Exploring the Impact of Academic, Environmental, and Psychosocial Stressors on the Mental Well-Being of Medical Students: Academic, Environmental, and Psychosocial Stressors On the Medical Students

Mohi Ud Din; Hina Aslam; Aimen Ali; . Iysha; Qudsia Babar; Fukhema Aslam

doi:10.54393/pjhs.v6i2.2669

Authors

Mohi Ud Din Department of Community Medicine, Aziz Fatimah Medical and Dental College, Faisalabad, Pakistan
Hina Aslam Department of Pharmacology, King Edward Medical University, Lahore, Pakistan
Aimen Ali Aziz Fatimah Medical and Dental College, Faisalabad, Pakistan
. Iysha Aziz Fatimah Medical and Dental College, Faisalabad, Pakistan
Qudsia Babar Aziz Fatimah Medical and Dental College, Faisalabad, Pakistan
Fukhema Aslam Aziz Fatimah Medical and Dental College, Faisalabad, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i2.2669

Keywords:

Impact, Medical, Stressors, Students

Abstract

Exploring the multifaceted impact of academic, environmental, and psychosocial stressors on students’ overall mental well-being is necessary, identifying key areas for intervention and support. Objectives: To see the prevalence of different stressors in medical students. Also, to assess their mental well-being and the correlation of different stressors with it. Methods: An analytical cross-sectional study in a private medical college was done from July 2024 to December 2024. A questionnaire was developed through Google Forms and distributed through social media platforms, and quota non-purposive sampling was done. Stressors were assessed through the Likert scale, and mental well-being through the Kessler scale. Chi-square and independent sample T-tests were employed. P-value <0.05 was taken as significant. Results: Mild to moderate effects of academic, environmental, and psychosocial stressors were observed. Mostly, students were having severe mental distress, and an equal percentage were likely to be well. A moderate positive correlation between mental well-being and stressors was observed with significant p-values between mental well-being and academic stressors (r=0.497, p=<0.001), environmental stressors (r=0.432, p=<0.001), and psychosocial stressors (r=0.489, p=<0.001); depicting increased distress were associated with higher prevalence of stressors among participants. Conclusions: It was concluded that female, and students of final year MBBS were having more mental distress. Stressors were having a mild to moderate effect on participants. Establishing an academic culture that provides a haven for all, normalizes seeking help, and promotes collaboration over competition would go a long way toward alleviating some of the stressors that medical students face

References

Lai R and Plakiotis C. Stress and Wellbeing of Psychiatry Trainees: A Literature Review. GeNeDis 2018: Genetics and Neurodegeneration. 2020: 117-26. doi: 10.1007/978-3-030-32633-3_16. DOI: https://doi.org/10.1007/978-3-030-32633-3_16

Fino E, Martoni M, Russo PM. Specific Mindfulness Traits Protect Against Negative Effects of Trait Anxiety On Medical Student Wellbeing During High-Pressure Periods. Advances in Health Sciences Education. 2021 Aug; 26(3): 1095-111. doi: 10.1007/s10459-021-10039-w. DOI: https://doi.org/10.1007/s10459-021-10039-w

Mirza AA, Baarimah H, Baig M, Mirza AA, Halawani MA, Beyari GM, AlRaddadi KS, Alreefi M. Academic and Non-Academic Life Stressors and Their Impact On Psychological Wellbeing of Medical Students. American Institute of Mathematical Sciences Public Health. 2021; 8(4): 563. doi: 10.3934/publichealth.2021046. DOI: https://doi.org/10.3934/publichealth.2021046

Joseph N, Nallapati A, Machado MX, Nair V, Matele S, Muthusamy N et al. Assessment of Academic Stress and Its Coping Mechanisms Among Medical Undergraduate Students in A Large Midwestern University. Current Psychology. 2021 Jun; 40: 2599-609. doi: 10.1007/s12144-020-00963-2. DOI: https://doi.org/10.1007/s12144-020-00963-2

Rosenthal S, Schlussel Y, Yaden M, DeSantis J, Trayes K, Pohl C et al. Persistent Impostor Phenomenon Is Associated with Distress in Medical Students. Family Medicine. 2021; 53(2): 118-22. doi: 10.22454/FamMed.2021.799997. DOI: https://doi.org/10.22454/FamMed.2021.799997

Urbina‐Garcia A. What Do We Know About University Academics' Mental Health? A Systematic Literature Review. Stress and Health. 2020 Dec; 36(5): 563-85. doi: 10.1002/smi.2956. DOI: https://doi.org/10.1002/smi.2956

Alotiby A, Almaghrabi M, Alosaimy R, Alharthi A, Khawandanah B, Alansari R et al. Learning Environment Quality for Medical Students at Umm Al-Qura University: A Comprehensive Study On Stressors, Sources, and Solutions After Introduction of A New Bachelor of Medicine and Bachelor of Surgery (MBBS) Curriculum. Advances in Medical Education and Practice. 2021 Dec: 1487-97. doi: 10.2147/AMEP.S343792. DOI: https://doi.org/10.2147/AMEP.S343792

Jowkar Z, Masoumi M, Mahmoodian H. Psychological Stress and Stressors Among Clinical Dental Students at Shiraz School of Dentistry, Iran. Advances in Medical Education and Practice. 2020 Feb: 113-20. doi: 10.2147/AMEP.S236758. DOI: https://doi.org/10.2147/AMEP.S236758

Vollmer-Conna U, Beilharz JE, Cvejic E, Macnamara CL, Doherty M, Steel Z et al. The Well-Being of Medical Students: A Biopsychosocial Approach. Australian and New Zealand Journal of Psychiatry. 2020 Oct; 54(10): 997-1006. doi: 10.1177/0004867420924086. DOI: https://doi.org/10.1177/0004867420924086

Choi AM, Moon JE, Friedman RA. Meeting the Challenges of Medical Student Mental Health and Well‐Being Today. Medical Education. 2020 Mar; 54(3). doi: 10.1111/medu.14064. DOI: https://doi.org/10.1111/medu.14064

Noreen A, Iqbal N, Hassan B, Ali SA. Relationship Between Psychological Distress, Quality of Life and Resilience Among Medical and Non-Medical Students. Journal of Pakistan Medical Association. 2021 Sep; 71(9): 2181-5. doi: 10.47391/JPMA.04-611. DOI: https://doi.org/10.47391/JPMA.04-611

Bartlett J and Fowler K. Beyond the Curriculum: A Cross-Sectional Study of Medical Student Psychological Distress, and Health Care Needs, Practices and Barriers. Social Psychiatry and Psychiatric Epidemiology. 2020 Sep; 55: 1215-21. doi: 10.1007/s00127-019-01771-1. DOI: https://doi.org/10.1007/s00127-019-01771-1

Al-Tammemi AA, Akour A, Alfalah L. Is It Just About Physical Health? An Internet-Based Cross-Sectional Study Exploring the Psychological Impacts of COVID-19 Pandemic On University Students in Jordan Using Kessler Psychological Distress Scale. Medrxiv. 2020 May: 2020-05. doi: 10.21203/rs.3.rs-29439/v1. DOI: https://doi.org/10.21203/rs.3.rs-29439/v1

Alfayez DI and AlShehri NA. Perceived Stigma Towards Psychological Illness about Psychological Distress Among Medical Students in Riyadh, Saudi Arabia. Academic Psychiatry. 2020 Oct; 44(5): 538-44. doi: 10.1007/s40596-020-01247-4. DOI: https://doi.org/10.1007/s40596-020-01247-4

Alotaibi AD, Alosaimi FM, Alajlan AA, Abdulrahman KA. The Relationship Between Sleep Quality, Stress, and Academic Performance Among Medical Students. Journal of Family and Community Medicine. 2020 Jan; 27(1): 23-8. doi: 10.4103/jfcm.JFCM_132_19. DOI: https://doi.org/10.4103/jfcm.JFCM_132_19

Al-Rouq F, Al-Otaibi A, AlSaikhan A, Al-Essa M, Al-Mazidi S. Assessing Physiological and Psychological Factors Contributing to Stress Among Medical Students: Implications for Health. International Journal of Environmental Research and Public Health. 2022 Dec; 19(24): 16822. doi: 10.3390/ijerph192416822. DOI: https://doi.org/10.3390/ijerph192416822

Slimmen S, Timmermans O, Mikolajczak-Degrauwe K, Oenema A. How Stress-Related Factors Affect Mental Wellbeing of University Students a Cross-Sectional Study to Explore the Associations Between Stressors, Perceived Stress, And Mental Wellbeing. Plos One. 2022 Nov; 17(11): e0275925. doi: 10.1371/journal.pone.0275925. DOI: https://doi.org/10.1371/journal.pone.0275925

Li P, Yang J, Zhou Z, Zhao Z, Liu T. The Influence of College Students' Academic Stressors On Mental Health During COVID-19: The Mediating Effect of Social Support, Social Well-Being, and Self-Identity. Frontiers in Public Health. 2022 Sep; 10: 917581. doi: 10.3389/fpubh.2022.917581. DOI: https://doi.org/10.3389/fpubh.2022.917581

Srivastava R, Jyoti B, Pradhan D, Kumar M, Priyadarshi P. Evaluating the Stress and Its Association with Stressors Among the Dental Undergraduate Students of Kanpur City, India: A Cross-Sectional Study. Journal of Education and Health Promotion. 2020 Jan; 9(1): 56. doi: 10.4103/jehp.jehp_405_19. DOI: https://doi.org/10.4103/jehp.jehp_405_19

Tran NT, Franzen J, Jermann F, Rudaz S, Bondolfi G, Ghisletta P. Psychological Distress and Well-Being Among Students of Health Disciplines in Geneva, Switzerland: The Importance of Academic Satisfaction in the Context of Academic Year-End and COVID-19 Stress On Their Learning Experience. Plos One. 2022 Apr; 17(4): e0266612. doi: 10.1371/journal.pone.0266612. DOI: https://doi.org/10.1371/journal.pone.0266612

Satpathy P, Siddiqui N, Parida D, Sutar R. Prevalence of Stress, Stressors, and Coping Strategies Among Medical Undergraduate Students in A Medical College of Mumbai. Journal of Education and Health Promotion. 2021 Aug; 10: 318. doi: 10.4103/jehp.jehp_1395_20. DOI: https://doi.org/10.4103/jehp.jehp_1395_20

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: https://doi.org/10.1186/s43045-021-00158-w