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KMID : 1151920200020020078
Chronobiology in Medicine
2020 Volume.2 No. 2 p.78 ~ p.81
Sleep Quality as a Predictor of Post-Clerkship Anxiety in Korean Medical Students: A Preliminary Report
Kang Hyo-Seung

Lee So-Jin
Kim Bong-Jo
Lee Cheol-Soon
Cha Bo-Seok
Lee Dong-Yun
Seo Ji-Yeong
Choi Jae-Won
Lee Jae-Hon
Lee Young-Ji
Lee Yoon-Jung
Abstract
Objective: This study investigated whether preclinical year insomnia predicted post-clerkship anxiety and whether preclinical year depression predicted post-clerkship insomnia among Korean medical students.

Methods: A total of 57 students (38 males and 19 females) aged 23?34 years (27.40¡¾2.76 years) completed questionnaires that included the hospital anxiety and depression scale, insomnia severity index, and morningness-eveningness assessment at the beginning and end of the clerkship.

Results: A multiple linear regression analysis revealed that preclinical year sleep quality (¥â=0.291, p=0.032) was a statistically significant predictor of post-clerkship anxiety after controlling for preclerkship age, sex, and chronotype. Another multiple linear regression analysis revealed that preclinical year depression (¥â=0.541, p<0.001) was a statistically significant predictor of poor post-clerkship sleep quality, after controlling for age, sex, post-clerkship year anxiety, and chronotype.

Conclusion: This study found that preclinical year insomnia may be related to post-clerkship anxiety. Post-clerkship insomnia was related to preclinical year depression. These findings may help medical school administrators reduce their students¡¯ anxiety and poor sleep through a cognitive behavioral approach and with psychological education.
KEYWORD
Sleep quality, Anxiety, Medical students, Clerkship
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