To Determine the Prevalence of Perceived Stress and Ascertain the Sources of Stress and the Coping Strategies Adopted by the Undergraduate Medical Students of A Medical College in India
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 5
Abstract
Introduction: In recent years, there is growing appreciation of the stresses involved in medical training. It is critical for medical educators to understand the prevalence and causes of student distress, potential adverse consequences, and institutional factors that can influence student health. Aim: To assess prevalence of perceived stress, identify sources of stress, their severity, determinants of stressed cases and coping strategies adopted by undergraduate medical students. Materials and Methods: A cross-sectional study using self-administered questionnaires was conducted among 150 second year medical undergraduate students of Rama Medical College, Hapur. Prevalence and severity of stress was assessed using a 14-item “Perceived stress scale”. Stressors related to academic, health and psychological domains were assessed using a 39- item questionnaire and common coping strategies used by the students were identified by a brief COPE inventory. Data was analyzed statically to calculate frequency distributions, odds ratio and confidence intervals. Logistic regression analysis was done to find out determinants of stressed cases. Friedman ANOVA was done to find out significant levels of utility of coping strategies. Results: Total 147 students completed the questionnaire. Overall prevalence of stress was 48.98%. Mean PSS score was 27.0 + 6.41. Female students reported significantly higher mean PSS scores than males. Stressed cases were found to be associated with female gender, occurrence of academic and health- related stressors. Quality of food in mess, high self- and parental expectations, frequency and performance in examinations, living conditions in hostel and lack of entertainment in the institution were the most frequent and severe sources of stress. Coping strategies commonly used were planning, acceptance, active coping, positive reframing, self- distraction, emotional support and religion. Perceived stress was significantly likely to engender the use of “self-blaming” and “acceptance”. Conclusion: A higher level of perceived stress was reported by medical undergraduate students. The main determinants were female gender, academic and health stressors. Prospective studies are required to test association between stressed cases and gender, academic and health-stressors, and the coping strategies adopted by the students.
Authors and Affiliations
Dr S. Aggarwal
Keywords
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