scholarly journals Perceived stress and coping strategies among post graduate students of a medical college in Thrissur, Kerala

Author(s):  
Joe Abraham ◽  
C. J. Navya ◽  
Vidhu Joshy

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.

Author(s):  
Maria Mathew ◽  
Navya C J ◽  
Vidhu M Joshy

Coping strategies used by an individual for stress determine its effect on health and the body’s functioning. Academic challenges make the first year medical students disparately susceptible to it. A cross-sectional study was conducted among the first year undergraduate medical students of a private medical college in Thrissur, Kerala to find the prevalence of stress and the coping strategies used with the help of pretested and validated questionnaire containing the Perceived Stress Scale 10 (PSS-10) and Brief COPE Inventory. 73% of the students had moderate stress and, 20% of the students had high-stress scores. Self-distraction and religion {(6.66 ±1.52), (6.55 ±1.58)}were the most common coping strategies used by the boys and girls respectively. The prevalence of stress was high among the first year undergraduate medical students and those with high-stress scores were found to use maladaptive coping strategies.


Author(s):  
SHAMIMA PARVIN LASKER ◽  
DARRYL MACER

An attempt to tackle plagiarism locally, an exercise was developed and evaluated by pre-test and post-test questionnaire on 50 post-Graduate medical students at Department of Public Health & Informatics, Bangabandhu Sheikh Mujib Medical University, Bangladesh in 2017 to understand learner’s understanding regarding plagiarism. The comparative data between pre and post-test have highlighted a general lack of understanding of the basic concept of plagiarism and how to avoid plagiarism which improved after the intervention. For the question how to prevent plagiarism, before intervention, only 36% answered that a paraphrased sentence should be referenced. However, after intervention, responses to the same question significantly increased to 72%. Likewise, pre-intervention for a question of whether an article can be submitted to another journal if the decision is delayed, almost half of the students (48%) were not sure what should to do. But after intervention, all respondents (100%) understood that an article cannot be submitted to another journal if decision delayed. For a question of making two or three articles from same thesis/research with same introduction and method, all most half of the respondent (46%) answered “yes” and approximately half do not know the answer (40%) before intervention. However, after the intervention all respondents (100%) felt they should not make two or three articles with same introduction or methods. Also, after intervention all respondents (100%) felt self-plagiarism is taking paragraph/picture from own article without reference. These results indicate that the intervention of plagiarism education improved the knowledge of this group of post-graduate medical students. Keywords: Copy-cut-paste; Plagiarism; Publication ethics


2021 ◽  
Vol 71 (5) ◽  
pp. 1676-81
Author(s):  
Sawera Mansoor ◽  
Nadia Azad ◽  
Usama Bin Zubair ◽  
Khalid Hayat Khan

Objective: To determine the association of perceived stress and coping strategies with depressive symptoms in students at a private medical college in Islamabad. Study Design: Correlational study. Place and Duration of Study: Foundation University Medical College, Islamabad, from Jun to Dec 2019. Methodology: Fourth and Final year medical students of Foundation university medical college were enrolled in the study. Beck’s Depression Inventory was used to assess the depressive symptoms, perceived stress scale (PSS) was the tool used to look for the perceived stress and the coping strategies were assessed using the Brief Coping Orientation to Problems experienced (Brief COPE) Inventory. The association of perceived stress and coping strategies with depressive symptoms and other sociodemographic factors was established with the help of the chi-square test. Results: Out of 262 medical students included in the study, 211 (80.5%) had none or mild depressive symptoms while 51 (19.5%) had moderate to severe depressive symptoms. Sixty-six (25.2%) had low stress, 127 (48.4%) had moderate stress while 69 (26.3%) reported high stress levels. Pearson chi-square test revealed that perceived stress and the coping strategies used including self-distraction, active coping, denial, substance use, behavioural disengagement, positive reframing, acceptance, religion/spirituality and self-blaming had a statistically significant relationship with the presence of depressive symptoms among the target population. Conclusion: Considerable number of medical students had the presence of moderate to severe depressive symptoms in our study. Perceived stress and some specific kinds of coping strategies had a significant association with the presence of depressive symptoms among the target.......


2021 ◽  
Vol 10 (3) ◽  
pp. 64-83
Author(s):  
T.V. Doronina ◽  
A.E. Okulova ◽  
E.V. Arcishevskaya

In 2020, the world faced the COVID-19 pandemic. Medical workers who are fighting for the lives and health of patients in the "red zones" were on the front line in this struggle. The huge level of responsibility, the increasing duration of shifts, difficult working conditions, fears for their health and the health of their loved ones, and many other factors determined the fact that doctors themselves began to need support for their physical and psychological well-being. The purpose of our work was to study the level of perceived stress in the context of the features of coping strategies in medical professionals with different practical experience (students, practicing doctors) in the conditions of the COVID-19 pandemic. The total number of study participants was 59 people, including 35 experienced medical workers aged 33 to 72 years (M=47,88; SD=9,44) and 24 medical students aged 20 to 29 years (M=24,16; SD=3,21) without professional experience, but who voluntarily went to work in the "red zones" during the pandemic. As a result of the study, data were obtained on high levels of perceived stress and overstrain by medical professionals during the COVID-19 pandemic, which is especially pronounced in students. The differences between experienced doctors and medical students were revealed according to the criterion of their preference for certain coping strategies, namely, the predominance of "Escape–avoidance" coping among students. The connection of dominant coping behavior strategies with the level of perceived stress is also established: students who resort to confrontational coping experience a higher level of perceived stress, and a decrease in their level of overexertion is associated with a greater degree of self-control strategy. Experienced doctors do not have both of these connections.


Author(s):  
Chitvan Singh ◽  
Udeyana Singh ◽  
Anshu Soni ◽  
Rohit Verma

Background: The stress of medical training stems from academic pressure, exhausting work hours and striving for perfectionist standards. The demanding nature also requires involvement with emotionally draining aspects of life (human suffering, death, sexuality and fear). This may impair quality of life of medical students and influence patient care. As a consequence, post graduate medical students can experience an alarming amount of stress-associated anxiety, depression, substance abuse, and even suicide. Chronic stress is also known to influence memory, learning and especially problem-solving abilities which require flexible thinking. The study was carried out to evaluate the relationship of stress to cognitive reappraisal and emotion suppression in post graduate medical students. Methods: 150 post graduate medical students participated in the study. Emotion Regulation Questionnaire and Professional Life Stress Questionnaire were administered on each participant. Data collected was kept confidential. Results were tabulated and statistically analysed.Results: Out of 150 participants, 85 (56.67%) experienced stress. 65 (43.33%) participants had stress in the moderate range, 20 (13.33%) participants had stress in the problematic area for whom remedial action was required. 52% showed high cognitive reappraisal, while 54% showed emotional suppression.Conclusions: The correlation between stress, cognitive reappraisal and between stress, emotion suppression showed weak strengths.


2019 ◽  
Vol 6 (3) ◽  
pp. 1309
Author(s):  
Ramya H. S. ◽  
Nisar Ahamed A. R. ◽  
Rajendra Prasad T. C. ◽  
Muragesh Awati

Background: Post graduate residents in tertiary care teaching hospitals in metropolitan cities bear the overwhelming burden due to heavy workload, they are at high risk of developing burnout syndrome, which in turn may affect hospital outcomes such as the quality and safety of the provided care.  This study was conducted to assess their perceived stress, stress induced somatic symptoms and coping strategies by postgraduates in Bangalore, India.Methods: This cross-sectional study was conducted on all postgraduates willing to participate in the study, pursuing their post-graduation in various specialties in Six medical colleges in Bangalore, India. Stress was assessed by Perceived stress scale (PSS-10), Stress induced physical symptoms using selected items from self-reporting questionnaire (SRQ-20), coping strategies using selected items from BRIEF COPE. Descriptive and inferential statistical analysis has been carried out in the present study.Results: The mean PSS score in present study was found to be 22.92 (moderate stress). Stress was associated with clinical specialty, higher workload, poor sleep quality due to more working hours, marital status, harmful ideations. In present study Post graduates of OBG, pediatrics, radiology demonstrated higher perceived stress score with a mean PSS Score of 25.57, 24.25, 24.22 respectively. Dermatology postgraduates reported lowest stress levels with a mean PSS score of 16.86.Conclusions: In present study post graduates are facing moderate stress, affecting their physical and mental health resulting in dysfunctional coping strategies and harmful ideations like quitting, which has an impact on quality and safety of provided care.


2021 ◽  
pp. 31-32
Author(s):  
Neha Farheen Mushtaq ◽  
Shiva Kumar B K. ◽  
Vinay HR. ◽  
Bramaramba D Honnugudi

Background: Medical students are facing huge challenge due to COVID-19 pandemic which has impacted their learning and has become vital stressor and affecting their psychological well-being. The objective of this study was to assess the perception of the stress among the undergraduate medical students and their coping strategies pre and post lockdown. Materials and Method: A cross-sectional study was conducted on 321 undergraduate medical students at Adichunchanagiri Institute of Medical Sciences, Mandya, Karnataka, India. This study was initiated after getting approval from the Institutional Ethical Committee. After obtaining consent the extent of the students stress was assessed using Perceived Stress Scale and Brief COPE was used to assess their coping strategies. Scores were analysed using paired t test in Microsoft excel/ SPSS software. Results: On paired 't' t test the mean difference in total score was 0.68 and the p value was 0.166 for scores of perceived stress scale, similarly the mean difference in scores of sub groups under coping strategies was 0.90 and 0.49 with 'p' value 0.173 and 0.498 respectively. Conclusion: Overall, there was not much of difference in scores of perceived stress scale and coping strategies before and after lockdown. Except for minor difference across age group and scores of specic coping strategies which was again not statistically signicant.


2020 ◽  
pp. 002076402097131
Author(s):  
Heloísa Monteiro Amaral-Prado ◽  
Filipy Borghi ◽  
Tânia Maron Vichi Freire Mello ◽  
Dora Maria Grassi-Kassisse

Background: The current situation due COVID-19 may cause an eminent impact on mental health because the confinement restrictions. Aims: The aim of this study was to analyze and compare perceived stress, resilience, depression symptoms and coping strategies on the members of University of Campinas, in Brazil, before and during the outbreak of the COVID-19. Methods: Volunteers over 18 years of both sexes, members of the University of Campinas (Unicamp) in Brazil answered instruments related to perceived stress, depression, resilience and coping strategies during final exams at the end of semester during 2018 to 2020. Results: We obtained 1,135 responses (893 before COVID-19 and 242 during COVID-19). The volunteers did not show significant differences for perceived stress, depressive signs and resilience before and during the pandemic. In both periods, men exhibited lower scores for perceived stress and depression and higher scores for resilience when compared to women. Undergraduate and graduate students exhibited higher perceived stress scores, more pronounced depressive signs and lower resilience, and employees and professors presented lower scores for perceived stress, depressive signs and greater resilience. Conclusions: These first months of confinement did not directly affect the scores of perceived stress, depression and resilience, however, each subgroup adapted to the new routine by changing the coping strategy used. This study suggests the importance of monitoring the mental health of member in the university, especially in times of epidemic, in the search for policies that aim to improve the resilience of the population and seek positive and effective coping strategies within the university environment.


2015 ◽  
Vol 12 (4) ◽  
pp. 213-232
Author(s):  
D Shrestha ◽  
R Shrestha

Kathmandu University Medical Journal Vol.12(4) 2014; 231-232


2021 ◽  
pp. 4-22
Author(s):  
Chuong Hock Ting ◽  
Aik Kai Tew ◽  
Joel Petrus Chin ◽  
Jia Yi Lim ◽  
Rubeni Siva ◽  
...  

World Health Organization (WHO) had promulgated Coronavirus Disease 2019 (COVID-19) as a pandemic in the early year 2020. Following that, the National Security Council of Malaysia had announced the implementation of the Movement Control Order (MCO) in March 2020 to curb the disease. This social distancing measure had inevitably induced undesirable psychological responses among the public, including medical students. In this study, we aim to determine the psychological responses of medical students during the MCO period and their coping strategies. This cross-sectional study was conducted among 245 medical students of Universiti Malaysia Sarawak (UNIMAS) from 24th to 30th April 2020, using an online questionnaire comprising demographic data, Depression, Anxiety, Stress Scale (DASS-21), and Brief COPE questionnaire. Nearly 30% of medical students experienced stress, anxiety, or depression. Among all, 9.4% had reported severe anxiety. There were significant differences between avoidance coping strategies and negative psychological responses. In general, the medical students preferred approach coping strategies (M = 29.19, SD = 9.27). Religion (M= 5.62, SD =2.10) was the most favored coping strategy while the least had abused substance (M=2.16, SD.77). A significant statistical difference was revealed in the choice of coping between the genders, for positive reframing, religion, humour, and substance abuse.  Pre-clinical students were noted to have significant stress and anxiety levels and more inclined to use avoidance coping strategies.  Psychological interventions are essential to address the mental health problems among university students during current and future disasters based on the understanding of their coping strategies.


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