The relationship between daytime napping and anxiety level of medical faculty students of universitas Muhammadiyah Purwokerto

Fachri Nur Aziz, Iffah Qoimatun, Resa Budi Deskianditya, Oei Stefani Yuanita Widodo


Introduction: Anxiety and sleep deprivation are common concerns among medical students, affecting their essential cognitive and psychomotor skills. One effective solution is incorporating daytime napping, which improves performance, productivity, and mental well-being. Objectives: Analyzing the relationship between the frequency and duration of naps and the level of anxiety among students of the Faculty of Medicine, Universitas Muhammadiyah Purwokerto. Methods & Materials: A cross-sectional study was conducted on medical students at the Faculty of Medicine, Universitas Muhammadiyah Purwokerto. The quality of daytime napping was assessed based on a questionnaire about the frequency and duration of daytime naps, and the anxiety levels of the respondents were evaluated using the Hamilton Anxiety Rating Scale (HARS). Results: Among 185 respondents, the majority had a daytime napping habit (93%), with a frequency of 1-3 times per week (56.2%), lasting for 31-60 minutes per day (44.9%). Fisher's analysis results indicate that respondents with a daytime napping habit with a frequency of 4-6 times (p = 0.018) and a duration of 1-30 minutes per week (p = 0.022) tend to have lower anxiety levels. Conclusion: Based on the analysis and discussion conducted, it can be concluded that there is a very strong relationship between daytime napping habits and anxiety levels in the Faculty of Medicine, Muhammadiyah Purwokerto University students. 


Anxiety Level; Hamilton Anxiety Rating Scale (HARS); Naps; Nap Questionnaire


Aditia, D. Faktor-faktor yang Berhubungan dengan Insomnia pada Mahasiswa Fakultas Kedokteran Universitas Trisakti. FK-Usakti. 2019.

Anosike C, Anene-Okeke C, Ayogu E, Oshigbo M. Prevalence of Depression and Anxiety, and Attitudes Toward Seeking Help Among First-Year Pharmacy, Medical, and Nursing Students at a Nigerian University. Curr Pharm Teach Learn. 2022;14(6):720-728.

Cai H, Su N, Li W, Li X, Xiao S, Sun L. Relationship between Afternoon Napping and Cognitive Function In The Ageing Chinese Population. Gen Psychiatr. 2021;34(1):e100361.

CDC. Napping, an Important Fatigue Countermeasure, Centers for Disease Control and Prevention. 2020.

Chen L, Tian A, Liu Z, Zhang M, Pan X, He C, et al. Frequent Daytime Napping is Detrimental to Human Health: A phenotype-wide Mendelian Randomization Study. MedRxiv. 2020.

Chrisnawati, G, Aldino, T. Aplikasi Pengukuran Tingkat Kecemasan Berdasarkan Skala Hars Berbasis Android. Jurnal Teknik Komputer AMIK BSI. 2019.

Dutheil F, Danini B, Bagheri R, Fantini ML, Pereira B, Moustafa F, et al. Effects of a Short Daytime Nap on the Cognitive Performance: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2021.

Fadmawaty A, Septiana V, Thoha. Tidur Siang terhadap Tekanan Darah pada Penderita Hipertensi. Medikes (Media Informasi Kesehatan). 2022;9(1):73-90.

Ji X, Li J, Liu J. The Relationship Between Midday Napping and Neurocognitive Function in Early Adolescents. Behavioral Sleep Medicine. 2019;17(5):537-551.

Lastella M, Halson SL, Vitale JA, Memon AR, Vincent GE. To nap or not to nap? A systematic review evaluating napping behavior in athletes and the impact on various measures of athletic performance. Nature and science of sleep. Published online 2021:841-862.

Léger D, Torres MJ, Bayon V, Hercberg S, Galan P, Chennaoui M, Andreeva VPA. The Association Between Physical and Mental Chronic Conditions and Napping. Scientific Reports. 2019;9(1):1795.

Lovato N, Lack L, Wright H. The Napping Behaviour of Australian University Students. PLoS One. 2014;9(11):e113666.

Makky M, Ahmad N, Suhartini A. Pengimplementasian Anjuran Tidur Sesuai Sunnah dan Pengaruhnya terhadap Kesehatan. Jurnal Revolusi Indonesia. 2021; p-ISSN:2774-5325.

Mesas AE, Sánchez-López M, Pozuelo-Carrascosa DP, Sequí-Domínguez I, Jiménez-López E, Martínez-Vizcaíno V. The Role of Daytime Napping on Salivary Cortisol In Children Aged 0-5 Years: A Systematic Review and Meta-Analysis. European Journal of Pediatrics. 2022; 181(4):1437-1448.

Mikoteit T, Brand S, Eckert A, Holsboer-Trachsler E, Beck J. Brain-Derived Neurotrophic Factor is a Biomarker For Subjective Insomnia But Not Objectively Assessable Poor Sleep Continuity. Journal of psychiatric research. 2019; 110:103-109.

National Sleep Foundation. Napping: Benefits and Tips, National Sleep Foundation. 2022.

Nollet M, Wisden W, Franks NP. Sleep Deprivation and Stress: A Reciprocal Relationship. Interface Focus. 2020;10(3):20190092.

Nurcita B, Susantiningsih T. Dampak Pembelajaran Jarak Jauh dan Physical Distancing pada Tingkat Kecemasan Mahasiswa. Journal of Borneo Holistic Health. 2020; 58-68.

Nurjayati. Implementasi Qailulah Dalam Menanamkan Nilai Karakter Kedisiplinan Pada Murid Mi Tahfizh Al Furqon Ponorogo. Universitas Muhammadiyah Ponorogo. 2022.

Owusu JT, Wennberg AMV, Holingue CB, Tzuang M, Abeson KD, Spira AP. Napping Characteristics and Cognitive Performance In Older Adults. Int J Geriatr Psychiatry. 2019;34(1):87-96.

Perotta B, Arantes-Costa FM, Enns SC, et al. Sleepiness, sleep deprivation, quality of life, mental symptoms and perception of academic environment in medical students. BMC Medical Education. 2021;21(1):111.

Roy-Byrne P. Treatment-refractory anxiety; definition, risk factors, and treatment challenges. Dialogues in Clinical Neuroscience. 2022;17(2):191-206.

Souissi M, Souissi Y, Bayoudh A, Knechtle B, Nikolaidis PT, Chtourou H. Effects of a 30 Min Nap Opportunity on Cognitive and Short-Duration High-Intensity Performances and Mood States After a Partial Sleep Deprivation Night. J Sports Sci. 2020; 38(22):25532561.

Suni E, Kimberly T. Sleep Statistics, National Sleep Foundation. 2022.

Tian-Ci Quek T, Wai-San Tam W, X. Tran B, et al. The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis. International Journal of Environmental Research and Public Health. 2019;16(15):2735.

Zhang Z, Xiao X, Ma W, Li J. Napping in Older Adults: A Review of Current Literature. Curr Sleep Med Rep. 2020;6(3):129-135.

Zhou L, Yu K, Yang L, Wang H, Xiao Y, Qiu G, et al. Sleep Duration, Midday Napping, and Sleep Quality and Incident Stroke: The Dongfeng-Tongji Cohort. Neurology. 2020; 28;94(4):e345-e356.

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DOI: 10.24815/jks.v23i3.32167