Psychosocial perspective of first year medical students entered in a professional course – a cross sectional study from Davangere, Karnataka

Main Article Content

Prasad Budri Kallingappa
Sindhuja Asokan

Abstract

Background


The perception of stress is frequently influenced by socio cultural factors; the results of studies on one region cannot be generalized to the other. This study is an attempt to explore the perception of stress and allied stressors among Indian medical students who have just entered into professional course.


Methods


A cross-sectional study was done on medical students of SSIMSRC, Davangere, Karnataka. Depression, anxiety and stress scores were noted using DASS questionnaire and sleep quality assessed using PIRS questionnaire. Attributable factors for negative emotional state in students were also noted. Pearson’s correlation used to note correlation between the negative emotional states scores and sleep parameters score.


Results


Mean depression, anxiety and stress scores were 8.88±7.31, 8.29±6.41 and 10.46±6.67 respectively. Significant positive correlation between these scores and sleep parameters score was observed. Common attributable factors for negative emotional states were  greater academic demands (36%), being in one’s own environment with new responsibilities (35%), being away from home(31%), exposure to new people, ideas and time (27%), facing new and difficult college work (47%), missing family or friends, feeling alone or isolated, experiencing conflict in relationships (34%),worrying about finances (13%). change in food habit (35%), change in living arrangements (26%), personality factors (30%).


Conclusion


Negative emotional states affect sleep quality and play a contributory factor for stressed situation, so early intervention of these states are required for the improvement of mental health and academic career.

Article Details

How to Cite
Kallingappa, P. B., & Asokan, S. (2014). Psychosocial perspective of first year medical students entered in a professional course – a cross sectional study from Davangere, Karnataka. Medical Science, 2(2), 110-116. https://doi.org/10.29387/ms.2014.2.2.110-116
Section
Original Articles
Author Biographies

Prasad Budri Kallingappa, SSIMSRC, NH4 Bypass Road, Davangere, Karnataka, India

Associate Professor, Department  of  Physiology

Sindhuja Asokan, SSIMSRC, NH4 Bypass Road, Davangere, Karnataka, India

Postgraduate Student, Department of Physiology

References

Bjorksten O, Sutherland S, Miller C, Stewart T.Identification of medical student problems and comparison with those of other students. J of mededuc 1983; 58(10):759-67.

Aktekin M, Karaman T,Senol Y Y, Erdem S, Erengin H, Akaydin M. Anxiety, depression and stressful life events among medical students: A prospective study in Antalya, Turkey. Med educ 2001; 35(1):12-17.

Supe AN. A study of stress in medical students at Seth G.S. Medical College. J Postgrad Med 1998;44(1):1-6.

Morrison J, Moffat K. More on medical student stress. MedEduc 2001;35(7):617‑18.

Abraham R, Zulkifli EM, Fan ES, Xin GN, Lim JT. A report on stress among first year students in an Indian medical school. Southeast Asian J Med Educ 2009;3(2):78‑81.

Lu L. University transition: Major and minor life stressors, personality characteristics and mental health. Psychol Med 1994;24(1):81‑87.

Ramkumar S, Rakshita C, Elizabeth J, Mathews J, Prakash VS, Sharma R. Coping ability of medical and nursing students: A cause of concern. Online J Health Allied Sci 2011;10(2):18.

Lovibond SH and Lovibond PF (1995). Manual for the Depression anxiety Stress Scales. (2nd Ed) Sydney: Psychology Foundation.

Moul DE, Pilkonis PA, Miewald JM, Carey TJ, Buysse DJ: Preliminary study of the test-retest reliability and concurrent validities of the Pittsburgh Insomnia Rating Scale (PIRS). Sleep 2002; 25(Abstract Supplement):246-47.

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed. Text Revision (DSM-IV-TR). Washington DC: American Psychiatric Association, 2000.

Bennet A, Sterling J. Vulnerability factors in the anxiety disorders. Br JMed Psychol 1998; 71(Pt 3):311-21.

Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: Psychometric properties. J Consulting and Clin Psychol 1988; 56(6): 893-97.

Shapiro SL, Shapiro DE, Schwartz GE, Stress management in medical education: a review of the literature. Acad Med 2000; 75(7):748-59.

Vitaliano PP, Russo J, Carr JE. Heerwagen JH. Medical school pressures and their relationship to anxiety, J nervous mental Dis 1984;172(12):730-6.

Coles C. Medicine and stress. Med Educ 1994; 28(1):3-4.

Mohsin S, Hasan S, Malik S, Sreeramareddy CT. Perceived Stress, Sources and the Severity of Stress among medical undergraduates in a Pakistani Medical School. BMC Med Educ 2010; 10(2): 1-8.

Shah C, Trivedi RS, Diwan J , Dixit R , Anand AK. Common stressors and coping of stress by medical students. J ClinDiag Res. 2009;3(4):1621-26.

Cherkil S, Gardens SJ, Soman DK. Coping Styles and its Association with Sources of Stress in Undergraduate Medical Students. Indian Journal of Psychological Medicine, 2013, 35(4): 389-93.

Perlis ML, Giles DE, Buysse DJ, Tu X, Kupfer DJ. Self-reported sleep disturbance as a prodromal symptom in recurrent depression. J Affective Disord 1997;42(2-3): 209-12.

Kryger MH, Roth T, Dement WC. Principles and Practice of Sleep Medicine. 3rd Ed. Philadelphia, PA: W.B. Saunders Co 2000. J Med Educ 1979; 13:336-41.

Bayram N, Bilgel N. The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatry Psychiatr Epidemiol. 2008;43(8):667-72.

Brown FC, Buboltz WC Jr, Soper B. Development and evaluation of the Sleep Treatment and Education Program for Students (STEPS). J Am Coll Health. 2006;54(4):231-37.