Original Article

Sleep Quality, Depression, Social Support, and Susceptibility to Common Cold in Medical Students

Yoolwon Jeong, Jin Young Kim*, Jae Sun Ryu, EunHee Ha, Hyesook Park
Author Information & Copyright
Department of Preventive Medicine, Ewha Womans University, School of Medicine, Korea.
*Department of Medicine, College of Medicine, Ewha Womans University, Korea.
Corresponding author (hpark@ewha.ac.kr)

Copyright ⓒ 2009. Ewha Womans University School of Medicine. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: Sep 30, 2009

Abstract

Objectives

Although common cold is a major cause of morbidity among university students, studies on the risk factors in relation to physical, social, emotional life styles among university students are limited. We sought to evaluate the effects of life style, depressive symptoms, and social support in common cold among medical school students.

Methods

120 medical students were surveyed through a self-reported questionnaire. They were asked to rate the severity of eight respiratory symptoms of the Jackson Criterion during the previous month. The ratings were summed to calculate the total symptom score. Social support was assessed by using Interpersonal Support Evaluation List(ISEL). Depressive symptoms were assessed by using The Center for Epidemiologic studies Depression Scale(CES-D). A score of 16 or higher was used as the cut-off point for high depressive symptoms. Life style factors were also evaluated. that Wilcoxon rank sum test, Kruskal-Wallis test, Chi-square test, and logistic regression test were used.

Results

The symptom score ranged from 0 to 18 and the median was 10 among those who had experienced symptoms. 33(34.4%) had experienced cold during the last month. The social support score ranged from 91 to 156 and the median was 113. The prevalence of high depressive symptoms was 36.7%. Students with lower social support and higher depressive symptoms had higher cold symptom scores, although it was not statistically significant. Students who had evaluated their sleep quality and health status as bad had higher cold symptoms scores. In multiple logistics regression analysis, depression, sleep quality, and self-perceived health status were either significant or border-line significant risk factors of cold.

Conclusion

Our study suggests that life style factors such as sleep quality and self-perceived health status is associated with an increased susceptibility to common cold.

Keywords: Common cold; Sleep quality; Depression; Social support; University students