|Year : 2023 | Volume
| Issue : 1 | Page : 15-17
Stress, subjective well-being and its link to the academic performance amongst medical students of a tertiary care setting
Panneerselvam Periasamy1, Suganthi Vajiravelu2, Sasikala Gunasekaran3
1 Department of Physiology, Vinayaka Mission's Research Foundation (Deemed to be University), Salem, Tamil Nadu, India
2 Department of Physiology, Vinayaka Mission's Kirupananda Variyar Medical College and Hospital, Salem, Tamil Nadu, India
3 Department of Nursing, Government Erode Medical College Hospital, Erode, Tamil Nadu, India
|Date of Submission||17-Jun-2022|
|Date of Decision||22-Dec-2022|
|Date of Acceptance||02-Feb-2023|
|Date of Web Publication||24-Feb-2023|
Dr. Panneerselvam Periasamy
Department of Physiology, Government Erode Medical College, Perundurai, Erode, Tamil Nadu
Source of Support: None, Conflict of Interest: None
Background: Understanding medical students' mental health using subjective well-being indicators is important because it will allow for the creation of positive psychology-based intervention techniques as well as the implementation of main and secondary psychiatric disorder prevention procedures for medical students. These indicators may help to improve the overall quality of health care provided by these future professionals to the general public.
Aims: The aim of the present study was to assess the levels of stress and subjective well being as well as factors related to it and their link to the academic performance amongst medical students of a tertiary care setting.
Materials and Methods: This is a 3-month cross-sectional survey that took place amongst medical students at a tertiary care medical college in Salem, India, between January and March 2022. Students from all academic years, from first year to internship, were included in this study. The study included all students who were willing to participate and gave their informed consent.
Results: Of the total 492 respondents, 288 (58.5%) were females and 204 (41.5%) were males. 29.7% of the study participants belonged to the first year of the MBBS course. 43.9% of the study participants possess a very good academic performance and majority (86.6%) of the students have regular attendance towards classes.
Conclusion: Taken together, the findings of studies like these could inform preventive interventions aimed at reducing medical students' distress and promoting future doctors' well-being.
Keywords: Academic performance, medical students, stress, subjective well-being
|How to cite this article:|
Periasamy P, Vajiravelu S, Gunasekaran S. Stress, subjective well-being and its link to the academic performance amongst medical students of a tertiary care setting. Curr Med Res Pract 2023;13:15-7
|How to cite this URL:|
Periasamy P, Vajiravelu S, Gunasekaran S. Stress, subjective well-being and its link to the academic performance amongst medical students of a tertiary care setting. Curr Med Res Pract [serial online] 2023 [cited 2023 Jun 9];13:15-7. Available from: http://www.cmrpjournal.org/text.asp?2023/13/1/15/370514
| Introduction|| |
Stress and depression disorders, as well as burnout syndrome, are quite common amongst medical students worldwide. Variables related to students' personalities, problems inherent in the process of becoming a physician and recurring stress induced by university courses themselves are all risk factors for these disorders. Overall, medical students' mental health is harmed during their stay in medical school because they acquire risky coping techniques, such as alcohol drinking, rather than seeking medical help for their psychological concerns, even though they live in a health-care atmosphere. Issues with doctor–patient interactions as well as low academic achievement, are linked to mental diseases and psychological stress. Subjective well-being (SWB) is linked to a person's satisfaction experiences, which includes a cognitive component that refers to life satisfaction and an emotional component that refers to happy emotions. Subjective well-being, as well as happiness, have been linked to positive life outcomes. Understanding medical students' mental health using SWB indicators is important because it will allow for the creation of positive psychology-based intervention techniques as well as the implementation of main and secondary psychiatric disorder prevention procedures for medical students. These indicators may help to improve the overall quality of health care provided by these future professionals to the general public.
Therefore, the aim of the present study was to assess the levels of stress and SWB as well as factors related to it and their link to the academic performance amongst medical students of a tertiary care setting.
| Materials and Methods|| |
This is a 3-month cross-sectional survey that took place amongst medical students at a tertiary care medical college in Salem, India, between January and March 2022. Students from all academic years, from first year to internship, were included in this study after getting relevant approvals and Institutional Ethical Committee clearance from the medical college with reference number: GEMC/2022/013. The study included all students who were willing to participate and gave their informed consent. Individuals with chronic conditions and those who refused to give their consent were excluded from the study. Two different scoring tools were used to measure the levels of stress and SWB. The Perceived Stress Scale (PSS) developed by Cohen et al. was used to measure the degree of stress on which the participants rated the statements of the 14-item PSS from 0 (never) to 4 (very often) scale. The Subjective Well-Being Scale developed by Campbell was used to assess the subjective well-being of the study participants. The scores on this scale ranged from 1 to 7.
The acquired data were analysed using IBM SPSS (the Statistical Package for the Social Science) v24.0 software, Armonk, New York, USA, to draw relevant inferences. Chi-square was used to determine the gender-based connection between groups. The P value was used to evaluate significant differences between groups, whose value <0.05 was considered statistically significant.
| Results|| |
Of the total 492 respondents, 288 (58.5%) were females and 204 (41.5%) were males. 29.7% of the study participants belonged to the first year of the MBBS course. 43.9% of the study participants possess a very good academic performance and majority (86.6%) of the students have regular attendance towards classes [Table 1]. 39.4% of the study participants have been observed to have no stress with a P = 0.057, whereas 32.9% had mild levels of stress with a P = 0.031, which was statistically significant, along with moderate levels of stress with a P = 0.026 as scored by the PSS [Table 2]. Majority (67.4%) of the study participants have positive affect on their life and over 59.2% have medium levels of satisfaction in their lives.
|Table 1: Socio-demographic characteristics of study participants (n=492)|
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| Discussion|| |
In this study, the levels of stress and SWB were assessed amongst medical students of a tertiary care setting. The levels of stress were higher in the first-year students when compared to the other years of study. This could be attributed to the new curriculum's recent introduction, students taking more responsibility for their own learning and a shift from traditional teacher-centred teaching to self-directed student-centred teaching.,, In this study, female students had higher mean stress scores than male students, which could be attributed to their higher self-esteem, feeling less capable and proclivity to over-report symptoms. There were very little differences in the mean scores of subjective well-being when compared between males and females, which is similar to a study by Turashvili and Japaridze This study observed no differences in the well-being found amongst students with different academic performances, which is a similar finding by Alkhalaf Academic achievement is strongly inversely connected to depression and significantly favourably correlated with subjective happiness and life satisfaction, according to a study from Pakistan that involved 300 university students. Significant disparities in life satisfaction levels were found amongst medical students of various ages in a study conducted in China. In addition, students from cities and towns, who were the only kid in the family and whose parents had better educational levels reported greater levels of life satisfaction in the same study. GPA and gender were also linked to higher levels of enjoyment amongst medical students, according to a study by Iranian researchers Moghadam et al. Student anxiety and stress can be decreased with the aid of stress management programmes and interventions, especially those that are cognitive behaviorist therapy (CBT) based. In addition to their immediate impact on stress management, these treatments may reduce stigma and be a more acceptable means of addressing students' mental health issues, closing the treatment gap and maybe acting as a springboard for subsequent therapy. Utilising a variety of data sources and data collection techniques led to the creation of new knowledge about the implementation process, which is crucial for the interpretation of effect evaluations and the creation of upcoming interventions.
| Conclusion|| |
More research is needed to confirm the findings of this study on larger samples, and longitudinal studies are needed to better understand the causal relationships between individual variables and mental health outcomes. Taken together, the findings of studies like these could inform preventive interventions aimed at reducing medical students' distress and promoting future doctors' well-being.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
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[Table 1], [Table 2]