2. Literature Review
2.1. Conceptualization of Terms: Begadang in Psychological and Health Science Perspectives
According to Sakhowah (2023), sleep is defined as a recurring physiological process that occurs over a specific period. Sleep duration is measured from the moment someone falls asleep until they wake up, while sleep quantity refers to the total optimal sleep time, adjusted for an individual’s age and physical condition (Sakhowah, 2023, citing Pinalosa et al., 2018; Nailufar et al., 2022).
Within the body’s mechanisms, the sleep cycle involves the critical role of homeostasis, where neuron cell activity in the brainstem and neurotransmitter functions produced by the hypothalamus are interconnected. The primary regulation of sleep duration and timing is controlled by the suprachiasmatic nucleus (SCN), a part of the brain that triggers drowsiness at night. Effective management of this sleep-wake cycle significantly influences the body’s behavioral and physiological responses (Sakhowah, 2023, citing Reza et al., 2019).
Sakhowah (2023) explains that short sleep is generally defined as a sleep duration of less than seven hours, often not even reaching five hours per day. Sleep patterns in the adolescent to young adult age group (16-30 years) exhibit different characteristics compared to other age groups, partly influenced by changes in hormonal conditions at the end of puberty (Sakhowah, 2023, citing Pinalosa et al., 2018).
Referring to various recommendations, Sakhowah (2023) highlights that the ideal sleep duration varies according to age group. Generally, young adults (18-25 years) and middle-aged adults (26-64 years) are recommended to sleep for 7-9 hours. Meanwhile, the elderly (aged ≥ 65 years) require approximately 7-8 hours per day, although individuals aged over 60 years (>60 years) often sleep around 6 hours daily (Sakhowah, 2023, citing Hasiando et al., 2019). The latest recommendations from the National Sleep Foundation, also cited by Sakhowah (2023), reinforce that young adults (18-25 years) and adults (26-64 years) ideally sleep 7-9 hours, with a minimum of 6 hours if optimal duration cannot be achieved (Sakhowah, 2023, citing Damay, 2018).
More specifically, Sakhowah (2023) also outlines sleep needs by age according to the Indonesian Ministry of Health (Kemenkes RI, 2018a): infants aged 0-1 months require 14-18 hours; 1-18 months require 12-14 hours; 18 months-3 years require 11-13 hours; 3-6 years require 11 hours (including naps); 6-12 years require 10 hours (including naps); 12-18 years require 8-9 hours; 18-40 years require 7-8 hours; 40-60 years require 7 hours; and seniors >60 years require 6 hours per day (Sakhowah, 2023).
The sleep patterns and duration of each individual vary based on age group. For young adults (18-40 years), normal sleep duration is not significantly different from adolescents, typically 7-8 hours per day with 20-25% REM (Rapid Eye Movement) phase. For middle-aged adults (40-60 years), the total sleep duration is similar, 7-8 hours per day with approximately 20% REM phase. Meanwhile, for older adults (>60 years), the total sleep duration is 6 hours per day with 20-25% REM phase, although it is often accompanied by sleep disturbances such as insomnia and frequent awakenings (Sakhowah, 2023, citing Alfi & Yuliwar, 2018). In Sakhowah’s own research, the recommended normal sleep duration for adults refers to the Kemenkes RI standard, which is 7-8 hours per day (Sakhowah, 2023).
Complementing the understanding of sleep duration, circadian rhythm also plays a crucial role in regulating human physiological and behavioral processes, significantly impacting quality of life (Pradhan et al., 2024). Pradhan et al. (2024) explain that humans experience daily and seasonal cycles caused by the Earth’s rotation on its axis and its revolution around the sun. Nearly all physiological functions in the body, including heart rate, body temperature, sleep-wake cycles, mood, stress response, and menstrual physiology, exhibit rhythms synchronized with this natural periodicity. This phenomenon of rhythm synchronization is mediated through the body’s internal biological clock (Pradhan et al., 2024).
According to Pradhan et al. (2024), there are various types of biological rhythms classified by the duration of one cycle completion, such as circadian rhythms (approximately 24 hours), ultradian rhythms (less than 24 hours), and infradian rhythms (more than 24 hours). Among these various types of rhythms, the circadian rhythm is the most extensively studied and has a significant influence on human health and performance (Pradhan et al., 2024, citing Pati, 2001). Pradhan et al. (2024) also emphasize that although circadian rhythms are highly influenced by light and dark exposure, organisms in constant light or dark conditions still exhibit rhythms with altered phases and periods. This indicates that these rhythms are endogenously controlled in almost all organisms, including humans (Pradhan et al., 2024, citing Kunorozva et al., 2012; Pati, 2001).
Pradhan et al. (2024) further assert that components of physical performance, such as aerobic-anaerobic strength, muscular endurance, and flexibility, as well as hormone secretion, also exhibit circadian rhythms. Therefore, it is important for managers and policymakers involved in competitive sports and athletic events to consider the effects of circadian rhythm on athletes and their performance (Pradhan et al., 2024, citing Sabzevari Rad et al., 2021). Thus, begadang in the context of this study can be defined as a sleep pattern that deviates from the recommended sleep duration and the body’s natural circadian rhythm. This condition is generally characterized by short or irregular sleep times (consistently less than 7 hours).
2.2. Decreased Focus Due to Begadang
Sleep deprivation, whether in the form of partial sleep loss (such as fragmented or short-duration sleep) or total sleep loss (staying awake all night), is proven to have systemic impacts on various human cognitive functions. Research cited by Khan and Al-Jahdali (2023) states that continuous sleep restriction is more damaging than total sleep loss for one night, as explained by Lo et al. (2012). This is closely related to the normal sleep process, which consists of three non-rapid eye movement (NREM) phases and one rapid eye movement (REM) phase, each playing a crucial role in neuron function recovery, emotional regulation, and neurotransmitter receptor restoration. REM phase deprivation leads to impaired threat assessment, while NREM deficiency inhibits the release of certain neurotransmitters, thereby reducing the brain’s ability to restore its sensitivity and efficiency (Eugene & Masiak, in Khan & Al-Jahdali, 2023).
One of the primary impacts of sleep deficiency is an imbalance in the brain’s attention system. Under conditions of adequate sleep, there is coordination between the default mode network (DMN), involved in reflective activities and internal tasks, and the fronto-parietal network (FPN), responsible for external attention. This balance is supported by stimulation from the thalamus, resulting in stable and sustained focus. However, when sleep deficiency occurs, an unbalanced inhibition between DMN and FPN activity leads to disruptions in brain activity, where the DMN becomes overactive and the FPN weakens (Khan & Al-Jahdali, 2023, citing Wang et al., 2015; Kajimura et al., 2020; Fox & Raichle, 2007). Consequently, individuals fail to focus on external tasks because the brain is unable to suppress internal distractions. This explains why students who begadang often experience difficulty maintaining focus in lectures or during important exams.
This decrease in focus is also reflected in visual function and short-term memory. Brain imaging studies show that individuals experiencing sleep deprivation exhibit a significant reduction in the activation of the parahippocampal area (PPA) and fronto-parietal cortex when performing visual tasks, and also experience impaired integration between their parts (Chee et al., 2010). This decline leads to an inability to complete visual tasks requiring precision and high concentration. Similar findings are demonstrated through PET scans, which indicate decreased activity in the thalamus and prefrontal cortex—two brain regions highly associated with attention and alertness (Thomas et al., 2000; Tomasi et al., 2009). Furthermore, lack of sleep also impacts working memory, which is the system that temporarily stores information for active processing in the mind. Pezzulo (2007) explains that this concept, as developed by Baddeley and Hitch (1974), refers to the brain’s capacity to temporarily maintain and manipulate information to complete complex cognitive tasks such as thinking, planning, and language comprehension. Sleep deprivation disrupts memory consolidation processes in the hippocampus, primarily through interference with long-term potentiation (LTP) mechanisms and NMDA receptors, which are essential for long-term memory formation (Hernandez & Abel, 2011; Gais et al., 2007). As a result, individuals may experience reduced recall, speech difficulties, and impaired verbal information processing (Binder et al., 2000).
The impact of sleep deprivation does not stop at attention and memory but also extends to decision-making and emotional control. Yoo et al. (2007) showed that sleep deprivation leads to a disconnect in functional connectivity between the amygdala, which regulates emotions, and the medial prefrontal cortex (mPFC), which functions to inhibit excessive emotional impulses. When this connection is disrupted, individuals become more emotionally reactive to negative stimuli and lose the ability to rationally assess situations. Another study by Killgore et al. (2007) showed that sleep deprivation prolonged latency in moral decision-making, indicating impaired integration between logic and emotion. This phenomenon was also observed in tragic events such as the Challenger Space Shuttle accident (1986), where errors in judgment due to fatigue and working early mornings were identified as major contributing factors (Khan & Al-Jahdali, 2023).
Another affected cognitive aspect is the mesolimbic reward system, a brain network involved in motivation and reward-based decision-making. Krause et al. (2017) revealed that sleep deprivation causes disturbances in this system, leading individuals to exhibit impulsive behavior, increased sensation-seeking, and decreased ability to assess the consequences of actions (Anderson et al., 2018). These behavioral changes directly affect the performance of students and professionals in completing tasks that demand constant evaluation. For instance, a study by Nurlela, Sulvinajayanti, & Afiah (2023) on Indonesian university students showed that the habit of begadang triggers negative moods such as irritability, fatigue, sadness, and lack of motivation. Consequently, students experience decreased concentration, a tendency to procrastinate on assignments, and a decline in their Grade Point Average (GPA). This effect is reinforced by research from Isnaningsih and Sari (2022) which asserts that mental fatigue due to begadang can directly impact academic performance quality.
Overall, scientific evidence indicates that begadang has a complex and damaging impact on the neurological balance required for optimal cognitive function. Disruptions in attention, memory, decision-making, and emotional control become increasingly apparent when sleep patterns are disturbed over prolonged periods. For students and young professionals, these consequences not only reduce productivity but also increase the risk of fatal errors and failure to achieve academic and career goals. Therefore, a deep understanding of the impact of begadang on brain function needs to be instilled as part of mental health education and the formation of a sustainable learning culture.
2.3. Risk of Health Disorders Due to Irregular Sleep Patterns
Irregular sleep patterns, whether insufficient sleep or poor sleep quality, not only affect cognitive function but are also closely linked to an increased risk of various serious physical and mental health disorders, including chronic diseases. Sleep is a fundamental need for the body to rest and recover (Handayani, 2021). However, many individuals, especially adolescents and the elderly, often neglect healthy sleep patterns, leading to inadequate sleep duration and disturbed sleep quality (Handayani, 2021; Rachmadina et al., 2025).
Sleep disturbances have long been associated with an increased risk of cardiovascular and metabolic diseases. For example, in the elderly, irregular sleep patterns such as insomnia and sleep apnea significantly increase the risk of chronic diseases like hypertension and heart disease because poor sleep quality can disrupt blood pressure regulation and increase cardiac workload (Rachmadina et al., 2025, citing Ariyanto, 2023). Sleep apnea, with repeated breathing pauses, causes a drop in blood oxygen levels which triggers oxidative stress, damaging blood vessels and the heart, and increasing the risk of cardiovascular diseases such as heart attack and stroke. This disorder also contributes to insulin resistance and the development of type 2 diabetes (Rachmadina et al., 2025, citing Siregar, 2022). Meanwhile, insomnia can increase cortisol levels, a stress hormone associated with increased appetite and decreased metabolism, leading to unhealthy weight gain, obesity, and lipid disorders (Rachmadina et al., 2025, citing Setiawan & Wulandari, 2023). Poor sleep quality is also linked to blood glucose levels in patients with type 2 diabetes mellitus (Tajiwalar et al., 2023; Amelia et al., 2020, cited in Rachmadina et al., 2025 bibliography). Furthermore, poor sleep patterns also affect liver function, where begadang can increase SGPT or ALT enzyme levels, indicators of liver damage, because it disrupts the organ’s biological clock (Handayani, 2021, citing Suryani, 2019; Choi et al., 2019).
In addition, sleep patterns have a crucial relationship with the balance of the autonomic nervous system (ANS) and cardiovascular health; sleep is a physiological process that regulates the ANS (Rozy & Risdiana, 2019, citing Tobaldini et al., 2013). Sleep disturbances increase the risk of sudden cardiac death due to ANS imbalance and sympathetic nervous system release that alters the Heart Rate Variability (HRV) index, particularly Standard Deviation of all N-N intervals (SDNN). Low SDNN reflects this imbalance (Rozy & Risdiana, 2019, citing Jackowska et al., 2012). Although the research by Rozy & Risdiana (2019) on young adults in Yogyakarta found no significant relationship between sleep pattern disturbances and SDNN, this was due to the majority of respondents having “good” sleep patterns and “very high” SDNN, indicating a balanced ANS (Rozy & Risdiana, 2019). However, they noted that these findings contradict other studies showing that increased sleep pattern disturbances are related to low HRV, emphasizing that varied or disturbed sleep patterns can be predictors of ANS imbalance and cardiovascular disease risk (Rozy & Risdiana, 2019, citing Rodriguez-Colon et al., 2015; Jackowska et al., 2012). From an immunological perspective, sleep deprivation is known to suppress the immune system, making the body vulnerable to infections by reducing cytokine production and disrupting T-cell activity (Irwin et al., 2019; Cohen et al., 2009). Meanwhile, from an endocrinological perspective, chronic sleep deprivation can disrupt the secretion of vital hormones, such as increasing cortisol and affecting the appetite hormones ghrelin and leptin, which explains the increased risk of obesity (Spiegel et al., 2004). Insulin sensitivity can also decrease, increasing the risk of type 2 diabetes, as sleep plays a role in glucose metabolism regulation (Tasali et al., 2008), and disturbances in growth hormone and testosterone production can also occur, affecting overall body recovery and function (Van Cauter & Plat, 2010).
In addition to physical impacts, irregular sleep patterns also trigger psychological problems, which often become the main cause of insomnia in adolescents (Nurmawati et al., 2025, citing Putri, 2017). Anxiety is one of the primary causes of insomnia in adolescents (Nurmawati et al., 2025), where feelings of worry and tension inhibit body relaxation and cause difficulty falling asleep (Novianti & Suadnyana, 2022, cited in Nurmawati et al., 2025). Research shows that anxiety is significantly related to insomnia, even moderate stress levels can lead to severe insomnia (Eliza et al., 2022 in Dwiyanti et al., 2023, cited in Nurmawati et al., 2025), and students experiencing anxiety tend to have poor sleep quality (Tanan et al., 2024, cited in Nurmawati et al., 2025). Academic stress is also a major cause of sleep disturbances in adolescents, where high achievement demands create a heavy mental burden, making adolescents sacrifice sleep time for studying, which actually decreases cognitive function and worsens stress (Nurmawati et al., 2025, citing Ranti, 2022 in Hakim et al., 2024). Riskesdas 2018 data shows that about 9.8% of adolescents experience symptoms of emotional disorders related to stress (Andini et al., 2023, cited in Nurmawati et al., 2025).
Excessive gadget use before bedtime also significantly contributes to insomnia in adolescents (Nurmawati et al., 2025). Exposure to blue light from gadgets inhibits the production of the hormone melatonin, which regulates the sleep-wake cycle (circadian rhythm), making it difficult for the body to feel sleepy (Nurmawati et al., 2025, citing Saputra et al., 2022; Fernando, 2020). Social media use for more than five hours per day is also significantly related to severe insomnia in university students (Fernando & Hidayat, 2020, cited in Nurmawati et al., 2025), and the longer social media is used, the higher the risk of insomnia in adolescents (Cahyani et al., 2023, cited in Nurmawati et al., 2025). Finally, unhealthy lifestyle patterns such as irregular eating habits, excessive caffeine or sugar consumption, and lack of physical activity also trigger sleep disturbances (Nurmawati et al., 2025). Caffeine, especially at night, increases brain activity and inhibits melatonin production, reducing sleep duration and quality (Cahyani et al., 2023, cited in Nurmawati et al., 2025). Overall, irregular sleep patterns are a major trigger for various health risks, from cardiovascular and metabolic disorders to immune and hormonal dysregulation, as well as significant psychological impacts, emphasizing the importance of improving sleep patterns as a key intervention to maintain health and quality of life (Rachmadina et al., 2025, citing Ariyanto, 2023; Siregar, 2022).
2.4. Decreased Emotional Stability and Mental Health
Disturbed sleep patterns do not only affect physical health but also significantly impact an individual’s emotional stability and mental well-being. Stress, defined as a physical and psychological response to pressure (Rivaldi, 2024, citing Speilberger; Donsu, 2017), is a common phenomenon, especially among university students. High academic pressure, adaptation to new environments, financial issues, and personal and social expectations often become triggers for prolonged stress in students (Rivaldi, 2024). If this stress is not managed well, it can disrupt mental health, leading to anxiety, depression, phobias, and obsessive-compulsive disorder, which ultimately hinder their activities and academic performance (Rivaldi, 2024). In this context, impaired physical health, such as sleep deprivation and irregular eating patterns, exacerbates mental conditions; students who frequently stay up late for assignments are at risk of experiencing more serious health problems (Rivaldi, 2024). Internal pressures like high expectations or perfectionist attitudes can also cause anxiety and dissatisfaction, adding to the psychological burden (Rivaldi, 2024). Interestingly, research by Wibisono et al. (2025) specifically demonstrates a significant positive influence between sleep duration and students’ Grade Point Average (GPA), where every additional hour of sleep has the potential to increase GPA by 0.032 points, indicating that sleep duration explains 21.1% of GPA variation (Wibisono et al., 2025). This highlights that sleep deprivation affects not only emotions but also cognitive and academic performance. Therefore, it is crucial for students to recognize stress symptoms, utilize counseling services, learn time management, and build social support to maintain mental balance (Rivaldi, 2024).
The Ministry of Health of the Republic of Indonesia (2024) asserts that mental health is an integral part of the comprehensive health concept, not merely the absence of mental disorders, but also an individual’s ability to be productive, cope with problems, and establish adequate social relationships (Kemenkes RI, 2024). Mental health is influenced by biological, psychological, social, and spiritual (biopsychosociospiritual) factors, where emotional stability, personal resilience, good stress management, and harmonious relationships with adequate social support play crucial roles (Kemenkes RI, 2024). Mental health problems (mental disorders), if not addressed promptly, can lead to permanent psychological disability (psychosocial disability), with WHO data indicating that 1 in 8 people worldwide suffer from mental problems or disorders (Kemenkes RI, 2024). In Indonesia, the prevalence of mental health problems, including depression and suicidal ideation, is also high, especially in the 15-24 age group and among women (Kemenkes RI, 2024). This implies that mental health issues affect people across various genders, ages, and socioeconomic backgrounds, affirming that these disorders occur throughout the human lifespan (Kemenkes RI, 2024). Furthermore, the condition of mothers experiencing depression or anxiety during pregnancy and postpartum negatively impacts the emotional development and adaptation of children into adolescence (Kemenkes RI, 2024). The adolescent phase itself, with significant physical and hormonal changes, can be a source of restlessness and concerns about body image, identity, and emotional regulation, all of which can affect mental well-being (Kemenkes RI, 2024). Data from the Indonesian National Adolescent Mental Health Survey (INAMHS) reports that 1 in 3 Indonesian adolescents aged 10-17 years have at least one mental problem or disorder, yet few seek professional help due to stigma and shame (Kemenkes RI, 2024).
In the context of emotions, Goleman (2016, in Amalia et al., 2024) classifies various types of emotional disturbances that affect mental stability, including pleasant emotions such as euphoria, elation, exaltation, and ecstasy which, despite being positive, can become unstable if excessive. Conversely, negative emotional disturbances include anhedonia (inability to feel pleasure), loneliness, shallowness of affect (flat or blunted emotions), affect and emotions inconsistent with the situation, labile emotions (rapid changes without control), affect variation (emotions changing throughout the day), rigid affect, ambivalence (inappropriateness of feelings), apathy (reduced affect and emotion accompanied by indifference), anger (fury expressed aggressively), depression (feelings of sadness and dejection), and anxiety (anticipatory emotional responses such as restlessness, worry, or nervousness) (Amalia et al., 2024). To manage emotions, particularly anger, Goleman (2016, in Amalia et al., 2024) emphasizes the importance of recognizing angry emotions, controlling them to prevent excess and aggressive behavior, and alleviating anger through activities such as solitude, exercise, or relaxation techniques (Amalia et al., 2024). Furthermore, expressing angry emotions assertively is also crucial, allowing an individual to convey honest feelings without hurting others (Amalia et al., 2024). Factors triggering anger can stem from external and internal sources, including physical factors like excessive fatigue, as well as psychological factors such as low self-esteem, arrogance, or egoism (Amalia et al., 2024). Various anger management techniques and programs have been developed to train individuals in identifying triggers, controlling responses, and building effective communication (Amalia et al., 2024, citing Yunere et al., 2019; Marcus & Mattiko, 2007). Thus, the decline in emotional stability and mental health issues are closely linked to poor sleep quality and represent serious challenges requiring comprehensive intervention, both from individuals and institutional support.
2.5. Case Studies and Actual Phenomena
Sleep pattern disturbances, particularly staying up late (begadang), are a widespread phenomenon among adolescents and young adults, with significant implications for emotional stability and mental health. This phenomenon is highlighted not only from medical and psychological perspectives but is also relevant in religious studies and social behavior.
From a religious perspective, Nurip Almunawir (2021) in “The Prohibition of Staying Up Late as an Islamic Immunity Maintenance Perspective” examines hadith about the prohibition of staying up late, emphasizing the importance of this teaching as an effort to maintain bodily immunity (Almunawir, 2021). This qualitative research, which uses takhrij and syarah hadith methods with contemporary analysis, shows that the hadith narrated by Imam Ahmad No. 18945, which states “The Messenger of Allah ﷺ disliked sleeping before the Isha prayer and disliked talking (chatting, gossiping) after it (after Isha),” is authentic (sahih) and can be accepted as an Islamic argument (Almunawir, 2021). Almunawir (2021) explains that the Messenger’s dislike of staying up late, especially for permissible or unimportant matters, is based on its potential impacts such as missing night prayers or Fajr (Subuh) prayers (Almunawir, 2021, citing Al-’Asqalani, 2005). Although the original ruling is makruh (disliked), staying up late can become permissible (mubah) if it is for common good, or even forbidden (haram) if it is for disobedience (Almunawir, 2021, citing Fuad, 2020). The habit of staying up late, according to Almunawir (2021), negatively affects the body, causing fatigue, dizziness, dark under-eye circles, muscle pain, increased appetite (contributing to obesity), increased blood sugar levels, and decreased working memory capacity (Almunawir, 2021, citing Arieselia et al., 2014; Herwanto & Umboh, 2017; Purnama, 2021; Reza et al., 2019). A noisy environment in the morning can also disrupt the sleep quality of those who stay up late, even though quality sleep requires a quiet atmosphere at night (Almunawir, 2021, citing Rahmawati et al., 2021). Therefore, avoiding staying up late is essential to maintaining a healthy lifestyle and boosting body immunity (Almunawir, 2021). To overcome this habit, it is recommended to avoid excessive caffeine, not take overly long naps, calm the mind before sleep, keep gadgets away, maintain room temperature, turn off lights, complete tasks during the day, and avoid unimportant conversations near bedtime (Almunawir, 2021, citing Adzani, 2021; Sulistiyani, 2012).
A quantitative study by Ramadita, Harsanti, and Harmoni (2023) specifically investigated the effect of academic stress on sleep quality in final-year university students. With a sample of 130 students from at least semester 7 who were working on their thesis, the study found that academic stress significantly affected sleep quality (Ramadita et al., 2023). Simple linear regression test results showed a significance value of 0.000 (p < 0.01) and an R Square value of 0.294, meaning academic stress contributed 29.4% to sleep quality, while the remaining 70.6% was influenced by other factors outside the study (Ramadita et al., 2023). Ramadita et al. (2023) explained that pressure to complete studies and thesis, both from campus and parents, can trigger stress that disrupts focus, appetite, and especially sleep quality, even causing nightmares (Ramadita et al., 2023, citing Mayoral, 2016; Shenoy, 2000; Ambarwati, Pinilih, & Astuti, 2017). This phenomenon occurs because stress triggers the release of hormones such as adrenaline, norepinephrine, and cortisol, which disrupt the central nervous system, keeping individuals awake or making it difficult to maintain sleep (Ramadita et al., 2023, citing Yusa & Triadi, 2022). Specific sources of academic stress for final-year students include difficulties in writing a thesis, finding references, time constraints, and repeated revision processes (Ramadita et al., 2023, citing Wulandari, 2012). These findings are consistent with previous research showing a significant relationship between academic stress and sleep quality in university students (Ramadita et al., 2023, citing Shofia & Trihandayani, 2023; Noveni et al., 2022; Giese et al., 2013; Becker et al., 2015). In addition to academic stress, Ramadita et al. (2023) also identified other factors affecting sleep quality, such as lifestyle, environment, caffeine and alcohol consumption, diet, and smoking (Ramadita et al., 2023, citing Berman, Snyder, & Frandsen, 2022).
Another study by Purwanto, Anganti, Yahman, and Hirdhania (2019) identified the characteristics of sleep disturbances in productive age (15-44 years) and middle age (44-64 years) in Surakarta City. This observational study with a cross-sectional design involved 459 respondents and used the Insomnia Severity Index (ISI) questionnaire (Purwanto et al., 2019). The results showed that the majority of respondents experienced mild insomnia (45.5%) and moderate insomnia (41.0%), with only 8.1% not experiencing insomnia (Purwanto et al., 2019). The main problem most commonly experienced was difficulty initiating sleep (80.2%), followed by difficulty maintaining sleep (54.7%) and waking up too early (44.0%) (Purwanto et al., 2019). As many as 62.1% of respondents were dissatisfied with their sleep, and 66.9% felt that their sleep problems affected their quality of life (Purwanto et al., 2019). The majority (46.3%) of respondents experiencing insomnia were at 20 years old (Purwanto et al., 2019). Purwanto et al. (2019) explained that in their 20s, sleep difficulties are often caused by overthinking, working on college assignments, and the habit of playing gadgets before sleep, which collectively disrupt sleep schedules and health (Purwanto et al., 2019). Written interview results also indicated that using gadgets before sleep, even with the intention of helping to fall asleep, often paradoxically causes sleep difficulties because respondents get engrossed in watching movies or videos (Purwanto et al., 2019). Other factors causing difficulty maintaining sleep include the habit of drinking before sleep which triggers waking up to use the bathroom, or thinking about unfinished tasks (Purwanto et al., 2019). Solutions attempted by respondents to overcome insomnia included turning off lights, reciting dhikr, listening to murottal (Quran recitation), washing face/performing ablution (wudhu), playing gadgets, forcing themselves to sleep, and reading books (Purwanto et al., 2019). Purwanto et al. (2019) affirmed that sleep disturbances remain a significant problem in productive and middle-aged individuals in Surakarta, and therapy for sleep initiation difficulties is crucial to improving daily activities and the quality of life for sufferers (Purwanto et al., 2019).
The phenomenon of sleep disturbance is also evident in the case study by Karlina and Fitriani (2022) which examined the healthy behaviors of students at the Faculty of Social Sciences (FIS) Universitas Negeri Padang (UNP). This qualitative research was motivated by data showing that 818 FIS UNP students sought treatment at the university clinic between 2020-2022, making it the faculty with the highest number of students seeking treatment (Karlina & Fitriani, 2022). Based on observations, interviews with 16 informants (active FIS UNP students attending in-person lectures and involved in student organizations), and document studies, this research identified several healthy behaviors applied by students (Karlina & Fitriani, 2022). These behaviors included maintaining eating patterns at least twice a day, consuming vegetables, fruits, and supplements/vitamins to maintain body immunity (Karlina & Fitriani, 2022). Despite economic limitations, students were able to prioritize basic needs and manage their allowance to buy fruits or receive staple food deliveries from parents (Karlina & Fitriani, 2022). In addition, students also engaged in physical activities such as light exercise for at least 10 minutes a day, increasing walking, or activities like cleaning their homes/dorm rooms (Karlina & Fitriani, 2022). They also accustomed themselves to sleeping at 10:00 PM and avoiding staying up late (begadang), as well as managing assignment completion time so as not to disrupt sleep patterns (Karlina & Fitriani, 2022). Students also demonstrated personal hygiene behaviors by bathing 2-3 times a day, habitually washing hands, and washing clothes after a single use (Karlina & Fitriani, 2022). Finally, maintaining a clean dorm environment by sweeping, disposing of trash, and regularly participating in mutual cooperation (gotong royong) were also part of their healthy behavior practices (Karlina & Fitriani, 2022). These healthy behaviors were adopted in response to the threat of various diseases, including COVID-19 and monkeypox (Karlina & Fitriani, 2022).
In a further literature review on the impact of staying up late (begadang), Aulia, Sianturi, Ginting, Siregar, Sigalingging, Tarihoran, Siregar, Manalu, Ihsan, and Harahap (2025) elaborated on the effects of staying up late on physical and mental health. They defined staying up late as the habit of staying awake at night and sleeping in the morning or daytime, caused by various factors such as work demands, studies, and entertainment (Aulia et al., 2025). Their research highlighted that sleep deprivation due to staying up late can cause fatigue, metabolic disorders, and an increased risk of chronic diseases such as diabetes, obesity, and heart disease (Aulia et al., 2025, citing Cappuccio et al., 2010; Taheri et al., 2004). Furthermore, cell regeneration and organ recovery are also disrupted if the body does not get enough rest (Aulia et al., 2025). From a mental health perspective, sleep deprivation is strongly associated with increased stress levels, anxiety, and decreased cognitive performance (Aulia et al., 2025). To reduce the negative impacts of staying up late, it is recommended to implement a consistent sleep schedule, avoid caffeine before bedtime, and create a comfortable sleeping environment. Thus, individuals are expected to be wiser in managing their sleep time to improve overall physical and mental health (Aulia et al., 2025).
Overall, from a visual communication design perspective, R. P. Wijaya (2023) in his research on “Designing a Digital Illustration Book as a Social Campaign Medium about the Dangers of Staying Up Late (Begadang) for Productive Age Adolescents” identified that a lack of awareness among adolescents regarding the impact of staying up late and low reading interest are problems (Wijaya, 2023). Based on interviews with dr. Muhammad Jalul M, he explained that sleep difficulties in adolescents are often caused by changes in sleep patterns, caffeine consumption, stress, noisy environments, and certain medical conditions. The impacts of staying up late include headaches, excessive drowsiness, easy fatigue, hypertension, heart disease, diabetes, and poor concentration (Wijaya, 2023). Recommended solutions include regular sleep schedules, breathing exercises, physical exercise, limiting caffeine, increasing daytime activity, adequate naps, avoiding smoking, and maintaining a comfortable bedroom (Wijaya, 2023). Actual phenomena found through observation show that 24-hour coffee shops in Surabaya become gathering places for adolescents to stay up late, often to do assignments, play games, or socialize (Wijaya, 2023). The coffee shop environment, which supports excessive tobacco and coffee consumption, exacerbates the physical and psychological health risks due to staying up late (Wijaya, 2023). This reinforces that lack of rest can affect memory and concentration, negatively impacting adolescents’ academic achievement (Wijaya, 2023). Wijaya’s (2023) literature study also reviewed illustration books such as “The Importance of Sufficient Sleep for Teenagers” by Karillah Noriza Jasmin and “Wake Up Sloth!” by Aulia Hanifa, which use engaging language and visuals to raise adolescents’ awareness about the importance of sleep (Wijaya, 2023). Based on interview results, observations, and literature study, Wijaya (2023) concluded that productive age adolescents (9-24 years old) require engaging visual learning media, such as digital illustration books, to increase awareness about the dangers of staying up late (Wijaya, 2023). The design of this book, with a comic illustration and flat design style, the use of soft and calming colors, and a single main character depicting an adolescent affected by staying up late, aims for the message to be easily digestible and to focus on the dangers of staying up late (Wijaya, 2023). The campaign techniques used are reward (explaining good and bad impacts) and visual arrangement (visually pleasing depiction), which are expected to foster adolescents’ awareness of the importance of healthy sleep patterns (Wijaya, 2023). This indicates an urgent need for innovative interventions relevant to the current lifestyle of adolescents.
2.6. Synthesis and Research Conceptual Direction
The various literature reviews and case studies above comprehensively describe the multifaceted impacts of staying up late (begadang) and irregular sleep patterns on individuals, particularly adolescents and young adults. The definition of sleep, encompassing duration and essential circadian rhythms (Sakhowah, 2023; Pradhan et al., 2024), serves as a foundation for understanding sleep pattern deviations as triggers for health problems. Sleep deprivation has been neurologically proven to impair focus, affect the balance of brain networks such as the DMN and FPN, and decrease working memory capacity and memory consolidation (Khan & Al-Jahdali, 2023). Furthermore, its impact extends to decision-making, emotional control, and the mesolimbic reward system, significantly affecting academic performance and impulsive behavior (Yoo et al., 2007; Krause et al., 2017; Nurlela et al., 2023; Isnaningsih & Sari, 2022).
Moreover, poor sleep quality is strongly correlated with an increased risk of serious physical health disorders, including cardiovascular diseases, metabolic conditions such as hypertension, obesity, and type 2 diabetes, as well as liver dysfunction (Rachmadina et al., 2025; Handayani, 2021). This condition also disrupts the balance of the autonomic nervous system, suppresses the immune system, and impairs the regulation of vital hormones, all of which contribute to a decline in overall health and quality of life (Rozy & Risdiana, 2019; Irwin et al., 2019; Spiegel et al., 2004). Psychologically, irregular sleep patterns are often at the root of declining emotional stability and mental health problems, triggering stress, anxiety, and depression, as data on the prevalence of mental disorders in Indonesia also show high rates in the productive age group (Nurmawati et al., 2025; Rivaldi, 2024; Kemenkes RI, 2024). External factors such as academic demands, excessive gadget use (Wijaya, 2023), and unhealthy lifestyles further exacerbate this phenomenon.
Although literature has widely identified the impacts and risks of staying up late, and some case studies have shown healthy behavior adaptation efforts (Karlina & Fitriani, 2022), there remains a gap in the literature regarding innovative and engaging interventions that can both raise awareness and encourage real behavioral change in the productive age group. Wijaya (2023) highlighted adolescents’ low awareness of the dangers of staying up late and minimal reading interest as obstacles. Therefore, this research departs from the need to bridge this gap by exploring innovative conceptual and action strategies that not only educate but also motivate individuals to adopt healthy sleep patterns. The conceptual direction of this research will focus on developing critical and creative ideas to create solutions that encourage real action in maintaining sleep patterns, considering psychological, social, and effective communication design aspects to target the younger generation. This is expected to contribute to a deeper understanding of how stimulated awareness can be converted into long-term behavioral change for overall improvement in quality of life and mental health.