title: Sleep Quality Among Psychiatry Residents.
abstract: OBJECTIVE
  Medical residency programs are traditionally known for long working hours, which can be associated with a poor quality of sleep and daytime sleepiness. However, few studies have focused on this theme. Our objective was to investigate sleep quality, daytime sleepiness, and their relation with anxiety, social phobia, and depressive symptoms.
  
  
  METHODS
  This cross-sectional observational study involved 59 psychiatry residents. The Pittsburgh Sleep Quality Index (PSQI) and the Epworth Sleepiness Scale (ESS) were used to measure the quality of sleep and excessive daytime sleepiness ([EDS] and ESS > 10), respectively.
  
  
  RESULTS
  Among the 59 psychiatry residents, 59.3% had poor sleep quality (PSQI > 5) and 28.8% had EDS. Poor sleep quality was associated with higher EDS (P = 0.03) and the year of residency program (P = 0.03). Only 20% of residents with poor sleep had consulted at least once for sleep problems; 54.2% had used medications for sleep; and 16.9% were using medications at the time of interview. Only 30% obtained medication during medical consultations. Poor sleep was associated with irregular sleep hours (P = 0.001) and long periods lying down without sleep (P = 0.03). Poor sleep quality was also associated with high scores of anxiety symptoms (P < 0.001) and social phobia symptoms (P = 0.02).
  
  
  CONCLUSIONS
  Psychiatry residents frequently have poor sleep quality and EDS. Considering that sleep disorders can affect quality of life, predispose to metabolic syndrome, and be associated with worse performance at work, attention to this clinical problem is needed.
authors: Federal University of Ceará, Fortaleza, Ceará, Brazil matcarv01@yahoo.com.br.
authors: Matias
authors: M
authors: Carvalho Aguiar Melo
authors: Federal University of Ceará, Fortaleza, Ceará, Brazil.
authors: Francisco
authors: F
authors: das Chagas Medeiros
authors: Federal University of Ceará, Fortaleza, Ceará, Brazil.
authors: Veralice
authors: V
authors: Meireles Sales de Bruin
authors: Public Health School of Ceará, Fortaleza, Ceará, Brazil.
authors: José Abraão
authors: JA
authors: Pinheiro Santana
authors: Frota Pinto Mental Health Hospital, Ceará, Fortaleza, Ceará, Brazil.
authors: Alexandre
authors: A
authors: Bastos Lima
authors: Federal University of Ceará, Fortaleza, Ceará, Brazil.
authors: Elizabeth
authors: E
authors: De Francesco Daher
mesh_terms: D000328:Adult; D001007:Anxiety / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology*; D005260:Female; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data*; D008297:Male; D000072861:Phobia, Social / Q000453:epidemiology*; D010820:Physicians / Q000706:statistics & numerical data*; D011570:Psychiatry / Q000193:education / Q000706:statistics & numerical data*; D012893:Sleep Wake Disorders / Q000453:epidemiology*; D055815:Young Adult
keywords: anxiety; depression; medical residency; psychiatry; sleep; social phobia