Insomnia and Academic Performance: A Correlational Study of Undergraduate Students in District Okara, Pakistan

Authors

  • Rabia Yaseen Department of Biology, Faculty of Life Sciences, University of Okara, Okara, 56130, Pakistan
  • Maliha Ghaffar Department of Biology, Faculty of Life Sciences, University of Okara, Okara, 56130, Pakistan
  • Muhammad Imran Department of Biology, Faculty of Life Sciences, University of Okara, Okara, 56130, Pakistan
  • Atifa Waheed Department of Biology, Faculty of Life Sciences, University of Okara, Okara, 56130, Pakistan
  • Anam Abbas Department of Biology, Faculty of Life Sciences, University of Okara, Okara, 56130, Pakistan
  • Samavia Mustafa Department of Biology, Faculty of Life Sciences, University of Okara, Okara, 56130, Pakistan
  • Sana Khan Department of Biology, Faculty of Life Sciences, University of Okara, Okara, 56130, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v7i2.2073

Keywords:

Insomnia, Insomnia Severity Index, Prevalence, Academic Performance, CGPA, Undergraduate Students

Abstract

Insomnia is common in university students and may adversely affect learning, concentration, and academic outcomes. District-level evidence from Pakistan, including Okara, remains limited. Objective: To determine the prevalence of insomnia and examine its association with academic performance among undergraduate students in District Okara, Pakistan. Methods: A cross-sectional study was conducted from December 2024 to March 2025 among 632 undergraduate students from academic institutions in Okara. Data were collected using a structured questionnaire including demographic variables, self-reported CGPA, and the Insomnia Severity Index (ISI). Descriptive statistics were used to estimate the prevalence of insomnia. Chi-square tests assessed associations between insomnia severity and participant characteristics. Spearman's correlation was used to examine the relationship between ISI score and CGPA. Statistical significance was set at p < 0.05. Results: Overall, 60.3% of students reported insomnia symptoms (mild to severe), while 39.7% reported no clinical insomnia. Insomnia severity was distributed as mild (37.8%), moderate (19.9%), and severe (2.5%), and it was significantly associated with gender (p = 0.008) and academic discipline (p = 0.008), but not with age, residence, marital status, family income, or CGPA category. Spearman's correlation showed a weak negative association between insomnia severity and academic performance (r = -0.100, p = 0.012). Conclusion: Insomnia symptoms were highly prevalent among undergraduates in Okara and were weakly but significantly associated with lower academic performance. Universities should consider sleep health promotion, early screening, and student support interventions to reduce the burden of insomnia and improve academic functioning.

Downloads

Download data is not yet available.

References

Nguyen V, George T, Brewster GS. Insomnia in older adults. Curr Geriatr Rep. 2019;8:271–290. https://doi.org/10.1007/s13670-019-00300-x

Chowdhury AI, Ghosh S, Hasan MF, Khandakar KAS, Azad F. Prevalence of insomnia among university students in the South Asian region: a systematic review of studies. J Prev Med Hyg. 2020;61(4):E525. https://doi.org/10.15167/2421-4248/jpmh2020.61.4.1634

Altun I, Cinar N, Dede C. The contributing factors to poor sleep experiences among university students: a cross-sectional study. J Res Med Sci. 2012;17(6):557.

Skarpsno ES, Nilsen TIL, Sand T, Hagen K, Mork PJ. Work-related mental fatigue, physical activity, and risk of insomnia symptoms: longitudinal data from the Norwegian HUNT Study. Behav Sleep Med. 2020;18(4):488–499. https://doi.org/10.1080/15402002.2019.1614927

Sosso FE. Sleep disorders and insomnia: effects on a young population. Psychol Psychiatry. 2017;2:26–32.

Toubasi AA, AlSamhori JF, Falih RS, Alshadeedi F, Samhouri AEF, Tarazi A, et al. Insomnia and physical activity among medical students: a cross-sectional study. SN Compr Clin Med. 2023;5(1):266. https://doi.org/10.1007/s42399-023-01593-y

Linton SJ, Bryngelsson IL. Insomnia and its relationship to work and health among working-age adults. J Occup Rehabil. 2000;10:169–183. https://doi.org/10.1023/A:1009541811649

Ustinov Y, Lichstein KL, Vander Wal GS, Taylor DJ, Riedel BW, Bush AJ. Association between report of insomnia and daytime functioning. Sleep Med. 2010;11(1):65–68. https://doi.org/10.1016/j.sleep.2009.07.009

Malaeb D, Salameh P, Barbar S, Awad E, Haddad C, Hallit R, et al. Problematic social media use and mental health (depression, anxiety, and insomnia) among Lebanese adults: any mediating effect of stress? Perspect Psychiatr Care. 2021;57(2):539–549. https://doi.org/10.1111/ppc.12576

Bartel KA, Gradisar M, Williamson P. Protective and risk factors for adolescent sleep: a meta-analytic review. Sleep Med Rev. 2015;21:72–85. https://doi.org/10.1016/j.smrv.2014.08.002

Angelone AM, Mattei A, Sbarbati M, Di Orio F. Prevalence and correlates for self-reported sleep problems among nursing students. J Prev Med Hyg. 2011;52(4):201–208.

Carrión-Pantoja S, Prados G, Chouchou F, Holguín M, Mendoza-Vinces Á, Expósito-Ruiz M, et al. Insomnia symptoms, sleep hygiene, mental health, and academic performance in Spanish university students: a cross-sectional study. J Clin Med. 2022;11(7):1989. https://doi.org/10.3390/jcm11071989

Aljafen BN, Alneseyan RA, Bahr MH, Abusrair FH, Almutawa AA, Almadeh ZM, et al. Predictors of insomnia and sleep abnormalities in medical students and their impact on academic performance. J Nat Sci Med. 2024;7(3):197–203. https://doi.org/10.4103/jnsm.jnsm_43_24

Al Salmani AA, Al Shidhani A, Al Qassabi SS, Al Yaaribi SA, Al Musharfi AM. Prevalence of sleep disorders among university students and their impact on academic performance. Int J Adolesc Youth. 2020;25(1):974–981. https://doi.org/10.1080/02673843.2020.1815550

Haile YG, Alemu SM, Habtewold TD. Insomnia and its temporal association with academic performance among university students: a cross-sectional study. BioMed Res Int. 2017;2017:2542367. https://doi.org/10.1155/2017/2542367

Bastien CH, Vallières A, Morin CM. Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med. 2001;2(4):297–307. https://doi.org/10.1016/S1389-9457(00)00065-4

Benjafield AV, Kuniyoshi FHS, Malhotra A, Martin JL, Morin CM, Maurer LF, et al. Estimation of the global prevalence and burden of insomnia: a systematic literature review-based analysis. Sleep Med Rev. 2025;82:102121. https://doi.org/10.1016/j.smrv.2025.102121

Fatima F, Sabir A, Qamar K, Bibi S, Fatima S. Investigation of insomnia among students at the University level: a cross-sectional analysis. Pak Armed Forces Med J. 2022;72(1):296. https://doi.org/10.51253/pafmj.v72i1.6998

Shahzadi N, Toor MA, Arshad M. Prevalence of sleep problems: a case of university students of Pakistan. Pak JL Analysis Wisdom. 2023;2:335.

Rahman A, Rahman FU, Ullah I, Basit A, Talha M, Ullah Z, et al. Prevalence of insomnia among undergraduate nursing students in Peshawar. J Health Rehabil Res. 2024;4(1):302–306. https://doi.org/10.61919/jhrr.v4i1.367

Abdalqader MA, Ariffin IA, Ghazi HF, AboBakr MF, Fadzil MA. Prevalence of insomnia and its association with social media usage among university students in Selangor, Malaysia, 2018. Folia Med Indones. 2018;54(4). https://doi.org/10.20473/fmi.v54i4.10715

Ali RM, Zolezzi M, Awaisu A, Eltorki Y. Sleep quality and sleep hygiene behaviours among university students in Qatar. Int J Gen Med. 2023;16:2427–2439. https://doi.org/10.2147/IJGM.S405425

Hedin G, Norell-Clarke A, Hagell P, Tonnesen H, Westergren A, Garmy P. Insomnia in relation to academic performance, self-reported health, physical activity, and substance use among adolescents. Int J Environ Res Public Health. 2020;17(17):6433. https://doi.org/10.3390/ijerph17176433

Aschale Wale M, Reta Y, Addis H, Tarekegn R, Tafese M, Tsega Chekol A, et al. Predictors of insomnia among undergraduate students at Hawassa University, Sidama, Ethiopia, 2023: a facility-based cross-sectional study. Front Psychiatry. 2024;15:1352291. https://doi.org/10.3389/fpsyt.2024.1352291

Gomes AA, Tavares J, de Azevedo MHP. Sleep and academic performance in undergraduates: a multi-measure, multi-predictor approach. Chronobiol Int. 2011;28(9):786–801. https://doi.org/10.3109/07420528.2011.606518

Hartmann ME, Prichard JR. Calculating the contribution of sleep problems to undergraduates’ academic success. Sleep Health. 2018;4(5):463–471. https://doi.org/10.1016/j.sleh.2018.07.002

Kharazinejad E, Karimi F, Mousavi M, Alamolhoda M. Investigating the relationship between sleep disorders and mental health with academic performance in medical students at Abadan University of Medical Sciences. Beyhagh. 2025;30(1).

Shoqeirat M, Matarneh AJ, Abdel-Fattah Salameh MI, Mohammad Alhawari LS, Algaralleh A. Analysis of sleep disorder prevalence among Jordanian university students: influences of sociodemographic factors. Pak J Life Soc Sci. 2024;22(1).

Zaheed AB, Chervin RD, Spira AP, Zahodne LB. Mental and physical health pathways linking insomnia symptoms to cognitive performance 14 years later. Sleep. 2023;46(3):zsac262. https://doi.org/10.1093/sleep/zsac262

Ahrberg K, Dresler M, Niedermaier S, Steiger A, Genzel L. The interaction between sleep quality and academic performance. J Psychiatr Res. 2012;46(12):1618–1622. https://doi.org/10.1016/j.jpsychires.2012.09.008

Song Y, Kelly MR, Fung CH, Dzierzewski JM, Grinberg AM, Mitchell MN, et al. Change in dysfunctional sleep-related beliefs is associated with changes in sleep and other health outcomes among older veterans with insomnia: findings from a randomized controlled trial. Ann Behav Med. 2022;56(1):35–49. https://doi.org/10.1093/abm/kaab030

Laredo-Aguilera JA, Carmona-Torres JM, García-Pinillos F, Latorre-Román PÁ. Effects of a 10-week functional training programme on pain, mood state, depression, and sleep in healthy older adults. Psychogeriatrics. 2018;18(4):292–298. https://doi.org/10.1111/psyg.12323

Palagini L, Hertenstein E, Riemann D, Nissen C. Sleep, insomnia, and mental health. J Sleep Res. 2022;31(4):e13628. https://doi.org/10.1111/jsr.13628

Downloads

Published

2026-03-08

How to Cite

Yaseen, R. ., Ghaffar, M. ., Imran, M. ., Waheed, A. ., Abbas, A. ., Mustafa, S. ., & Khan, S. . (2026). Insomnia and Academic Performance: A Correlational Study of Undergraduate Students in District Okara, Pakistan. Biological and Clinical Sciences Research Journal, 7(2), 5–9. https://doi.org/10.54112/bcsrj.v7i2.2073

Issue

Section

Original Research Articles