Sleep Quality, Wellbeing and Happiness in Medical Undergraduates in Western India


  • Anant S Kukade Swami Vivekananda Yoga Anusandhana Samsthana, Bangalore
  • Monali Devaraj Mathad Kempegowda College of Nursing
  • Rajesh Sasidharan K Swami Vivekananda Yoga Anusandhana Samsthana, Bangalore



medical students, sleep, wellbeing, happiness


Background: Medical students appear to be one group that is especially vulnerable to sleep problems. The study's objective was to evaluate the sleep quality, wellbeing, and happiness of Indian medical students at various stages of their education, as well as students from all three major streams (allopathic, ayurveda, and homoeopathic medicine).

Methodology: A convenience sample of 873 medical students was used in this cross-sectional and questionnaire-based study, which included homoeopathic (n=205), allopathic (n=389), and ayurvedic (n=279) medical students. The tools used were the Medical Outcomes Study Sleep Scale, the Short Depression – Happiness Scale, and the Short Warwick-Edinburgh Mental Well-Being Scale.

Results: Students in the Allopathic stream showed statistically significantly worse sleep quality ratings than students in the Homoeopathic and Ayurvedic streams. Further, when compared to students in the second and fourth years, third-year students had significantly lower sleep quality ratings. The happiness measure had a statistically significant positive relationship with wellbeing (rho = 0.56, p.001), sleep quality (rho = 0.13, p.001), and sleep adequacy (rho = 0.25, p.001).

Conclusion: Sleep is essential for maintaining human bio-psychosocial homeostasis. A concerted effort should be made to educate medical students about sleep hygiene and practical techniques to improve their sleep quality.


Azad MC, Fraser K, Rumana N, Abdullah AF, Shahana N, Hanly PJ, et al. Sleep disturbances among medical students: A global perspective. J Clin Sleep Med. 2015;11(1):69-74. Doi: PMid:25515274 PMCid:PMC4265662 DOI:

Carrillo-Mora P, Fonseca-Vázquez DM, Magaña-Vázquez K, Ramírez-Peris J. Poor Sleep Quality in Medical Students is Related to Sleep Habits and Emotional Symptoms: A Pilot Study Conducted in México. Sleep Vigil. 2021;5(1):99-102. doi: DOI:

Nayak A, Saranya K, Fredrick J, Madumathy R, Subramanian SK. Assessment of burden of internet addiction and its association with quality of sleep and cardiovascular autonomic function in undergraduate medical students. Clin Epidemiol Glob Heal [Internet]. 2021;11. Available from: doi: DOI:

Chatterjee S, Kar SK. Smartphone Addiction and Quality of Sleep among Indian Medical Students. Psychiatry (New York) [Internet]. 2021/04/16. 2021 Apr 15;84(2):182-91. Available from: doi: PMid:33856961 DOI:

Giri P, Baviskar M, Phalke D. Study of Sleep Habits and Sleep Problems Among Medical Students of Pravara Institute of Medical Sciences Loni, Western Maharashtra, India. Ann Med Health Sci Res. 2013;3(1):51. doi: PMid:23634330 PMCid:PMC3634224 DOI:

Jniene A, Errguig L, El Hangouche AJ, Rkain H, Aboudrar S, El Ftouh M, et al. Perception of Sleep Disturbances due to Bedtime Use of Blue Light-Emitting Devices and Its Impact on Habits and Sleep Quality among Young Medical Students. Biomed Res Int. 2020/01/18. 2019;2019:7012350. doi: PMid:31950050 PMCid:PMC6944959 DOI:

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. J Nepal Med Assoc. 2020/04/27. 2020;58(222):76-9. doi: PMCid:PMC7654448 DOI:

Yassin A, Al-Mistarehi AH, Beni Yonis O, Aleshawi AJ, Momany SM, Khassawneh BY. Prevalence of sleep disorders among medical students and their association with poor academic performance: A cross-sectional study. Ann Med Surg. 2020/09/29. 2020;58:124-9. doi: PMid:32983431 PMCid:PMC7494598 DOI:

Quek TT-C, Tam WW-S, Tran BX, Zhang M, Zhang Z, Ho CS-H, et al. The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis. Int J Environ Res Public Health. 2019 Jul;16(15). doi: PMid:31370266 PMCid:PMC6696211 DOI:

Peluso MJ, Guille C, Sen S, Mata DA. Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students: A Systematic Review and Meta-Analysis. JAMA. 2017;316(21):2214-36. doi: PMid:27923088 PMCid:PMC5613659 DOI:

Alotaibi A, Alosaimi F, Alajlan A, Bin Abdulrahman K. The relationship between sleep quality, stress, and academic performance among medical students. J Fam Community Med. 2020/02/08. 2020;27(1):23-8. Available from:

Al-Khani AM, Sarhandi MI, Zaghloul MS, Ewid M, Saquib N. A cross-sectional survey on sleep quality, mental health, and academic performance among medical students in Saudi Arabia. BMC Res Notes. 2019/10/23. 2019;12(1):665. doi: PMid:31639038 PMCid:PMC6802108 DOI:

Bogati S, Singh T, Paudel S, Adhikari B, Baral D. Association of the Pattern and Quality of Sleep with Consumption of Stimulant Beverages, Cigarette and Alcohol among Medical Students. J Nepal Health Res Counc. 2020/11/20. 2020;18(3):379-85. doi: PMid:33210627 DOI:

Joseph S, Linley PA, Harwood J, Lewis CA, McCollam P. Rapid assessment of well-being: The Short Depression-Happiness Scale (SDHS). Psychol Psychother Theory, Res Pract. 2004; doi: PMid:15588455 DOI:

Allen RP, Kosinski M, Hill-Zabala CE, Calloway MO. Psychometric evaluation and tests of validity of the Medical Outcomes Study 12-item Sleep Scale (MOS sleep). Sleep Med. 2009; doi: PMid:18805054 DOI:

Cappelleri JC, Bushmakin AG, McDermott AM, Dukes E, Sadosky A, Petrie CD, et al. Measurement properties of the Medical Outcomes Study Sleep Scale in patients with fibromyalgia. Sleep Med. 2009; doi: PMid:19185539 DOI:

Ng Fat L, Scholes S, Boniface S, Mindell J, Stewart-Brown S. Evaluating and establishing national norms for mental wellbeing using the short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS): findings from the Health Survey for England. Qual Life Res. 2017 May;26(5):1129-44. doi: PMid:27853963 PMCid:PMC5376387 DOI:

Tennant R, Hiller L, Fishwick R, Platt S, Joseph S, Weich S, et al. The Warwick-Dinburgh mental well-being scale (WEMWBS): Development and UK validation. Health Qual Life Outcomes. 2007; doi: PMid:18042300 PMCid:PMC2222612 DOI:

Kamthan S, Sharma S, Bansal R, Pant B, Saxena P. Happiness among second year MBBS students and its correlates using Oxford Happiness Questionnaire. J Oral Biol Craniofacial Res. 2019;9(2):190-2. doi: PMid:31211034 PMCid:PMC6562226 DOI:

Ayala EE, Berry R, Winseman JS, Mason HRC. A Cross-Sectional Snapshot of Sleep Quality and Quantity Among US Medical Students. Acad Psychiatry [Internet]. 2017/01/17. 2017 Oct 13;41(5):664-8. doi: PMid:28091977 DOI:

Dharmadhikari S, Harshe S, Bhide P. Prevalence and correlates of excessive smartphone use among medical students: A cross-sectional study. Indian J Psychol Med. 2019 Nov 1;41(6):549-55. doi: PMid:31772442 PMCid:PMC6875846 DOI:

Gupta R, Taneja N, Anand T, Gupta A, Gupta R, Jha D, et al. Internet Addiction, Sleep Quality and Depressive Symptoms Amongst Medical Students in Delhi, India. Community Ment Health J [Internet]. 2020/08/28. 2021 May 27;57(4):771-6. doi: PMid:32852657 DOI:

Awasthi AA, Taneja N, Maheshwari S, Gupta T, Bhavika. Prevalence of Internet Addiction, Poor Sleep Quality, and Depressive Symptoms Among Medical Students: A Cross-Sectional Study. Osong Public Heal Res Perspect [Internet]. 2020/10/30. 2020 Oct 31;11(5):303-8. doi: PMid:33117635 PMCid:PMC7577382 DOI:

Gupta S, Bhardwaj A, Nadda A, Gill A, Mittal A, Gupta S. A comparative study of sleep quality in different phases of the medical course: A study from Haryana (North India). J Fam Med Prim Care. 2020;9(4):2006. doi: PMid:32670956 PMCid:PMC7346907 DOI:

Alsaggaf MA, Wali SO, Merdad RA, Merdad LA. Sleep quantity, quality, and insomnia symptoms of medical students during clinical years: Relationship with stress and academic performance. Saudi Med J. 2016/02/04. 2016;37(2):173-82. doi: PMid:26837401 PMCid:PMC4800917 DOI:




How to Cite

S Kukade A, Mathad MD, Sasidharan K R. Sleep Quality, Wellbeing and Happiness in Medical Undergraduates in Western India. Natl J Community Med [Internet]. 2022 May 31 [cited 2022 Jul. 5];13(05):298-303. Available from:



Original Research Articles