Sleep disturbances predict prospective declines in resident physicians’ psychological well-being
Affiliation
Department of Emergency Medicine, University of ArizonaDepartment of Psychology, University of Arizona
Issue Date
2015-07-21
Metadata
Show full item recordPublisher
Co-ActionCitation
Sleep disturbances predict prospective declines in resident physicians’ psychological well-being 2015, 20 (0) Medical Education OnlineJournal
Medical Education OnlineRights
© 2015 Alice A. Min et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/).Collection Information
This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.Abstract
Background: Medical residency can be a time of increased psychological stress and sleep disturbance. We examine the prospective associations between self-reported sleep quality and resident wellness across a single training year. Methods: Sixty-nine (N69) resident physicians completed the Brief Resident Wellness Profile (M17.66, standard deviation [SD] 3.45, range: 017) and the Pittsburgh Sleep Quality Index (M6.22, SD 2.86, range: 1225) at multiple occasions in a single training year. We examined the 1-month lagged effect of sleep disturbances on residents’ self-reported wellness. Results: Accounting for residents’ overall level of sleep disturbance across the entire study period, both the concurrent (within-person) within-occasion effect of sleep disturbance (B 0.20, standard error [SE]0.06, p0.003, 95% confidence interval [CI]: 0.33, 0.07) and the lagged within-person effect of resident sleep disturbance (B 0.15, SE0.07, p0.037, 95% CI: 0.29, 0.009) were significant predictors of decreased resident wellness. Increases in sleep disturbances are a leading indicatorof resident wellness, predicting decreased well-being 1 month later. Conclusions: Sleep quality exerts a significant effect on self-reported resident wellness. Periodic evaluation of sleep quality may alert program leadership and the residents themselves to impending decreases in psychological well-being.Description
UA Open Access Publishing FundNote
Open access journalISSN
1087-2981Version
Final published versionAdditional Links
http://www.med-ed-online.net/index.php/meo/article/view/28530ae974a485f413a2113503eed53cd6c53
10.3402/meo.v20.28530
Scopus Count
Collections
Except where otherwise noted, this item's license is described as © 2015 Alice A. Min et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/).