THE DIFFERENCE IN GRADE POINTS BETWEEN MORNING AND EVENING CHRONOTYPES AMONG PRECLINICAL MEDICAL STUDENTS

Cindy Leona Wangsa, N. Prastowo, Veronica Dwi Jani Juliawati, Francisca Tjhay
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Abstract

Background: Every person has a different diurnal preference, sleep-wake cycle, and alertness known as chronotype. There are three chronotypes, that is morning, evening, and intermediate type. Medical students with evening chronotype are still forced to follow the standard academic schedule in the morning, hence their sleep time is reduced. This problem results in lower grade points since sleep quality affects academic achievement. This study aimed to analyze the difference in grade points between morning and evening chronotypes among medical students.Methods: A comparative cross-sectional study was performed among 102 preclinical students class 2018 of School Medicine and Health Sciences of Atma Jaya Catholic University Indonesia. All personal data, grade points, and chronotypes were taken using google form. Chronotypes and sleep characteristics were determined with Munich ChronoType Questionnaire (MCTQ) by calculating weekend mid-sleep time and sleep debt. Unpaired t-test and binary logistic regression were used to analyze the statistical significance.Results: The results of evening chronotype 44.1% respondents, morning chronotype 31.4% respondents, and intermediate chronotype 24.5% respondents were obtained from 102 respondents. There were 65.7% of students with grade points greater than or equal to three and 34.4%  lower than three. There was no significant difference in grade points between morning and evening chronotypes on semester 1, 2, 3, nor grade point average 3 (p>0.05). Conclusion: There is no significant difference in grade points between morning and evening chronotypes among preclinical students class 2018 of School Medicine and Health Sciences Atma Jaya Catholic University of Indonesia.
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临床前医学院学生早晚时间型的成绩差异
背景:每个人都有不同的昼夜偏好、睡眠-觉醒周期和警觉性,也就是我们所说的时型。有三种时间类型,即早晨型、晚上型和中间型。具有晚睡型的医学生在早上仍然被迫遵循标准的学习时间表,因此他们的睡眠时间减少了。由于睡眠质量会影响学习成绩,这个问题会导致学生成绩下降。本研究旨在分析医学生早睡型和晚睡型在成绩上的差异。方法:对印尼Atma Jaya天主教大学医学与健康科学学院2018级102名临床前学生进行比较横断面研究。所有的个人数据、成绩和生物钟都是用谷歌表格填写的。采用慕尼黑睡眠类型问卷(Munich ChronoType Questionnaire, MCTQ),通过计算周末中期睡眠时间和睡眠债务来确定睡眠类型和睡眠特征。采用非配对t检验和二元logistic回归分析统计显著性。结果:从102名被调查者中获得了夜间睡眠类型的44.1%、早晨睡眠类型的31.4%和中间睡眠类型的24.5%。65.7%的学生成绩在3分以上或等于3分,34.4%的学生成绩在3分以下。在第一学期、第二学期和第三学期,早晨和晚上的时间类型之间的成绩没有显著差异,平均成绩也没有3分(p>0.05)。结论:印尼Atma Jaya天主教大学医学与健康科学学院2018级临床前学生的早晚时间型成绩无显著差异。
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