The cost of admission and academic exhaustion: Impacts of sleep quality on quality of life in pre-university students
DOI:
https://doi.org/10.33448/rsd-v15i5.51108Keywords:
Sleep Deprivation, Stress, Psychological, Students, Quality of Life, Sleep-Wake Disorders.Abstract
Objective: To evaluate sleep quality and its association with the perception of quality of life in pre-university students. Methods: An observational, cross-sectional, and analytical study with a quantitative approach, conducted with 90 students from three private institutions in the municipality of Anápolis (GO). Data were collected digitally using a sociodemographic questionnaire, the Pittsburgh Sleep Quality Index (PSQI-BR), and the World Health Organization Quality of Life - BREF (WHOQOL-bref). Statistical analysis was performed using the SPSS software, adopting a significance level of p < 0.05. Results: The sample was characterized by a predominance of females (73.3%) and an age group between 18 and 20 years. A high prevalence of sleep impairment was observed: 64.4% of the participants were classified as having poor sleep and 15.6% with sleep disorders. Females presented worse sleep quality in a statistically significant manner (p = 0.031). A strong association was evidenced between worse PSQI-BR scores and the decline in total quality of life (p = 0.022), with more severe impacts on the physical (p = 0.006) and social relationships (p = 0.007) domains. Furthermore, 91.1% of the sample reported significant daytime dysfunction. Conclusion: The exhaustion of the pre-university phase systemically affects students' homeostasis, resulting in chronic sleep deprivation and deterioration of global quality of life. The impairment of the neuroendocrine axis and the high latency constitute a risk for early burnout, making prophylactic and resilience interventions imperative in the school environment.
References
Bertolazi, A. N., Fagondes, S. C., Hoff, L. S., Dartora, E. G., Miozzo, I. C., Barba, M. E., & Barreto, S. S. (2011). Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index. Sleep medicine, 12(1), 70–75. https://doi.org/10.1016/j.sleep.2010.04.020
Bodanese, B. C. S., Roderjan, A. K., Gil, I., & Purin, K. S. M. (2021). Como a qualidade do sono e a ansiedade podem afetar estudantes que desejam cursar medicina - uma avaliação objetiva. Revista De Medicina, 100(2), 96-101. doi: https://doi.org/10.11606/issn.1679-9836.v100i2p96-101
Borges, K. L. M., & Sampaio, L. C. (2019). Qualidade de Vida de Estudantes Pré-Universitários / Quality of Life of Pre-University Students. ID on Line. Revista De Psicologia, 13(48), 444–454. doi: https://doi.org/10.14295/idonline.v13i48.2222
Castro SKA, Mulati SL, Duarte GGM, & Aversi-Ferreira TA. (2021). A importância da qualidade do sono no processo de aprendizagem em estudantes da área de saúde: uma revisão integrativa. Research, Society and Development, 10(11), e326101119749. doi: https://doi.org/10.33448/rsd-v10i11.19749
Costa Neto, P. L. O. & Bekman, O. R. (2009). Análise estatística da decisão. (2ed). Editora Blucher.
Cruz, M. C. A., Cardoso, E. F., Garcia, T. R., Macedo, R. M., & Arruda, J. T. (2021). Impacto das emoções no desempenho acadêmico e na qualidade de vida dos estudantes de Medicina. Research, Society and Development, 10(11), e216101119412. doi: 10.33448/rsd-v10i11.19412
Dutra, L. L., Aquino, A. C. N., Silva, E. L., & Barros, L. N. (2021). Avaliação do Índice de Qualidade do Sono de Pittsburgh em estudantes de medicina: uma revisão integrativa da literatura. Research, Society and Development, 10(8), e52410817530. doi: 10.33448/rsd-v10i8.17530
Eli, A. R., Oliveira, C. R., & Paloski, L. H. (2024). Qualidade de vida de estudantes em cursos preparatórios para vestibulares de medicina. Educação On-Line, 19(45), e24194502. https://doi.org/10.36556/eol.v19i45.1463
Fernández-Castillo, A., & Fernández-Prados, M. J. (2023). Resilience and burnout in educational science university students: Developmental analysis according to progression in the career. Current Psychology, 42, 4293-4302. doi: https://doi.org/10.1007/s12144-021-01370-x
Gobbi, J. I. F., Beteto, I. S., Martins, A. P., Meirelles, H. A. A., & Weber, S. A. T. (2019). Concepções e qualidade do sono entre pré-universitários. Archives Of Health Investigation, 8(8). https://doi.org/10.21270/archi.v8i8.4650
Gomes, A. L. C., Rodrigues, E. O., Decker, R. V., Barros, G. B. S., & Silva, R. B. V. (2025). A percepção dos estudantes sobre o efeito do uso de dispositivos eletrônicos na qualidade de sono. Research, Society and Development, 14(10): e26141049669. doi: 10.33448/rsd-v14i10.49669
Leow, M. Q. H., Chiang, J., Chua, T. J. X., Wang, S., & Tan, N. C. (2023). The relationship between smartphone addiction and sleep among medical students: A systematic review and meta-analysis. PloS one, 18(9), e0290724. https://doi.org/10.1371/journal.pone.0290724
Martins, R. M. B., Bomfim, F. N. G., Gouveia, L. Q., Carvalho, O. C. S., Melo, C. M. I., Bezerra, L. A., Mattos, R. M. P. R., & Pimentel, D. M. M. (2021). Estresse em alunos de preparatórios para vestibular / Stress in college preparatory students. Brazilian Journal of Health Review, 4(3), 10639–10651. https://doi.org/10.34119/bjhrv4n3-083
Matos, F. R., & Andrade, A. L. D. (2023). Psychological resources and student burnout among pre-university students. Psico-USF, 28(2), 321–32. doi: https://doi.org/10.1590/1413-82712023280209
Matos, F. R., Franco, E. H. F., Massonetto, F. C. B., Moro, G. N., Dias, M. R., & Silva, S. S. (2026). Da dedicação à exaustão: recursos psicológicos e burnout em estudantes pré-vestibulandos. Psicologia: Ciência e Profissão, 46, 1–5. doi: https://doi.org/10.1590/1982-3703003284672
Medeiros, G. J. M., Roma, P. F., & Matos, P. H. M. F. P. (2021). Qualidade do sono dos estudantes de medicina de uma faculdade do sul de Minas Gerais. Revista Brasileira de Educação Médica, 45(4), e220. https://doi.org/10.1590/1981-5271v45.4-20210183
Pereira, A. S. et al. (2018). Metodologia da pesquisa científica. [Free ebook]. Santa Maria. Editora da UFSM.
Ramar, K., Malhotra, R. K., Carden, K. A., Martin, J. L., Abbasi-Feinberg, F., Aurora, R. N., Kapur, V. K., Olson, E. J., Rosen, C. L., Rowley, J. A., Shelgikar, A. V., & Trotti, L. M. (2021). Sleep is essential to health: an American Academy of Sleep Medicine position statement. Journal of clinical sleep medicine : JCSM: official publication of the American Academy of Sleep Medicine, 17(10), 2115–2119. https://doi.org/10.5664/jcsm.9476
Risemberg, R. I. C. et al. (2026). A importância da metodologia científica no desenvolvimento de artigos científicos. E-Acadêmica, 7(1), e0171675. https://eacademica.org/eacademica/article/view/675
Rocha, C. R. S., Rossini, S., & Reimão, R. (2010). Sleep disorders in high school and pre-university students. Arquivos De Neuro-psiquiatria, 68(6), 903–907. https://doi.org/10.1590/S0004-282X2010000600014
Santos, M. I. Q. L., Silva, L. M., Silva, K. D., Chiacchio, F. B. B., Chiacchio, A. D., Vieira, M. F., Silva Neto, F. A. R., & Ribeiro, A. B. C. B. (2026). Delimitações e caracterizações de sintomas ansiogênicos e privação de sono de estudantes pré vestibulandos para medicina no sul do Tocantins, Brasil. Revista De Geopolítica, 17(1), e1347. https://doi.org/10.56238/revgeov17n1-098
Shitsuka, R. et al. (2014). Matemática fundamental para tecnologia. (2ed). Editora Érica.
Silva, M. L., Silva, M. L., Silva, A. C. S. P., Freitas, Y. J. F., Borges, N. M. P., Cruz, M. C. A., Mori, A. S., Macedo, R. M., Garcia, T. R., & Arruda, J. T. (2020). Condições que interferem na qualidade de vida do estudante de Medicina. Research, Research, Society and Development, 9(11), e2469119640. doi: https://doi.org/10.33448/rsd-v9i11.9640
Souza, J. P. A., Demenech, L. M., Dumith, S. C., & Neiva-Silva, L. (2022). Sintomas de ansiedade generalizada entre estudantes de graduação: prevalência, fatores associados e possíveis consequências. Jornal Brasileiro De Psiquiatria, 71(3), 193–203. https://doi.org/10.1590/0047-2085000000381
Wang, Z., Heizhati, M., Wang, L., Li, M., Yang, Z., Lin, M., Abudereyimu, R., Hong, J., Yang, W., Yao, L., Liu, S., Hu, J., & Li, N. (2022). Poor sleep quality is negatively associated with low cognitive performance in general population independent of self-reported sleep disordered breathing. BMC public health, 22(1), 3. https://doi.org/10.1186/s12889-021-12417-w
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Anna Carolina Messias Nogueira, Cristina França Rodrigues, Guilherme de Lima Maciel, Leandro de Deus Moreira, Letícia Matos Alves Freires, Aline de Araújo Freitas, Jalsi Tacon Arruda

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
