HUBUNGAN ANTARA KECEMASAN, DEPRESI, DAN STRES DENGAN KUALITAS TIDUR MAHASISWA FAKULTAS KEDOKTERAN DI INDONESIA SELAMA PANDEMI COVID-19
Abstract
Pendahuluan: Kualitas tidur merupakan wujud pemenuhan kepuasan seorang individu yang menjalani suatu proses tidur. Pandemi COVID-19 mengharuskan pemberlakuan social distancing sebagai salah satu pengendalian dalam penyebaran virus. Namun, hal tersebut dapat berdampak pada kesejahteraan psikologis dan bahkan dapat memengaruhi kualitas tidur seseorang. Mahasiswa, khususnya di fakultas kedokteran, rentan mengalami tidur dengan kualitas yang buruk. Faktor kecemasan, depresi, dan stres diduga ikut terlibat dalam kualitas tidur di kalangan mahasiswa kedokteran. Tinjauan pustaka ini bertujuan untuk mengetahui apakah tingkat depresi, kecemasan, dan stres berkontribusi terhadap kualitas tidur yang buruk pada mahasiswa kedokteran di Indonesia selama pandemi COVID-19
Pembahasan: Lima studi menyimpulkan bahwa terdapat hubungan tingkat kecemasan dengan kualitas tidur mahasiswa kedokteran selama pandemi COVID-19. Hal ini diduga karena gangguan tidur dan kecemasan sama-sama didasari oleh patogenesis hiperaktivitas yang disebabkan oleh gangguan sistem neurotransmiter, seperti kolinergik dan GABA. Dua studi meninjau hubungan antara kualitas tidur mahasiswa fakultas kedokteran dengan kejadian depresi selama masa pandemi COVID-19. Walaupun hubungan antara kualitas tidur dan depresi telah dibuktikan secara ekstensif, arah dari hubungan ini masih belum bisa ditetapkan. Mekanisme perubahan kualitas tidur pada depresi diduga melibatkan peran dari peningkatan mediator inflamasi seperti IL-6 dan TNF, jalur biokimia neurotransmitter, korelasi genetik, serta disregulasi pada irama sirkadian akibat single nucleotide polymorphism (SNP) dari clock genes. Tiga studi menemukan adanya hubungan antara kejadian stress pada mahasiswa kedokteran dengan kualitas tidur mereka selama pandemi COVID-19. Stres dan tidur memiliki keterkaitan dengan aktivasi aksis hipotalamo-hipofisis-adrenal (HPA) yang juga dipengaruhi oleh sistem imun.
Simpulan: Berdasarkan tinjauan pustaka yang dilakukan, ditemukan bahwa kualitas tidur memiliki berkaitan erat dengan kejadian stres, depresi, dan kecemasan pada mahasiswa fakultas kedokteran di Indonesia selama pandemi COVID-19.
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References
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Rao W-W, Li W, Qi H, Hong L, Chen C, Li C-Y, et al. Sleep quality in medical students: a comprehensive meta-analysis of observational studies. Sleep Breath 2020;24(3):1151–65.
Bianca N, Ketut Budiarsa IGN, Purwa Samatra DPG. GAMBARAN KUALITAS TIDUR MAHASISWA PROGRAM STUDI PENDIDIKAN DOKTER FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA PADA TAHAP PREKLINIK DAN KLINIK. E-Jurnal Med Udayana; Vol 10 No 2 Vol 10 No 02(2021) E-Jurnal Med Udayana [Internet] 2021;Available from: https://ojs.unud.ac.id/index.php/eum/article/view/71251
Sundas N, Ghimire S, Bhusal S, Pandey R, Rana K, Dixit H. Sleep Quality among Medical Students of a Tertiary Care Hospital: A Descriptive Cross-sectional Study. JNMA J Nepal Med Assoc 2020;58(222):76–9.
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Sitepu J, Hutahaean R, Jirwanto H. Hubungan Stres dengan Kualitas Tidur pada Mahasiswa/i Fakultas Kedokteran Universitas HKBP Nommensen. Nommensen J Med [Internet] 2022;8(1 SE-Articles). Available from: https://jurnal.uhn.ac.id/index.php/medicine/article/view/614
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Ghawa E, Lidia K, Buntoro I. Hubungan Antara Tingkat Kecemasan Dengan Kualitas Tidur Selama Masa Pandemi Covid-19 Pada Mahasiswa Fakultas Kedokteran Universitas Nusa Cendana. Cendana Med J [Internet] 2021;9(2 SE-Articles). Available from: https://ejurnal.undana.ac.id/index.php/CMJ/article/view/5974
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Yue L, Zhao R, Xiao Q, Zhuo Y, Yu J, Meng X. The effect of mental health on sleep quality of front-line medical staff during the COVID-19 outbreak in China: A cross-sectional study. PLoS One [Internet] 2021;16(6):e0253753. Available from: https://doi.org/10.1371/journal.pone.0253753
van der Linden S, Roozenbeek J, Compton J. Inoculating against fake news about COVID-19. Front Psychol 2020;11(October):1–7.
Halperin SJ, Henderson MN, Prenner S, Grauer JN. Prevalence of Anxiety and Depression Among Medical Students During the Covid-19 Pandemic: A Cross-Sectional Study. J Med Educ Curric Dev 2021;8:2382120521991150.
Pelucio L, Simões P, Dourado MCN, Quagliato LA, Nardi AE. Depression and anxiety among online learning students during the COVID-19 pandemic: a cross-sectional survey in Rio de Janeiro, Brazil. BMC Psychol [Internet] 2022;10(1):192. Available from: https://doi.org/10.1186/s40359-022-00897-3
Mohammed HM, Soliman SM, Abdelrahman AA, Ibrahim AK. Depressive symptoms and its correlates among medical students in Upper Egypt. Middle East Curr Psychiatry [Internet] 2022;29(1):66. Available from: https://doi.org/10.1186/s43045-022-00231-y
Nesher Shoshan H, Wehrt W. Understanding “Zoom fatigue”: A mixed-method approach. Appl Psychol [Internet] 2022;71(3):827–52. Available from: https://doi.org/10.1111/apps.12360
Elbogen EB, Lanier M, Griffin SC, Blakey SM, Gluff JA, Wagner HR, et al. A National Study of Zoom Fatigue and Mental Health During the COVID-19 Pandemic: Implications for Future Remote Work. Cyberpsychol Behav Soc Netw 2022;25(7):409–15.
Liu Z, Liu R, Zhang Y, Zhang R, Liang L, Wang Y, et al. Association between perceived stress and depression among medical students during the outbreak of COVID-19: The mediating role of insomnia. J Affect Disord 2021;292:89–94.
Dinis J, Bragança M. Quality of Sleep and Depression in College Students: A Systematic Review. Sleep Sci (Sao Paulo, Brazil) 2018;11(4):290–301.
Wong ML, Lau EYY, Wan JHY, Cheung SF, Hui CH, Mok DSY. The interplay between sleep and mood in predicting academic functioning, physical health and psychological health: a longitudinal study. J Psychosom Res 2013;74(4):271–7.
Wallace DD, Boynton MH, Lytle LA. Multilevel analysis exploring the links between stress, depression, and sleep problems among two-year college students. J Am Coll Health 2017;65(3):187–96.
Gomes GC, Passos MHP Dos, Silva HA, Oliveira VMA de, Novaes WA, Pitangui ACR, et al. SLEEP QUALITY AND ITS ASSOCIATION WITH PSYCHOLOGICAL SYMPTOMS IN ADOLESCENT ATHLETES. Rev Paul Pediatr orgao Of da Soc Pediatr Sao Paulo 2017;35(3):316–21.
Siddiqui MI, Zowgar AM, Quality S, Among D, Medical U. Sleep Quality and Depression among Undergraduate Medical and Allied Medical Sciences Students : A Cross-Sectional Study At Umm Al-Qura University ( Uqu ) -. Int J Sleep Disord 2020;3(1):007-016.
Fang H, Tu S, Sheng J, Shao A. Depression in sleep disturbance: A review on a bidirectional relationship, mechanisms and treatment. J Cell Mol Med 2019;23(4):2324–32.
Lemma S, Gelaye B, Berhane Y, Worku A, Williams MA. Sleep quality and its psychological correlates among university students in Ethiopia: a cross-sectional study. BMC Psychiatry 2012;12:237.
Gimeno D, Kivimäki M, Brunner EJ, Elovainio M, De Vogli R, Steptoe A, et al. Associations of C-reactive protein and interleukin-6 with cognitive symptoms of depression: 12-year follow-up of the Whitehall II study. Psychol Med 2009;39(3):413–23.
Wilson S, Argyropoulos S. Antidepressants and sleep: a qualitative review of the literature. Drugs 2005;65(7):927–47.
Wang Y-Q, Tu Z-C, Xu X-Y, Li R, Qu W-M, Urade Y, et al. Acute administration of fluoxetine normalizes rapid eye movement sleep abnormality, but not depressive behaviors in olfactory bulbectomized rats. J Neurochem 2012;120(2):314–24.
Gregory AM, Rijsdijk F V, Dahl RE, McGuffin P, Eley TC. Associations between sleep problems, anxiety, and depression in twins at 8 years of age. Pediatrics 2006;118(3):1124–32.
Monteleone P, Martiadis V, Maj M. Circadian rhythms and treatment implications in depression. Prog Neuropsychopharmacol Biol Psychiatry 2011;35(7):1569–74.
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Published
2023-02-22
How to Cite
KURNIAWAN, Komang Wahyu et al.
HUBUNGAN ANTARA KECEMASAN, DEPRESI, DAN STRES DENGAN KUALITAS TIDUR MAHASISWA FAKULTAS KEDOKTERAN DI INDONESIA SELAMA PANDEMI COVID-19.
Essential: Essence of Scientific Medical Journal, [S.l.], v. 20, n. 2, p. 87-96, feb. 2023.
ISSN 2655-6472.
Available at: <https://ojs.unud.ac.id/index.php/essential/article/view/92950>. Date accessed: 25 apr. 2024.
doi: https://doi.org/10.24843/essential.v20i2.92950.
Section
Artikel Tinjauan Pustaka
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