Abstract

Background and Aims: Stress is the body’s response to any intrinsic or extrinsic factor that stimulates biological response. Cognitive abilities such as learning and memory are affected by levels of stress. This research aimed to study the prevalence of stress among students of the college of medicine, Majmaah University, Saudi Arabia, and determine the relationship between stress and social factors, academic performance, and lifestyle. Methods: This cross-sectional study was carried out between May 2019 and October 2020. Simple random sampling was used and the sample size was 230. A pre-tested questionnaire was used to collect the data. Descriptive studies were done by Pearson Chi-square and Fisher Exact tests. All data were tabulated and analyzed using the IBM SPSS version 24 program. Results: Students with low, moderate, and severe stress were 9 (3.9%), 176 (76.5%), and 45 (19.6%) respectively. 24 (14.8%) and 21 (30.9%) of male and female students had a severe level of stress (p≤0.02). The students in the pre-clinical phase had more levels of stress than the students in the clinical phase of their study (21.4% vs 13.5%, p≤0.002). Conclusion: the majority of students at the College of Medicine, Majmaah University have moderate stress. The level of stress is related to gender; female students have a more severe level of stress than male students. Severe stress is more prevalent in pre-clinical students compared to students in the clinical phase of the study. The study shows no relationship between stress and the academic performance of the students.

Keywords: Stress · Psychological impact · medical students · Saudi Arabia

References

  1. 1.Jeong Y, Kim JY, Ryu JS, Lee KE, Ha EH, Park H. The associations between socialsupport,health-relatedbehaviors,socioeconomic status, and depression in medical students. Epidemiol Health. 2010;32: e2010009. 2.StewartSM,BetsonC,MarshallI,Wong CM, Lee PW, Lam TH. Stress and vulnerability in medical students. Med Educ. 1995;29 (2):119 27.
  2. 2.Dyrbye LN,Thomas MR, ShanafeltTD. Systematic review of depression, anxiety, 142 Majmaah Journal of Health Sciences ,Vol. 10, Issue 3, July - 2022, Dhū al-Hijjah - 1443 Prevalence of stress among students of the College of Medicine, Majmaah University, SaudiArabia, 2019-20 and other indicators of psychological distress among U.S. and Canadian medical students.Acad Med. 2006;81 (4):354-373.
  3. 3.Neumann M, Edelhäuser F, Tauschel D, Fischer MR, Wirtz M, Woopen C, et al. Empathy declines and its reasons: a systematic review of studies with medical students and residents.Acad Med. 2011;86 (8):996–1009.
  4. 4.Park KH, Kim DH, Kim SK, Yi YH, Jeong JH, Chae J, et al. The relationships between empathy, stress and social support among medical students. Med Educ. 2015; 5(6):103-108.
  5. 5.Bergmann C, Muth T, Loerbroks A. Medical students’ perceptions of stress due to academic studies and its interrelationships with other domains of life: a qualitative study. Med Educ Online. 2019;24(1):1603526.
  6. 6.Sani M, Mahfouz MS, Bani I, Alsomily AH, Alagi D, Alsomily NY, et al. Prevalence of stress among medical students in Jizan University, Kingdom of Saudi Arabia. Gulf Med J. 2012;1(1):19-25.
  7. 7.Koochaki GM, Charkazi A, Hasanzadeh A, Saedani M, Qorbani M, Marjani A. Prevalence of stress among Iranian medical students: A questionnaire survey. East Mediterr Health J. 2011;17(7):593-598.
  8. 8.Alalwani BM, Al Juhani A, Fallatah SM, Abdulmajeid SA, Alsaidi DA, Mahyuddin RA, et al. The Prevalence of Stress among Medical Students and Its Effects on Academic Performance in The Kingdom of Saudi Arabia. Egypt J Hosp Med. 2018;71(5):3200-3205.
  9. 9.Zareena S. Prevalence of stress among medical students and music to alleviate the stress. Int J Res Med Sci. 2017;5 (6):2512- 2515.
  10. 10.Eva EO, Islam MZ, Mosaddek AS, Rahman MF, Rozario RJ, Iftekhar AF. Prevalence of stress among medical students: a comparative study between public and private medical schools in Bangladesh. BMC Res Notes 2015;8(1):327.
  11. 11.Abebe AM, Kebede YG, Mengistu F. Prevalence of Stress and Associated Factors among Regular Students at Debre Birhan Governmental and Nongovernmental Health Science Colleges North Showa Zone, Amhara Region, Ethiopia. Psychiatry J. 2018;2018:1–7.
  12. 12.El-Gilany AH, Amr M, Hammad S. Perceived stress among male medical students in Egypt and Saudi Arabia: effect of sociodemographic factors. Ann Saudi Med. 2008;28(6):442-448.
  13. 13.Habeeb KA. Prevalence of Stressors among Female Medical Students Tai- Majmaah Journal of Health Sciences ,Vol. 10, Issue 3, July - 2022, Dhū al-Hijjah - 1443 143 Prevalence of stress among students of the College of Medicine, Majmaah University, SaudiArabia, 2019-20 bah University. J Taibah Univ Med Sci. 2010;5(2):110–119.
  14. 14.Almojali AI, Almalki SA, Alothman AS, Masuadi EM, Alaqeel MK. The prevalence and association of stress with sleep quality among medical students. J Epidemiol Glob Health. 2017;7(3):169-174.
  15. 15.Mirza AA, Milaat WA, Ramadan IK, Baig M, Elmorsy SA, Beyari GM. Depression, anxiety, and stress among medical and non-medical students in Saudi Arabia: An epidemiological comparative cross-sectional study. Neurosciences (Riyadh, Saudi Arabia). 2021;26(2):141-151. 17.Atwa HS, Bugshan TF,Alkaf MA. Perceived stress among undergraduate medical students at a private medical college in Saudi Arabia: prevalence and inducing factors. IJMDC. 2019; 3(12): 1007-1013.
  16. 16.Al Sunni A, Latif R. Perceived stress among medical students in preclinical years: A Saudi Arabian perspective. Saudi J Health Sci 2014;3(3):155-9. 19.Abdel RahmanAG,Al Hashim BN,Al Hiji NK,Al-Abbad Z. Stress among medical Saudi students at College of Medicine, King Faisal University. J Prev Med Hyg. 2013;54(4):195-199. 20.KazmiSY,AsadMR,SamiW,AfzalK, IrfanA,AlmarriN.Perceivedstressamong male medical undergraduates at College of Medicine, Majmaah, Saudi Arabia. Int j adv res innov. 2015;1(5): 602-10.
  17. 17.Alghamdi T, Ansari T, Alfahaid F, Alzaharani M, Almansour M, Sami W. Prevalence of mental distress among undergraduate medical students at Majmaah University, Kingdom of SaudiArabia. Majmaah J Heal Sci. 2017;5(2): 66-75.
  18. 18.Mohamed EY, Abdulrahim SA, Sami W, Althaqib AN, Alzuwayyed AA, Almutiri KA. Insomnia and related anxiety among medical students. J Res Med Dent Sci. 2020;8(3):198-202.
  19. 19.Firth, J. Levels and sources of stress in medical students. Br Med J (Clin Res Ed). 1986;292(6529):1177-1180.
  20. 20.Kumar SG, Kattimani S, Sarkar S, Kar SS. Prevalence of depression and its relation to stress level among medical students in Puducherry, India. Ind Psychiatry J. 2017;26(1):86-90.
  21. 21.Rafique N, Al-Asoom L, Latif R, Al SunniA, Wasi S. Comparing levels of psychological stress and its inducing factors among medical students. J Taibah Univ Med Sci. 2019;14(6):488-494.
  22. 22.Abdulghani HM. Stress and Depression among medical students:Across-sectional study at a medical college in Saudi Arabia. Pak J Med Sci.2008; 4(1):12-7. 144 Majmaah Journal of Health Sciences ,Vol. 10, Issue 3, July - 2022, Dhū al-Hijjah - 1443 Prevalence of stress among students of the College of Medicine, Majmaah University, SaudiArabia, 2019-20
  23. 23.Gazzaz ZJ, Baig M, Al Alhendi BSM, Al Suliman MMO, Al Alhendi AS, Al- Grad MSH. Perceived stress, reasons for and sources of stress among medical students at Rabigh Medical College, King Abdulaziz University, Jeddah, Saudi Arabia. BMC Med Educ. 2018;18(1):29.
  24. 24.McKerrow I, Carney PA, Caretta-Weyer H, Furnarid M, Juvee AM. Trends in medical students’ stress, physical, and emotional health throughout training. Med Educ Online. 2020;25(1):1709278.
  25. 25.Alzahrani MK, Ahmed SM, Sami W, Al-jubairi NN, Almutairi AA, Alqhatan AM. Prevalence of Sleep Pattern and its Effect on Health among Medical Students in Majmaah, SaudiArabia.Ann Med Health Sci Res. 2021; 11:1284-1289.
  26. 26.Chacón-Cuberos R, Zurita-Ortega F, Olmedo-Moreno EM, Castro-Sánchez M. Relationship between Academic Stress, Physical Activity and Diet in University Students of Education. Behav Sci (Basel). 2019;9(6):59.
  27. 27.Butt N, Bader N, Khan MN, Allana A, AshrafA,SiddiquiD,BaigMH,Mahmood A, Malik A, Khalek IS, Saleem S. The EffectofPhysicalActivityonStressLevelsof Medical Students:ACross-sectionalAnalysis. Pak J Surg Med. 2020;1(2):100-105.
  28. 28.Raj S, Kanagasabapathy S. Study on PhysicalActivity and Stress Levels among Undergraduate Medical Students. Journal of Medical science and clinical research. 2018;6 (3):663-668. 33.AlkalaldehM,AbuShoshaG.Application of the perceived stress scale in health care studies. An analysis of literature. International Journal of Academic Research Part B. 2012; 4(4): 45-50.
  29. 29.Mirghni H, Elnour M. The perceived stress and approach to learning effects on academic performance among Sudanese medical students. Electron Physician. 2017;9(4):4072-4076.
  30. 30.Kumar M, Sharma S, Gupta S, Vaish S, Misra R. Effect of stress on academic performance in medical students - a cross sectional study. Indian J Physiol Pharmacol. 2014;58(1):81-86.

Peer review

Peer reviewed by 3 reviewers, who chose to remain anonymous.

Majmaah Journal of Health Sciences · eISSN 1658-8223 · Majmaah University · open access