Students, stress and coping strategies: a case of Pakistani medical school.

Community Health Sciences Department, Aga Khan University (AKU) Karachi, Pakistan.
Education for Health 12/2004; 17(3):346-53. DOI: 10.1080/13576280400002585
Source: PubMed

ABSTRACT Assess the perception of stress amongst medical students and their coping strategies. METHODOLOGY/STUDY DESIGN: A cross sectional study using a semi-structured self administered questionnaire was carried out over four weeks, using a small sample of students of all categories and classes of a medical college.
A total of 264 students out of 300 (88%) filled in the questionnaire. Inability to cope, helplessness, increased psychological pressure, mental tension and too much workload are 'stress factors' for students. A considerable majority (> 90%) think that they have been stressed at one time or another. Ninety-four per cent of males have experienced stress. The senior students of the fourth and final year feel more stressed (95% and 98% respectively). Low moods, inability to concentrate, loss of temper are most common symptoms. Females report more symptoms. Academics and exams are the most powerful stressors. Sports, music, hanging out with friends, sleeping or going into isolation are various coping mechanisms. Stress can affect the academic performance. If needed, students prefer to talk to a peer. They demand more recreational activities on campus, revised schedule of academics and exams, better counselling facilities and improvement in student-teacher relationship.
The prevalence of perceived stress seems to be high among medical students, which tends to affect not only their academic performances but also all aspects of health. Review of academics and exam schedules, more leisure time activities, better interaction with the faculty and proper guidance, advisory services and peer counselling at the campus could do a lot to reduce the stress.

1 Bookmark
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Background: Several international studies have shown that abuse or mistreatment is a regular phenomenon faced by medical students. However, there is limited information on medical student abuse/mistreatment in Nigeria. The study was therefore conducted to assess the prevalence and patterns of mistreatment experienced by Medical Students in the University of Calabar. Materials and Methods: A descriptive cross‑sectional study was conducted among 451 undergraduate medical trainees in the University of Calabar. Systematic sampling was used in recruiting participants into the study. A self‑administered questionnaire was then employed to obtain information on patterns of mistreatment experienced by medical undergraduates. Data were analyzed using Statistical Package for Social Scientists version 19 and level of significance set at <0.05. Results: More than a third (35.5%) of all respondents interviewed had experienced one or more forms of mistreatment during their training, with 38.5% of them experiencing it weekly. The most common form of mistreatment experienced was verbal abuse (52.5%), and the main perpetrators of these incidents were medical consultants, (18.6%) other cadre of doctors (17.3%) and lecturers (14.4%). Being in the clinical level of study and aged above 25 years were significantly associated with experiencing mistreatment in this study (P < 0.05). However, only 8.8% reported these incidents. Conclusion: With more than a third of undergraduate medical trainees experiencing mistreatment, development of appropriate strategies for the prevention and reduction of these incidents are strongly recommended.
    Nigerian journal of clinical practice 11/2014; 17(6):678-682. DOI:10.4103/1119-3077.144377 · 0.41 Impact Factor
  • Source
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Background: University students often experience different stresses, which may affect their emotional, psycho-social and physical health. Objectives: to estimate the prevalence of perceived stresses and the effects of studying on health and life style among male students from College of Medicine and College of Applied Studies & Community Service (CASCS) in the University of Dammam, Saudi Arabia. Methods: This was a cross-sectional study conducted among 456 students, 363 from college of medicine, and 93 from CASCS. A self-administered validated Arabic version of "Influence of Studying on Students' Health" questionnaire was used. It consisted of self-reported problems and stresses encountered by students. Chi-squared test was used and a p-value of <0.05 was considered significant. Results: There was a high prevalence of social, emotional, and study problems among medical students (86.6%, 81.3%, and 80.4% respectively). The main problems reported by students of CASCS were family, economic, and study problems (27.7%, 21.8%, and 19.6% respectively). Concentration, recognition, and memory were reported to be worse in 26.8%, 17.6%, and 27.1%, respectively among students of both colleges. Mood disturbances (56.4%), frustration (42.5%), and anxiety and nervousness (38.7%) were the main stresses experienced by students. Curriculum contents (81.4%), teaching methods (68.4%), and fear of failure (63.2%), were the main reasons for being under stress for students of both colleges. Conclusions: Studying affected physical, mental, social, and psychological health of students. Establishment of counseling unit and preventive mental health services are recommended.

Full-text (2 Sources)

Available from
May 20, 2014