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Hubungan Antara Kualitas Tidur dengan Gangguan Cemas pada Mahasiswa Selama Masa Pandemi COVID-19

*I Gusti Ngurah Ananda Wira Kusuma orcid  -  Universitas Udayana, Indonesia
Stevanus Christian Surya  -  Universitas Udayana, Indonesia
I Putu Hendri Aryadi  -  Universitas Udayana, Indonesia
Made Indira Dianti Sanjiwani  -  Universitas Udayana, Indonesia
Putu Gede Sudira  -  Universitas Udayana, Indonesia

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Background: The COVID-19 pandemic affects various aspects of everyone's life. One of the impacts of the pandemic is psychological disorders, such as decreased sleep quality and anxiety. Until now, there has been no research to assess the relationship between these two conditions in university students during the pandemic era. Therefore, this study aims to evaluate the relationship between decreased sleep quality and anxiety disorders in Indonesia’s university students during the COVID-19 pandemic.

Methods: The cross-sectional study was conducted from September to October 2021 on 376 university students, both domiciled in Bali and outside Bali. Data were collected using a questionnaire consisting of participant demographic data, sleep quality assessment using the Pittsburg Sleep Quality Index (PSQI), and measurement of anxiety levels using the Zung Self-Rating Anxiety Scale (SAS). Bivariate analysis was performed using the Pearson correlation test.

Result: 294 of the 376 participants had high PSQI scores (>5) and experienced sleep disturbances. Meanwhile, 44 participants reported experiencing anxiety disorders, with detail of 41 participants having SAS scores in the low category and 3 participants having SAS scores in the moderate category. The relationship between the PSQI and SAS variables showed a correlation coefficient of 0.619 and was statistically significant.

Conclusion : Decreased sleep quality is positively correlated with anxiety disorders experienced by university students during the COVID-19 pandemic. The author suggests research with larger parameters and population size to get more accurate results.

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Keywords: Anxiety Disorder; Sleep Quality; COVID-19; College Student
Funding: -

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  1. Yildirim S, Ekitli GB, Onder N, Avci AG. Examination of sleep quality and factors affecting sleep quality of a group of university students. Int J Caring Sci [Internet]. 2020;13(2):1431. Available from: www.internationaljournalofcaring
  2. Barros MB de A, Lima MG, Ceolim MF, Zancanella E, Cardoso TAM de O. Quality of sleep, health and well-being in a population-based study. Rev Saude Publica. 2019;53:82
  3. Yilmaz D, Tanrikulu F, Dikmen Y. Research on Sleep Quality and the Factors Affecting the Sleep Quality of the Nursing Students. Curr Heal Sci J [Internet]. 2017/09/27. 2017;43(1):20–4. Available from: 95850
  4. Buysse DJ. Sleep health: can we define it? Does it matter? Sleep [Internet]. 2014 Jan 1;37(1):9–17. Available from:https://
  5. Safarzade S, Tohidinik H. The sleep quality and prevalence of sleep disorders in adolescents. J Res Heal. 2019 Nov 30;9:471–9
  6. Berhanu H, Mossie A, Tadesse S, Geleta D. Prevalence and Associated Factors of Sleep Quality among Adults in Jimma Town, Southwest Ethiopia: A Community-Based Cross-Sectional Study. Lai Y-Y, editor. Sleep Disord [Internet]. 2018;2018:8342328. Available from: 2018/ 8342328
  7. Mong JA, Cusmano DM. Sex differences in sleep: impact of biological sex and sex steroids. Philos Trans R Soc B Biol Sci [Internet]. 2016 Feb 19;371(1688):20150110. Available from: 0110
  8. Madrid-Valero JJ, Martínez-Selva JM, Ribeiro do Couto B, Sánchez-Romera JF, Ordoñana JR. Age and gender effects on the prevalence of poor sleep quality in the adult population. Gac Sanit [Internet]. 2017;31(1):18–22. Available from:
  9. Afonso P, Fonseca M, Pires JF. Impact of working hours on sleep and mental health. Occup Med (Chic Ill). 2017;67(5):377–82
  10. Leggett A, Assari S, Burgard S, Zivin K. The Effect of Sleep Disturbance on the Association between Chronic Medical Conditions and Depressive Symptoms Over Time. Longit Life Course Stud [Internet]. 2017;8(2):138–51. Available from: https://
  11. Chang W-P, Chang Y-P. Meta-Analysis of Changes in Sleep Quality of Women with Breast Cancer before and after Therapy. Breast Care [Internet]. 2020;15(3):227–35. Available from: /DOI/10.1159/000502943
  12. Wainberg M, Jones SE, Beaupre LM, Hill SL, Felsky D, Rivas MA, et al. Association of accelerometer-derived sleep measures with lifetime psychiatric diagnoses: A cross-sectional study of 89,205 participants from the UK Biobank. PLOS Med [Internet]. 2021 Oct 12;18(10):e1003782. Available from: 1371/journal. pmed.1003782
  13. Afandi O, Hawi H, Mohammed L, Salim F, Hameed AK, Shaikh RB, et al. Sleep Quality Among University Students: Evaluating the Impact of Smoking, Social Media Use, and Energy Drink Consumption on Sleep Quality and Anxiety [Internet]. Vol. 5, Inquiries Journal/Student Pulse. 2013. Available from: http://
  14. Schlarb AA, Friedrich A, Claßen M. Sleep problems in university students - an intervention. Neuropsychiatr Dis Treat. 2017;13:1989–2001
  15. Li Y, Bai W, Zhu B, Duan R, Yu X, Xu W, et al. Prevalence and correlates of poor sleep quality among college students: A cross-sectional survey. Health Qual Life Outcomes. 2020;18(1):1–11
  16. Satgas Penanganan COVID-19. Peta Sebaran COVID-19 [Internet]. 2021. Available from:
  17. Pinto J, van Zeller M, Amorim P, Pimentel A, Dantas P, Eusébio E, et al. Sleep quality in times of Covid-19 pandemic. Sleep Med [Internet]. 2020/07/17. 2020 Oct;74:81–5. Available from: https://pubmed.ncbi.
  18. Shigemura J, Ursano RJ, Morganstein JC, Kurosawa M, Benedek DM. Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: Mental health consequences and target populations. Psychiatry Clin Neurosci [Internet]. 2020;74(4):281–2. Available from:
  19. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. Int J Environ Res Public Health. 2020 Mar;17(5)
  20. Alkhamees AA, Alrashed SA, Alzunaydi AA, Almohimeed AS, Aljohani MS. The psychological impact of COVID-19 pandemic on the general population of Saudi Arabia. Compr Psychiatry [Internet]. 2020/07/12. 2020 Oct;102:152192. Available from: https://pubmed.ncbi.nlm.
  21. Fountoulakis KN, Karakatsoulis G, Abraham S, Adorjan K, Ahmed HU, Alarcón RD, et al. Results of the COVID-19 mental health international for the general population (COMET-G) study. Eur Neuropsychopharmacol. 2021 Oct; 54:21–40
  22. Franceschini C, Musetti A, Zenesini C, Palagini L, Scarpelli S, Quattropani MC, et al. Poor Sleep Quality and Its Consequences on Mental Health During the COVID-19 Lockdown in Italy. Front Psychol [Internet]. 2020;11:3072. Available from: https://www.frontiersin. org/ article/10.3389/fpsyg.2020.574475
  23. Md Zuki NA, Nural Azhan MA, Kamaruddin HK, Mohd Kassim AF, Ahmad MF, Abu Bakar AH. Sleep Quality Among University Students During Covid-19 Lockdown. Int J Acad Res Progress Educ Dev. 2021;10(2):814–22
  24. Beck F, Léger D, Fressard L, Peretti-Watel P, Verger P, Group C. Covid-19 health crisis and lockdown associated with high level of sleep complaints and hypnotic uptake at the population level. J Sleep Res [Internet]. 2020/06/28. 2021 Feb;30(1):e13119–e13119. Available from: 32596936
  25. Marelli S, Castelnuovo A, Somma A, Castronovo V, Mombelli S, Bottoni D, et al. Impact of COVID-19 lockdown on sleep quality in university students and administration staff. J Neurol. 2021 Jan;268(1):8–15
  26. Bhat PV, George SM, Chand S, Kurian K, Roy ES, Mathew G, et al. Altered Sleep Duration and Poor Quality of Sleep Among Pharmacy Students Amidst COVID-19 Lockdown: A South-Indian Study. Sleep Vigil. 2021 Oct;1–7
  27. Rezaei M, Khormali M, Akbarpour S, Sadeghniiat-Hagighi K, Shamsipour M. Sleep quality and its association with psychological distress and sleep hygiene: a cross-sectional study among pre-clinical medical students. Sleep Sci (Sao Paulo, Brazil). 2018;11(4):274–80
  28. Choueiry N, Salamoun T, Jabbour H, El Osta N, Hajj A, Rabbaa Khabbaz L. Insomnia and Relationship with Anxiety in University Students: A Cross-Sectional Designed Study. PLoS One. 2016;11(2):e0149643
  29. Tasya DF. Perbandingan Screen-time berdasarkan Kuantitas dan Kualitas Tidur Mahasiswa Kedokteran Universitas Pembagunan Nasional Veteran Jakarta pada Pandemi Corona Virus Disease-19 [skripsi]. 2021;21(2):117–22
  30. Tumanggor RD, Siregar YS. Hubungan Tingkat Kecemasan Dengan Pola Tidur Mahasiswa Selama Pandemi Covid – 19. 2021;6(2):402–9
  31. Desky DF. Hubungan Kecemasan , Depresi Dan Stres Dengan Kualitas Tidur Mahasiswa Fakultas. Herb-Medicine J. 2021;4(April):42–50
  32. Biggio G, Biggio F, Talani G, Mostallino MC, Aguglia A, Aguglia E, et al. Melatonin: From Neurobiology to Treatment. Brain Sci. 2021 Aug;11(9)
  33. Liguori G, Schuna Jr J, Mozumdar A. Semester long changes in sleep duration for college students. Coll Stud J. 2011;45(3):481–93

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