Correlation of Depression and Nightmares in Young Medical Students
Correlation of Depression and Nightmares
DOI:
https://doi.org/10.54393/pjhs.v6i6.3042Keywords:
Nightmare, Depression, Sleep Disorders, Symptoms, Cross-Sectional StudiesAbstract
Consistent dream sequences that appear genuine and become more upsetting as they progress are known as nightmares. A prevalent condition that significantly impairs psychosocial performance and lowers quality of life is major depression. Insomnia and nightmares independently but additionally have an impact on the exacerbation of depression. Objectives: To find the correlation between depression and nightmares in young medical students. Methods: A cross-sectional study was carried out from September 2021 to June 2022, involving 350 medical students aged 18 to 30, distributed across all academic years. The symptoms of depression were measured and assessed using the CES-D scale, while nightmares were evaluated by using a validated sleep 50 questionnaire. Data were analyzed in SPSS version 27.0. Results: A total of 350 medical students (49.1% male and 50.9% female), with most aged 19 to 23 years, 91.4%, and single, 97.7%. The mean CES-D score was 23.0 ± 12.42, higher in females 24.8% than in males 21.0. Severe depression was more common in females 44.9%) and first-year students 58.6%. Frequency of nightmares was reported by 23.9%, and the depressed feelings and the frequency of nightmares are significantly correlated (P=0.019). Pearson correlation analysis shows a substantial correlation between the frequency of nightmares and depressive moods. (P≤0.01). Conclusion: The study concluded a significant association between depression symptoms and nightmares, particularly in females and younger medical students. Academic and social factors significantly influence depression symptoms.
References
Zurawek D and Turecki G. The miRNome of depression. International Journal of Molecular Sciences. 2021 Oct; 22(21): 11312. doi: 10.3390/ijms222111312.
Li D, Su M, Guo X, Liu B, Zhang T. The association between chronic disease and depression in middle-aged and elderly people: the moderating effect of health insurance and health service quality. Frontiers in Public Health. 2023 Jan; 11: 935969. doi: 10.3389/fpubh.2023.935969.
Koo SK. Depression status in Korea. Osong public health and research perspectives. 2018 Aug; 9(4): 141. doi: 10.24171/j.phrp.2018.9.4.01.
Lyus R, Buamah C, Pollock AM, Cosgrove L, Brhlikova P. Global burden of disease 2017 estimates for major depressive disorder: a critical appraisal of the epidemiological evidence. JRSM Open. 2023 Sep; 14(9): 20542704231197594. doi: 10.1177/20542704231197594.
Rotenstein LS, Ramos MA, Torre M, Segal JB, Peluso MJ, Guille C et al. Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: a systematic review and meta-analysis. Journal of the American Medical Association. 2016 Dec; 316(21): 2214–36. doi: 10.1001/jama.2016.17324.
Edition F. Diagnostic and statistical manual of mental disorders. American Psychiatric Association. 2013; 21(21): 591–643.
Spoormaker VI, Schredl M, Van Den Bout J. Nightmares: from anxiety symptom to sleep disorder. Sleep Medicine Reviews. 2006 Feb; 10(1): 19–31. doi: 10.1016/j.smrv.2005.06.001.
Sheaves B, Rek S, Freeman D. Nightmares and psychiatric symptoms: a systematic review of longitudinal, experimental, and clinical trial studies. Clinical Psychology Review. 2023 Mar; 100: 102241. doi: 10.1016/j.cpr.2022.102241.
Akkaoui MA, Lejoyeux M, d'Ortho MP, Geoffroy PA. Nightmares in patients with major depressive disorder, bipolar disorder, and psychotic disorders: a systematic review. Journal of Clinical Medicine. 2020 Dec; 9(12): 3990. doi: 10.3390/jcm9123990.
Rueckert KK. Quality of life and depression in German medical students at foreign universities. In: RSU international conference on health and social science. 2016; 168.
Wong SM, Hui CL, Cheung VK, Suen YN, Chan SK, Lee EH et al. Prevalence of frequent nightmares and their prospective associations with 1-year psychiatric symptoms and disorders and functioning in young adults: a large-scale epidemiological study in Hong Kong. Sleep. 2023 Apr; 46(4): zsac296. doi: 10.1093/sleep/zsac296.
Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement. 1977 Jun; 1(3): 385–401. doi: 10.1177/014662167700100306.
Spoormaker VI, Verbeek I, Van den Bout J, Klip EC. Initial validation of the sleep-50 questionnaire. Behavioral Sleep Medicine. 2005 Nov; 3(4): 227–46. doi: 10.1207/s15402010bsm0304_4.
Cha JE, Waldie KE, Neumann D, Smith A, Walker CG. Psychometric properties and factor structure of the Center for Epidemiologic Studies Depression scale 10-item short form (CES-D-10) in Aotearoa New Zealand children. Journal of Affective Disorders Reports. 2022 Jan; 7: 100298. doi: 10.1016/j.jadr.2021.100298
Bresolin JZ, Dalmolin GD, Vasconcellos SJ, Barlem EL, Andolhe R, Magnago TS. Síntomas depresivos en estudiantes universitarios del área de la salud. Revista Latino-Americana de Enfermagem. 2020 Feb; 28: e3239. doi: 10.1590/1518-8345.3210.3239.
Cosco TD, Lachance CC, Blodgett JM, Stubbs B, Co M, Veronese N et al. Latent structure of the centre for epidemiologic studies depression scale (CES-D) in older adult populations: a systematic review. Aging and Mental Health. 2020 May; 24(5): 700–4. doi: 10.1080/13607863.2019.1566434.
Mansour TM, Yousef M, Mansour TM, Yousef M. Nightmares among young medical students. Biomedical Research. 2016 Jan; 27(2): 437–41.
Yang XF, Liu ZZ, Liu SJ, Jia CX, Liu X. Nightmare distress as a mediator between frequent nightmares and depressive symptoms in Chinese adolescents. Journal of Affective Disorders. 2022 Jan; 296: 363–9. doi: 10.1016/j.jad.2021.09.072.
Gan QW, Yu R, Lian ZR, Yuan YL, Li YP, Zheng LL. Relationship between nightmare distress and depressive symptoms in Chinese emergency department nurses: A cross-sectional study. World Journal of Psychiatry. 2023 Dec; 13(12): 1087. doi: 10.5498/wjp.v13.i12.1087.
Rotenstein LS, Ramos MA, Torre M, Segal JB, Peluso MJ, Guille C et al. Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: a systematic review and meta-analysis. Journal of the American Medical Association. 2016 Dec; 316(21): 2214–36. doi: 10.1001/jama.2016.17324.
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