Published: 2017-06-23

Self-medication of sleeping pills among MBBS students in a medical college of West Bengal, India

Saikat Kumar Dalui, Angana Datta, Aritra Ghosh, Suvadip Biswas, Uttam Kumar Roy, Supreeti Biswas


Background: Psychological stress, anxiety, depression and sleep disturbance are highly prevalent in medical students and therefore they are at higher risk of using sleeping pills defined as any pharmaceutical preparation inducing sleep. There is currently paucity in data describing the prevalence of sleeping pill use among medical students in India.

Objective: To evaluate the prevalence of sleeping pill use among medical students in Burdwan Medical College (BMC).

Methods: A cross sectional study was done by anonymous questionnaires from MBBS students enrolled at BMC. Questionnaire consisted of social and demographic variable and use of sleeping pills, tobacco and alcohol since enrollment. Collected data were analyzed by Athen's insomnia scale and DASS-21.

Results: With response rate72.2% (397 out of 550) and of 397 respondants (1st yr-97+2nd yr-90+3rd yr part I-114+3rd yr part II-96), 6.3% reported use of sleeping pill at some time since enrollment. Athen's insomnia scales showed 27% poor sleepers. According to DASS-21, 44% respondents were depressive, 61.96% anxious, and 31.73% stressed. Insomnia were found to significantly (p value <0.0001) associated with sleeping pill use. Majority (96%) of sleeping pill uses were self-medicated.

Conclusions: Tendency to use sleeping pill is very less (majority self-medicated), though a substantial proportion of medical undergraduate students were found to be depressed, anxious, stressed revealing a neglected area of students' psychology requiring urgent attention.


Anxiety, Depression, Insomnia, Stress, Sedatives

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Shah M, Hasan S, Malik S, Sreeramareddy CT. Perceived stress, sources and severity of stress among medical undergraduates in a Pakistani medical school. BMC Med Edu. 2010;10:2.

Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Acad. Med. 2006;81(4):354-73.

Suchecki D, Machado RB, Tiba PA. Stress-induced sleep rebound: adaptive behavior and possible mechanisms. Sleep. 2009 2(3):151-60.

Davies SK, Ang JE, Revell VL, Holmes B, Mann A, Robertson FP, et al. Effect of sleep deprivation on the human metabolism. P Natl Acad Sci USA. 2014;111(29):10761-6.

Curcio G, Ferrara M, DeGennaro L. Sleep loss, learning capacity and academic performance. Sleep Med Rev. 2006;10(5):323-37.

Yiu V. Supporting the well-being of medical students. Can Med Assoc J. 2005;172(7):889-90.

Dahlin M, Joneborg N, Runeson B, Stress and depression among medical students: a cross-sectional study, Med Educ. 2005;39(6):594-604.

Guthrie E, Black D, Bagalkote H, Shaw C, Campbell M, Creed F. Psychological stress and burnout in medical students: a five-year prospective longitudinal study, J Roy Soc Med. 1998;91(5):237-43.

Hamaideh SH. Stressors and reactions to stressors among university students. In J Soc Psychiatr. 2011;57(1):69-80.

Dube KC, Kumar A, Kumar N, Gupta SP. Drug use among college students. An interim report. B Narcotics. 1977;29(1):47-61.

Akvardar Y, Demiral Y, Ergor G, Ergor A. Substance use among medical students and physicians in a medical school in Turkey. Soc Psych Psych Epid. 2004;39(6):502-6.

Mancevska S, Bozinovska L, Tecce J, Pluncevik-Gligoroska J, Sivevska-Smilevska E. Depression, anxiety and substance use in medical students in the Republic of Macedonia. Bratisl Med J. 2008;109(12):568-72.

Lambert PSR, Alvarenga ABPE, Borgesdos SMA, Costade AMT. Prevalence of psychoactive drug use among medical students in Rio de Janeiro. Social Psychiatry and Psychiatric Epidemiology. 2006;41(12):989-96.

Makanjuola AB, Daramola TO, Obembe AO. Psychoactive substance use among medical students in a Nigerian university. World Psychiatry. 2007;6:112-4.

Pham DB, Clough AR, Nguyen HV, Kim GB, Buettner PG. Alcohol consumption and alcohol-related problems among Vietnamese medical students. Drug and Alcohol Review. 2010;29(2):219-26.

Dekker HM, Looman CWN, Adriaanse HP, Van Der Maas PJ. Prevalence of smoking in physicians and medical students, and the generation effect in The Netherlands. Social Science and Medicine. 1993;36(6):817-22.

Tyssen R, Vaglum P, Aasland OG, Grønvold NT, Ekeberg O. Use of alcohol to cope with tension, and its relation to gender, years in medical school and hazardous drinking: a study of two nation-wide Norwegian samples of medical students. Addiction. 1998;93(9):1341-9.

Baldwin DC, Hughes PH, Conard SE, Storr CL, Sheehan DV. Substance use among senior medical students: a survey of 23 medical schools. Journal of the American Medical Association. 1991;265(16):2074-8.

Nojomi M, Bandi M, Kaffashi S. Sleep Pattern in Medical Students and Residents. Arch Iran Med 2009;12(6):542-9.

Lee KA. Self-reported sleep disturbances in employed women. Sleep. 1992;15(6):493-8.

Greenwood KM, Rich WJ, James JE. Sleep hygiene practices and sleep duration in rotating shift workers. Work and Stress. 1995;9:262-71.

Bliwise, N. Factors related to sleep quality in healthy elderly women. Psychology and Ageing. 1992;7:83-8.

Santos RVT, Tufik S, Mello MTD. Exercise, sleep, and cytokines: is there a relation? Sleep Med Rev. 2007;11:231-9.

Hasan J, Urponen H, Vuori I, Partinen M. Exercise habits and sleep in a middle-aged Finnish population. Acta Physiol Scand. 1988;133(574):33-5.

Urponen H, Vuori I, Hasan J, Partinen M. Self-evaluations of factors promoting and disturbing sleep: an epidemiological survey in Finland. Soc Sci Med. 1988;26:443-50.

Yules RB, Lippman ME, Freedman DX. Alcohol administration prior to sleep. The effect on EEG sleep stages. Arch Gen Psychiatry. 1967;16:94-7.

Williams DL, MacLean AW, Cairns J. Dose-response effects of ethanol on the sleep of young women. J Stud Alcohol. 1983;44:515-23.

Avasthi A, Varma SC, Kulhara P, Nehra R, Grover S, Sharma S. Diagnosis of common Mental Disorder by using PRIME-MD patient Health Questionnaire. Indian Journal of Medical Research. 2008;127:159-64.

Ihezue UH. Drug abuse among medical students at a Nigerian University: part1. Prevalence and pattern of use. Journal of the National Medical Association. 1988;80(1):81-5.

Newton BW, Barber L, Clardy J, Cleveland E, O’Sullivan P. Is there hardening of the heart during medical school? Academic Medicine. 2008;83(3):244-9.

Hershner SD, Chervin RD. Causes and consequences of sleepiness among college students. Nature and Science of Sleep. 2014;6:73-84.

Dahlin M, Joneborg N, Runeson B. Stress and depression among medical students: a cross-sectional study. Medical Education. 2005;39(6):594-604.

Dyrbye LN, Thomas MR, Shanafelt TD. Medical student distress: causes, consequences, and proposed solutions. Mayo Clinic Proceedings. 2005;80(12):1613-22.