ABSTRACT
Introduction: Stress is defined as the body抯 non-specific response or reaction to demands made on it, or to disturbing events in the environment. It has been observed that medical school environments in India are extremely stressful and that this stress has led to suicide attempts by students. At the present time, the COVID-19 pandemic and its consequences are affecting everyone抯 day-to-day life, making medical students more stressed than ever. This study aimed to determine levels of stress in medical students during 2021. Methodology: A web-based cross-sectional study was conducted on first and second-year MBBS students of GMERS Medical College, Gandhinagar, Gujarat, India, using MSSQ-40, a standardized test for determining medical student stress levels. The data was entered and analyzed using MS Excel 2019 and significance was determined using the Mann Whitney U Test. Result: All students enrolled in the study scored between 1 and 2 in all six domains of the MSSQ, suggestive of a moderate degree of stress. The second-year students� scores were higher than those of the first-year students across all domains (1.32, 1.13, 1.11, 1.14, 1.03, and 1.14 in first years, indicative of mild stress, compared with 2.31, 2.10, 1.98, 1.91, 1.87, and 2.05 for second years, indicative of moderate to high stress). The difference was statistically significant in all six domains. Academic-related stress (ARS) received the highest score (1.32 for first years, and 2.31 for second years) followed by intrapersonal and interpersonal-related stressors (IRS) and group activities related stressors (GARS). The scores recorded in this study were comparable with those recorded in pre-pandemic studies, however, suggesting that COVID-19 is not a significant cause of the stress. Conclusion: Second year students were more stressed in all domains compared to first year students. We recommend reducing the number of exams; moving from a marking to a grading system of assessment to ease competition; introducing more ordered timetabling; targeting learning to focus on essential subjects only; and providing better training for group activities.
ABSTRACT
@#Stress is accepted as the accumulation of unpleasant state of physical, mental and emotion on a person. Medical education has been known as one of the most stressful academic curriculum. Hence, medical students may subjected to multiple psychological changes and challenges throughout the years of medical education. The aim of this study was to determine the prevalence of stress and its associated factors among medical students. This cross sectional study was conducted from April to May 2018 in medical school in Sabah. It involved 396 medical students through universal sampling. Self-administered questionnaires were used as an instrument for data collection. The questionnaires included were Sociodemographic Questionnaire, Depression, Anxiety and Stress Scales 21 (DASS-21) and Medical Student Stressors Questionnaire (MSSQ). Bivariate analysis (Chi Square test, Fisher’s Exact Test, Independent T test and Man-Whitney U test) were used to analyse the association. The response rate was 90.2%. The prevalence of stress among medical students were 33.3%. Significant associated factors include financial support inadequacy (p=0.010) and all categories of medical student stressors. The mean score of the academic related stressors was found to be at 2.117 (±0.758) which was the highest mean score among medical student stressors assessed by MSSQ. The result of this study can be used as a basis for implementation of preventive measures such as provision of comprehensive, integrated and responsive mental health care services in university-based settings.@*@#