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For years, stress and sleep have been recognized as important influencers on professional, student and health performance. Often, the period before entering the medical course is recognized as causing anxiety, stress and even depression, which result from the pressure to succeed in the entrance exam, family interference and competition.


To analyze and describe the perception of stress and sleep quality associated with the performance of pre-university students in the medical course.


This is a cross-sectional study conducted with two groups of pre-university students of Medicine (students from private and public schools), through the application of a sociodemographic questionnaire, the Pittsburgh Sleep Quality Index (PSQI), from the Perceived Stress Scale (PSS-10) and a questionnaire on school performance. Data were tabulated in a Microsoft Excel spreadsheet that was analyzed using the GraphPad Prism software version 9, using Fisher's exact test and Student's t test to evaluate the sample results, with a significance level of 5%.


The sociodemographic questionnaire showed that of the 117 students who participated in the survey, 55.55% (n = 65) studied in a private school and 44.45% (n = 52) studied in a public school. In general, they had a mean age of 21.26 ± 0.36 years and 70.08% (n = 82) were female and 29.92% (n = 35) were male. According to the PSQI, the mean of the group of students from private schools was higher than that of students from public schools with PSQI = 9.73 ± 0.48 and PSQI = 9.25 ± 0.37, respectively (p = 0.07 ), and private school students represented 58.33% (n = 28) of the total number of pre-university students with sleep disorders (p = 0.70). The PSS-10 indicated a mean score of 24.66 ± 0.39 for private school students and 22.5 ± 0.45 for public school students (p <0.0001). Analyzing school performance, 60.61% (n = 40) of students who answered more than half of the questions on the entrance exam are those from private schools and 39.39% represent students from public schools (p = 0.21 ).


In this sample, pre-university students had poor sleep quality and perceived stress, in general, but private school students had worse PSQI and a greater tendency to have sleep disorders than public school students. In addition, higher PSS-10 and high performance frequency were detected in private school students.


Sleep; Exam Stress; Students; Medical School.


Área Clínica


Universidade Federal de Rondônia - Rondônia - Brasil, Universidade Federal do Amapá - Amapá - Brasil


Luiz Felipe Façanha Ramos, Hildeman Dias da Costa, Karen Tássia Façanha Ramos, Reny Wane Vieira dos Santos