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Sleep disturbances predict prospective declines in resident physicians’ psychological well-being

UA Open Access Publishing Fund / 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.

Identiferoai:union.ndltd.org:arizona.edu/oai:arizona.openrepository.com:10150/621337
Date21 July 2015
CreatorsMin, Alice A., Sbarra, David A., Keim, Samuel M.
ContributorsDepartment of Emergency Medicine, University of Arizona, Department of Psychology, University of Arizona
PublisherCo-Action
Source SetsUniversity of Arizona
LanguageEnglish
Detected LanguageEnglish
TypeArticle
Rights© 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/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license.
Relationhttp://www.med-ed-online.net/index.php/meo/article/view/28530

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