Perceived Stress among Undergraduate Medical Students and its Determinants: A Cross-Sectional Study in a Teaching Hospital in West Bengal

Abstract

Stress among medical students is a growing concern worldwide. The objectives were to assess the perceived stress, its sources and its pattern among undergraduate medical students and to find out determinants of stress among them. This cross sectional descriptive study was conducted among 225 undergraduate medical students of three academic years of Bankura Sammilani medical college during March-June 2015.Data were collected using a pretested, semistructured, anonymous, self-administered questionnaire which consisted of Perceived Stress Scale -10 for assessment of stress . Data were analysed using SPSS version 20.0. Binary Logistic Regression (BLR) model was adopted to find determinants of stress. Proportion of stressed students was 38.2% and mean stress score was 18.41(SD±6.22). Female students were more stressed than male students. About 80% of students perceived ‘vast syllabus’ and ‘lack of attention and time from teacher’ as stressors. Around 50% of students reported ‘Worry about future’, ‘Own expectation of becoming doctor’, ‘Inadequate quantity and quality of food in hostel’ and ‘Lack of recreation’ as stressors. ‘Disturbed in-campus political environment’ was perceived as a source of stress by 42.2% students. In BLR model, only five stressors, ‘Relationship problem with partner/love affair’, ‘Quarrel/maladjustment with friends’, ‘Living away from home’, ‘Competitive environment’, ‘Lack of attention and time from teachers’ were found statistically significant. Most of the stressors were related to academic and psychological domains. Regular review and restructuring of medical curriculum, implementing in-campus health promotional measures for students to cope with stress are needed to address the issue.