Stress level among the final year medical students at an urban medical college: A cross-sectional study
Keywords:Stress, medical students, MSSQ-20, academic related stress
Introduction and Aim: Stress is a condition which is perceived through environmental threats and events and is initiated by stressors. Globally there is a high prevalence of stress among the medical students which impacts the cognitive and learning ability of medical students and also their mental wellbeing. The present study was conducted to identify the stressors and measure the intensity of the stress among final year medical students at AnurbanMedical College in Chennai.
Methods:This cross-sectional studywas conducted among 250 final year undergraduate medical students between JulyandSeptember 2018. The students were exposed to medical student stressor questionnaire (MSSQ-20), consisting of six domains including academic related stressors (ARS), teaching related stressors (TLRS), intrapersonal and interpersonal development stressors (IRS), social related stressors (SRS), desire related stressors (DRS) and group activities related stressors (GARS).The stress levelswere graded as mild, moderate, high and severe.
Results: Majority of the participantswere females(56%) and the mean age was 22.17± 0.94 years. MSSQ-20 analysis showed that 138 (55%) students perceived severe stress due to ARS and 85(34%) students were prone to high stress as a result of GARS. The mean score was higher for ARS, followed by GARS and the least score was observed in DRS.
Conclusion: Since academics and group activities are the most dominant stressors, there is a need for restructuring the medical education delivery system to enable the medical students acquires knowledge without compromising their health and wellbeing.
Saravanan, C., Wilks, R. Medical students' experience of and reaction to stress: the role of depression and anxiety. ScientificWorldJournal. 2014;2014:737382.
Gupta, S., Choudhury, S., Das, M., Mondol, A., Pradhan, R. Factors Causing Stress Among Students of aMedical College in Kolkata, India. Educ Heal. 2015; 28(1):92-95.
Hill, M. R., Goicochea, S., Merlo, L. J. In their own words: stressors facing medical students in the millennial generation. Med Educ Online. 2018;23(1):1530558.
Seedhom, A. E., Kamel, E. G., Mohammed, E. S., Raouf, N. R. Predictors of perceived stress among medical and nonmedical college students, Minia, Egypt. Int J Prev Med. 2019;10:107
Rotenstein, L. S., Ramos, M. A., Torre, M., Segal, J. B., Peluso, M. J., Guille, C., et al., Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students: A Systematic Review and Meta-Analysis. JAMA. 2016;316(21):2214-2236.
Chowdhury, R., Mukherjee, A., Mitra, K., Naskar, S., Karmakar, P. R., Lahiri, S. K. Perceived psychological stress among undergraduate medical students: Role of academic factors. Indian J Public Health. 2017;61(1):55-57.
Singh, G., Hankins, M., Weinman, J. A. Does medical school cause health anxiety and worry in medical students? Med Educ. 2004;38(5):479-481.
Abdulghani, H. M., AlKanhal, A. A., Mahmoud, E. S., Ponnamperuma, G. G., Alfaris, E. A. Stress and its effects on medical students: a cross-sectional study at a college of medicine in Saudi Arabia. J Health PopulNutr. 2011;29(5):516-522.
Koochaki, G. M., Charkazi, A., Hasanzadeh, A., Saedani, M., Qorbani, M., Marjani, A. Prevalence of stress among Iranian medical students: a questionnaire survey.EastMediterr Health J. 2011; 17(7):593-598.
Moutinho, I. L., Maddalena, N. C., Roland, R. K., Lucchetti, A. L, Tibiriçá, S. H., Ezequiel, O. D.,et al., Depression, stress and anxiety in medical students: A cross-sectional comparison between students from different semesters. Rev Assoc Med Bras (1992). 2017;63(1):21-28.
Yusoff, M. S. B. A Multicenter Study on Validity of the Medical Student Stressor Questionnaire (MSSQ). Int Med J. 2011;18(1):14-18.
Dyrbye, L. N., Thomas, M. R., Shanafelt, T. D. Medical student distress: causes, consequences, and proposed solutions. Mayo Clin Proc. 2005;80(12):1613-1622.
Shah, M., Hasan, S., Malik, S., Sreeramareddy, C. T. Perceived stress, sources and severity of stress among medical undergraduates in a Pakistani medical school. BMC medical education. 2010 Dec;10(1):1-8.
Madhyastha, S., Latha, K. S., Kamath, A. Stress and coping among final year medicalstudents. AP J Psychol Med. 2014; 15(1): 74-80.
Shelke, U., Kunkulol, R., Narwane, S. Level of Stress in Final Year Mbbs Students at Rural Medical College: A Cross-Sectional Study. Int J Med Res Heal Sci. 2014; 3(4):886-891.
Guruprakash, K. V., Mehta, S. G., Atul, B., Prakash, J., Divinakumar, K. J., Khan, S. A., et al., A study of relationship between perceived stress, coping pattern, burnout, and general psychopathology among the postgraduate medical students. Ind Psychiatry J. 2018;27(1):141-146.
Kohli, V., Dhaliwal, U. Medical students’ perception of the educational environment in a medical college in India: A cross-sectional study using the Dundee Ready Education Environment questionnaire. J EducEval Health Prof. 2013;10:5.
Pai, P. G., Menezes, V., Srikanth., Subramanian, A. M., Shenoy, J. P. Medical student’s perception of their educational environment. J ClinDiagn Res. 2014;8 (1): 103-107.
Yusoff, M. S., Abdul Rahim, A. F., Yaacob, M. J. Prevalence and Sources of Stress among UniversitiSains Malaysia Medical Students. Malays J Med Sci. 2010;17(1):30-37
Elias,H., Ping, W. S., Abdullah, M. C. Stress and academic achievement among undergraduate students in Universiti Putra Malaysia. Procedia-Social and Behavioral Sciences. 2011; 29:646-655.
Anuradha, R., Dutta, R., Raja, J. D., Sivaprakasam, P., Patil, A. B. Stress and Stressors among Medical Undergraduate Students: A Cross-sectional Study in a Private Medical College in Tamil Nadu. Indian J Community Med. 2017. Oct-Dec;42(4):222-225.
Rahman, A. A., Al Hashim, B., Alhiji, N. K., Al-Abbad, Z. Stress among medical saudi students at College of Medicine, King Faisal University. Journal of Preventive Medicine and Hygiene. 2013;54(4):195-199.
Conrad, D. C. Chronic Stress-Induced Hippocampal Vulnerability: The Glucocorticoid Vulnerability Hypothesis. Rev Neurosci. 2008; 19(6): 395-411.
How to Cite
This work is licensed under a Creative Commons Attribution 4.0 International License.