ArticleBMC public health2025
Sleep quality is associated with stress in secondary school students.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed.
- Perceived Stress Among Students and Their Perceptions of Mindfulness and Therapeutic Yoga Practice in Bhutan: A Comparative Cross-Sectional Study.Public health challenges · 2026Article
- Gender moderation in the association between academic stress, sleep quality, and adolescent mental health.Scientific reports · 2026Article
- Reciprocal relationship among perceived sleep quality, smartphone overdependence, and depression in Korean adolescents: a cross-lagged analysis using national big data.Scientific reports · 2025Article
- Mediterranean Diet Adherence and Sleep Quality Among Primary and Secondary School Teachers in Portugal: An Exploratory Cross-Sectional Study.Nutrients · 2025Article
- A biopsychosocial approach to sleep health during puberty: Individual and contextual aspects and the role of gender differences. A narrative review.Cogent mental health · 2025Review
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Authors and funding
7 authors.
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Abstract
backgroundSecondary school students experience notable physiological and psychological changes and academic stressors, rendering them prone to poor sleep quality. We aimed to investigate impact of perceived academic stress and mental stress on sleep quality among secondary school students.
methodsWe conducted a two-stage cluster sampling cross-sectional study among 634 secondary school students in eight schools in Triyuga municipality, Nepal, from February to March 2022. A self-administered on-site survey was conducted to assess sleep quality, perceived academic stress and mental stress symptoms. Generalized linear mixed-effects models were performed to determine associations of academic stress and mental stress symptoms with sleep quality.
resultsThe prevalence of poor sleep quality was 27.6%. Regarding perceived academic stress, 56.1% of students reported neutral or affirmative responses, while 33.1% exhibited varying degrees of mental stress symptoms. Students with perceived academic stress (adjusted odds ratio [aOR] = 2.09, 95% CI: 1.35, 3.22) and those experiencing mental stress symptoms (aOR = 1.74, 95% CI: 1.18, 2.58) were more likely to have poor sleep quality compared to their counterparts without these stressors. Students who indicated even a modest degree of feeling touchy (aOR = 1.47, 95% CI: 1.01, 2.14), who faced difficulties in winding down (aOR = 1.79, 95% CI: 1.23, 2.62) and frequently experienced agitation (aOR = 1.94, 95% CI: 1.13, 2.86) were at higher risk of experiencing poor sleep quality compared to their counterparts.
conclusionThe study found a relatively high prevalence of poor sleep quality in secondary school students, attributed to perceived academic and mental stress. To mitigate stress and foster healthier sleep patterns, interventions aimed at addressing and reducing stress and promoting good sleep hygiene practices are recommended.
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