Correlation between Sleep Quality and Cell Phone use among Medical students: An integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v14i12.50403

Keywords:

Mobile phone use, Sleep quality, Medical students, Smartphone addiction, Sleep health.

Abstract

Objective: To describe the relationship between mobile phone use and sleep quality among medical students. Methodology: This integrative review was conducted in April 2023 using the BVS and PubMed databases. The descriptors sleep, sleep quality, and medical students were combined with the boolean operator AND. Inclusion criteria comprised original, full-text, free articles published in the last five years, in Portuguese or English. Duplicates and review studies were excluded. The search yielded 2,443 publications; after title and abstract screening, 21 articles were selected, of which 12 composed the final sample. Results: Mobile phone use, particularly at night, was associated with increased sleep latency, reduced sleep duration, and greater sleep inefficiency. Excessive use of the device was also linked to increased consumption of sleep medications, daytime sleepiness, impairment in daily activities, insomnia, and anxiety. These disturbances were more frequent among students classified as smartphone-dependent according to the Smartphone Addiction Scale–Short Version (SAS-SV), which includes ten items rated on a six-point Likert scale, with cutoff scores of 31 for men and 33 for women. Conclusion: Smartphone use has a significant negative impact on sleep quality among medical students.

References

Cajochen, C., Frey, S., Anders, D., et al. (2019). Evening exposure to smartphone light impairs sleep. Journal of Biological Rhythms.

Chellappa, S. L., Steiner, R., & Oelhafen, P. (2019). Acute exposure to evening blue-enriched light impacts sleep. Sleep Medicine Reviews.

Curcio, G., Ferrara, M., & De Gennaro, L. (2006). Sleep loss and learning capacity. Sleep Medicine Reviews.

Demirci, K., Akgönül, M., & Akpinar, A. (2015). Smartphone use and sleep quality in university students. Journal of Behavioral Addictions.

Dyrbye, L. N., West, C. P., et al. (2020). Burnout in medical students. JAMA Network Open.

Elhai, J. D., Levine, J. C., & Hall, B. J. (2017). Problematic smartphone use and mental health. Computers in Human Behavior.

He, J., Tu, Z., Xiao, L., et al. (2020). Smartphone overuse and sleep outcomes. BMC Public Health.

Kwon, M., Lee, J. Y., Won, W. Y., et al. (2013). Development of the Smartphone Addiction Scale. PLOS ONE.

Lee, S. Y., Lee, D., & Paik, S. (2021). Nighttime smartphone use and sleep. Sleep Health.

Levenson, J. C., Shensa, A., Sidani, J., et al. (2017). Social media use and disturbed sleep. Preventive Medicine.

Lozano-Blasco, R., Robres, A. Q., & Sánchez, A. C. (2022). Smartphone addiction and health in students. Computers in Human Behavior.

Pereira, A. S. et al. (2018). Metodologia da pesquisa científica. [Free ebook]. Santa Maria. Editora da UFSM.

Philibert, I. (2005). Sleep loss and performance in medical trainees. Sleep.

Rahman, M. M., et al. (2022). Smartphone addiction and sleep disorders in medical students. PLOS ONE.

Scott, H., Biello, S. M., & Woods, H. C. (2019). Social media and sleep timing. Journal of Adolescence.

Semon, T. L., et al. (2020). Sleep and cognitive performance. Sleep Health.

Touitou, Y., et al. (2016). Light exposure and sleep disturbances. Chronobiology International.

Whittemore, R., & Knafl, K. (2005). The integrative review: Updated methodology. Journal of Advanced Nursing.

Zhang, Y., et al. (2021). Sleep disturbances among medical students. Frontiers in Psychiatry.

Watanabe, K., et al. (2020). Blue light exposure and melatonin suppression. Scientific Reports.

Exelmans, L., & Van den Bulck, J. (2016). Bedtime mobile phone use and sleep problems. Sleep Medicine.

Published

2025-12-18

Issue

Section

Health Sciences

How to Cite

Correlation between Sleep Quality and Cell Phone use among Medical students: An integrative review. Research, Society and Development, [S. l.], v. 14, n. 12, p. e129141250403, 2025. DOI: 10.33448/rsd-v14i12.50403. Disponível em: https://www.rsdjournal.org/rsd/article/view/50403. Acesso em: 2 jan. 2026.