Prevalence and factors associated with stress in medical students at Ratchaburi Medical Education Center, Ratchaburi Hospital
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Published:
Jun 29, 2021
Keywords:
Stress Prevalence Medical student
Main Article Content
Abstract
Objective: Explored the prevalence and related factors of stress in preclinical and clinical medical students, Ratchaburi Medical Education Center, Ratchaburi Hospital
Method: A cross-sectional study was conducted. The data were collected by the Suanprung Stress Test-20 (SPST-20) of the Department of Psychiatric Health, Ministry of Public Health to assess the stress in medical students and the questionnaire to explore associated factors contributing to stress in medical students. The population included the second to the fifth-year medical students who registered in an academic year 2020 at Medical Education Center, Ratchaburi Hospital. The data were analyzed by application IBM SPSS statistics V.26 free trial version and represent in frequency, percentage, average and p-value.
Results: The prevalence of stress assessed by SPST-20 were 70.41% and the associated factors that statistically significant contributing to stress in preclinical medical students were academic factors and family factors, while in clinical medical students were a large quantity of contents duration of study in one day, difficulty of test and environment of ward . Academic factors, examination factors, relationship factors, environmental factors are also contributing to stress.
Conclusion: The prevalence of stress assessed by SPST-20 were 70.41%. The study shows that academic, examination, relationship, environmental factors are the contributing factors to the stress in medical students. It’s important to be aware to these factors for assist and manage in decreasing stress level in order to preventing depression that can leads to suicidal idea.
Keywords: Stress Prevalence Medical student
Article Details
How to Cite
Untaaveesup, S., Tiawwanakul, T., Somapee, W., & Tienkreua, C. (2021). Prevalence and factors associated with stress in medical students at Ratchaburi Medical Education Center, Ratchaburi Hospital. Journal of the Psychiatric Association of Thailand, 66(2), 159–172. Retrieved from https://he01.tci-thaijo.org/index.php/JPAT/article/view/247232
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Articles submitted for consideration must not have been previously published or accepted for publication in any other journal, and must not be under review by any other journal.
References
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34. Fares J, Tabosh HA, Saadeddin Z, Mouhayyar CE, Aridi H. Stress, Burnout and Coping
Strategies in Preclinical Medical Students. N Am J Med Sci 2016; 8:75-81.
35. Radeef AS, Faisal GG, Ali SM, Ismail MKHM. Source of stressors and emotional disturbances among undergraduate science students in Malaysia. International Journal of Medical Research & Health Sciences 2014; 3.
36. Musiun A, Lukman KA, Jeffree MS, Robinson F, Hassan MR, Ghazi HF, et al. Prevalence Of Stress And Its Associated Factors Among Medical Students In Sabah, Malaysia Borneo. Malaysian Journal of Public Health Medicine 2019; 19:116-25.
37. Lim VK. Medical education in Malaysia. Med Teach 2008; 30:119-23.
38. Thai Qualifications Framework for Higher Education Medicine, B.E. 2561. Notification of The Ministry of Education, gazette number 135, ตอนพิเศษ 302 ง. (Nov 28, 2018).
39. Lertrattananon D, Limsawart W, Dellow A, Pugsley H. Does medical training in Thailand prepare doctors for work in community hospitals? An analysis of critical incidents. Hum Resour Health 2019; 17:62.
40. Hongkan W, Arora R, Muenpa R, Chamnan P. Perception of educational environment among medical students in Thailand. Int J Med Educ 2018;9:18-23.
41. Randall AK, Bodenmann G. The role of stress on close relationships and marital satisfaction. Clin Psychol Rev 2009; 29:105-15.
42. Tatar E, Oktay M. Relative Evaluation System as an Obstacle to Cooperative Learning: The Views of Lecturers in a Science Education Department. International Journal of Environmental & Science Education 2008; 3:67-73.
Students in Faculty of Pharmacy at Rangsit University. J of Soc Sci & Hum
2014; 40:211-27.
2. Office of the Royal Society [internet]. Royal Institute Dictionary 2011. [cited 2020
March 11]. Available from: https://dictionary.orst.go.th/
3. American Psychological Association [Internet]. Stress relief is within reach. [cited 2020 March 11]. Available from: https://www.apa.org/topics/stress
4. Tafet GE, Nemeroff CB. The Links Between Stress and Depression: Psychoneuroendocrinological, Genetic, and Environmental Interactions. J Neuropsychiatry Clin Neurosci 2016; 28:77-88.
5. World Health Organization. Depression and Other Common Mental Disorders: Global Health Estimates. Geneva: 2017.
6. Chantarujikapong S, Loysangarun R, Kupituksa P. Stress Among Second year and Third year Siriraj Medical Students. Siriraj Hosp Gaz 1991; 43:646-53.
7. Saipanish R. Stress among medical students in a Thai medical school. Med Teach 2003; 25:502-6.
8. Sreeramareddy CT, Shankar PR, Binu V, Mukhopadhyay C, Ray B, Menezes RG. Psychological morbidity, sources of stress and coping strategies among undergraduate medical students of Nepal. BMC Med Educ 2007; 7:26.
9. Mahatnirunkul S, Pumpisalchai W, Thapanya P. The Construction of Suan Prung Stress Test for Thai Population. Bulletin of Suan Prung 1997; 13:1-20.
10. Zehra D, Israr N, Zahid N, Ahmed F, Shaheen S, Ali A. Association of Depression,
Anxiety and Stress in Medical Students Studying in Modular, Semester and Annual
Examination System. Asian Journal of Medicine and Health 2019:1-8.
11. Pisaniello MS, Asahina AT, Bacchi S, Wagner M, Perry SW, Wong ML, et al. Effect of medical student debt on mental health, academic performance and specialty choice: a systematic review. BMJ Open 2019; 9:1-15.
12. Sarkar S, Gupta R, Menon V. A Systematic Review of Depression, Anxiety, and Stress among Medical Students in India. Journal of Mental Health and Human Behaviour 2017; 22:88-96.
13. Pacheco JP, Giacomin HT, Tam WW, Ribeiro TB, Arab C, Bezerra IM, et al. Mental health problems among medical students in Brazil: a systematic review and meta-analysis. Braz J Psychiatry 2017; 39:369-78.
14. Garg K, Agarwal M, Dalal PK. Stress among medical students: A cross-sectional study from a North Indian Medical University. Indian J Psychiatry 2017; 59:502-4.
15. Sharma B, Kumar A, Sarin J. Academic Stress, Anxiety, Remedial Measures Adopted and Its Satisfaction among Medical Students: A Systematic Review. International Journal of Health Sciences & Research 2016; 6:368-77.
16. Eva EO, Islam MZ, Mosaddek AS, Rahman MF, Rozario RJ, Iftekhar AF, et al. Prevalence of stress among medical students: a comparative study between public and private medical schools in Bangladesh. BMC Res Notes 2015; 8:327.
17. Salam A, Yousuf R, Bakar SMA, Haque M. Stress among Medical Students in Malaysia:
A Systematic Review of Literatures. International Medical Journal 2013; 20:649-55.
18. Solanky P, Desai B, Kavishwar A, Kantharia SL. Study of psychological stress among undergraduate medical students of Government Medical College, Surat. Int J Med Sci Public Health 2012; 1:38-42.
19. Esan O, Esan A, Folasire A, Oluwajulugbe P. Mental health and wellbeing of medical students in Nigeria: a systematic review. Int Rev Psychiatry 2019; 31:661-72.
20. Bhagat V, Haque M, Simbak NB, Husain R. Stress among Medical Students and Advantages of Metallisation Therapy in General: A Review of Literatures. Adv Hum Biol 2018; 8:59-63.
21. Fares J, Al Tabosh H, Saadeddin Z, El Mouhayyar C, Aridi H. Stress, Burnout and Coping Strategies in Preclinical Medical Students. N Am J Med Sci 2016; 8:75-81.
22. Bamuhair SS, Al Farhan AI, Althubaiti A, Agha S, Rahman Su, Ibrahim NO. Sources of Stress and Coping Strategies among Undergraduate Medical Students Enrolled in a Problem-Based Learning Curriculum. Journal of Biomedical Education 2015; 2015:1-8.
23. Salgar ST. Stress in first year medical students. International Journal of Biomedical and Advance Research 2014; 5:5-6.
24. Brahmbhatt KR, P NV, S PK, S J. Perceived stress and sources of stress among medical undergraduates in a private medical college in Mangalore, India. International Journal of Biomedical and Advance Research 2013; 4:128-36.
25. Nuallaong W. Stress in medical students of Thammasat University. Thammasat Medical Journal 2010; 10:95-102.
26. Esan O, Esan A, Folasire A, Oluwajulugbe P. Mental health and wellbeing of medical students in Nigeria: a systematic review. Int Rev Psychiatry 2019; 31:661-72.
27. Gupta S, Choudhury S, Das M, Mondol A, Pradhan R. Factors Causing Stress Among Students of a Medical College in Kolkata, India. Education for Health 2015; 28:92-5.
28. Nimkuntod P, Uengarpon N, Benjaoran F, Pinwanna K, Ratanakeereepun K, Tongdee P. Psychometric Properties of Depression Anxiety and Stress in Preclinical Medical Students. J Med Assoc Thai 2016; 99:S111-7.
29. Rayakeaw R, Satayasai W. 4-6th year medical students’ stress: Case study at medical center, Buddhachinaraj Hospital, Phitsanulok. Thammasat Medical Journal 2013; 13:17-23.
30. Kolkijkovin V, Phutathum S, Chatromyen P, Jantratikul A, Pattrayutawat M, Surinrat T,
et al. A Study of Prevalence and Associated Factors of Stress in the Third-Year
Medical Students at Faculty of Medicine Vajira Hospital, Navamindradhiraj University.
Vajira Med J 2017; 61:9-20.
31. Phanhan S, Panthai B, Srihaset K. Factors affecting learning stress of 4th - 6th year medical students. Faculty of Medicine, Ramathibodi Hospital Mahidol University. Veridian E-Journal, Silpakorn University 2018; 11:2579-93.
32. Sani M, Mahfouz M, Bani I, Alsomily A, Alagi D, Alsomily N, et al. Prevalence of stress among medical students in Jizan University, Kingdom of Saudi Arabia. Gulf Medical Journal. 2012; 1:19-25.
33. S. Bamuhair S, I. Al Farhan A, Althubaiti A, Agha S, Rahman Su, Ibrahim NO. Sources of Stress and Coping Strategies among Undergraduate Medical Students Enrolled in a Problem-Based Learning Curriculum. Journal of Biomedical Education 2015; 2015:1-8.
34. Fares J, Tabosh HA, Saadeddin Z, Mouhayyar CE, Aridi H. Stress, Burnout and Coping
Strategies in Preclinical Medical Students. N Am J Med Sci 2016; 8:75-81.
35. Radeef AS, Faisal GG, Ali SM, Ismail MKHM. Source of stressors and emotional disturbances among undergraduate science students in Malaysia. International Journal of Medical Research & Health Sciences 2014; 3.
36. Musiun A, Lukman KA, Jeffree MS, Robinson F, Hassan MR, Ghazi HF, et al. Prevalence Of Stress And Its Associated Factors Among Medical Students In Sabah, Malaysia Borneo. Malaysian Journal of Public Health Medicine 2019; 19:116-25.
37. Lim VK. Medical education in Malaysia. Med Teach 2008; 30:119-23.
38. Thai Qualifications Framework for Higher Education Medicine, B.E. 2561. Notification of The Ministry of Education, gazette number 135, ตอนพิเศษ 302 ง. (Nov 28, 2018).
39. Lertrattananon D, Limsawart W, Dellow A, Pugsley H. Does medical training in Thailand prepare doctors for work in community hospitals? An analysis of critical incidents. Hum Resour Health 2019; 17:62.
40. Hongkan W, Arora R, Muenpa R, Chamnan P. Perception of educational environment among medical students in Thailand. Int J Med Educ 2018;9:18-23.
41. Randall AK, Bodenmann G. The role of stress on close relationships and marital satisfaction. Clin Psychol Rev 2009; 29:105-15.
42. Tatar E, Oktay M. Relative Evaluation System as an Obstacle to Cooperative Learning: The Views of Lecturers in a Science Education Department. International Journal of Environmental & Science Education 2008; 3:67-73.