Perceived Stress among Medical Students during COVID-19 Pandemic and its Impact on Sleep and Studies - A Cross-sectional Study in South India

Perceived Stress in Medical Students

  • Praveena Daya A Assistant Professor, Department of Preventive and Social Medicine, Government Tirunelveli Medical College, Tirunelveli, Tamil Nadu, India.
  • Anbalagan Anithasri Assistant Professor, Department of Biochemistry, Government Villupuram Medical College, Villupuram, Tamil Nadu, India.
  • Prema Priya G Associate Professor, Department of Obstetrics and Gynaecology, Vinayaka Missions Kirupanandavariyar Medical College, VMRF (DU), Salem, Tamil Nadu, India.
  • KR Ilamathi Associate Professor, Department of Pharmacology, Chettinad Hospital and Research Institute, Tamilnadu, India.
  • Karthikeyan G Civil Surgeon, Nanguneri Government Hospital, Tirunelveli, Tamil Nadu, India.
Keywords: COVID-19 Pandemic, Perceived Stress, Undergraduate Medical Students, Copingstrategies, Sleep Disturbances

Abstract

Background: COVID-19 pandemic has adversely affected the mental health of medical students due to the lockdown of colleges and educational institutions that had imposed a feeling of uncertainty and insecurity in students.

Objectives: The present study aims todetermine the prevalence of stress among medical undergraduate students and its association with sleep and studies during the COVID-19 pandemic.

Method: Perceived stress and sleep quality during COVID-19 pandemic was assessed among 446 undergraduate medical students using Perceived Stress Scale (PSS) and Pittsburgh Sleep Quality Index (PSQI) tools. An online questionnaire containing questions retrieved from PSS and PSQI tools was prepared in Google Forms and was shared by e-mail to the students. The students were classified into three categories based on PSS total scores and compared for differences in sleep quality and learning difficulties.

Results: The mean score of PSS was 13.38 ± 6.87. 252 (56.5%) had low perceived stress, 146 (32.7%) had moderate and 48 (10.8%) had high perceived stress. First year and final year medical students perceived more stress when compared with others. Among the 446 study participants, 34 (7.6%) reported poor sleep quality and it was significantly associated with the presence of stress (pvalue<0.001). 215 (48.2%) students had difficulty in concentrating on their studies.

Conclusion: The COVID-19 pandemic has resulted in perceived stress among medical undergraduate students of which most of them had moderate perceived stress which warrants immediate action.

How to cite this article:
Praveena Daya A, Anithasri A, Prema Priya G, Ilamathi KR, Karthikeyan G. Perceived Stress among Medical Students during COVID-19 Pandemic and its Impact on Sleep and Studies - A Cross-sectional Study in South India. Special Issue - COVID-19 & Other Communicable Disease. 2022;143-149.

DOI: https://doi.org/10.24321/0019.5138.202223

Author Biographies

Praveena Daya A, Assistant Professor, Department of Preventive and Social Medicine, Government Tirunelveli Medical College, Tirunelveli, Tamil Nadu, India.

Assistant Professor,

Department of Community Medicine.

Prema Priya G, Associate Professor, Department of Obstetrics and Gynaecology, Vinayaka Missions Kirupanandavariyar Medical College, VMRF (DU), Salem, Tamil Nadu, India.

Assistant Professor, Department of Obstetrics and Gynaecology,

KR Ilamathi, Associate Professor, Department of Pharmacology, Chettinad Hospital and Research Institute, Tamilnadu, India.

Assistant Professor, Department of Obstetrics and Gynaecology

Karthikeyan G, Civil Surgeon, Nanguneri Government Hospital, Tirunelveli, Tamil Nadu, India.

Civil Surgeon

References

United Nations Educational, Scientific and Cultural Organization [Internet]. COVID-19 educational disruption and response: continuation of radio education for secondary level students in Nepal;[cited 2020 Jun 18]. Available from: https://en.unesco.org/news/covid-19-educational-disruption-and-response-continuation-radio-education-secondary-level

Asmundson GJ, Taylor S. How health anxiety influences responses to viral outbreaks like COVID-19: what all decision-makers, health authorities, and health care professionals need to know. J Anxiety Disord. 2020 Apr;71:102211. [PubMed] [Google Scholar]

Zhou SJ, Zhang LG, Wang LL, Guo ZC, Wang JQ, Chen JC, Liu M, Chen X, Chen JX. Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19. Eur Child Adolesc Psychiatry. 2020 Jun;29(6):749-58. [PubMed] [Google Scholar]

Quek TT, Tam WW, Tran BX, Zhang M, Zhang Z, Ho CS, Ho RC. The global prevalence of anxiety among medical students: a meta-analysis. Int J Environ Res Public Health. 2019 Jul;16(15):2735. [PubMed] [Google Scholar]

Li Y, Wang Y, Jiang J, Valdimarsdóttir UA, Fall K, Fang F, Song H, Lu D, Zhang W. Psychological distress among health professional students during the COVID-19 outbreak. Psychol Med. 2021 Aug;51(11):1952-4. [PubMed] [Google Scholar]

Cullen W, Gulati G, Kelly BD. Mental health in the COVID-19 pandemic. QJM Mon J Assoc Physicians. 2020;113(5):311-2. [Google Scholar]

Sahu P. Closure of universities due to Coronavirus Disease 2019 (COVID-19): impact on education and mental health of students and academic staff. Cureus. 2020 Apr;12(4):e7541. [PubMed] [Google Scholar]

Cohen S, Janicki-Deverts D, Miller GE. Psychological stress and disease. JAMA. 2007 Oct;298(14):1685-7. [PubMed] [Google Scholar]

Montero-Marin J, Piva Demarzo MM, Pereira JP, Olea M, García-Campayo J. Reassessment of the psychometric characteristics and factor structure of the “Perceived Stress Questionnaire†(PSQ): analysis in a sample of dental students. PLoS One. 2014 Jan;9(1):e87071. [PubMed] [Google Scholar]

Buysse DJ, Reynolds 3rd CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research.Psychiatry Research.1989 May;28(2):193-213. [PubMed] [Google Scholar]

Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, Rubin GJ. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet Lond Engl. 2020 Mar;395(10227):912-20. [PubMed] [Google Scholar]

Heinen I, Bullinger M, Kocalevent RD. Perceived stress in first year medical students - associations with personal resources and emotional distress. BMC Med Educ. 2017 Jan;17(1):4. [PubMed] [Google Scholar]

Marelli S, Castelnuovo A, Somma A, Castronovo V, Mombelli S, Bottoni D, Leitner C, Fossati A, Ferini-Strambi L. Impact of COVID-19 lockdown on sleep quality in university students and administration staff. J Neurol. 2021 Jan;268(1):8-15. [PubMed] [Google Scholar]

Rebello CR, Kallingappa PB, Hegde PG. Assessment of perceived stress and association with sleep quality and attributed stressors among 1st‑year medical students: a cross‑sectional study from Karwar, Karnataka, India. Tzu Chi Med J. 2018 Oct-Dec;30(4):221-6. [PubMed] [Google Scholar]

Zhang Y, Zhang H, Ma X, Di Q. Mental health problems during the COVID-19 pandemics and the mitigation effects of exercise: alongitudinal study of college students in China. Int J Environ Res Public Health. 2020 May;17(10):3722. [PubMed] [Google Scholar]

Liu N, Zhang F, Wei C, Jia Y, Shang Z, Sun L, Wu L, Sun Z, Zhou Y, Wang Y, Liu W. Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: gender differences matter. Psychiatry Res. 2020 May;287:112921. [PubMed] [Google Scholar]

Ji XW, Chan CHY, Lau BHP, Chan JSM, Chan CLW, Chung KF. The interrelationship between sleep and depression: a secondary analysis of a randomized controlled trial on mind-body-spirit intervention. Sleep Med. 2017 Jan;29:41-6. [PubMed] [Google Scholar]

Lee MS, Kim SR, Min GH, Cho BJ. Effects of sittercise on elderly subjects’ depression and sleep quality. J Phys Ther Sci. 2016 Apr;28(4):1120-3. [PubMed] [Google Scholar]

AAMC [Internet]. Medicalschool survival tips;[cited 2020 Jun 18]. Available from: https://students-residents.aamc.org/attending-medical-school/medical-school-survival-tips/

General Medical Council [Internet]. Welcomed and valued;[cited 2020 Jun 18]. Available from: https://www.gmc-uk.org/education/standards-guidance-and curricula/guidance/welcomed-and-valued

Published
2022-03-16