Perceived Stress among Students in Medical/Dental and Allied Health Universities in Pakistan due to COVID-19 Pandemic

  • Asad Tamizuddin Nizami Institute of Psychiatry Rawalpindi Medical University
  • Mehwish Anwar
  • Aalia Akhtar Hayat
  • Fakiha Shabbir
  • Abdul Moizz Asad Nizami
  • Muhammad Umar
Keywords: COVID-19, medical universities, stress.

Abstract

 

Objective: Aim of the study was to explore the perceived stress in students at various medical and dental universities across Pakistan during the COVID 19 pandemic, using a validated scale.
Materials and Methods: The study took place at the Institute of Psychiatry (IOP) Rawalpindi Medical University (RMU).
Results: About 400 medical students participated countrywide. The final analysis was conducted on 333 participants who completed the survey form. Study participants comprised 69.1% female and 30.9% male students. About 74.5% of the participants represented Punjab province, 1.2% were from Sindh, another 1.2% belonged to Baluchistan, 2.4% were from KPK, and 1.5% were from AJK while 19.2% of them resided in Islamabad. The majority of participants were enrolled in MBBS (78.4%) while the rest were from BDS (3%), Allied Health Sciences (12.9%), Clinical Psychology (3.6%), and Pharm D (2.1%).
The mean perceived stress score was 21.34, SD=4.90 suggesting high perceived stress levels. Approximately 4.5% of students perceived low levels of stress, 80.2% perceived moderate stress, whereas 15.3% scored high on the perceived stress scale. Male students had statistically significant (p=0.38) lower stress levels (M=19.99, SD=5.91) as compared to females (M= 21.95, SD= 4.26).
Conclusions: Perceived stress level in medical students was alarmingly high and requires urgent intervention by the Medical and Dental Universities for immediate action and policy guidance for early identification and effective management. This can be achieved by delivering targeted e-workshops and evidence-based e-trainings for stress management like psychological first aid and mindfulness techniques.

References

1. World Health Organization: 2020 Jun16. https://www.who.int/emergencies/diseases/ novel-coronavirus-2019/ situation-reports.
2. Mukhtar S. Pakistanis' mental health during the COVID-19. Asian J Psychiatr.2020 Apr 23;51:102127
3. Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, et al. The psychological impact of the COVID-19 epidemic on college students in China Psychiatry Research 2020 May; 287. https://www.sciencedirect.com/science/article/pii/S0165178120305400
4. Haider II, Tiwana F, Tahir SM. Impact of the COVID-19 Pandemic on Adult Mental Health. Pak J Med Sci. 2020;36 (COVID19-S4): COVID19-S90-S94. DOI: https://doi.org/10.12669/pjms.36.COVID19-S4.2756
5. Chen Q, Liang M, Li Y, Guo J, Fei D, Wang L, et al. Mental health care for medical staff in China during the COVID-19 outbreak. Lancet Psychiatry. 2020 Apr;7(4): e15-e16. DOI: 10.1016/S2215-0366(20)30078-X.
6. Cohen S. Perceived stress in a probability sample of the United States. The social psychology of health.1988:31-67
7. Rajkumar RP. COVID-19 and mental health: A review of the existing literature. Asian J Psychiatr.2020 Apr 10;52:102066.
8. Cull WL, O'Connor KG, Sharp S, Tang SF. Response rates and response bias for 50 surveys of pediatricians. Health Serv Res. 2005 Feb;40(1):213-26. DOI: 10.1111/j.1475-6773.2005.00350.
9. Smith G. Does gender influence online survey participation?: A record-linkage analysis of university faculty online survey response behavior. ERIC Document Reproduction Service No. ED 501717. 2008.
10. W.D. Kernan. Health-related impediments to learning among dental and oral surgery students. J. Prev. Interv. Community, 2019; 47 (1): 32-44
11. Kwok KO, Wong V, Wei VW, Wong SY, Tang JW. Novel coronavirus (2019-nCoV) cases in Hong Kong and implications for further spread. Journal of Infection. 2020 Jun 1;80(6):671-93.
12. Ayittey FK, Ayittey MK, Chiwero NB, Kamasah JS, Dzuvor C. Economic impacts of Wuhan 2019‐nCoV on China and the world. Journal of Medical Virology. 2020 May;92(5):473-5.
13. E. Moreno, R. Muñoz-Navarro, L.A. Medrano, C. González-Blanch, P. Ruiz-Rodríguez, J.T. Limonero, L.S. Moretti, A. Cano-Vindel, J.A. Moriana. Factorial invariance of a computerized version of the GAD-7 across various demographic groups and over time in primary care patients. J. Affect Disord, 2019; 252: 114-121
14. Rincón-Cortés M, Herman JP, Lupien S, Maguire J, Shansky RM. Stress: Influence of sex, reproductive status and gender. Neurobiology of stress. 2019 Feb 1;10:100155.
15. Apa Gerber, Markus; Börjesson, Mats; Ljung, Thomas; et al. Fitness moderates the relationship between stress and cardiovascular risk factors, medicine & science. Sports & Exercise, 2016 Nov; 48 (11): 2075-2081. DOI: 10.1249/MSS.0000000000001005
16. Riboni FV, Belzung C. Stress and psychiatric disorders: from categorical to dimensional approaches. Current opinion in behavioral sciences. 2017 Apr 1;14:72-7.
17. Opoku-Acheampong A, Kretchy IA, Acheampong F, Afrane BA, Ashong S, Tamakloe B, Nyarko AK. Perceived stress and quality of life of pharmacy students in University of Ghana. BMC research notes. 2017 Dec;10(1):1-7.https://doi.org/10.1186/s13104-017-2439-6
18. Stewart, J.G., Shields, G.S., Esposito, E.C., et al. Life Stress and Suicide in Adolescents. J Abnorm Child Psychol, 2019; 47: 1707–1722. https://doi.org/10.1007/s10802-019-00534-5.
19. Mintz, S., Jamison, E. and Bol, K. Suicide Among Health Care Practitioners and Technicians in Colorado: An Epidemiological Study. Suicide Life Threat Behav, 2019; 49: 455-465. DOI: 10.1111/sltb.12449.
Published
2021-03-30
How to Cite
1.
Nizami A, Anwar M, Hayat A, Shabbir F, Nizami AM, Umar M. Perceived Stress among Students in Medical/Dental and Allied Health Universities in Pakistan due to COVID-19 Pandemic. JRMC [Internet]. 30Mar.2021 [cited 8May2021];25(1):102-6. Available from: https://journalrmc.com/index.php/JRMC/article/view/1544

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