Stressors Among Medical Undergraduates During COVID 19 Era by Using Medical Students' Stressor Questionnaire (MSSQ-40) Scale

Authors

  • Ashutosh Jogia GMERS Medical College, Gandhinagar, Gujarat
  • Priyanka Jogia GMERS Medical College, Junagadh

DOI:

https://doi.org/10.55489/njcm.1305202210

Keywords:

MSSQ, Stress, Covid-19, Medical educaion

Abstract

Introduction: Stress is defined as the body’s non-specific response or reaction to demands made on it, or to disturbing events in the environment. It has been observed that medical school environments in India are extremely stressful and that this stress has led to suicide attempts by students. At the present time, the COVID-19 pandemic and its consequences are affecting everyone’s day-to-day life, making medical students more stressed than ever. This study aimed to determine levels of stress in medical students during 2021.

Methodology: A web-based cross-sectional study was conducted on first and second-year MBBS students of GMERS Medical College, Gandhinagar, Gujarat, India, using MSSQ-40, a standardized test for determining medical student stress levels. The data was entered and analyzed using MS Excel 2019 and significance was determined using the Mann Whitney U Test.

Result: All students enrolled in the study scored between 1 and 2 in all six domains of the MSSQ, suggestive of a moderate degree of stress. The second-year students’ scores were higher than those of the first-year students across all domains (1.32, 1.13, 1.11, 1.14, 1.03, and 1.14 in first years, indicative of mild stress, compared with 2.31, 2.10, 1.98, 1.91, 1.87, and 2.05 for second years, indicative of moderate to high stress). The difference was statistically significant in all six domains. Academic-related stress (ARS) received the highest score (1.32 for first years, and 2.31 for second years) followed by intrapersonal and interpersonal-related stressors (IRS) and group activities related stressors (GARS). The scores recorded in this study were comparable with those recorded in pre-pandemic studies, however, suggesting that COVID-19 is not a significant cause of the stress.

Conclusion: Second year students were more stressed in all domains compared to first year students. We recommend reducing the number of exams; moving from a marking to a grading system of assessment to ease competition; introducing more ordered timetabling; targeting learning to focus on essential subjects only; and providing better training for group activities.

References

Rosenham, D. L., & Seligman, M. E. Abnormal psychology (2nd ed.). New York: Norton, 1989.

Selye, H. Stress without distress. New York: Harper & Row, 1974.

Lazarus R.S. Theory-Based Stress Measurement, Psychology Inquiry, 1990: 1 (1); 3-13. doi: https://doi.org/10.1207/s15327965pli0101_1

Lazarus, R. S., & Folkman, S. Stress, appraisal, and coping. New York: Springer, 1984.

Gupta S, Choudhury S, Das M, Mondol A, Pradhan R; Factors Causing Stress Among Students of a Medical College in Kolkata , India. Educ Heal., 2015; 28(1):92-5. doi: https://doi.org/10.4103/1357-6283.161924 PMid:26261123

Kishor Surwase et al., A cross sectional study of stress among Medical Students in Government MedicalCollege, Nagpur Sch. J. App. Med. Sci., Sep 2016; 4(9A):3229-3232

Siraj HH, Salam A, Roslan R, Hasan NA, Jin TH, Othman MN; Stress and its association with the academic performance of undergraduate fourth year medical students at UniversitiKebangsaan Malaysia. Int Med J Malaysia, 2014; 13(1):19-24. doi: https://doi.org/10.31436/imjm.v13i1.488

Shim et al. Measuring stress in medical education: validation of the Korean version of the higher education stress inventory with medical students, BMC Medical Education (2016) 16:302 doi: https://doi.org/10.1186/s12909-016-0824-9 PMid:27881178 PMCid:PMC5121937

Coentre R, Góis C. Suicidal ideation in medical students: recent insights. Adv Med Educ Pract. 2018 Nov 29;9:873 880. doi: https://doi.org/10.2147/AMEP.S162626. PMID: 30568525; PMCID: PMC6276609.

Brahmbhatt KR, Nadeera VP, Prasanna KS, Jayram S. Perceived sources of stress among medical undergraduate in a private Medical College in Mangalore, India. Int J Biomed Adv Res 2013;4:133 5. doi: https://doi.org/10.7439/ijbar.v4i2.299

Yusoff, Muhamad Saiful Bahri& Fuad, Ahmad. (2010). The Medical Student Stressor Questionnaire (MSSQ) Manual. doi: https://doi.org/10.1037/t15334-000

Yusoff MSB, Yee L, Wei L, Meng L, Bin L, Siong T, et al. A study on stress, stressors and coping strategies among

Malaysian medical students. Int J Stud Res 2011; 1(No 2). Taking Research Forward; 45-50. 2011;1. doi: https://doi.org/10.5549/IJSR.1.2.45-50

Yee L, Yusoff MSB. Prevalence and sources of stress among medical students in UniversitiSains Malaysia and Universiteit Maastricht. Educ Med J 2013;5. doi: https://doi.org/10.5959/eimj.v5i4.190

Bob MPC, Pirlog R, Buzoianu A. Personality factors associated with academic stress in first year medical students. Human Veterin Med Int J Bio?ux Soc 2014; 6(1): 40e44.

Upadhayay NKR, Paudel BH. Stressors and cognitive functions inmedical and dental students. J Res Med Educ Ethic 2014; 4(2): 209e2013. doi: https://doi.org/10.5958/2231-6728.2014.00891.9

Yusoff MSB, Rahim AFA, Yaacob MJ. The development and validity of the Medical Student Stressor Questionnaire (MSSQ). ASEAN J Psychiatry 2010; 11(1): 13e24 doi: https://doi.org/10.1037/t15334-000

Supe AN. A study of stress in medical students at Seth GS Medical College. Postgrad Med J 1998; 44:1.

Ghosal, K., Behera, A., Study on prevalence of stress in medical students, J Res Med Dent Sci, 2018, 6(5):182-186

Eva EO, Islam MZ, Mosaddek AS, et al. Prevalence of stress among medical students: A comparative study between public and private medical schools in Bangladesh. BMC Res 2015; 8:327. doi: https://doi.org/10.1186/s13104-015-1295-5 PMid:26223786 PMCid:PMC4520268

Kumaraswamy N, Ebigbo PO. Stress among second year medical students: A comparative study. Indian J Clin Psychol 1989.

Sathidevi VK. Prevalence of stress among final year MBBS students in Kerala. IJCMR 2017; 4:2157-60.

Patil SK, Patkar US, Patkar KU. Comparison of levels of stress in different years of M.B.B.S. students in a medical college-An observational study. IJCMR 2016; 3:1655-7.

Panchu P, Bahuleyan B, Vijayan V. An analysis of the factors leading to stress in Indian medical students. Int J Clin Exp Physiology 2017; 4:48 doi: https://doi.org/10.4103/ijcep.ijcep_58_16

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Published

2022-05-31

How to Cite

1.
Jogia A, Jogia P. Stressors Among Medical Undergraduates During COVID 19 Era by Using Medical Students’ Stressor Questionnaire (MSSQ-40) Scale. Natl J Community Med [Internet]. 2022 May 31 [cited 2024 Mar. 29];13(05):304-7. Available from: https://www.njcmindia.com/index.php/file/article/view/10

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Original Research Articles