Stress and coping among final year medical students
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Date
2014-01
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Indian Psychiatric Society
Abstract
Background: Medical School is challenging as medical students have to confront varied stressors such as academic
pressures, work over load, and issues pertaining to professional competence. Stress can be more during the final year of
study as students have to deal with pressure of graduating and making career decisions. Efficient coping protects students
against stress. Gender differences may exist in stress and coping.
Aims: The present study aimed to examine stress, coping and gender differences in final year medical students. Prediction
of stress by coping was also examined.
Methods: This cross-sectional study consisted of 117 final year medical students from a medical college in coastal
Karnataka . Professional Student Stress Survey to measure stress and Carver’s Brief COPE to measure coping were
administered.
Results: An almost similar amount of mild and moderate degree of stress was experienced by majority of the sample.
Academic performance and professional identity issues caused greater stress. Among the major coping approaches, problem
coping was used more by the group. The coping subtypes frequently used were planning, active coping, acceptance, and
self-distraction. There were no gender differences in stress. With regard to coping, females used more emotional coping
strategies, specifically, self-blame and seeking emotional support. Venting, an emotional coping strategy repeatedly emerged
as a positive predictor of overall stress and various stress domains. Avoidant coping also positively predicted over all
stress and stress in two stress domains. Positive re-framing negatively predicted stress and religion positively predicted
stress in two stress domains respectively.
Conclusion: The findings point towards the crucial need for stress management programs in medical school. Though
students used problem coping frequently, the evident role of maladaptive coping in increasing stress warrants the need for
coping skills training. Research on effectiveness of such programs in India needs to be improved.
Description
Keywords
Medical Students, Stress, Coping, Gender Differences
Citation
Madhyastha Sahana, KS Latha, Kamath Asha. Stress and coping among final year medical students. Andhra Pradesh Journal of Psychological Medicine. 2013 Jan-Jun; 15(1): 74-80