Anxiety symptoms, sleep disturbance, and academic achievement among Afghan female school students: a cross-sectional study

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Neyazi, A, Rahimi, BA, Mohammadi, AQ, Razaqi, N, Qanawezi, L, Sarem, S, Said, S, Tabib, RM, Afzali, H, Neyazi, M and Griffiths, MD ORCID: https://orcid.org/0000-0001-8880-6524, 2024. Anxiety symptoms, sleep disturbance, and academic achievement among Afghan female school students: a cross-sectional study. Sleep Epidemiology, 4: 100102. ISSN 2667-3436

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Official URL: https://doi.org/10.1016/j.sleepe.2024.100102

Abstract

Background: Anxiety is a common psychological disorder in school-aged children and adolescents. The present study aimed to assess the prevalence of anxiety symptoms and sleep disturbances and their relationship with academic achievement among female students in Herat, Afghanistan.

Methods: A cross-sectional survey of 737 female students (mean age 11.8 years old) was conducted across 10 randomly selected schools in Herat, Afghanistan, covering Grades 1 to 6. Students were randomly chosen within these schools. The Depression Anxiety Stress Scale for Youth (DASS-Y) and Pittsburgh Sleep Quality Index (PSQI) assessed anxiety and sleep disturbance, while academic achievement ratings were provided by schoolteachers.

Results: Using the DASS-Y and the PSQI, 65.5% reported anxiety symptoms and 46.4% reported sleep disturbance. Low academic achievement correlated significantly with anxiety (r = 0.228) and sleep issues (r = 0.161). Multiple logistic regression analysis identified predictors for anxiety and sleep disturbance. Predictors for anxiety included being aged 13–16 years, having lower class grade, being of low economic status, and having unemployed parents. Predictors for sleep disturbance included being aged 13–16 years, having lower class grade, having an uneducated father, being of low economic status, and having unemployed parents.

Conclusion: There is a high prevalence of anxiety symptoms and sleep disturbances among female school students in Herat, Afghanistan. Significant correlations exist between students' academic achievement, anxiety, and sleep disturbances. Addressing anxiety and sleep disturbances among Afghan female school students could be facilitated by revising current government policies concerning students' health. Educational campaigns focused on sleep hygiene and anxiety management for both students and their parents may also prove beneficial.

Item Type:	Journal article
Publication Title:	Sleep Epidemiology
Creators:	Neyazi, A., Rahimi, B.A., Mohammadi, A.Q., Razaqi, N., Qanawezi, L., Sarem, S., Said, S., Tabib, R.M., Afzali, H., Neyazi, M. and Griffiths, M.D.
Publisher:	Elsevier BV
Date:	December 2024
Volume:	4
ISSN:	2667-3436
Identifiers:	Number Type 10.1016/j.sleepe.2024.100102 DOI 2288575 Other
Rights:	©2024 The Author(s). Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Divisions:	Schools > School of Social Sciences
Record created by:	Laura Ward
Date Added:	18 Nov 2024 12:05
Last Modified:	18 Nov 2024 12:05
URI:	https://irep.ntu.ac.uk/id/eprint/52600