Sleep quality and perceived stress among university students during the covid-19 pandemic: an analytical study
DOI:
https://doi.org/10.21527/2176-7114.2026.51.16690Keywords:
Mental Health, COVID-19, Subjective Stress, Sleep Quality, StudentsAbstract
This study aimed to analyze the relationship between sleep quality and perceived stress among university students during the COVID-19 pandemic. This was a cross-sectional and analytical study conducted with 163 university students. Data were collected using a Google Forms questionnaire containing socioeconomic questions, items related to academic dynamics, sleep patterns, and COVID-19 infection. The Perceived Stress Scale, 14-item version (PSS-14), was also included. Data were analyzed using the R software through descriptive and inferential statistics. Regarding sleep patterns, 112 participants (68.7%) reported changes in their sleep pattern, and 33 (20.2%) reported sleeping less than six hours per day. Self-reported sleep quality was classified as “very good” (n = 14; 8.6%), “good” (n = 84; 51.5%), “poor” (n = 55; 33.7%), and “very poor” (n = 10; 6.2%). When assessing perceived stress levels among participants, most reported that they were never able to cope with the things they had to do (57.7%), and that they sometimes dealt successfully with difficult problems in life (40.5%). When analyzing the association between variables related to sleep and perceived stress among university students during the COVID-19 pandemic, higher stress levels were associated with the absence of good sleep (p = 0.002) and poorer sleep quality (p = 0.001), as well as with sleep alterations (p = 0.001) and the degree of sleep change (p = 0.038). Furthermore, students experiencing stress sometimes or always reported changes in their sleep pattern (p < 0.05). The perceived stress experienced by participants during the COVID-19 pandemic affected sleep quality and contributed to changes in sleep patterns.
References
1 Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Boletim Epidemiológico nº 146: Boletim COE Coronavírus. Semana epidemiológica 52. Ministério da Saúde [Internet]. 2022. Disponível em: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/boletins/epidemiologicos/covid-19/2022/boletim-epidemiologico-no-146-boletim-coe-coronavirus/view.
2 Bavinger JC, Shantha JG, Yeh S. Ebola, COVID-19, and emerging infectious disease: lessons learned and future preparedness. Curr Opin Ophthalmol. 2020 Sep;31(5):416-422. doi: 10.1097/ICU.0000000000000683.
3 Organização Mundial da Saúde (OMS). COVID-19 Dashboard. [Internet]. Geneva: World Health Organization; 2024. Disponível em: https://data.who.int/dashboards/covid19/cases.
4 Araújo MFM, Monteiro FPM, de Araújo TM, Lira Neto JCG, Santos LFS, Rolim ILTP, et al. Individual and mutual effects of diabetes, hypertension, and obesity on acute respiratory distress syndrome mortality rates in clinical patients: a multicentre study. Front Public Health. 2023;11:1219271. doi: 10.3389/fpubh.2023.1219271.
5 Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, Ng CH. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry. 2020 Mar;7(3):228-229. doi: 10.1016/S2215-0366(20)30046-8.
6 Glinianowicz M, Ciura D, Burnatowska E, Olszanecka-Glinianowicz M. Psychological effects of the COVID-19 pandemic - what do we know about them? Eur Rev Med Pharmacol Sci. 2023 Jul;27(13):6445-6458. doi: 10.26355/eurrev_202307_33006.
7 Wu T, Jia X, Shi H, Niu J, Yin X, Xie J, Wang X. Prevalence of mental health problems during the COVID-19 pandemic: A systematic review and meta-analysis. J Affect Disord. 2021 Feb 15;281:91-98. doi: 10.1016/j.jad.2020.11.117.
8 Son C, Hegde S, Smith A, Wang X, Sasangohar F. Effects of COVID-19 on College Students' Mental Health in the United States: Interview Survey Study. J Med Internet Res. 2020 Sep 3;22(9):e21279. doi: 10.2196/21279.
9 Ventura-León J, López-Jurado R, Porturas E, León-Mostacero I, Canchanya-Balbin SE. Anxiety, depression, stress, worry about COVID-19 and fear of loneliness during COVID-19 lockdown in Peru: A network analysis approach. Front Public Health. 2022;10:946697. doi: 10.3389/fpubh.2022.946697.
10 Telles SL, Voos MC. Distúrbios do sono durante a pandemia de COVID-19. Fisioter Pesqui [Internet]. 2021;28(2): 124–5. doi: https://doi.org/10.1590/1809-2950/00000028022021.
11 Bacelar A, Conway SG, Assis M, Silva VM, Genta PR, Pachito DV, et al. Insomnia symptoms during the covid-19 pandemic: a case-control study. Rev Saúde Pública [Internet]. 2023; 57(Supl.1):8. doi: https://doi.org/10.11606/s1518-8787.2023057004801.
12 Horesh D, Brown AD. Traumatic stress in the age of COVID-19: A call to close critical gaps and adapt to new realities. Psychol Trauma [Internet]. 2020;12(4):331-335. doi: 10.1037/tra0000592.
13 Zhang Y, Wang S, Ding W, Meng Y, Hu H, Liu Z, et al. Status and influential factors of anxiety depression and insomnia symptoms in the work resumption period of COVID-19 epidemic: a multicenter cross-sectional study. J Psychosom Res 2020;138:110253. doi: 10.1016/j.jpsychores.2020.110253.
14 Chen, R.-N., Liang, S.-W., Peng, Y., Li, X.-G., Chen, J.-B., Tang, S.-Y., Zhao, J.-B., 2020a.Mental health status and change in living rhythms among college students in China during the COVID-19 pandemic: A large-scale survey. J. Psychosom. Res 2020;137:110219. doi: https://doi.org/10.1016/j.jpsychores.2020.110219.
15 Bourmistrova NW, Solomon T, Braude P, Strawbridge R, Carter B. Long-term effects of COVID-19 on mental health: A systematic review. J Affect Disord. 2022;299:118-125. doi: 10.1016/j.jad.2021.11.031.
16 Pedrozo-Pupo JC, Pedrozo-Cortés MJ, Campo-Arias A. Perceived stress associated with COVID-19 epidemic in Colombia: an online survey. Cad Saúde Pública [Internet]. 2020;36(5):e00090520. doi: https://doi.org/10.1590/0102-311X00090520.
17 Herawati K, Gayatri D. The correlation between sleep quality and levels of stress among students in Universitas Indonesia. Enfermería Clínica. 2019;29:357-61. doi: https://doi.org/10.1016/j.enfcli.2019.04.044.
18 Liu R, Qiu Q, Ye B. The relationship between COVID-19 stress and test anxiety in art students: the chain mediating roles of intolerance of uncertainty and sleep quality. BMC Public Health. 2024;24(1):1163. doi: 10.1186/s12889-024-18684-7.
19 Liu F, Liang W, Li H, Li Y, Zhang Y, Ding L, Zhang Q, Chen L. What can we learn about stress and sleep from COVID-19 pandemic-perspective from the theory of preventive stress management. Front Public Health. 2024;12:1383966. doi: 10.3389/fpubh.2024.1383966.
20 Fiorentin L, Beltrame V. Distanciamento social por Covid 19: repercussão na rotina de universitários. Revista Cuidarte [Internet]. 2022;13(1): e2093. Disponível em: https://revistas.udes.edu.co/cuidarte/article/view/2093.
21 Baumgratz LD, José Maria AR, Oliveira MM, Gomes Júnior LC, Cândido APC, Moreira AVB, et al. Dificuldades financeiras, aspectos alimentares e de saúde em estudantes universitários, durante a pandemia de Covid-19. DEMETRA [Internet]. 2023;18:e72281. Disponível em: ht22tps://www.e-publicacoes.uerj.br/demetra/article/view/72281.
22 Feng J, Lau PWC, Shi L, Huang WY. Longitudinal Shifts in Movement Behaviors during the COVID-Pandemic: Relations to Posttraumatic Stress Disorder among University Students. Int J Environ Res Public Health. 2022;19(20):13449. doi: 10.3390/ijerph192013449.
23 Moraes CA, Edelmuth DG, Novo NF, Hübner CV. Qualidade de Sono em Estudantes de Medicina do Método de Aprendizado Baseado em Problemas. Medicina (Ribeirão Preto) [Internet]. 2013;46(4):389-97. Disponível em: https://www.revistas.usp.br/rmrp/article/view/73517.
24 Kahn M, Sheppes G, Sadeh A. Sleep and emotions: bidirectional links and underlying mechanisms. Int J Psychophysiol[Internet]. 2013;89(2):218-28. Disponível em: 10.1016/j.ijpsycho.2013.05.010.
25 Kuetting DLR, Feisst A, Sprinkart AM, Homsi R, Luetkens J, Thomas D, et al. Effects of a 24-hr-shift-related short-term sleep deprivation on cardiac function: A cardiac magnetic resonance-based study. J Sleep Res. 2019;28(3):e12665. doi: 10.1111/jsr.12665.
26 MacDonald KJ, Lustig KA, Geniole SN, McCormick CM, Cote KA. Sleep restriction alters reactive aggressive behavior and its relationship with sex hormones. Aggress Behav. 2019;45(2):193-205. doi: 10.1002/ab.21809.
27 Haile YG, Alemu SM, Habtewold TD. Insomnia and Its Temporal Association with Academic Performance among University Students: A Cross-Sectional Study. Biomed Res Int. 2017;2017:2542367. Disponível em: 10.1155/2017/2542367.
28 Jie KY, Mohamad N, Mohd Adnan M, Mohd Nor NA, Abdul Hamid NF, Abllah Z. Factors associated with poor sleep quality among dental students in Malaysia. PeerJ. 2024;12:e17522. doi: 10.7717/peerj.17522.
29 Tang W, Hu T, Hu B, Jin C, Wang G, Xie C, Chen S, Xu J. Prevalence and correlates of PTSD and depressive symptoms one month after the outbreak of the COVID-19 epidemic in a sample of home-quarantined Chinese university students. J Affect Disord. 2020;274:1-7. doi: 10.1016/j.jad.2020.05.009.
30 Bardini R, Pereira TF, Sakae TM, Remor KVT. Prevalência de sonolência excessiva diurna e fatores associados em adolescentes universitários do sul catarinense. Arq Catarin Med . 2017;46(1):107-24. Disponível em: https://revista.acm.org.br/arquivos/article/view/257.
31 Scott AJ, Webb TL, Martyn-St James M, Rowse G, Weich S. Improving sleep quality leads to better mental health: A meta-analysis of randomised controlled trials. Sleep Med Rev. 2021;60:101556. doi: 10.1016/j.smrv.2021.101556.
32 Auerswald S, Koddebusch C, Hermann C. Elevated perceived stress in university students due to the COVID-19 pandemic: Potential contributing factors in a propensity-score-matched sample. Scand J Psychol. 2024;65:715-728. doi: https://doi.org/10.1111/sjop.13013.
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Copyright (c) 2026 José Cláudio Garcia Lira Neto, Leonardo Grifante, Rick Anderson Freire Mangueira, Bruna Karen Cavalcante Fernandes, Ludiane Rodrigues Dias Silva, Ana Lívia Castelo Branco de Oliveira, Jardeliny Corrêa da Penha

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