Perceived stress and coping strategies among post graduate students of a medical college in Thrissur, Kerala
Keywords:Post Graduate, Medical students, Perceived stress, Coping strategies
Background: Medical education is inherently demanding and stressful. Stress is an external constraint which upsets an individual both mentally and physically. The postgraduate students suffer from higher stress that definitely affects the mental wellbeing of these students. Stressors faced by post graduate students include time pressure to meet deadlines, large amount of content to be learnt, work overload, unfair assessment by superior, fears of making mistakes that can lead to serious consequences, work demands affecting personal and home life. Objectives of the study were to assess the perception of stress amongst post graduate medical students and to assess various coping strategies employed by them.
Methods: Predesigned, pretested, validated, self-administered, structured questionnaires were used for data collection over a period of two months. The Perceived Stress Scale (PSS) was used for measuring the perception of stress. Brief COPE inventory was used to assess the various coping strategies medical students use to deal with the stresses in their life.
Results: One fourths of the study subjects (25%) were under high stress while 68.3% of the students were under moderate stress. Use of emotional support, self-distraction and venting were the common coping strategies employed.
Conclusions: The prevalence of perceived stress seems to be high among post graduate medical students. Review of academics and exam schedules, more leisure time activities, advisory services and peer counseling at the campus could do a lot to reduce the stress.
Carter AO, Elzubeir M, Abdulrazzaq YM, Revel AD, Townsend A. Health and lifestyle needs assessment of medical students in the United Arab Emirates. Med Teach. 2003;25(5):492–6.
Shaikh BT, Kahloon A, Kazmi M, Khalid H, Nawaz K, Khan NA, et al. Students, stress and coping strategies: a case of Pakistani Medical School. Educ Heal. 2004;17(3):346–53.
Sawant NS, Mishra K. Are Medical Students Stressed Out?: A Study of Gender Differences and Coping in Undergraduates. Available at https://www.mjpsychiatry.org/index.php/mjp/article/viewFile/344/258. Accessed 1 December 2018.
Chew-Graham CA, Rogers A, Yassin N. ‘I wouldn’t want it on my CV or their records’: medical students’ experiences of help-seeking for mental health problems. Med Educ. 2003;873–80.
Raj SR, Simpson CS, Hopman WM, Singer MA. Health-related quality of life among final-year medical students. Can Med Assoc J. 2000;162(4):509–10.
Gerrity MS. Interventions to improve physicians’ well-being and patient care: A commentary. Soc Sci Med. 2001;52(2):223–5.
Dahlin M, Joneborg N, Runeson B. Stress and depression among medical students: a cross-sectional study. Med Educ. 2005;39(6):594–604.
Stewart SM, Lam TH, Betson CL, Wong CM, Wong AMP. Prospective analysis of stress and academic performance in the first and second year of medical school. Dep community Med Pers Dev Couns Cent Univ Hong Kong Med Educ. 1999;243–50.
Cohen S, Williamson G. Perceived stress scale. Perceived Stress in a Probability Sample of the United States. In: Spacapan S, Oskamp S, eds. The Social Psychology of Health: Claremont Symposium on Applied Social Psychology. Newbury Park, CA: Sage; 1988: 31-67.
Carver C. You want to measure coping but your protocolʼs too long : consider the brief COPE. Int J Behav Med. 1997;4(1):92–100.
Shete A, Garkal K. A study of stress, anxiety, and depression among postgraduate medical students. Chrismed J Heal Res. 2015;2(2):119.
Gupta S, Choudhury S, Das M, Mondol A, Pradhan R. Factors causing stress among students of a Medical College in Kolkata, India. IndiaEduc Heal. 2015;(28):92–5.
Gavali YB, Deore DN. A cross-sectional survey of stressors and coping strategies among the first-year medical students in Kerala. Indian J Clin Anat Physiol. 2018;5(1):20–4.
Shakthivel N, Amarnath VM, Ahamed F, Rath RS, Sethuraman AR, Suliankatchi RA. Level of Perceived Stress and Coping Strategies Prevailing Among 1st year Medical Undergraduate Students: A Cross-sectional study from South India. Int J Med Public Heal. 2017;7(2).
Bamuhair SS, Al-Farhan AI, Althubaiti A, Agha S, Rahman S ur, Ibrahim NO. Sources of Stress and Coping Strategies among Undergraduate Medical Students Enrolled in a Problem-Based Learning Curriculum. J Biomed Educ. 2015;2015:1–8.
Sreeramareddy CT, Shankar PR, Binu VS, Mukhopadhyay C, Ray B, Menezes RG. Psychological morbidity, sources of stress and coping strategies among undergraduate medical students of Nepal. BMC Med Educ. 2007;7:1–8.