STRESS LEVELS AMONG UNDERGRADUATE MEDICAL STUDENTS ON EXPOSURE TO ONLINE LEARNING

https://doi.org/10.22146/jpki.64507

Sanian Inama(1*), Yuke Sarastri(2)

(1) Universitas Sumatera Utara
(2) Departement of Cardiology, Haji Adam Malik General Hospital, Medan, Indonesia
(*) Corresponding Author

Abstract


Background: Adolescence is a time of significant psychosocial and physiological changes, such as changes in the reactivity of the hypothalamic-pituitary-adrenal (HPA) axis, which causes an increase in stress-induced hormonal responses. Mental health disorders in medical students are often reported. Moreover, during the COVID-19 pandemic, most medical schools have changed the pre-clinical learning curriculum to online learning, hence most of the student's needs cannot be fulfilled. This study aims to determine the overview of the stress level among undergraduate medical students in Indonesia on exposure to online learning.

Methods: This research uses a descriptive cross-sectional design. The primary data was taken with Medical Student Stressor Questionnaire, with undergraduate medical students, especially semester III-VII, as the target population. The minimal population was calculated using a stratified random sampling technique. Data were analyzed using the descriptive method.

Results: In this study, most of the students experienced moderate stress (49.1%). Based on their age, the highest stress level was found in students aged 20 years (37%). Based on their gender, a higher stress level was found in female students (61.1%), compared to male students (38.9%). Based on the year, the highest stress level was found in the class of 2019 students (35.2%).

Conclusion: Most of the students of the Faculty of Medicine in Indonesia experienced moderate stress during online learning. There is no significant difference between the stress levels of undergraduate medical students before and after the implementation of the online learning system


Keywords


Coronavirus Disease 2019 (COVID-19), stress level, online learning system

Full Text:

PDF


References

Shahsavarani AM, Azad E, Abadi M, Kalkhoran MH. Stress: Facts and theories through literature review. Int J Med Rev. 2015;2(2).

Romeo, Russell D. The teenage brain: The stress response and the adolescent brain. Curr Dir Psychol Sci. 2013;22(2):140–5.

Chiang JJ, Ko A, Bower JE, Taylor SE, Irwin MR, Fuligni AJ. Stress, psychological resources, and HPA and inflammatory reactivity during late adolescence. Development and Psychopathology. 2019; 31(2): 699–712.

Rahmayani RD, Liza RG, Syah NA. Gambaran tingkat stres berdasarkan stressor pada mahasiswa kedokteran tahun pertama program studi profesi dokter fakultas kedokteran universitas andalas angkatan 2017. J Kesehat Andalas. 2019;8(1):103.

Goldfarb EV, Seo D, Sinha R. Sex differences in neural stress responses and correlation with subjective stress and stress regulation. Neurobiol Stress [Internet]. 2019 [cited 2021 Feb 5];11(January):100177. Available from: https://doi.org/10.1016/j.ynstr.2019.100177

Mayor E. Gender roles and traits in stress and health. Front Psychol. 2015;6(Jun):1–7.

Dahlin ME, Runeson B. Burnout and psychiatric morbidity among medical students entering clinical training: A three year prospective questionnaire and interview-based study. BMC Med Educ. 2007;7:1–8.

Almojali AI, Almalki SA, Alothman AS, Masuadi EM, Alaqeel MK. The prevalence and association of stress with sleep quality among medical students. J Epidemiol Glob Health [Internet]. 2017 [cited 2021 Feb 5];7(3):169–74. Available from: http://dx.doi.org/10.1016/j.jegh.2017.04.005

Rose S. Medical sudent education in the time of COVID-19. JAMA [Internet]. 2020 Mar [cited 2021 Feb 10]. Available from: https://doi.org/10.1001/jama.2020.5227

Adhikari SP, Meng S, Wu YJ, Mao YP, Ye RX, Wang QZ, et al. Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: A scoping review. Infect Dis Poverty. 2020;9(1):1–12.

World Health Organization. Coronavirus [Internet]. 2020 [cited 2021 Feb 1]. Available at: https://www.who.int/health-topics/coronavirus#tab=tab_1.

Saiful M, Yusoff B, Fuad A, Rahim A. The medical student stressor questionnaire ( MSSQ ) manual [Internet]. Malaysia: KKMED Publications; 2016 [cited 2021 Feb 10]. 25p.

Kumari A, Singh SB, Mahajan S, Sharma V, Ranjan R, Vohra P, et al. Stress assessment in mbbs first year students before and after stress management training during covid-19 lockdown: a north indian study. Int J Med Biomed Stud. 2020;4(9).

Adryana NC, Apriliana E, Oktaria D, Kedokteran F, Lampung U, Dokter BP, et al. Perbandingan tingkat stres pada mahasiswa tingkat I , II dan III fakultas kedokteran universitas lampung: a comparative study of stress level in the first , second , and third year students of medical faculty of university of lampung. Majority. 2020;9:142–9.

Pathmanathan VV. Gambaran tingkat stres pada mahasiswa fakultas kedokteran universitas sumatera utara semester ganjil tahun akedemik 2012 / 2013 overview of stress level among the students in medical faculty of north sumatera university odd semester academic year 2012 / 2. E-Journal FK USU. 2013;1:2–5.

O'Callaghan, P. The relationship of stress to gender, age, academic motivation, student expectations, and self-esteem among students. Dublin Business School. 2014; (Mar): 1-68.

Monteiro NM, Balogun SK, Oratile KN. Managing stress: The influence of gender, age and emotion regulation on coping among university students in Botswana [Internet]. International Journal of Adolescence and Youth. 2014;19(2):153–73. Available from: http://dx.doi.org/10.1080/02673843.2014.908784

Eva EO, Islam MZ, Mosaddek ASM, Rahman MF, Rozario RJ, Iftekhar AFMH, et al. Prevalence of stress among medical students: A comparative study between public and private medical schools in Bangladesh. BMC Res Notes. 2015;8(1):1–7.

Wang J, Korczykowski M, Rao H, Fan Y, Pluta J, Gur RC, et al. Gender difference in neural response to psychological stress. Soc Cogn Affect Neurosci. 2007;2(3):227–39.

Patil SK, Patkar US, Patkar KU. Comparision of Levels of Stress in Different Years of M.B.B.S. Students in A Medical College - An Observational Study. Int J Contemp Med Res. 2016;3(6):1655–7.

Rafique N, Al-Asoom LI, Latif R, Al Sunni A, Wasi S. Comparing levels of psychological stress and its inducing factors among medical students. J Taibah Univ Med Sci [Internet]. 2019;14(6):488–94. Available from: https://doi.org/10.1016/j.jtumed.2019.11.002

Yen Yee L, Yusoff MSB. Prevalence and sources of stress among medical students in Universiti Sains Malaysia and Universiteit Maastricht. Educ Med J. 2013;5(4).



DOI: https://doi.org/10.22146/jpki.64507

Article Metrics

Abstract views : 1165 | views : 1223

Refbacks

  • There are currently no refbacks.


Copyright (c) 2022 Sanian Inama, Yuke Sarastri

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Pendidikan Kedokteran Indonesia (The Indonesian Journal of Medical Education) indexed by: