Prevalence of stress, stressors, and coping strategies among medical undergraduate students in a medical college of Mumbai

Parmeshwar Satpathy; Nafeha Siddiqui; Darshan Parida; Roshan Sutar

doi:10.4103/jehp.jehp_1395_20

Prevalence of stress, stressors, and coping strategies among medical undergraduate students in a medical college of Mumbai

J Educ Health Promot. 2021 Aug 31:10:318. doi: 10.4103/jehp.jehp_1395_20. eCollection 2021.

Authors

Parmeshwar Satpathy¹, Nafeha Siddiqui², Darshan Parida³, Roshan Sutar⁴

Affiliations

¹ Department of Community Medicine, Veer Surendra Sai Institute of Medical Sciences and Research, Burla, Odisha, India.
² Department of Community Medicine, Hinduhridaysamrat Balasaheb Thackeray Medical College, Mumbai, Maharashtra, India.
³ Department of Community and Family Medicine, All India Institute of Medical Sciences Bhopal, Bhopal, Madhya Pradesh, India.
⁴ Department of Psychiatry, All India Institute of Medical Sciences Bhopal, Bhopal, Madhya Pradesh, India.

Abstract

Background: Stress is a subjective experience which creates an obstacle in a person's path of achieving his or her goals. It creates negative outcomes among the population. Medical curriculum is very vast and stressful. As doctors are the very important part of society, medical students must be allowed to learn their trade in a stress-free environment. The present study aimed to assess the perceived stress, various sources of stress among medical undergraduate students, and the coping strategies adopted.

Materials and methods: This was a cross-sectional study conducted among medical under-graduate students studying at a tertiary care hospital situated in Mumbai city of Maharashtra between January and June 2018. Using purposive sampling technique, a total of 450 medical students from 1^st year to final year were invited to participate in the study. A self-administered questionnaire consisting of sociodemographic details and perceived stress scale questions was used. Logistic regression analysis was carried out to assess the determinants of stress. Odds ratio, 95% confidence interval was calculated. P < 0.05 was considered statistically significant.

Results: The overall response rate was 79.11%, with 356 out of 450 students returning the questionnaire. Among 356 participants, 324 participants (91%) were suffering from high levels of stress. Factors such as curriculum vastness, frequency of examination, competition with peer, performance in examinations, worry about future, loneliness, relation with opposite sex, and quality of food played a major role in creating additional stress.

Conclusions: The perceived stress was higher among female medical students. Academic factors are greater perceived cause of stress in medical students in this study. A substantial proportion of medical undergraduate students were found to be stressed which necessitates appropriate and timely interventions. Reframing the academic curriculum along with examination and evaluation patterns, incorporating extracurricular activities, and establishment of counselling cells in the institution is the need of the hour.

Keywords: Coping strategies; Maharashtra; medical students; perceived stress scale; stress; stressors.