Sleep quality (SQ) is an essential factor for both physical and mental health. Among
university populations, especially those in medical and healthcare fields, poor SQ is
frequently noted at alarmingly high rates. This narrative review summarises recent
findings on the relationship between screen time (ST), with a focus on device use
before bedtime and problematic patterns of use, and overall SQ and sleep duration
in this group. Studies show that both excessive and bedtime-specific ST adversely
affect sleep latency, duration, and efficiency as well as overall well-being. These
outcomes are mainly due to physiological mechanisms, including melatonin
suppression and disruption of the circadian rhythm from exposure to shortwavelength
light. The literature consistently shows that bedtime device use is
associated with poorer SQ. At the same time, the impact regarding total daily ST is
ambiguous and depends on things like why the device is used (for study or leisure),
the type of device, and other variables. Excessive ST correlates positively with
adverse mental health outcomes and physical issues, especially in the
musculoskeletal system. Additionally, it is also associated with reduced academic
performance, mainly due to memory problems and exacerbated daytime sleepiness.
Studies indicate that fixing and improving SQ and sleep duration is possible by
restricting device use near bedtime. Main research limitations include a lack of
longitudinal studies, dependence on self-reported SQ and ST data, and insufficient
use of objective measures. This review points out the importance of reducing
bedtime ST and encourages healthy sleep practices among students.
Keywords: sleep quality, screen time, medical students, circadian rhythm,
electronic device
