Medical school can be challenging and poses varied number of stressors to the students. Stress can affect well-being and hamper academic performance. Adaptive coping strategies can protect students against stress. Stress experience and coping may differ across genders. This study aimed to estimate the prevalence of stress, examine gender differences in stress experience and coping in a sample of 94 third year medical students. Consenting students were administered Professional Student Stress Survey and Carver’s Brief COPE. All students reported stress and majority experienced stress to a moderate degree (50.5 per cent). Academic performance and professional identity issues were of greatest concerns. Female students had more academic performance stress. Among coping strategies, support seeking was more in females as shown by the increased use of instrumental support seeking (problem-focused) and emotional support seeking (emotion-focused) in comparison to males. Humour, a positive emotion-focused strategy and self-blame, a maladaptive strategy, were used more by males. The findings point towards the crucial need for stress management programs and coping skills training to help medical students manage stress and enhance positive coping strategies.
AbdulghaniH.M.AlkanhalA.AMahmoudE.SPonnamperumaG.GAlfarisE.A (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), 516–22.
2.
AbelM.H. (1998). Interaction of humor and gender in moderating relationships between stress and out comes. The Journal of Psychology, 132(2), 267–76.
3.
AmrM.GilanyA.H.E.El-HawaryA. (2008). Does gender predict medical students’ stress in Mansoura, Egypt?Medical Education Online, 13(12), 1–8.
4.
AktekinM.KaramanT.SenolY.Y.ErdemS.ErenginH.AkaydinM. (2001). Anxiety, depression, and stressful life events among medical students: A prospective study in Antalya, Turkey. Medical Education, 35(1), 12–7.
5.
BallS.BaxA. (2002). Self-care in medical education: Effectiveness of health-habits interventions for first-year medical students. Academic Medicine, 77(9), 911–17.
6.
BillingsA.MoosR., (1984). Coping, stress, and social resources among adults with unipolar depression. Journal of Personality and Social Psychology, 46(4), 877–91.
7.
BroughamR.R.ZailC.M.MendozaC.M.MillerJ.R. (2009). Stress, sex differences, and coping strategies among college students. Current Psychology, 28(2), 85–97.
8.
CarverC.S. (1997). You want to measure coping but your protocol’s too long: Consider the brief COPE. International Journal of Behavioural Medicine, 4(1), 92–100.
9.
CarverC.S.ScheierM.F.WeintraubJ.K. (1989). Assessing coping strategies: A theoretical based approach. Journal of Personality and Social Psychology, 56(2), 267–83.
10.
ColesC. (1994). Medicine and stress. Medical Education, 28,(1) 3–4.
11.
CoswayR.EndlerN.S.SadlerA.J.DearyI.J. (2000). The Coping inventory for stressful situations: Factorial structure and associations with personality traits and psychological health. Journal of Applied Biobehavioral Research, 5, 121–43.
12.
ClarkD.C.ZeldowP.B. (1988). Vicissitudes of depressed mood during four years of medical school. Journal of American Medical Association, 260(17), 2521–28.
13.
CrockettL.J.IturbideM.I.Torres StoneR.A.McGinleyM.RaffaelliM.CarloG. (2007). Acculturative stress, social support, and coping: Relations to psychological adjustment among Mexican American college students. Cultural Diversity and Ethnic Minority Psychology, 13(4), 347–55.
14.
DahlinM.JoneborgN.RunsesonB. (2005). Stress and depression among medical students: A cross-sectional study. Medical Education, 39(6), 594–604.
15.
DunkleyD.M.BlanksteinK.R.HalsallJ.WilliamsM.WinkworthG. (2000). The relation between perfectionism and distress: Hassles, coping, and perceived social support as mediators and moderators. Journal of Counseling Psychology, 47,(4) 437–53.
16.
DwyerA.L.CummingsA.L. (2001). Stress, Self-Efficacy, Social support, and coping strategies in university students. Canadian Journal of Counselling, 35(3), 208–20.
17.
DyrbyeL.N.ThomaM.R.ShanateltT.D. (2006). Systematic review of depression, anxiety, and other indicators of psychological distress among U.S and Canadian medical students. Academic Medicine, 81(4), 354–373.
18.
EatonR.J.BradleyG. (2008). The role of gender and negative affectivity in stressor appraisal and coping selection. International Journal of Stress Management, 15(1), 94–115.
19.
EndlerN.S.ParkerJ.D.A., (1990). Multidimensional assessment of coping: A critical evaluation. Journal of Personality and Social Psychology, 58,(5) 844–54.
20.
FrankE.BiolaH.BurnettC.A., (2000). Mortality rates and causes among U.S. physicians. American Journal of Preventive Medicine, 19,(3) 155–59.
21.
FirthJ. (1986). Levels and sources of stress in medical students. British Medical Journal, 392(6529), 1177–80.
22.
GarbeeW.ZuckerS.SelbyG. (1980). Perceived sources of stress among dental students. Journal of American Dental Association, 100(6), 853–57.
23.
GuthrieE.BlackD.BagalkoteH.ShawC.CampbellM.CreedF. (1998). Psychological stress and burnout in medical students: a five-year prospective longitudinal study. Journa1of Royal Society of Medicine, 91(2), 237–43.
24.
KaurJ.S. (2007). Effect of Stress on Medical Students. International E-Journal of Science, Medicine & Education, 1(1), 52–3.
25.
KohnJ.P.FrazerG.H. (1986). An academic stress scale: Identification and rated importance of academic stressors. Psychological Reports, 59(2), 415–26.
26.
LabbottS.M.ShelleyW.A.MarkE.W.RandallB.M. (1990). The physiological and psychological effects of the expression and inhibitionof emotion. Behavioral Medicine, 16(4), 182–9.
27.
LindemanS.LaaraE.LonnqvistJ. (1997). Medical surveillance often precedes suicide among female physicians in Finland. A case–control study. Journal of Occupational and Environmental Medicine, 39(11), 1115–7.
28.
MatudM.P. (2004). Gender differences in stress and coping styles. Personality and Individual Differences, 37(7), 1401–15.
29.
MoffatK.J.McConnachie RossA. (2004). First year medical student stress and coping in problem-based learning medical curriculum. Medical Education, 38(5), 482–91.
30.
MorrisonJ. (2001). Editorial: more on medical student stress. Medical Education, 35(7), 617–8.
31.
MurphyR.J.GrayS.A.SterlingG.ReevesK.DuCetteJ. (2009). A Comparative study of professional student stress. Journal of Dental Education, 73(3), 328–37.
32.
NiemiP.M.VainiomakiP.T. (2006). Medical Students’ Distress—quality, continuity and gender differences during a six-year medical programme. Medical Teacher, 28(2), 136–41.
33.
PenlandE.MastenW.ZelhartP.FournetG.CallahanT. (2000). Possible selves, depression, and coping skills in university students. Journal of Personality and Individual Differences, 29(5), 963–9.
34.
PtacekJ.T.SmithR.E.EspeK.DodgeK. L. (1994). Gender differences in coping with stress: when stressor and appraisals do not differ. Personality and Social Psychology Bulletin, 20, (4) 421–430.
35.
RadcliffeC.LesterH. (2003). Perceived stress during undergraduate medical training: A qualitative study. Medical Education, 37(1), 32–8.
36.
SaipanishR. (2003). Stress among medical students in a Thai medical school. Medical Teacher, 25(5), 502–6.
37.
SchernhammerE.S.ColditzG.A. (2004). Suicide rates among physicians: A quantitative and gender assessment (meta-analysis). American Journal of Psychiatry, 161(12), 2295–302.
38.
ShahC.TrivediR.S.DiwanJ.DixitR.AnandA.K. (2009). Common stressors and coping of stress by medical students. Journal of Clinical and Diagnostic Research, 3(4), 1621–26.
39.
ShahM.HasanS.MalikS.SreeramareddyC.T. (2010). Perceived stress, sources and severity of stress among medical undergraduates in a Pakistani medical school. BMC Medical Education, 10(2), 1–8.
40.
ShaikhB.T.KahloonA.KazmiM.KhalidH.NawazK.KhanN.KhanS., (2004). Students, stress and coping strategies: A case of Pakistani medical school. Education for Health, 17(3), 346–53.
41.
ShieldsN. (2001). Stress, active coping, and academic performance among persisting and nonpersisting college students. Journal of Applied Biobehavioral Research, 6(2), 65–81.
42.
SreeramareddyC.T.ShankarP.R.BinuV.S.MukhopadhyayC.RayB.MenezesR.G. (2007). Psychological morbidity, sources of stress and coping strategies among undergraduate medical students of Nepal. BMC Medical Education, 7, 26.doi:10.1186/1472-6920-7-26.
43.
StruthersC.W.PerryR.P.MenecV.H. (2000). An examination of the relationship among academic stress, coping, motivation, and performance in college. Research in Higher Education, 41(5), 581–92.
44.
StewartS.M.BetsonC.LamT.H. (1997). Predicting stress in first year medical students: Alongitudinal study. Medical education, 31(3), 163–8.
45.
StewartS.M.LamT.H.BetsonC.L.WongC.M.WongA.M. (1999). A prospective analysis of stress and academic performance in the first two years of medical school. Medical Education, 33(4), 243–50.
46.
StewartS.M.BetsonC.MarshallI.WongC.M.LeeP.W.H.LamT.H. (1995). Stress and vulnerability in medical students. Medical Education, 29(2), 119–27.
47.
SupeA.N. (1998). A study of stress in medical students at Seth G.S. medical college. Journal of Postgraduate Medicine, 44(1), 1–6.
48.
TamresL.K.JanickiD.HelgesonV.S. (2002). Sex differences in coping behaviour: A Meta-analytic review and an examination of relative coping. Personality and Social Psychology Review, 6(1), 2–30.
49.
TyssenR.VaglumP.GronvoldN.T. (2001). Suicidal ideation among medical students and young physicians: A nationwide and prospective study of prevalence and predictors. Journal of Affective Disorders, 64(1), 69–79.
50.
VaidyaP.M.MulgaonkarK.P. (2007). Prevalence of depression anxiety & stress in undergraduate medical students & its co-relation with their academic performance. The Indian Journal of Occupational Therapy, 39(1), 7–10.
51.
WestermanG.H.GrandyT.G.T.G.R.A.OcantoR.A.C.G. ErskineC.G. (1993). Perceived sources of stress in the dental school environment. Journal of Dental Education, 57(3), 225–231.
52.
WijndaeleK.MattonL.DuvigneaudN.LefevreJ.De BourdeaudhuijI.DuquetW.. (2007). Association between leisure time physical activity and stress, social support and coping: A cluster-analytical approach. Psychology of Sport and Exercise, 8(4), 425–40.
53.
YusoffM.S.B. (2011). Effects of a brief stress reduction intervention on medical students’ depression, anxiety and stress level during stressful period. Asean Journal of Psychiatry, 12(1), 71–84.
