Sleep, Stress, and Scores: Association between Sleep Patterns and Academic Performance among MBBS Students

Authors

  • Noor Eman Women Medical College, Abbottabad, Pakistan
  • Maydha Khan Women Medical College, Abbottabad, Pakistan
  • Maydha Khan Women Medical College, Abbottabad, Pakistan
  • Moizza Nasir Women Medical College, Abbottabad, Pakistan
  • Momi Gul Women Medical College, Abbottabad, Pakistan
  • Maryam Ahmad Shah Women Medical College, Abbottabad, Pakistan
  • Nayab Gul Women Medical College, Abbottabad, Pakistan
  • Muqadus Kainat Women Medical College, Abbottabad, Pakistan
  • Motashma Shafiq Women Medical College, Abbottabad, Pakistan
  • Munazzah Wahab Women Medical College, Abbottabad, Pakistan
  • Maryam Alam Wazir Women Medical College, Abbottabad, Pakistan

DOI:

https://doi.org/10.70749/ijbr.v4iS1.3113

Keywords:

Academic performance; MBBS students; Sleep quality; Sleep duration

Abstract

Background: Sleep patterns are important for students' cognitive functioning, memory, concentration and academic achievement. Medical students are particularly prone to sleep disturbances due to the burden of academic work, examination stress, long hours of study, and irregular schedules. Objective: To evaluate sleep patterns among MBBS students and determine their association with academic performance. Study Duration and Site: A cross-sectional study, conducted among 2nd to 5th year MBBS students. A total of 210 students were included in the study from May to October 2024. Methodology: A self-administered structured questionnaire was used to collect data on sleep duration, sleep quality, sleep disturbances, difficulty in falling asleep, interrupted sleep, morning fatigue, caffeine intake, and noise exposure. Academic performance was assessed using grades and examination results. SPSS version 20 was used for data analysis. Chi-square test and independent sample t-test were used to identify significant association between sleep pattern and academic performance. A p-value of ≤0.05 was considered statistically significant. Results: Students who were exposed to heavy academic workload often complained of sleep disturbances, including difficulty falling asleep, interrupted sleep and shorter sleep. Examination pressure, tight revision schedules, and deadlines often encouraged students to sacrifice sleep in order to complete academic tasks. This pattern was associated with higher stress, fatigue in the morning, lower concentration and lower mental alertness. Too much caffeine and noise in the environment were also reported as contributing factors that could affect sleep quality. Overall, poor sleep patterns showed a negative association with academic performance. Conclusion: The poor sleep pattern among the MBBS students was correlated with poor academic performance. Morning fatigue and poor concentration were related to inadequate sleep duration, late bedtime, sleep disturbances, caffeine consumption, and noise exposure. Promoting good sleep hygiene and time management can positively impact student health and performance.

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References

1. Baranwal N, Yu PK, Siegel NS. Sleep physiology, pathophysiology, and sleep hygiene. Prog Cardiovasc Dis. 2023;77:59-69.

https://doi.org/10.1016/j.pcad.2023.02.005

2. Waqas A, Khan S, Sharif W, Khalid U, Ali A. Association of academic stress with sleeping difficulties in medical students of a Pakistani medical school: a cross-sectional survey. PeerJ. 2015;3:e840.

https://doi.org/10.7717/peerj.840

3. Sayed AI, Kashmiry AM, Ghoneim SI, Hassan HH. Effect of stress on sleep quality among medical students. Ann Med Surg. 2024;86(10):5921-5928.

4. Buysse DJ, Reynolds CF III, 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

5. Curcio G, Ferrara M, De Gennaro L. Sleep loss, learning capacity and academic performance. Sleep Med Rev. 2006;10(5):323-337.

https://doi.org/10.1016/j.smrv.2005.11.001

6. Azad MC, Fraser K, Rumana N, Abdullah AF, Shahana N, Hanly PJ, et al. Sleep disturbances among medical students: a global perspective. J Clin Sleep Med. 2015;11(1):69-74.

https://doi.org/10.5664/jcsm.4370

7. 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):173-182.

https://doi.org/10.15537/smj.2016.2.14288

8. Al-Khani AM, Sarhandi MI, Zaghloul MS, Ewid M, Saquib N. A cross-sectional survey on sleep quality, mental health, and academic performance among medical students in Saudi Arabia. BMC Res Notes. 2019;12:665.

https://doi.org/10.1186/s13104-019-4713-2

9. Wondie T, Molla A, Mulat H, Damene W, Bekele M, Madoro D, et al. Magnitude and correlates of sleep quality among undergraduate medical students in Ethiopia: cross-sectional study. Sleep Sci Pract. 2021;5:7.

https://doi.org/10.1186/s41606-021-00058-2

10. 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):169-174.

https://doi.org/10.1016/j.jegh.2017.04.005

11. Lund HG, Reider BD, Whiting AB, Prichard JR. Sleep patterns and predictors of disturbed sleep in a large population of college students. J Adolesc Health. 2010;46(2):124-132.

https://doi.org/10.1016/j.jadohealth.2009.06.016

12. Gaultney JF. The prevalence of sleep disorders in college students: impact on academic performance. J Am Coll Health. 2010;59(2):91-97.

https://doi.org/10.1080/07448481.2010.483708

13. Piro RS, Alhakem SS, Azzez SS, Abdulah DM. Prevalence of sleep disorders and their impact on academic performance in medical students, University of Duhok. Sleep Biol Rhythms. 2018;16:125-132.

https://doi.org/10.1007/s41105-017-0134-6

14. El Hangouche AJ, Jniene A, Aboudrar S, Errguig L, Rkain H, Cherti M, et al. Relationship between poor quality sleep, excessive daytime sleepiness and low academic performance in medical students. Adv Med Educ Pract. 2018;9:631-638.

https://doi.org/10.2147/amep.s162350

15. Rathore MA, Khan M, Irfan Z, Amir E. Quality and quantity of sleep and its effects on academic performance among medical and nonmedical students. Pak Armed Forces Med J. 2024;74(3):607-611.

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Published

2026-05-08

How to Cite

Eman, N., Khan, M., Khan, M., Nasir, M., Gul, M., Ahmad Shah, M., Gul, N., Kainat, M., Shafiq, M., Wahab, M., & Alam Wazir, M. (2026). Sleep, Stress, and Scores: Association between Sleep Patterns and Academic Performance among MBBS Students. Indus Journal of Bioscience Research, 4(S1), 1-5. https://doi.org/10.70749/ijbr.v4iS1.3113