Perceived Stress and Its Physical Presentation During Exam: A Study of Central Park Medical College: Perceived Stress and Its Physical Presentation During Exam

. Kashaf; Mahwash Malik; Furqan Ali; Lamees Gohar

doi:10.54393/pjhs.v5i07.1712

Authors

. Kashaf Department of Pharmacology, Central Park Medical College, Lahore, Pakistan
Mahwash Malik Department of Pharmacology, Central Park Medical College, Lahore, Pakistan
Furqan Ali Department of Pharmacology, Central Park Medical College, Lahore, Pakistan
Lamees Gohar Department of Pharmacology, Central Park Medical College, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i07.1712

Keywords:

Stress, Anxiety, Examination, Physical Presentation, Medical Student

Abstract

Stress during examination is a global issue. Researches show that the physical impact of stress includes various clinical symptoms and diseases. This study was designed to analyze the clinical presentation of stress in medical students during professional examination and the coping strategies practiced by them. Objective: To evaluate the causes of stress during exams and its physical presentation in medical students. Methods: A cross-sectional survey was conducted at Central Park Medical College, from November 2022 to February 2023. A validated questionnaire was used as a data collection tool. Medical students from 1^st year to the 4^th year of the age group 18 to 25 years were selected using the convenient sampling method. The data were transcribed into SPSS version 26.0. The significance of the results was decided at a p-value of ≤ 0.05. Results: The most frequent clinical symptom during stress was fatigue, followed by headache. These symptoms varied significantly among male and female students (p ≤ 0.05) for headache, tense muscles, depression, and decreased blood pressure. The portion regarding coping mechanisms exercised by students during stress, revealed religious activities (35%) followed by music (22%) and sleep (18%) respectively. The study also revealed that the biggest support medical graduates get during stress is from their friends (45%). Conclusions: This study concluded that the main cause of stress during professional exams is fear of disappointing parents. This stress presents in the form of physical symptoms like excessive fatigue, headache, and anxiety. Where the support system during this time is friends for most respondents, the most commonly exercised coping mechanism is performing religious activities.

References

George AS. Exam Season Stress and Student Mental Health: An International Epidemic. Partners Universal International Research Journal. 2024 Mar; 3(1): 138-49.

Oró P, Esquerda M, Mas B, Viñas J, Yuguero O, Pifarré J. Effectiveness of a mindfulness-based programme on perceived stress, psychopathological symptomatology and burnout in medical students. Mindfulness. 2021 May; 12: 1138-47. doi: 10.1007/s12671-020-01582-5. DOI: https://doi.org/10.1007/s12671-020-01582-5

Buch RS, Vyas SN, Moitra M. Documenting factors related to examination stress among school children in Surat city. International Journal of Community Medicine and Public Health. 2019 Apr; 6(4): 1788. doi: 10.18203/2394-6040.ijcmph20191423. DOI: https://doi.org/10.18203/2394-6040.ijcmph20191423

Bilahmar SQ, Hutahaean YO, Nugroho H. Relationship between Stress Level and Tension Type Headache among Medical Study Program, Faculty of Medicine, Mulawarman University. Jurnal Kesehatan Pasak Bumi Kalimantan. 2023 Feb; 5(2): 220-5. doi: 10.30872/j.kes.pasmi.kal.v5i2.8768. DOI: https://doi.org/10.30872/j.kes.pasmi.kal.v5i2.8768

Safhi M, Alafif RA, Alamoudi NM, Alamoudi MM, Alghamdi WA, Albishri SF et al. The association of stress with sleep quality among medical students at King Abdulaziz University. Journal of Family Medicine and Primary Care. 2020 Mar; 9(3): 1662-7. doi: 10.4103/jfmpc.jfmpc_745_19. DOI: https://doi.org/10.4103/jfmpc.jfmpc_745_19

Taufiq FH, Hasnawi H, Hidayat R. Association of Stress Level with Menstrual Disturbance Among Female Students in Medical Faculty Sriwijaya University. Bioscientia Medicina: Journal of Biomedicine and Translational Research. 2019 Feb; 3(1): 1-3. doi: 10.32539/bsm.v3i1.82. DOI: https://doi.org/10.32539/bsm.v3i1.82

Haidar SA, De Vries NK, Karavetian M, El-Rassi R. Stress, anxiety, and weight gain among university and college students: a systematic review. Journal of the Academy of Nutrition and Dietetics. 2018 Feb; 118(2): 261-74. doi: 10.1016/j.jand.2017.10.015. DOI: https://doi.org/10.1016/j.jand.2017.10.015

McKerrow I, Carney PA, Caretta-Weyer H, Furnari M, Miller Juve A. Trends in medical students’ stress, physical, and emotional health throughout training. Medical Education Online. 2020 Jan; 25(1): 1709278. doi: 10.1080/10872981.2019.1709278. DOI: https://doi.org/10.1080/10872981.2019.1709278

Rosales-Ricardo Y, Rizzo-Chunga F, Mocha-Bonilla J, Ferreira JP. Prevalence of burnout syndrome in university students: A systematic review. Salud Mental. 2021 Apr; 44(2): 91-102. doi: 10.17711/SM.0185-3325.2021.013. DOI: https://doi.org/10.17711/SM.0185-3325.2021.013

Pokhrel, N.B., Khadayat, R, Tulachan, P. Depression, anxiety, and burnout among medical students and residents of a medical school in Nepal: a cross-sectional study. BMC Psychiatry. 2020 Dec; 20: 1-8. doi: 10.1186/s12888-020-02645-6. DOI: https://doi.org/10.1186/s12888-020-02645-6

Shao R, He P, Ling B, Tan L, Xu L, Hou Y et al. Prevalence of depression and anxiety and correlations between depression, anxiety, family functioning, social support and coping styles among Chinese medical students. BMC psychology. 2020 Dec; 8: 1-9. doi: 10.1186/s40359-020-00402-8. DOI: https://doi.org/10.1186/s40359-020-00402-8

Abreu Alves S, Sinval J, Lucas Neto L, Marôco J, Gonçalves Ferreira A, Oliveira P. Burnout and dropout intention in medical students: the protective role of academic engagement. BMC Medical Education. 2022 Feb; 22(1): 83. doi: 10.1186/s12909-021-03094-9. DOI: https://doi.org/10.1186/s12909-021-03094-9

Holton MK, Barry AE, Chaney JD. Employee stress management: An examination of adaptive and maladaptive coping strategies on employee health. Work. 2016 Jan; 53(2): 299-305. doi: 10.3233/WOR-152145. DOI: https://doi.org/10.3233/WOR-152145

Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. Journal of health and social behavior. 1983 Dec: 385-96. doi: 10.2307/2136404. DOI: https://doi.org/10.2307/2136404

Ragab EA, Dafallah MA, Salih MH, Osman WN, Osman M, Miskeen E et al. Stress and its correlates among medical students in six medical colleges: an attempt to understand the current situation. Middle East Current Psychiatry. 2021 Dec; 28(1): 75. doi: 10.1186/s43045-021-00158-w. doi: 10.1186/s43045-021-00158-w. DOI: https://doi.org/10.1186/s43045-021-00158-w

Khattak HG, Arshad H, Anwar K, Taj S, Iftikhar M, Ilyas S et al. Frequency of Depression, Anxiety and Stress among Medical Students of Rawalpindi and Islamabad. Pakistan Journal of Medical and Health Sciences. 2022 Nov; 16(10): 61-. doi: 10.53350/pjmhs22161061. DOI: https://doi.org/10.53350/pjmhs22161061

ul Huda N, Nasim H, Shahzad HB, Manzar S. Prevalence of stress and its effects on the physical and dental health of medical, dental, and engineering students in Lahore, Pakistan”: Prevalence of Stress and its Effects on the Physical and Dental Health. Pakistan Journal of Health Sciences. 2022 Sep: 70-5. doi: 10.54393/pjhs.v3i04.97. DOI: https://doi.org/10.54393/pjhs.v3i04.97

Seo C, Di Carlo C, Dong SX, Fournier K, Haykal KA. Risk factors for suicidal ideation and suicide attempt among medical students: A meta-analysis. PLOS One. 2021 Dec; 16(12): e0261785. doi: 10.1371/journal.pone.0261785. DOI: https://doi.org/10.1371/journal.pone.0261785

Klein HJ and McCarthy SM. Student wellness trends and interventions in medical education: a narrative review. Humanities and social sciences communications. 2022 Mar; 9(1). doi: 10.1057/s41599-022-01105-8. DOI: https://doi.org/10.1057/s41599-022-01105-8

Slavin SJ, Schindler DL, Chibnall JT. Medical student mental health 3.0: improving student wellness through curricular changes. Academic Medicine. 2014 Apr; 89(4): 573-7. doi: 10.1097/ACM.0000000000000166. DOI: https://doi.org/10.1097/ACM.0000000000000166