{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T13:21:36Z","timestamp":1789564896315,"version":"build-2803163510"},"reference-count":47,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T00:00:00Z","timestamp":1738022400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>A nationwide survey in the USA reported that healthcare workers had the highest prevalence of short sleep duration compared with other professions. Moreover, several studies have reported poor sleep quality among healthcare professionals and described insufficient sleep as a potential driver of reduced physician well\u2010being. This study aims to explore sleep quality and mental health issues among Syrian medical residents, with the goal of informing targeted interventions to enhance their well\u2010being and professional performance. This cross\u2010sectional study in Syria involved 2071 residents from 22 major hospitals. Conducted between 27 October 2023 and 4 April 2024, it used face\u2010to\u2010face interviews with validated questionnaires following STROBE guidelines. Hospitals were categorized for comparative analysis. Measures included demographics, Pittsburgh Sleep Quality Index, Patient Health Questionnaire for depression, and Generalized Anxiety Disorder 7\u2010item. In a study involving 2071 hospital residents across Syria's major hospitals, significant findings reveal a high prevalence of poor sleep quality (67.7%), depressive symptoms (46%) and anxiety symptoms (42.2%). Analysis by hospital categories highlighted varied rates, with Damascus and Hama General Hospitals showing notably higher incidences. Females exhibited higher rates of depressive and anxiety symptoms compared with males, with predictors including gender, age and marital status. The relatively high prevalence of poor sleep quality, depressive symptoms and anxiety symptoms among Syrian medical residents necessitates proper action, which will probably include limits on work hours, to enhance mental health outcomes and ensure proper patient care.<\/jats:p>","DOI":"10.1111\/jsr.14469","type":"journal-article","created":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T07:43:37Z","timestamp":1738050217000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Challenges of poor sleep quality and mental health issues among\n                    <scp>Syrian<\/scp>\n                    medical residents in 22 major hospitals across\n                    <scp>Syria<\/scp>"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3758-0489","authenticated-orcid":false,"given":"Jameel","family":"Soqia","sequence":"first","affiliation":[{"name":"Faculty of Medicine Damascus University  Damascus Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7156-567X","authenticated-orcid":false,"given":"Mhd Basheer","family":"Alameer","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Damascus University  Damascus Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laila","family":"Yakoub\u2010Agha","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Damascus University  Damascus Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4858-1787","authenticated-orcid":false,"given":"Nadim","family":"Zerez","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Aleppo University  Aleppo Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdallah","family":"Hanbli","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Damascus University  Damascus Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Al\u2010shafie","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Damascus University  Damascus Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lama","family":"Mohamad","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Damascus University  Damascus Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jad","family":"Samaan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Damascus University  Damascus Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duaa","family":"Hamdan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Damascus University  Damascus Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Almouselli","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Syrian Private University  Damascus Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1186-2831","authenticated-orcid":false,"given":"Mohamad Hadi","family":"Wazzan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Aleppo University  Aleppo Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1519-4859","authenticated-orcid":false,"given":"Turfa","family":"Moudarres","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Aleppo University  Aleppo Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hadi","family":"Alabdullah","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Hama University  Hama Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manar","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Tishreen University  Lattakia Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Hneino","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Tishreen University  Lattakia Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rawan","family":"Alhomsi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Damascus University  Damascus Syria"},{"name":"Department of Ophthalmology, Faculty of Medicine Homs University  Homs Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Eyad","family":"Chatty","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Damascus University  Damascus Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,28]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12144-014-9242-5"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.2466\/pms.1994.79.1.287"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtumed.2022.01.005"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtumed.2024.03.003"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12991-017-0155-1"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12992-021-00762-9"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.15537\/smj.2017.8.19025"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10880-019-09667-7"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yfrne.2014.05.004"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/00207640231223432"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40675-023-00258-5"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(89)90047-4"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0706743715620410"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-12066-y"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-022-03687-8"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18020460"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijsp.ijsp_72_17"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-022-03916-0"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-021967"},{"issue":"2","key":"e_1_2_11_21_1","first-page":"100","article-title":"Sleep quality among health care workers","volume":"16","author":"Ghalichi L.","year":"2013","journal-title":"Archives of Iranian Medicine"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2021.101428"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdi004"},{"key":"e_1_2_11_24_1","unstructured":"Health S. M. O. (2023).Distribution of Ministry of Health hospitals. Recorded in 30\/9\/2023. Retrieved fromhttps:\/\/moh.gov.sy\/public\/images\/statistics\/YsViVRzZYAaMX29par.xlsx"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/08998280.2005.11928045"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-024-01725-2"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2019.11.1258"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2019.01713"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4419-1005-9_849"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/acm.0000000000001711"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l1476"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e318160d093"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/33.2.149"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2019.104270"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.15845"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19137957"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/nuf.12659"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2022.102601"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001888-200405000-00007"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.9476"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.55489\/njcm.1342022434"},{"issue":"3","key":"e_1_2_11_42_1","first-page":"192","article-title":"Depression, Anxiety, Stress among Postgraduate Medical Residents: A Cross Sectional Observation in Bangladesh","volume":"14","author":"Sadiq M. S.","year":"2019","journal-title":"Iranian Journal of Psychiatry"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2016.03.030"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.589687"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0295310"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1177\/0193945909348230"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1038\/srep43690"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.3390\/bs13100861"}],"container-title":["Journal of Sleep Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jsr.14469","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T02:52:33Z","timestamp":1764903153000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jsr.14469"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,28]]},"references-count":47,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1111\/jsr.14469"],"URL":"https:\/\/doi.org\/10.1111\/jsr.14469","archive":["Portico"],"relation":{},"ISSN":["0962-1105","1365-2869"],"issn-type":[{"value":"0962-1105","type":"print"},{"value":"1365-2869","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,28]]},"assertion":[{"value":"2024-09-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e14469"}}