ÖZET
Amaç:
Bu çalışmanın amacı tıp fakültesi öğrencilerinde kafein kullanımı ile depresyon, anksiyete, stres düzeyi ve uyku kalitesi arasındaki ilişkinin incelenmesidir.
Gereç ve Yöntem:
Kesitsel tipteki bu çalışma 1 Mart 2022-15 Nisan 2022 tarihleri arasında toplamda 700 tıp fakültesi öğrencisiyle yüz yüze anket uygulanarak yürütülmüştür. Çalışmaya katılan öğrencilere sosyodemografik veri formu, Depresyon Anksiyete Stres Ölçeği-21 ve Pitsburg Uyku Kalitesi İndeksi anketleri uygulanmıştır.
Bulgular:
Son bir ay içerisinde tıp fakültesi öğrencilerinin %80’inden fazlasının çay, kafein içeren katı gıdalar ve kahve olarak kafein tükettiği görüldü. Kadın cinsiyet, artan yaş, sınıf düzeyi, sigara kullanımı, ailenin gelir düzeyi ve yaşanılan yer, öğrencilerin kafein kullanımını etkileyen faktörlerdi. Artan depresyon puanının kafein tüketimi üzerinde anlamlı bir etkisi yoktu. Fakat anksiyete ve stres puanı yüksek olanlarda kafein tüketiminin arttığı görüldü. Tıp fakültesi öğrencilerinin üçte ikisinden fazlası kötü uyku kalitesine sahipti ve uyku kalitesi kötüleştikçe öğrencilerin kafein kullanımı artmaktaydı.
Sonuç:
Tıp öğrencilerine anksiyete ve stresle baş etmek ve uyku kalitesini iyileştirmek için artan kafein tüketimi yerine başka alternatifler sunmak gerektiğini düşünmekteyiz.
References
1
Pogoda JM, Patricio G, McEligot AJ. Association between Caffeine Consumption and Depression in NHANES 2009-2010. Calif J Health Promot 2018;16:16-23.
2
O’Callaghan F, Muurlink O, Reid N. Effects of caffeine on sleep quality and daytime functioning. Risk Manag Healthc Policy 2018;11:263-71.
3
Aydın B, Eryılmaz G. Risky Caffeine Consumption of the University Students. Cyprus Turkish J Psychiatry Psychol 2019;1:19-23.
4
Willson C. The clinical toxicology of caffeine: A review and case study. Toxicol Rep. 2018;5:1140-52.
5
Huang L, Sperlágh B. Caffeine consumption and schizophrenia: A highlight on adenosine receptor–independent mechanisms. Curr Opin Pharmacol 2021;61:106-13.
6
Gunja N, Brown JA. Energy drinks: health risks and toxicity. Med J Aust 2012;196:46-9.
7
Clark M, Finkel R, Ray J, Whalen K. Lippincott’s illustrated reviews: pharmacology. 5th edition. Baltimore (MD): Lippincott Williams & Wilkins; 2012. p. 151-60.
8
Kang SH, Yoo HK, Chung S, Kim CY. Eveningness, Sleep Patterns, Daytime Sleepiness and Fatigue in Korean Male Adolescents. Sleep Med Psychophysiol 2012;19:89-96.
9
Jin MJ, Yoon CH, Ko HJ, Kim HM, Kim AS, Moon HN, Jung SP. The Relationship of Caffeine Intake with Depression, Anxiety, Stress, and Sleep in Korean Adolescents. Korean J Fam Med 2016;37:111-6.
10
Plumber N, Majeed M, Ziff S, Thomas SE, Bolla SR, Gorantla VR. Stimulant Usage by Medical Students for Cognitive Enhancement: A Systematic Review. Cureus. 2021;13:e15163. doi: 10.7759/cureus.15163
11
Devi SLS, Abilash SC, Basalingappa S. The Rationale of Caffeine Consumption and Its Symptoms During Preparatory and Non-preparatory Days: A Study among Medical Students. Biomed Pharmacol J 2018;11. doi: 10.13005/bpj/1476
12
Pettit ML, DeBarr KA. Perceived stress, energy drink consumption, and academic performance among college students. J Am Coll Health 2011;59:335-41.
13
Rizvi A, Awaiz M, Ghanghro Z, Jafferi MA, Aziz S. Pre-examination stress in second year medical students in a government college. J Ayub Med Coll Abbottabad. 2010;22:152-5.
14
Jahrami H, Al-Mutarid M, Penson PE, Al-Islam Faris M, Saif Z, Hammad L. Intake of Caffeine and Its Association with Physical and Mental Health Status among University Students in Bahrain. Foods 2020;9:473.
15
Henry JD, Crawford JR. The short-form version of the Depression Anxiety Stress Scales (DASS-21): construct validity and normative data in a large non-clinical sample. Br J Clin Psychol 2005;44:227-39.
16
Lovibond SH, Lovibond PF. Manual for the depression anxiety stress scales. 2nd edition. Sydney: Psychology Foundation of Australia; 1995.
17
Yılmaz Ö, Boz H, Arslan A. The Validity and Reliability of Depression Stress and Anxiety Scale (Dass21) Turkish Short Form. RFES 2017;2:78-91.
18
Buysse DJ, Reynolds CF 3rd, Monk TH, Hoch CC, Yeager AL, Kupfer DJ. Quantification of subjective sleep quality in healthy elderly men and women using the Pittsburgh Sleep Quality Index (PSQI). Sleep 1991;14:331-8.
19
Ağargün MY, Kara H, Anlar O. Pittsburgh Uyku Kalitesi Indeksi’nin Geçerliliği ve Güvenirliği. Türk Psikiyatrİ Dergisi 1996;7:107-15.
20
Kudlow PA, Naylor KT, Xie B, McIntyre RS. Cognitive enhancement in Canadian medical students. J Psychoactive Drugs 2013;45:360-5.
21
Statista. Annual per capita tea consumption worldwide as of 2016, by leading countries (in pounds) [Internet]. 2020. Available from: URL: https://web.archive.org/web/20160506083027/https://www.statista.com/statistics/507950/global-per-capita-tea-consumption-by-country/.
22
MacLean L, Booza J, Balon R. The Impact of Medical School on Student Mental Health. Acad Psychiatry 2016;40:89-91.
23
Iqbal S, Gupta S, Venkatarao E. Stress, anxiety and depression among medical undergraduate students and their socio-demographic correlates. Indian J Med Res 2015;141:354-7.
24
Ratliff-Crain J, Kane J. Predictors for altering caffeine consumption during stress. Addict Behav 1995;20:509-16.
25
Richards G, Smith A. Caffeine consumption and self-assessed stress, anxiety, and depression in secondary school children. J Psychopharmacol 2015;29:1236-47.
26
Aboelnaga SMH. Caffeine and Its Impact with Physical and Status of Mental Health among University Students in the United Kingdom. J Pharm Res Int 2021;33:32-8.
27
Evren C, Evren B. Energy-drink consumption and its relationship with substance use and sensation seeking among 10th grade students in Istanbul. Asian J Psychiatr 2015;15:44-50.
28
Trapp GS, Allen K, O’Sullivan TA, Robinson M, Jacoby P, Oddy WH. Energy drink consumption is associated with anxiety in Australian young adult males. Depress Anxiety 2014;31:420-8.
29
American College Health Association. American College Health Association National College Health Assessment Spring 2006 Reference Group Data Report (abridged). J Am Coll Health 2007;55:195-206.
30
Malinauskas BM, Aeby VG, Overton RF, Carpenter-Aeby T, Barber-Heidal K. A survey of energy drink consumption patterns among college students. Nutr J 2007;6:35.
31
Giri P, Baviskar M, Phalke D. Study of sleep habits and sleep problems among medical students of pravara institute of medical sciences loni, Western maharashtra, India. Ann Med Health Sci Res 2013;3:51-4.
