turci , Universidade José do Rosário Vellano, Belo Horizonte, MG, Brasil.

PhD and Master in Public Health from the Federal University of Minas Gerais (UFMG), in Belo Horizonte, MG, Brazil. Professor at José do Rosário Vellano University (Unifenas) in Belo Horizonte, MG, Brazil.

Guilherme Castelo Branco Rocha Silva, Universidade José do Rosário Vellano, Belo Horizonte, MG, Brasil.

Undergraduate student at the Medical School at the José do Rosário Velano University (Unifenas-BH), in Belo Horizonte, MG, Brazil.

Hugo Cesar Piva, Universidade José do Rosário Vellano, Belo Horizonte, MG, Brasil.

Graduate student of the Medical Course at the José do Rosário Velano University (Unifenas-BH), in Belo Horizonte, MG, Brazil

Gustavo Túlio Silveira Sousa, Universidade José do Rosário Vellano, Belo Horizonte, MG, Brasil.

Graduate student of the Medical Course at the José do Rosário Velano University (Unifenas-BH), in Belo Horizonte, MG, Brazil

Alexandre Sampaio Moura, Universidade José do Rosário Vellano, Belo Horizonte, MG, Brasil.

PhD in Infectology from the Federal University of Minas Gerais (UFMG), in Belo Horizonte, MG, Brazil; Master in Public Health at Columbia University, NYC, USA. Teacher at Unifenas-BH, in Belo Horizonte, MG, Brazil.

References

Dâmaso JGB, Pereira BS, Batista CB, Conceição LS, Pereira GS, Carniele RC. É muita pressão! Percepções sobre o desgaste mental entre estudantes de medicina. Rev Bras Orientac Prof. 2019;20(2):1-12.

Martins RCC, Branco RPC. Os impactos da saúde mental nos estudantes universitários do curso de Enfermagem: revisão bibliográfica. Res Soc Develop. 2021; 10(16):e319101624079. http://doi.org/10.33448/rsd-v10i16.24079

Araújo FJO, Lima LSA, Cidade PIM, Nobre CB, RolimNeto ML. Impact of Sars-Cov-2 and its Reverberation in global higher education nd mental health. Psychiatry Res. 2020;5(2):13-21. http://doi.org/10.1016/j.psychres.2020.112977

Gaiotto EMG, Trapé CA, Campos CMS, Fujimori E, Carrer FCA, Nichiata LIZ, et al. Resposta a necessidades em saúde mental de estudantes universitários: uma revisão rápida. Rev Saude Publica. 2021;55(114):1-18. https://doi.org/10.11606/s1518-8787.2021055003363

Behere SP, Yadav R, Behere PB. A comparative study of stress among students of medicine, engineering, and nursing. Indian J Psycholog Med. 2011;33(2):145-48. https://doi.org/10.4103/0253-7176.92064

Zielinski MR, McKenna JT, McCarley RW. Functions and mechanisms of sleep. AIMS Neurosci. 2016;3(1):67-104. https://doi.org/10.3934/Neuroscience.2016.1.67

Karna B, Gupta V. Sleep disorder. Treasure Island (FL): StatPearls Publishing; 2022.

Okano K, Kaczmarzyk JR, Dave N, Gabrieli JDE, Grossman JC. Sleep quality, duration, and consistency are associated with better academic performance in college students. NPJ Sci Learn. 2019;1(4):16-24. https://doi.org/10.1038/s41539-019-0055z.

Scott AJ, Webb TL, Rowse G. Does improving sleep lead to better mental health? A protocol for a metaanalytic review of randomised controlled trials. BMJ Open. 2017;7(9):e016873. https://doi.org/10.1136/bmjopen-2017-016873

Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213. https://doi.org/10.1016/0165-1781(89)90047-4

Bertolazi AN, Fagondes SC, Hoff LS, Dartora EG, Miozzo IC, de Barba ME, et al. Validation of the brazilian portuguese version of the Pittsburgh Sleep Quality Index. Sleep Med. 2011;12(1):70-5. https://doi.org/10.1016/j.sleep.2010.04.020

Brick CA, Seely DL, Palermo TM. Association between sleep hygiene and sleep quality in medical students. Behav Sleep Med. 2010;8(2):113-21. https://doi.org/10.1080/15402001003622925

Abdulghani HM, Alrowais NA, Bin-Saad NS, AlSubaie NM, Haji AM, Alhaqwi AI. Sleep disorder among medical students: relationship to their academic performance. Med Teach. 2012;34(1):S37-41. https://doi.org/10.3109/0142159X.2012.656749

Alsaggaf MA, Wali SO, Merdad RA, Merdad LA. Sleep quantity, quality, and insomnia symptoms of medical students during clinical years. Relationship with stress and academic performance. Saudi Med J. 2016;37(2):173- https://doi.org/10.15537/smj.2016.2.14288

Almojali AI, Almalki SA, Alothman AS, Masuadi EM, Alaqeel MK. The prevalence and association of stress with sleep quality among medical students. J Epidemiol Glob Health. 2017;7(3):169-74. https://doi.org/10.1016/j.jegh.2017.04.005

Alqudah M, Balousha SAM, Al-Shboul O, Al-Dwairi A, Alfaqih MA, Alzoubi KH. Insomnia among medical and paramedical students in Jordan: impact on academic performance. Biomed Res Int. 2019;2019:7136906. https://doi.org/10.1155/2019/7136906

Khero M, Fatima M, Shah MAA, Tahir A. Comparison of the status of sleep quality in basic and clinical medical students.

Cureus. 2019;11(3):e4326. https://doi.org/10.7759/cureus.4326

Yağız B, Hancıoğlu S, Balcı Ö, Demirel BD, Karaman A, Bıçakcı U, et al. Management of perinatal testicular torsion: experience of two tertiary centers. Pediatr Surg Int. 2020;36:959-63. DOI:10.1007/s00383-020-04666-4

Published

2023-07-19

How to Cite

Alves de Azevedo, D., Turci , M. A., Castelo Branco Rocha Silva, G., Cesar Piva, H., Túlio Silveira Sousa, G., & Sampaio Moura, A. (2023). Association between nonprescription use of nootropics and sleep quality in medical students. Scientia Medica, 33(1), e43759. https://doi.org/10.15448/1980-6108.2023.1.43759