Evaluation of the Relationship between Depression, Anxiety, and Stress with Sleep Quality in Nursing Students

Sleep disorder is highly prevalent among students and can cause neurological, behavioral, and physiological changes and academic decline. Current study aimed to evaluate the association between depression, anxiety, and stress with sleep quality in nursing students of Kurdistan University of Medical Sciences, Sanandaj, Iran.

This cross-sectional study was performed on 204 nursing students selected by convenience sampling method. Data were collected using demographic characteristics form, Pittsburgh Sleep Quality Index (PSQI), and Depression, Anxiety, and Stress Scale (DASS-21). Data analysis was performed by SPSS software.

In this study, 115 participants (56.4%) were female and 84 students (41.2%) had poor sleep quality. The results indicated a significant and positive correlation between sleep quality score and depression (r = 0.492), anxiety (r = 0.391), and stress (r = 0.414). Moreover, there was a relationship between the mean score of sleep quality with depression and part-time job of students (P < 0.05).

The results of multivariate regression demonstrated that by increasing one unit in depression score and part-time job in students, sleep quality score increased by 0.238 and 1.850 units, respectively. According to the results of the study and concerning the relationship between students' part-time job and depression with sleep disorders, provision of special interventions to enhance sleep quality in students seems necessary.