The Prevalence of perceived stress-related to COVID-19 pandemic among undergraduate medical students in the university of Al-Qadisiyah/Iraq

Effect of COVID-19 pandemic on medical students

Authors

  • noor yahya department of community and family medicine , college of medicine , university of Al-Qadisiyah
  • Hassan Raji Jallab Department of Community and family Medicine, Professor, College of Medicine, University of Al-Qadisiyah-Iraq

DOI:

https://doi.org/10.28922/qmj.2023.19.2.%25p

Keywords:

COVID-19 pandemic, perceived stress, medical students, survey, psychological impact

Abstract

Background: The global pandemic has posed significant challenges for medical students, resulting in increased rates of depression, anxiety, and stress. The pandemic has also resulted in substantial disruptions to academic endeavors, clinical training, and prospective career opportunities. Many students have faced increased academic demands as they strive to adapt to virtual learning methods while also dealing with the uncertainty surrounding future clinical placements.

Objective: To assess the prevalence of perceived stress associated with the outbreak of Coronavirus disease 2019 (COVID-19) among medical students and to investigate potential correlating factors to higher prevalence.

Subjects and methods: The study constitutes a cross-sectional analysis which was constructed retrospectively through surveying 350 students who are currently at the 4th, 5th, and 6th stages of medical education. The online questionnaire contained a number of questions that were categorized into three sections including prevalence of stress, influence of sociodemographic characteristics, and reflections of stress-related to the pandemic on student social life.

Results: The study found that 223(63.71%) students suffered from stress related to the pandemic. Stress was homogenously distributed among students according to age and sex, as non significant association was discovered. However, being at an advanced stage of medical education imposed a significant association with high rates of stress (P=0.007). Similar observation was also seen among students who are their parents achieved higher education (P<0.001) and those who are living in urban areas of cities (P=0.009). Similarly, students who showed higher prevalence of stress were also more likely to present worse reflections on student personal and social life, (P<0.001).

Conclusion: The study revealed that the COVID-19 pandemic has resulted in significant levels of stress among medical students that were evidently higher with every higher stage of medical education. The pandemic has also impacted students’ social lives and compromised both psychological wellbeing and medical education. It is anticipated that the effects of COVID-19 on the study of medicine and the welfare of students will be substantial and enduring, highlighting the need for a comprehensive preparedness strategy.

References

Mohapatra RK, Pintilie L, Kandi V, et al. The recent challenges of highly contagious COVID-19, causing respiratory infections: Symptoms, diagnosis, transmission, possible vaccines, animal models, and immunotherapy. Chem Biol Drug Des. Nov 2020;96(5):1187-1208. doi:10.1111/cbdd.13761

Zhang J-j, Dong X, Liu G-h, Gao Y-d. Risk and Protective Factors for COVID-19 Morbidity, Severity, and Mortality. Clinical Reviews in Allergy & Immunology. 2023/02/01 2023;64(1):90-107. doi:10.1007/s12016-022-08921-5

Jiao J, Shi L, Zhang Y, et al. Core policies disparity response to COVID-19 among BRICS countries. International Journal for Equity in Health. 2022/01/20 2022;21(1):9. doi:10.1186/s12939-021-01614-z

Zhu Z, Liu Q, Jiang X, et al. The psychological status of people affected by the COVID-19 outbreak in China. Journal of Psychiatric Research. 2020/10/01/ 2020;129:1-7. doi:https://doi.org/10.1016/j.jpsychires.2020.05.026

Park D, Boudier-Revéret M, Chang MC. The pros and cons of entry restrictions: are entry restrictions really effective in preventing the spread of SARS-CoV-2? J Yeungnam Med Sci. Oct 2022;39(4):344-346. doi:10.12701/yujm.2021.01599

Scapaticci S, Neri CR, Marseglia GL, Staiano A, Chiarelli F, Verduci E. The impact of the COVID-19 pandemic on lifestyle behaviors in children and adolescents: an international overview. Ital J Pediatr. Feb 4 2022;48(1):22. doi:10.1186/s13052-022-01211-y

Serafini G, Parmigiani B, Amerio A, Aguglia A, Sher L, Amore M. The psychological impact of COVID-19 on the mental health in the general population. Qjm. Jun 22 2020;113(8):531-7. doi:10.1093/qjmed/hcaa201

Alnaser AR, Joudeh RM, Zitoun OA, et al. The impact of COVID-19 pandemic on medical students’ mental health and sleep quality in Jordan: a nationwide cross-sectional study. Middle East Current Psychiatry. 2021/10/26 2021;28(1):74. doi:10.1186/s43045-021-00150-4

Alqahtani JS, Almamary AS, Alghamdi SM, et al. Effect of the COVID-19 pandemic on psychological aspects. COVID-19 and the Sustainable Development Goals. 2022:235-58. doi:10.1016/b978-0-323-91307-2.00007-9

Leal Filho W, Lange Salvia A, Abubakar IR, et al. Impacts of the COVID-19 Pandemic on Routines of Higher Education Institutions: A Global Perspective. Sustainability. 2022;14(21):14105.

Pokhrel S, Chhetri R. A Literature Review on Impact of COVID-19 Pandemic on Teaching and Learning. Higher Education for the Future. 2021;8(1):133-141. doi:10.1177/2347631120983481

Leal Filho W, Wall T, Rayman-Bacchus L, et al. Impacts of COVID-19 and social isolation on academic staff and students at universities: a cross-sectional study. BMC Public Health. 2021/06/24 2021;21(1):1213. doi:10.1186/s12889-021-11040-z

Stoian CE, F?rca?iu MA, Dragomir G-M, Gherhe? V. Transition from Online to Face-to-Face Education after COVID-19: The Benefits of Online Education from Students’ Perspective. Sustainability. 2022;14(19):12812.

Lu L, Wang X, Wang X, Guo X, Pan B. Association of Covid-19 pandemic-related stress and depressive symptoms among international medical students. BMC Psychiatry. 2022/01/07 2022;22(1):20. doi:10.1186/s12888-021-03671-8

Hill MR, Goicochea S, Merlo LJ. In their own words: stressors facing medical students in the millennial generation. Med Educ Online. Dec 2018;23(1):1530558. doi:10.1080/10872981.2018.1530558

Khullar S, Das S, Rizvi SA, Sinha P, Abidi SS, Baisla R. A Study on Perception of Stress Among First-Year Medical Undergraduates During COVID-19 Pandemic. Original Article. MAMC Journal of Medical Sciences. May 1, 2022 2022;8(2):100-105. doi:10.4103/mamcjms.mamcjms_3_22

Wurth S, Sader J, Cerutti B, et al. Medical students’ perceptions and coping strategies during the first wave of the COVID-19 pandemic: studies, clinical implication, and professional identity. BMC Medical Education. 2021/12/16 2021;21(1):620. doi:10.1186/s12909-021-03053-4

Haider SI, Ahmed F, Pasha H, Pasha H, Farheen N, Zahid MT. Life satisfaction, resilience and coping mechanisms among medical students during COVID-19. PLOS ONE. 2022;17(10):e0275319. doi:10.1371/journal.pone.0275319

Puranachaikere T, Hataiyusuk S, Anupansupsai R, et al. Stress and associated factors with received and needed support in medical students during COVID-19 pandemic: a multicenter study. Korean Journal of Medical Education. 2021;33:203 - 213.

Lee CM, Juarez M, Rae G, et al. Anxiety, PTSD, and stressors in medical students during the initial peak of the COVID-19 pandemic. PLoS ONE. 2021;16

Natalia D, Syakurah RA. Mental health state in medical students during COVID-19 pandemic. J Educ Health Promot. 2021;10(1)

Chen T, Lucock M. The mental health of university students during the COVID-19 pandemic: An online survey in the UK. PLoS ONE. 2022;17

Wood C, Yu Z, Sealy D-A, et al. Mental health impacts of the COVID-19 pandemic on college students. Journal of American college health : J of ACH. 2022:1-6.

Saddik B, Hussein A, Sharif-Askari FS, et al. Increased Levels of Anxiety Among Medical and Non-Medical University Students During the COVID-19 Pandemic in the United Arab Emirates. Risk Management and Healthcare Policy. 2020;13:2395 - 2406.

Ewid M, Amal Y, Billah SMB, et al. Impact of the COVID-19 pandemic on the psychological status of undergraduate medical students in Saudi Arabia: A cross-sectional double-scale study. Medicine. 2023;102(14):e33487. doi:10.1097/md.0000000000033487

Alduraywish S, Alburikan A, Alotaibi M, et al. Association between academic stress during exam period, dietary behavior and bowel symptoms among medical students in Saudi Arabia. Clinical Epidemiology and Global Health. 2023/07/01/ 2023;22:101318. doi:https://doi.org/10.1016/j.cegh.2023.101318

Chakeeyanun B, Wongpakaran N, Wongpakaran T, Oon-Arom A. Resilience, Perceived Stress from Adapted Medical Education Related to Depression among Medical Students during the COVID-19 Pandemic. Healthcare (Basel). Jan 12 2023;11(2)doi:10.3390/healthcare11020237

Abdulghani HM, Sattar K, Ahmad T, Akram A. Association of COVID-19 Pandemic with undergraduate Medical Students' Perceived Stress and Coping. Psychology Research and Behavior Management. 2020;13:871 - 881.

Abdulghani HM, Alkanhal A, Mahmoud ES, Ponnamperuma G, Alfaris EA. Stress and Its Effects on Medical Students: A Cross-sectional Study at a College of Medicine in Saudi Arabia. Journal of Health, Population, and Nutrition. 2011;29:516 - 522.

O'Byrne L, Gavin B, Adamis D, Lim YX, McNicholas F. Levels of stress in medical students due to COVID-19. Journal of Medical Ethics. 2021;

Rodríguez S, Valle A, Piñeiro I, González-Suárez R, Díaz FM, Vieites T. COVID-19 Lockdown: Key Factors in Citizens’ Stress. Original Research. Frontiers in Psychology. 2021-June-08 2021;12doi:10.3389/fpsyg.2021.666891

Cuadros DF, Branscum AJ, Mukandavire Z, Miller FD, MacKinnon N. Dynamics of the COVID-19 epidemic in urban and rural areas in the United States. Ann Epidemiol. Jul 2021;59:16-20. doi:10.1016/j.annepidem.2021.04.007

Kondo MC, Felker-Kantor E, Wu K, et al. Stress and Distress during the COVID-19 Pandemic: The Role of Neighborhood Context. Int J Environ Res Public Health. Feb 27 2022;19(5)doi:10.3390/ijerph19052779

Wolde AK. The Cause of Mental Health Problem Among Urban Residents During the COVID-19 Outbreak: Implication for information Communication. Illn Crises Loss. Jul 2022;30(3):489-498. doi:10.1177/1054137320985291

Liu L, Xue P, Li SX, Zhang J, Zhou J, Zhang W. Urban-rural disparities in mental health problems related to COVID-19 in China. Gen Hosp Psychiatry. Mar-Apr 2021;69:119-120. doi:10.1016/j.genhosppsych.2020.07.011

Diaz F, Cornelius T, Bramley S, et al. The association between sleep and psychological distress among New York City healthcare workers during the COVID-19 pandemic. J Affect Disord. Feb 1 2022;298(Pt A):618-624. doi:10.1016/j.jad.2021.10.033

Gupta S, Vijayvargy L, Gupta K. Assessment of stress level in urban area’s during COVID-19 outbreak using critic and topsis: A case of Indian cities. Journal of Statistics and Management Systems. 2021;24:411 - 433.

Martínez L, Short JR. The Pandemic City: Urban Issues in the Time of COVID-19. Sustainability. 2021;

Renk K, Smith T. Predictors of Academic-Related Stress in College Students: An Examination of Coping, Social Support, Parenting, and Anxiety. NASPA Journal. 2007;44:405 - 431.

Kulakow S, Raufelder D, Hoferichter F. School-related pressure and parental support as predictors of change in student stress levels from early to middle adolescence. Journal of adolescence. 2021;87:38-51.

Anithasri A. Perceived Stress among Medical Students during COVID-19 Pandemic and its Impact on Sleep and Studies - A Cross-sectional Study in South India. Journal of Communicable Diseases. 2022;

Moldt JA, Festl-Wietek T, Mamlouk AM, Herrmann-Werner A. Assessing medical students' perceived stress levels by comparing a chatbot-based approach to the Perceived Stress Questionnaire (PSQ20) in a mixed-methods study. Digit Health. Jan-Dec 2022;8:20552076221139092. doi:10.1177/20552076221139092

Hajimiri K, Hosseinzadeh-Shanjani Z, Vakili MM, Jafari F, Rostami B. Investigation of Depression, Anxiety, and Stress and their Determinants of University Students during an Early Stage of COVID19 Pandemic, Zanjan, Iran 2020. Journal of Human, Environment, and Health Promotion. 2021;

Basualto S, Lopes JVZ, Borges AR, et al. AB0848?PARTICIPATION OF UNDERGRADUATE MEDICAL STUDENTS AS INVESTIGATORS IN A RHEUMATOLOGIC COHORT: IMPACT ON DEPRESSION, ANXIETY & STRESS SCALE. Annals of the Rheumatic Diseases. 2021;

St?nescu MI. Stress, online courses and parenting during COVID19 pandemic. Studia Doctoralia. 2021;

Werner AM, Tibubos AN, Mülder LM, et al. The impact of lockdown stress and loneliness during the COVID-19 pandemic on mental health among university students in Germany. Scientific Reports. 2021;11

Kerr AM, Spaeth LD, Gerome JM. Medical Students' Stress and Uncertainty During the COVID-19 Pandemic. Health Commun. Apr 19 2022:1-11. doi:10.1080/10410236.2022.2062826

Mortagy M, Abdelhameed A, Sexton P, et al. Online medical education in Egypt during the COVID-19 pandemic: a nationwide assessment of medical students’ usage and perceptions. BMC Medical Education. 2022/03/30 2022;22(1):218. doi:10.1186/s12909-022-03249-2

Yousif MA, Arbab AH, Yousef BA. Perceived Academic Stress, Causes, and Coping Strategies Among Undergraduate Pharmacy Students During the COVID-19 Pandemic. Adv Med Educ Pract. 2022;13:189-197. doi:10.2147/amep.S350562

Tumonggor D, Sutanti YS, Evan E, Winata SD. RELATIONSHIP BETWEEN STRESS AND ACADEMIC PERFORMANCE AMONG STUDENTS IN FKIK UKRIDA CLASS OF 2017-2019 DURING COVID-19 PANDEMIC. Dinasti International Journal of Education Management And Social Science. 2021;

Seth N, Laskar AR, Rasania SK, Yadav K. Depression, Anxiety and Stress among Undergraduate Medical Students during the COVID-19 Pandemic. Healthline. 2022;

Downloads

Published

2024-08-12

Issue

Section

Medicine