ROLE OF STRESS AND SELF-ESTEEM IN ACADEMIC PERFORMANCE OF MEDICAL STUDENTS

2021 ◽  
pp. 67-70
Author(s):  
Vikram Gowda N R ◽  
Sri Harsha H ◽  
Jiyo Chacko ◽  
Nirmala C N
Keyword(s):  
Academic Performance ◽  
General Health ◽  
General Health Questionnaire ◽  
Self Esteem ◽  
Psychological Status ◽  
P Value ◽  
Health Questionnaire ◽  
Medical College ◽  
The Mean ◽  
The Difference

Background: Deterioration in performance of students in medical college is raising concern. One of the reasons is compromise in mental state which is due to stress and it is one of the concerns in present world which needs urgent attention. Many studies have reected that emotional problems are one of the major concerns in higher education which leads to psychological abnormalities like anxiety and depression. Thus early identication and intervention for students having psychological distress would prevent the long term failure in the educational task desired from them at the end of course. Objectives: To assess psychological state among undergraduate medical students measured by general health questionnaire and Rosenberg scale of self-esteem and to correlate their academic performance with the present psychological status. Methods:Adescriptive cross-sectional study was conducted among MBBS students across different phases studying in medical college in central Kerala. The questionnaire included general information and specic information like regarding stay in hostel, hours of study per day, recreational activity, family matters and nancial situation. Psychological wellbeing was assessed using General Health Questionnaire–12. Ascore of ≥15 was considered as an indicator of psychological stressful situation. Self-esteem wellbeing was assessed by Rosenberg Self-esteem Scale according to which any score <20 was considered as low self-esteem. The summative assessment (University examination) marks pattern in theory, viva and practical's were considered as measure for academic performance. Results: 338 students from different phases belonging to different year of admission from 2012 to 2015 participated in the study. The mean age group of sample was 20.96±1.49 years among them 73% were female students. In 118 students General Health Questionnaire score was less than 15 but the difference in sample across the group was not statistically signicant, similarly 207 students had score less than 20 in Rosenberg selfesteem scale where the difference in the score among the group was not statistically signicant. Only in 2012 batch students, a statistically signicant negative correlation was observed between the mean scores of general health questionnaire with academic performance (Mean GHQ score 16.42, r value -0.2, p value 0.018) and a statistically signicant positive correlation was observed between low self-esteem with academic performance (Mean RSE score 18.41, r value 0.23, p value 0.03). In all other batch although GHQ score did not correlate with academic performance but self-esteem score was statistically signicant in batch of 2014. Conclusion: Our study supports that as stress increases, the academic performance decreases hence GHQ and RSE should be used among students with poor academic performance to rule out psychological distress and low self-condence. Every college should be provided a cell to monitor the psychological status of students periodically and intervene if required.

Assessment of the relationship between self-esteem and academic score of undergraduate medical students of Azad Kashmir, Pakistan

2021 ◽  
Vol 71 (11) ◽  
pp. 2641-2644
Author(s):  
Arslaan Javaeed ◽  
Farah Khan ◽  
Nadia Sajjad ◽  
Sadia Azam Khan ◽  
Sanniya Khan Ghauri
Keyword(s):  
Academic Performance ◽  
Medical Students ◽  
Self Esteem ◽  
Undergraduate Medical Students ◽  
Questionnaire Response ◽  
Cross Sectional ◽  
Medical College ◽  
The Mean ◽  
Azad Kashmir ◽  
The Relationship

Objective: To assess the relationship between self-esteem and the academic score of undergraduate medical students of Azad Kashmir, Pakistan. Methods: This cross-sectional observational study was performed from June 2018 to June 2019. The study area was Poonch Medical College, Azad Kashmir. The data collection tool was well-verified and widely used Rosenberg self-esteem scale. The study questionnaire was electronically distributed to all Bachelor of Medicine and Surgery students on the Poonch Medical College. The total student was 500 and out of the 253 completed and submitted the questionnaire (response rate of 50.6%). Results: The mean academic score of all students was 66.61 ± 5.42 and the mean RSE score was 28.66 ± 3.98. A statistically significant correlation was not found between age, academic score, and RSE score. Female students had slightly higher academic performance scores and RSE scores compared to the male students, but this difference was not statistically significant. Conclusion: This study did not reveal any significant relationship between academic score and self-esteem of undergraduate medical students. However, both academic scores and self-esteem can be further improved. Future studies are invited to find out the other factors responsible for better academic performance. Keywords: RSE scale, academic performance, medical student, Pakistan Continuous...

scholarly journals Comparison of clinical profile of leptospirosis patients during post flood and non-post flood periods

2021 ◽  
Vol 9 (7) ◽  
pp. 1913
Author(s):  
Bhagyanath . ◽  
Jacob K. Jacob ◽  
Suma Samuel ◽  
Rakhi R. Kurup ◽  
Reshnu Ravindran
Keyword(s):  
Total Bilirubin ◽  
Clinical Profile ◽  
Cardiac Complications ◽  
P Value ◽  
Zoonotic Infection ◽  
Cross Sectional ◽  
Medical College ◽  
Flood Period ◽  
The Mean ◽  
The Difference

Background: Leptospirosis is a zoonotic infection with high mortality rates. The incidence of leptospirosis is more during floods. The aim of the study was to find the difference in clinical profile of leptospirosis during post flood and non-post flood periods.Methods: This was a cross sectional observational study comparing the clinical profile of leptospirosis patients admitted in Government Medical College Ernakulam, Kerala during the post flood period of 2018 with that of non-post flood period. The data with respect to clinical features and investigations were retrieved from the hospital records.Results: Out of the 42 patients studied 15 were from the post flood period and the rest 27 patients were from the non-post flood period. The mean age in the post flood group was 40 years and that in the non-post flood group 43 years. Myalgia, icterus and calf tenderness was significantly higher in the post flood group. The mean platelet count was significantly lower in the non-post flood period (p value=0.011). Mean serum urea and total bilirubin were significantly higher in the post flood group compared to non-post flood group (p value=0.001). Cardiac complications were seen only among the post flood group.Conclusions: The clinical profile and complications were different in leptospirosis patients during post flood and non-post flood periods. These findings help the treating physicians to formulate different approaches in treating patients during the post flood and non-post flood period.  

Chronic Psychiatric Complaints and the General Health Questionnaire

1989 ◽  
Vol 155 (2) ◽  
pp. 186-190 ◽  
Author(s):  
M. W. J. Koeter ◽  
W. van den Brink ◽  
J. Ormel
Keyword(s):  
General Health ◽  
General Health Questionnaire ◽  
False Positives ◽  
Health Questionnaire ◽  
False Negatives ◽  
The Mean ◽  
Psychiatric State ◽  
Chronic Complaints

The sensitivity of the GHQ and a revised scoring procedure (CGHQ) for chronic psychiatric complaints was investigated on 175 outpatients. The mean level of severity of symptoms of the groups with and without chronic complaints was not significantly different. However, patients with chronic complaints showed a significantly lower mean GHQ score than patients without chronic complaints. The mean CGHQ scores of the two groups did not differ, suggesting that the CGHQ is a better indicator of the severity of the chronic psychiatric state than the GHQ. The revised scoring procedure resulted in a decrease in the number of false negatives. The strongest reduction in false negatives, however, was induced by a combination of the original and the revised scoring procedures. This reduction was achieved at the expense of only a small increase in the number of false positives. Altogether, the revised scoring procedure proved to be only marginally better.

Validity and Psychometric Properties of the General Health Questionnaire-12 in Young Australian Adolescents

2003 ◽  
Vol 37 (3) ◽  
pp. 374-381 ◽  
Author(s):  
Robert J Tait ◽  
Davina J French ◽  
Gary K Hulse
Keyword(s):  
Psychometric Properties ◽  
General Health ◽  
Structural Characteristics ◽  
General Health Questionnaire ◽  
Self Esteem ◽  
Mental Wellbeing ◽  
Health Questionnaire ◽  
School Students ◽  
Single Sex ◽  
Threshold Score

Background: The General Health Questionnaire (GHQ) is a measure of current mental wellbeing that has been extensively validated with adults. The instrument has also been used with adolescents. Objective: (i) To assess the psychometric properties of the GHQ-12 among school students in grades 7–10; (ii) to validate it against other psychological tests; and (iii) to suggest a threshold score. Method: The survey was conducted in single sex and mixed schools from the state and private system in Perth, Western Australia. The survey contained the GHQ-12 and measures of anxiety, depression, self-esteem, stress, generalized self-efficacy, social desirability and negative affectivity. Results: There were 336 students (female 55%) with an age range of 11–15 years (median 13). The GHQ showed good internal consistency (alpha 0.88). Girls had higher mean GHQ-12 scores than boys (F (1,326) 15.0, p < 0.001) and scores for both genders increased with school grade (F (3,326) 4.2, p < 0.01). Multiple linear regression showed that depression, anxiety, self-esteem and stress were significant independent predictors of GHQ scores. The model accounted for 68% of the variance (adjusted R 2). Screening indices were calculated by comparison with a combined depression and/or anxiety category. Threshold scores of 13/14 for males and 18/19 for females appeared optimal. General Health Questionnaire scores were compared with two criterion groups: adolescents in hospital with alcohol or drug (AOD) related problems and those with problems not related to AOD use. Only the former group had significantly higher total scores. Conclusions: The GHQ-12 showed good structural characteristics and was appropriately correlated with other measures of related traits. Overall, the GHQ-12 appears to be a valid index of psychological wellbeing in this population and was considerably shorter than some of the other instruments.

Assessing the Multidimensionality of the 12-Item General Health Questionnaire

1999 ◽  
Vol 84 (3) ◽  
pp. 927-935 ◽  
Author(s):  
Andrew J. Martin
Keyword(s):  
General Health ◽  
General Health Questionnaire ◽  
Self Esteem ◽  
Two Dimensions ◽  
Health Questionnaire ◽  
Perceived Efficacy ◽  
Confirmatory Factor ◽  
Third Dimension ◽  
Alternative Structure ◽  
Better Than

The present study assessed a variety of factor structures identified by various authors as underlying the 12-item General Health Questionnaire and proposed an alternative structure based on an analysis of item content. Using confirmatory factor analytic techniques (LISREL), the data indicated that the presently proposed factor structure, comprising three factors (Self-esteem, Stress, and Successful Coping), fits better than structures previously identified. The findings contribute to understanding of the 12-item General Health Questionnaire by separating Self-esteem and Stress, two dimensions often treated as one factor, and by identifying a third dimension of Successful Coping which is proposed to reflect individuals' perceived efficacy in interacting with the environment.

scholarly journals A Comparative Study of Laparoscopically Assisted Vaginal Hysterectomy and Non-descended Vaginal Hysterectomy

2014 ◽  
Vol 6 (2) ◽  
pp. 101-103
Author(s):  
De Reena ◽  
Sebanti Goswami
Keyword(s):  
Comparative Study ◽  
Hospital Stay ◽  
Vaginal Hysterectomy ◽  
P Value ◽  
Medical College ◽  
Laparoscopically Assisted Vaginal Hysterectomy ◽  
Significant Difference ◽  
The Mean ◽  
The Difference ◽  
Prospective Longitudinal

ABSTRACT Introduction The present study was done to compare nondescended vaginal hysterectomy (NDVH) and laparoscopically assisted vaginal hysterectomy (LAVH) with reference to indications, operative complications and outcome. Materials and methods This prospective longitudinal comparative study was conducted in the Department of Obstetrics and Gynecology, Medical College and Hospital, Kolkata, from November 2010 to October 2011. Judging the inclusion and exclusion criteria a sample size of 36 patients for NDVH and 31 patients for LAVH were selected randomly. The outcome of each surgical procedure was analyzed by standard statistical methods. Appropriate test of significance was applied (t-test) with p < 0.05 as level of significance. Results The mean duration of NDVH was 65 minutes and that of LAVH was 93.87 minutes. The difference was highly significant as p value was 0.000. The mean pain score analyzed by visual analog scale (VAS) in NDVH was 2.334 and 2.581. This was not statistically significant (p = 0.636). There was no significant difference in hospital stay in either group. Conclusion Laparoscopically assisted vaginal hysterectomy has the advantage of visualization of the pelvic structure from above and occasional dissection and adhesiolysis. But NDVH supersedes in its approach through the naturally created route, being faster, less expensive and results in a similar hospital stay and convalescence. How to cite this article Reena D, Goswami S. A Comparative Study of Laparoscopically Assisted Vaginal Hysterectomy and Non-descended Vaginal Hysterectomy. J South Asian Feder Obst Gynae 2014;6(2):101-103.

Validation of 12-item general health questionnaire into Kannada language

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 17077-17077
Author(s):  
D. C. Javaregowda ◽  
B. Parthasarathy ◽  
A. Suresh ◽  
D. Lokanath ◽  
K. Govind Babu ◽  
...  
Keyword(s):  
Principal Component Analysis ◽  
Factor Structure ◽  
General Health ◽  
General Health Questionnaire ◽  
Principal Component ◽  
Component Analysis ◽  
Health Questionnaire ◽  
Alpha Coefficient ◽  
Kannada Language ◽  
The Mean

17077 Background: The cancer load in India is enormous and majority of the cases present in an advanced stage. There is no valid translation of 12-item General Health Questionnaire (GHQ-12) in Kannada, which is a simple but indispensable tool in the comprehensive cancer care (both for metastatic and in adjuvant settings). Therefore we thought of developing and validating the GHQ-12 Questionnaire into Kannada language. Methods: The study was conducted at kidwai memorial institute of Oncology, Bangalore, a tertiary cancer center with an annual attendance of 16,000 new cases. We have chosen educated patients who can speak and write both English and Kannada. We used ’forward-backward’ translation procedure into Kannada. We used scores from 0–3 for the Questionnaire. Total score for both languages was calculated. Internal consistency was assessed by Cronbach's alpha coefficient. Validity was performed using convergent validity. Finally, the factor structure of the questionnaire was extracted by performing principal component analysis using oblique factor solution. Results: A total of 118 patients with various malignancies were entered into the study. The mean age was 36.8 ± 12.1 years. The mean GHQ score was 21.6 ± 9.1 for the English and 22.6 ± 8.1 for Kannada. Reliability analysis showed satisfactory result (Cronbach's alpha coefficient = 0.79). The principal component analysis with oblique rotation solution showed that the GHQ-12 was a measure of psychological morbidity with four -factor structure that jointly accounted for 48 % of the variance. Conclusions: The Kannada version of the GHQ-12 is a reliable and valid instrument with a good structural characteristic. It can be used for measuring psychological well being at our institute for those patients who can read and write only Kannada. No significant financial relationships to disclose.

Depression among men made involuntarily redundant

1985 ◽  
Vol 15 (4) ◽  
pp. 789-793 ◽  
Author(s):  
Donald I. Melville ◽  
David Hope ◽  
Dean Bennison ◽  
Brian Barraclough
Keyword(s):  
Social Class ◽  
Beck Depression Inventory ◽  
General Health ◽  
General Health Questionnaire ◽  
Depressive Illness ◽  
Health Questionnaire ◽  
The Mean

SynopsisNinety-eight men aged 25–50, who were unemployed because of involuntary redundancy and out of work for 2–18 months, completed the Beck Depression Inventory (BDI) and the General Health Questionnaire (GHQ–30). Their scores were compared with those of a group of employed men matched for age and social class. The mean GHQ score for the redundant men was 13–0, compared with 4·0 for the employed group. The mean BDI score was 11·1 for the redundant group and 5·6 for the employed group. Eighteen per cent of the redundant men, compared with 6% of the employed group, scored 18 or more which are scores corresponding to those in depressive illness. We conclude that the prevalence of depressive illness may be increased among redundant men.

The General Health Questionnaire: Reliability and Validity for Australian Youth

1989 ◽  
Vol 23 (1) ◽  
pp. 53-58 ◽  
Author(s):  
Helen R. Winefield ◽  
Robert D. Goldney ◽  
Anthony H. Winefield ◽  
Marika Tiggemann
Keyword(s):  
General Health ◽  
General Health Questionnaire ◽  
Reliability And Validity ◽  
Self Esteem ◽  
Health Questionnaire ◽  
Scoring Method ◽  
Psychological Measures ◽  
Large N ◽  
Axis I ◽  
Misclassification Rates

General Health Questionnaire (GHQ) results are given for a large (N = 1013) sample of South Australian young people (average age 19.6 years), to compare the usefulness of the 12-, 28-, and 30-item forms of the GHQ. Internal reliabilities are generally adequate and the Likert scoring method produces significant correlations with psychological measures such as self-esteem. the case-prevalence rate using the binary scoring method was comparable with other studies, but misclassification rates were unacceptably high when DSM-Ill Axis I diagnosis was used as the criterion for the presence of any psychiatric disorder.

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