STRESS, ANXIETY, AND DEPRESSION RELATIONSHIP AMONG UNDERGRADUATE MEDICAL STUDENTS AND THEIR FINAL EXAM MARK
DOI:
https://doi.org/10.20319/lijhls.2018.43.2637Keywords:
Stress, Anxiety, Depression, Medical Students, Final ExamAbstract
Medical students often experiencing a stressful environment in their medical school. Stress occurred in students that currently studying for examinations. Higher stressor expose leads to higher levels of anxiety and depression. High level of stress declines cognitive functioning and learning process in their medical academic process and cause mental health impairment. A prospective cross-sectional study with 26 end-stage medical students as a participant, the participant ordered to fill 3 section questionnaire that measures stress, anxiety, and depression. Final exam mark obtained from Indonesian Medical Education Institution Association (AIPKI) one month after the exam held. There is no significant relationship between stressor in all domain and anxiety, and there is a significant relationship between academic related stress, social related stress, and depression. There is no significant difference between stress, anxiety, depression and their final exam mark. In conclusion, there is a strong relationship between stress that leads to depression in undergraduate medical students. Therefore, a good coping mechanism of stress should be well managed in medical students.
References
Abdulghani, H. M., et al.. (2011). Stress and its effects on medical students: A cross-sectional study at a college of medicine in Saudi Arabia. Journal of Health, Population and Nutrition, 29(5), 516–522. https://doi.org/10.3329/jhpn.v29i5.8906
Antoniou, K., et al.. (2008). Individual responses to novelty are associated with differences in behavioral and neurochemical profiles. Behavioural Brain Research, 187(2), 462–472. https://doi.org/10.1016/j.bbr.2007.10.010
Beiter, R., et al. (2015). The prevalence and correlates of depression, anxiety, and stress in a sample of college students. Journal of Affective Disorders, 173, 90–96. https://doi.org/10.1016/j.jad.2014.10.054
Chrousos, G. P., & Gold, P. W. (1992). The Concepts of Stress and Stress System Disorders Overview of. Jama, 267, 1244–1252. https://doi.org/10.1001/jama.267.9.1244
Fink, G. (2010). Stress: Definition and history. Encyclopedia of Neuroscience, (January 2010), 549–555. https://doi.org/10.1016/B978-008045046-9.00076-0
Gold, P. W., Goodwin, F. K., & Chrousos, G. P. (1988). Clinical and biochemical manifestations of depression, Relation to neurobiology of stress. The New England Journal of Medicine, 319(7), 413–420. https://doi.org/10.1056/NEJM198808183190706
Hamilton, M. (1959). The assessment of anxiety states by rating . Br J Med Psychol 1959 ; Additional references. J Med Psychol, 32(4), 50–55. https://doi.org/10.1111/j.2044-8341.1959.tb00467.x
Herrero, A. I., Sandi, C., & Venero, C. (2006). Individual differences in anxiety trait are related to spatial learning abilities and hippocampal expression of mineralocorticoid receptors. Neurobiology of Learning and Memory, 86(2), 150–159. https://doi.org/10.1016/j.nlm.2006.02.001
Hunter, R. G., et al.. (2007). Regulation of CART mRNA by stress and corticosteroids in the hippocampus and amygdala. Brain Research, 1152(1), 234–240. https://doi.org/10.1016/j.brainres.2007.03.042
Joëls, M. (2006). Corticosteroid effects in the brain: U-shape it. Trends in Pharmacological Sciences, 27(5), 244–250. https://doi.org/10.1016/j.tips.2006.03.007
Joëls, M., et al.. (2006). Learning under stress: how does it work? Trends in Cognitive Sciences, 10(4), 152–158. https://doi.org/10.1016/j.tics.2006.02.002
McEwen, B. S. (1998). Protective and Damaging Effects of Stress Mediators. The New England Journal of Medicine, 338(3), 171–179. https://doi.org/10.1056/NEJM199801153380307
McEwen, B. S., Eiland, L., Hunter, R. G., & Miller, M. M. (2012a). Stress and anxiety: Structural plasticity and epigenetic regulation as a consequence of stress. Neuropharmacology, 62(1), 3–12. https://doi.org/10.1016/j.neuropharm.2011.07.014
McEwen, B. S., Eiland, L., Hunter, R. G., & Miller, M. M. (2012b). Stress and anxiety: Structural plasticity and epigenetic regulation as a consequence of stress. Neuropharmacology, 62(1), 3–12. https://doi.org/10.1016/j.neuropharm.2011.07.014
McNicholas, L., et al.. (2012). Patient Health Questionnaire (PHQ-9). Australian Mental Health Outcomes and Classification Network, 40(6), 1–172. https://doi.org/10.1007/978-1-59259-951-6
Munhoz, C. D., et al.. (2010). Glucocorticoids Exacerbate Lipopolysaccharide-Induced Signaling in the Frontal Cortex and Hippocampus in a Dose-Dependent Manner. Journal of Neuroscience, 30(41), 13690–13698. https://doi.org/10.1523/JNEUROSCI.0303-09.2010
Pawlak, C. R., et al.. (2003). Relationship between striatal levels of interleukin-2 mRNA and plus-maze behaviour in the rat. Neuroscience Letters, 341(3), 205–208. https://doi.org/10.1016/S0304-3940(03)00184-8
Rotenstein, L. S., et al.. (2016). Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students A Systematic Review and Meta-Analysis. JAMA, 02115(21), 2214–2236. https://doi.org/10.1001/jama.2016.17324
Saipanish, R. (2003). Stress among medical students in a Thai medical school. Medical Teacher, 25(5), 502–506. https://doi.org/10.1080/0142159031000136716
Sapolsky, R. M., Romero, L. M., & Munck, a. U. (2000). How Do Glucocorticoids Influence Stress Responses ? Preparative Actions *. Endocrine Reviews, 21(April), 55–89. https://doi.org/10.1210/er.21.1.55
Saravanan, C., et al.. (2014). Medical Students’ Experience of and Reaction to Stress: The Role of Depression and Anxiety. The Scientific World Journal, 2014, 1–8. https://doi.org/10.1155/2014/737382
Sharma, B., & Wavare, R. (2013). Academic stress due to depression among medical and para-medical students in Indian Medical College: Health initiatives cross sectional study. Journal of Health Sciences, 3(5), 29–38.
Sherina, M. S., Rampal, L., & Kaneson, N. (2004). Psychological Stress Among Undergraduate Medical Students. Med J Malaysia, 59(2), 207–211.
Smelik, P. G. (1987). Adaptation and brain function. Progress in Brain Research, 72, 3–9. Retrieved from http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=3039578
Tafet, G. E., & Bernardini, R. (2003). Psychoneuroendocrinological links between chronic stress and depression. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 27(6), 893–903. https://doi.org/10.1016/S0278-5846(03)00162-3
Yusoff, M. S. B., Rahim, A. F. A., & Yaacob, M. J. (2010). The development and validation of the Medical Student Stressor Questionnaire (MSSQ). ASEAN Journal of Psychiatry, 11(1), 13–24. Retrieved from http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=psyc7&NEWS=N&AN=2012-27404-003
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