Abstract
Background and Aim: Students are exposed to new educational environment when they enter medical colleges. Huge syllabus, peer stress, stress of hostel life and examination are among the major factors for development of stress in medical students. We carried out this study to assess prevalence of stress among medical students and to find out the change in level of stress before examination.
Materials and Methods: Two stage surveys were carried out among first year medical students 8 weeks and 1 week before first professional M.B.B.S. examination. Kessler Psychological Distress Scale (K10) was used to record the response about perceived stress. Questionnaire was distributed among 116 students after verbal consent. Collected filled up questionnaire was coded in Microsoft Excel® spreadsheet. Data were presented as mean, standard deviation and percentage. Chi-square test and t-test were used according to necessity in Microsoft Excel®.
Results: Survey carried out 8 weeks before examination had 94% survey response rate. Sixty nine percent students had different level of stress, among them 17% had severe stress. Survey carried out 1 week before examination had survey response rate 84%. In this stage, 94% students had stress, among them 37% had severe stress and increase in stress level was statistically significant (p<0.0001). Mean score of individual item of the scale also showed increase in stress among students 1 week before examination.
Conclusion: Majority of first year medical students have mild to moderate level of stress. Stress level increases before the examination. Most of them have moderate to severe stress before examination.
Keywords: Kessler Psychological Distress Scale, Medical students, Perceived stress, Psychological distress.
References
1. Supe A N. A study of stress in medical students at Seth G.S. Medical College. J Postgrad Med 1998;44:16
2. Mondal H, Mondal S, Das D. Learning style preference for basic medical science: A key to instructional design. Int J ClinExpPhysiol 2016;3:122-6.
3. Kumar GS, Jain A, Hegde S. Prevalence of depression and its associated factors using Beck Depression Inventory among students of a medical college in Karnataka. Indian J Psychiatry 2012;54:2236
4. Thakur D, Oomen ER. Effect of Examination Stress on Physiological and Psychological Parameters among Undergraduate Medical Students. Int Res Pub Med Sci 2015;1(3):64-8.
5. Shah SJ, Patel HM. Effect of Examination Stress on Parameters of Autonomic Functions in Medical Students. International Journal of Science and Research 2014;7:273-6.
6. Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL, et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002;32(6):959-76.
7. Solanky P, Desai B, Kavishwar A, Kantharia SL. Study of psychological stress among undergraduate medical students of Government Medical College, Surat. Int J Med Sci Public Health 2012; 1:38-42.
8. Nagajyothi V, Devi BV, Radhika Rani KC, Bharathi U. Study of Psychological Stress among Under Graduate Medical Students of Sri Venkateswara Medical College, Tirupati. IOSR Journal of Dental and Medical Sciences 2015;14:33-6.
9. Khanal AB. Sampling. In: Mahajan's Methods in Biostatistics for Medical Students and Research Workers, 8th ed. New Delhi, India: Jaypee Brothers Medical Publishers (P); 2016.p.117-8.
10. Mondal H, Mondal S. Sample size calculation to data analysis of a correlation study in Microsoft Excel® : A hands-on guide with example. Int J ClinExpPhysiol 2016;3:180-9.
11. Vaz RF, Mbajiorgu EF, Acuda SW. A preliminary study of stress levels among first year medical students at the University of Zimbabwe. Cent Afr J Med. 1998;44(9):214-9.
12. Abdulghani HM, AlKanhal AA, Mahmoud ES, Ponnamperuma GG, Alfaris EA. 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):516–22.
13. Saipanish R. Stress among medical students in a Thai medical school. Medical Teacher 2003;5:502-6.
14. Essa A. Stress and its effect on medical students Performance in Tikrit University College of Medicine. Tikrit Journal of Pharmaceutical Sciences 2013;9(1):108-21.
15. Shendarkar AT, Patil V. A Study of Stressors in Medical College Students (Hostelities) In Northern Maharashtra. J Indian Acad Forensic Med 2013;35:227-9.
DOI: https://dx.doi.org/10.18535/jmscr/v5i3.03
