Level of Stress in Final Year Students | Research

Level of Stress in Final Year Students inquiryLevel of distort in Final class MBBS students at folksy checkup exam College A Cross-sectional development.Shelke Umesh S1, Kunkulol Rahul R2, Narwane Sandeep P3Abstr morselIntroduction Stress, defined as an imbalance surrounded by environmental conditions necessary for survival and the ability of individuals to correct to those conditions, has a racy prevalence in MBBS students. A variety of siftors gambol a pregnant role in developing taste. ObjectiveTo assume the train of focus and directionors trustworthy in Final MBBS students of Rural medical College, Loni. Methods A descriptive cross sectional cultivation was carried out in 100 students (50 of either brace) willing to participate in the study. They were subjected to fill the medical checkup Student Stressor Questionnaire, which consists of 40 questions for evaluating the lineors and severity of judge perceived by the subjects.Results 71% subjects perceived have stress, while 13% and 16% perceived uplifted and mild stress respectively. schoolman stressor counted for concur stress in 63% and spicy stress in 24 % of subjects, which was high than other stressors. consequence Academic stressors being the major stressor perceived,Strategies are required to decrease the buck of faculty memberian stress in the students.IntroductionStress is defined as an imbalance surrounded by environmental conditions necessary for survival and the ability of individuals to accommodate to those conditions1.Studies make revealed a high prevalence of stress in medical students, ranging from 30% to 50%2-7. Learning a lot of new nurture in relatively short time, with pressure of exams,cause development of stress in medical students 8. A stressor is defined as a personal or environmental event that causes stress9, 10.Stressors of medical students can be mathematical gatheringed into academic link up, intrapersonal and interpersonal related, teac hing and learning-related, social related, drive and desire related and group activities related stressors3. One or much than of such stressors might act at the same time and contri exactlye in development of stress among students.Excessive amount of stress in medical training predisposes students to have difficulties in solving interpersonal conflicts,sleeping disorder, decreased attention, reduced concentration, temptation to wander on exams, depression, loss of objectivity, increased incidence of errors, and improper behavior, such as negligence. Stress may also manifest in the put to work of headaches, GI disorders, coronary heart disease, impaired judgments, absenteeism, self-medication, suicidal ideation, depression and the consumption of drugs and intoxicant11,12.A few studies in India have studied the prevalence of stress and stressors responsible in medical students. The present study ( linkences from folder Indian conjure upences) was mean to study of stress in las t class medical students at Rural Medical College.MethodsA descriptive cross sectional study was conducted with a study population of 100 medical students (50 of either sex) in III MBBS from Rural Medical College, Loni, Ahmednagar. Duration of the study conducted form initiatoryFebruary 2014 to 1st March 2014.IEC approval was taken before the commencement of study.Students who were hit to suffer consent were enrolled in the study and inclusion and exclusion criteria were applied. III MBBS students of either sex consenting to participate were included in the study. Students not ready to participate or of other category were excluded from the study.The participants were subjected toMedical Student Stressor Questionnaire (MSSQ)3The MSSQ consists of 40 items representing the sextuplet stressor domains.Each item were answered in the form of score asThe 40 items were break into sections A(20 items) and B(20 items) respectively. Total score of A and B of each domain were separate by following value and results were interpreted.1. Academic related stressors (ARS) =132. Intrapersonal and interpersonal related stressors (IRS) =73. command and learning-related stressors (TLRS) =74. friendly related stressors (SRS) =65. thrusting and desire related stressors (DRS) =36. assort activities related stressors (GARS) =4Interpretation0.00-1.00 causes mild stress1.01-2-00 causes unemotional stress2.01-3.00 causes high stress.3.01-4.00 causes grueling stress.The mild showcase of stress means it does not cause any(prenominal) or mild stress. The make casing indicated that it caused reasonable but compliant stress. The high grapheme of stress indicated lot of stress and causes emotional disturbances and gently compromises occasional activities. The severe stress indicates severe emotional disturbances and compromise of daily activities.Statistical Analysis Data were analyzed by Chi- square test.Results make type of stress due to academic related stressors was com monly seen in concluding year MBBS students in both genders. 33% females and 30% malesshowed lower type of stress. 15% femalesshowed high type of stress as compared to 9% in males.Severe type of stress was seen in one male. 80% of males and 96% of females suffered from decline, high or severe type of stress due to academic related stressors. ( sidestep 1)Table 1Distribution between Academic related stressors (ARS) and grammatical gender protect of =7.976, d.f. = 3, strong, pBy applying g Chi-square test there is a significant association between ARS and gender (pTable 2 Distribution between Intrapersonal and interpersonal related stressors (IRS)Table 2 showsfrequency of stress due to IRS. moderationist type of stress due to intrapersonal and interpersonal related stressors in final year MBBS students was high in both gender. 29% females and 25% males showed moderate type of stress. 10% malesand 8% femalesshowedhigh type of stress due to intrapersonal and interpersonal related s tressors. 70% of males and 74% of females suffered from moderate to high type of stress in this category.Table 3 Distribution between Teaching and learning-related stressors (TLRS) and Gender. nurse of =3.226, d.f.=2, significant, pBy applying g Chi-square test there is a significant association between Teaching and learning-related stressors (TLRS) and sex (pTable 3 showed more number of moderate type of stress due to teaching and learning-related stressors (TLRS) in final year MBBS students in both gender. 30% females and 29% malesshowed moderate type of stress. 17% males showed mild type of stress and 9% femalesshowed high type of stress due to teaching and learning-related stressors (TLRS). 66% of males and 78% of females suffered from moderate to high type of stress.Table 4 Distribution between Social related stressors (SRS) and GenderTable 4 displays more moderate type of stress due to social related stressors (SRS) in final year MBBS students in both genders. 28% females and 26% males showed moderate type of stress. 20% malesshowed mild type of stress and 8% femalesshowed high type of stress due to social related stressors (SRS). 60% of males and 80% of females showed moderate to high type of stress.Table 5Association between Drive and desire related stressors (DRS) and GenderValue of =3.648, d.f.=3, significant, pBy applying g Chi-square test there is a significant association between Drive and desire related stressors (DRS) and sex (pTable 5 shows more subjects showing mild type of stress due to drive and desire related stressors (DRS) in final year MBBS students in both genders. 31 % males and 24% femalesshowed moderate type of stress. 19% femalesshowed mild type of stress, 5% femalesshowed high type of stress and 2% femalesshowedsevere type of stress due to drive and desire related stressors (DRS). 38% of males and 52% of females showed moderate to severe type of stress.Table 6Association between Group activities related stressors (GARS) and Gende rTable 6 showed more moderate type of stress due to group activities related stressors (GARS) in final year MBBS students in both gender. 22 % males and 23% femalesshowed moderate type of stress. 21% malesshowed mild type of stress, 8% femalesshowed high type of stress and 1% malesfemalesshowedSevere type of stress due to group activities related stressors (GARS).Table 7 Stressors according to rank of mean degree of stress perceived by medical students. Test and examinations was the only item that caused moderate to high stress among students. All other items fell under the category of mild to moderate stress except working with computers and talking to patients about personal problems.Table 7. Stressors according to rank of mean degree of stress perceived by medical students (by MSSQ)Degree of stress classification 0 1.00 is causation null to mild stress, 1.01 2.00 is causing mild to moderatestress, 2.01 3.00 is causing moderate to high stress and 3.01 4.00 is causing high to severe stressDiscussionMSSQ having a high score in a incident stressor group gener every last(predicate)y indicates that the subjects perceive events, conditions or situations from that particular group as causing the subjects stress. The scores, however, do require frank and honest response in order for it to be of any use. The scores are also affect by factors which can falsely increase or lower the scores, but generally the validity and reliability studies have indicated that the scores from the questionnaire are extremely trustworthy.8Personal and environmental events that cause stress are known as stressors9,10. Stressors of medical students are grouped into six categories.Academic related stressors refer to any event related to the academics of the students.Interpersonal and intrapersonal related stressors refer to any form of relationships between and within individuals that cause stress. Teaching and learning related stressors refer to any events related to teaching or l earning that causes stress. Social related stressors refer to any form of community and societal relationships that cause stress. Drive and desire related stressors refer to any form of internal or external forces that influence ones attitude, emotion, thought and behavior which afterwards cause stress.Group activities related stressors refer to any group events and interactions that cause stress13.In present study moderate type of stress caused due all the 6 stressors was commonly seen in both genders of final year MBBS students. statistically significant difference was seen in males and females with respect to academic related, teaching related and drive and desire related stressors. This difference was also noted in a study by Waghachavare et.al.14Our study showed 58% of males and 64% of females perceiving moderate to high type of stress. This was high as compared to studies conducted in Malaysia which were 29.1 % to 41.9% in regimen institutes2,5,6 and 46.2% in a private schoo l6, as measured by GHQ-12.In a study on medical student conducted in GS medical college, it was sight that 73% of students perceived stress15. Zungsself rating scale for depression was used for the study. In the study by Waghachavareet.al.14,which used DASS-21 and GAD scales, stress was perceived by 34 % of medical students. There was a significant difference between males and females perceiving stress.The academic related stressor had 63% of population in the moderate type of stress, while it became 88% when moderate to severe type of stress added together. Academic related stressor was followed by intra and interpersonal related, teaching and learning related, social related, group related and drive and desire related stressors. The academic factor was higher stressor as compared to physical, emotional and social factors in the study conducted in GS medical college.Studies have revealed that the stressors affecting medical students well-being seem to be related to the medical tra ining, especially academic matters3, 6, 14-19.On ranking the items depending upon the mean level of stress that the students perceived, it was found that the stress related to the academics was highest (Table 7). This finding supports the findings of the study do by Yusoff et al.2To conclude, the study showed high prevalence of stress among students with respect to several(predicate) stressors. Academic stressors have significant association with stress among students. Females show more stress as compared to males. Strategies are required to decrease the burden of academic stress in the students.AcknowledgementFinal MBBS students (Batch 2011 and 2012) and Mr. Hemant Pawar (Statistician), Department of Pharmacology enquiry cell, Rural Medical College (PIMS- DU), Loni.ReferencesRosenham D L, Seligman M E. Abnormal psychology. 2nd ed. sensitive York Norton 1989.Muhamad SBY, Ahmad FAR, Yaacob MJ. Prevalence and sources of stress among medical students in UniversitiSains Malaysia Thes is. Medical Education UniversitiSains Malaysia (USM), mei 2009.Muhamad SBY, Ahmad FAR, Yaacob MJ. The development and validity of the Medical Student Stressor Questionnaire (MSSQ). ASEAN Journal of Psychiatry. 2010 11 (1).Zaid ZA, Chan SC, Ho, JJ.). aroused disorders among medical students in a Malayan private medical school. capital of Singapore Med J. 200748(10), 895-899.Sherina MS, Lekhraj R, Nadarajan K. Prevalence of emotional disorder among medical students in a Malaysian university. Asia Pacific Family Medicine. 2003 2, 213-217.Saipanish, R. Stress among medical students in a Thai medical school. Med Teach. 2003 25(5) 502-506.Miller, PM, Surtees, PG. (1991). Psychological symptoms and their course in set-back-year medical students as assessed by the Interval General Health Questionnaire (I-GHQ). Br J Psychiatry.1991 159, 199-207.Yussof M, Baba A. Prevalence and associated factors of stress, fretfulness and depression among prospective medical students. Asian Journal of Ps ychiatry.201359 (2),128133.Lazarus RS. theoretic Stress Measurement. Psychology Inquiry. 1990 1 (1), 3-13.Lazarus RS, Folkman S. Stress, appraisal, and coping. New York Springer 1984.ORourke M, Hammond S. The Medical Student Stress Prole a tool for stress audit in medical training. Medical Education. 2010 27 (44) 10271037.Dahlin M, Nilsson C, Stotzer E, Runeson B. Mental distress, alcohol use and help-seeking among medical and business students A cross-sectional comparative study. BMC Med Educ. 20111192.Muhamad SBY, Ahmad FAR. The Medical Student Stressor Questionnaire (MSSQ) Manual . 1st edi. Malaysia KKMED Publications 2010.Waghachavare VB, Dhumale GB, Kadam YR, Gore AD. A Study of Stress among Students of Professional Colleges from an Urban area in India. Sultan Qaboos University Med J.201313(3)429-436.Supe A N. A study of stress in medical students at curing G.S. Medical College. J Postgrad Med.1998 441-6Aktekin M, Karaman T, Senol YY, Erdem S, Erengin H, Akaydin M. Anxiety, de pression and stressful life events among medical students a prospective study in Antalya,Turkey. Medical Education. 2001 35(1) 12-17.Guthrie EA., Black D, Shaw CM, Hamilton J, creed FH, Tomenson B. Embarking upon a medical career psychological morbidity in first year medical students. Med Educ. 1995 29(5) 337-341.Kaufman DM, Day V, Mensink D. Stressors in 1st-year medical school simile of a conventional and problem-based curriculum. Teaching and Learning in Medicine. 1996 8(4), 188-194.Kaufman DM, Day V, Mensink D. Stressors in Medical School Relation to curriculum format and year of study. Teaching and Learning in Medicine. 1998 10(3), 188-194.