The Exploring the relationship between stress, sleep quality, mobile phone usage and physical activity among physiotherapy students: a survey study

Authors

  • Arshpreet Singh Department of Physiotherapy, Sri Guru Granth Sahib World University, Fatehgarh Sahib, Punjab, India
  • Pankajpreet Singh Department of Physiotherapy, Sri Guru Granth Sahib World University, Fatehgarh Sahib, Punjab, India
  • Supreet Bindra Department of Physiotherapy, Sri Guru Granth Sahib World University, Fatehgarh Sahib, Punjab, India
  • Shavez Mansoori Department of Physiotherapy, Sri Guru Granth Sahib World University, Fatehgarh Sahib, Punjab, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20263114

Keywords:

Physiotherapy students, Stress, Sleep quality, Smartphone addiction, Physical activity, PSQI, SAS-SV, IPAQ-SF

Abstract

Background: Physiotherapy students are frequently exposed to academic, clinical, and personal stressors that may affect their sleep quality, smartphone usage patterns, and physical activity levels. The aim of the study is to explore the relationship between stress, sleep quality, smartphone addiction, and physical activity among physiotherapy students.

Methods: A cross-sectional correlational study was conducted among 300 physiotherapy BPT and MPT students. Data were collected using the SSI, PSQI, SAS-SV and IPAQ-SF. Descriptive statistics were used to summarize participant characteristics and study variables. Since the data were non-normally distributed, Spearman’s rank correlation test was used to examine associations among variables.

Results: Among 300 participants, 203 (67.7%) were female and 97 (32.3%) were male, most were aged 21–25 years. Mild to moderate smartphone addiction was common, 55.3% showing mild and 40.3% moderate addiction. Nearly half of the students reported moderate stress (48.0%), moderate sleep disturbances (48.0%), while low physical activity was observed in 72.0%. Smartphone addiction showed a significant positive correlation with poor sleep quality (r=0.191, p=0.001), whereas physical activity was negatively correlated with sleep disturbances (r=−0.162, p=0.005). No significant associations were found between stress, smartphone addiction, physical activity, and sleep quality.

Conclusions: Smartphone addiction, poor sleep quality, moderate stress, and low physical activity were common among physiotherapy students. Higher smartphone addiction was associated with poorer sleep, while greater physical activity was linked to better sleep quality. Encouraging healthier smartphone habits and regular physical activity may support students' sleep and overall well-being.

References

Walsh JM, Feeney C, Hussey J, Donnellan C. Sources of stress and psychological morbidity among undergraduate physiotherapy students. Physiotherapy. 2010.1;96(3):206-12.

Kulkarni H, Anupama M, Sushravya V, Nisarga V, Kulkarni S. Prevalence of stress and coping styles among physiotherapy students: a cross-sectional study. Int J Indian Psychol. 2019;7(2):242-50.

Hershner SD, Chervin RD. Causes and consequences of sleepiness among college students. Nat Sci Sleep. 2014;6:73-84.

Lund HG, Reider BD, Whiting AB, Prichard JR. Sleep patterns and predictors of disturbed sleep in a large population of college students. J Adolesc Health. 2010;46(2):124-32.

Samaha M, Hawi NS. Relationships among smartphone addiction, stress, academic performance, and satisfaction with life. Comp Hum Behav. 2016;57:321-5.

Demirci K, Akgönül M, Akpinar A. Relationship of smartphone use severity with sleep quality, depression, and anxiety in university students. J Behav Addict. 2015;4(2):85-92.

Lepp A, Barkley JE, Karpinski AC. The relationship between cell phone use, academic performance, anxiety, and satisfaction with life in college students. Comp Hum Behav. 2014;31:343-50.

Junco R. In-class multitasking and academic performance. Comp Hum Behav. 2012;28(6):2236-43.

Chen Q, Yan Z. Does multitasking with mobile phones affect learning? A review. Comp Hum Behav. 2016;54:34-42.

Billieux J. Problematic use of the mobile phone: A literature review and a pathways model. Curr Psychiatry Rev. 2012;8(4):299-307.

Elhai JD, Dvorak RD, Levine JC, Hall BJ. Problematic smartphone use: A conceptual overview and systematic review of relations with anxiety and depression psychopathology. J Affect Disord. 2017;207:251-9.

Cha SS, Seo BK. Smartphone use and smartphone addiction in middle school students in Korea: Prevalence, social networking service, and game use. Health Psychol Open. 2018;5(1).

Misra R, McKean M. College students' academic stress and its relation to anxiety, time management, and leisure satisfaction. Am J Health Stud. 2000;16(1):41-51.

World Confederation for Physical Therapy. Policy Statement: Education. London: WCPT; 2019.

Hamaideh SH. Stressors and reactions to stressors among university students. Int J Soc Psychiatry. 2011;57(1):69-80.

Bedewy D, Gabriel A. Examining perceptions of academic stress and its sources among university students: The Perception of Academic Stress Scale. Health Psychol Open. 2015;2(2):2055102915596714.

Warburton DE, Nicol CW, Bredin SS. Health benefits of physical activity: the evidence. Cmaj. 2006;174(6):801-9.

Kredlow MA, Capozzoli MC, Hearon BA, Calkins AW, Otto MW. The effects of physical activity on sleep: a meta-analytic review. J Behav Med. 2015;38(3):427-49.

Lehoczki A, Csípő T, Lipécz Á, Major D, Fazekas-Pongor V, Csík B, et al. Western diet and cognitive decline: A Hungarian perspective-Implications for the design of the semmelweis study. Nutrients. 2025;17(15):2446.

Kaur H, Saini SK. Prevalence of stress, sleep quality and physical activity among physiotherapy students: a cross-sectional study. Int J Health Sci Res. 2020;10(8):120-6.

Kwon M, Kim DJ, Cho H, Yang S. The smartphone addiction scale: development and validation of a short version for adolescents. PloS One. 2013;8(12):e83558.

Samaha M, Hawi NS. Relationships among smartphone addiction, stress, academic performance, and satisfaction with life. Comput Hum Behav. 2016;57:321-5.

Lemola S, Perkinson-Gloor N, Brand S, Dewald-Kaufmann JF, Grob A. Adolescents’ electronic media use at night, sleep disturbance, and depressive symptoms in the smartphone age. J Youth Adolesc. 2015;44(2):405-18.

Chatterjee S, Kar SK. Smartphone Addiction and Quality of Sleep among Indian Medical Students. Psychiatry. 2021;84(2):182-91.

Nariya, N. Factors associated with Sleep Quality in Undergraduate Physiotherapy Students: A CrossSectional Study. Int J Commun Med Public Health. 2021;8(5):2300-5.

Dharmita, D. Relationship between stress and sleep quality among undergraduate physiotherapy students in India. Int J Physiother Res. 2023;11(2):4450-5.

Zhang Z, Liu Z, Lin Y, Guo M, Xu X, Peng L. Physical activity and sleep quality among Chinese college students: the serial mediating roles of anxiety and depression. Front Psychol. 2025;16:1-8.

Walsh JM, Feeney C, Hussey J, Donnellan C. Sources of stress and psychological morbidity among undergraduate physiotherapy students. Physiotherapy. 2010;96(3):206-12.

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Published

2026-08-29

How to Cite

Singh, A., Singh, P., Bindra, S., & Mansoori, S. (2026). The Exploring the relationship between stress, sleep quality, mobile phone usage and physical activity among physiotherapy students: a survey study. International Journal of Research in Medical Sciences, 14(9), 3966–3972. https://doi.org/10.18203/2320-6012.ijrms20263114

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Section

Original Research Articles