Being
medical student is a very challenging thing as medical study is perceived as a
stressful event, and this may affect the cognitive function of students (1).

Some
studies show that medical students face stressful events throughout their course
(2-6). Results of studies suggest that mental health of students get
deteriorated after joining medical school and their grades are poor despite
training and practicing (2).

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Medical students had higher depression rates than
the general population, and women students had higher rates than men (1).

The prevalence of stress was estimated in different
studies and their results are 31,2% in 3 British universities study (7), 61,4%
in Thai medical school (8). And 41,9% in a Malaysian medical school (9). The
prevalence of depression among medical student is 12% according to a study in Karolinska
Institute (10). And 12,9% & 2,7% of students made suicidal attempts
according to a Swedish study (1).

Results of two recent studies from Egypt and Saudi
Arabia suggest high rates of anxiety and depression among medical students (11,12).

Stress also varies from year to year throughout the
medical course, among UK
medical students, those in Year 1 were found to have the highest levels of
mental distress (13). Students of medicine at the University of Massachusetts
showed increased stress and depression rates in Years 2 and 4 (2). Thai
students were found to be most stressed in Year 3 (8). These differences might
be due to different curricula, differences in populations studied or to the
different measures used.

An electronic internet-based search failed to
locate any study which compares levels of stress to academic grades in Egypt.

So this study will be carried out to determine
prevalence of stress among medical students and to assess if any of stress
causes is related to gender, academic year, academic grades, regularity of
attendance, and physical problems.

GOALS AND OBJECTIVES

Goal:

          Promotion
of health and quality of life of medical students.

Objectives:

·      
Determination of prevalence of stress & its levels among medical
students.

·      
Relate levels of stress to gender.

·      
Relate levels of stress to academic years, grades, regularity of
attendance, and physical problems.

·      
Contribution in health promotion of medical students.

·      
Contribution in promotion of medical curriculum.

METHODOLGY

Study design: Descriptive Cross-sectional study design.

Setting and population: this study will be implemented in
students of kasralainy medical school, Cairo University, Egypt from first year
to sixth year.

 

SAMPLING

Data collection and study tools: A purposive sample of 150 medical
students in each academic year will be included in this study.

Data analysis: All collected questionnaires will be revised for
competences and logical consistency. Data will be coded and entered on a data
sheet prepared on Excel program, and then transposed to the Statistical Package
for Social Sciences (SPSS) version 16 for analysis. Data checking will be done
by simple frequencies. Quantitative data are displayed as mean and standard
deviation, while qualitative data will be displayed as percentages.

Ethical Consideration: Verbal
consent will be obtained from the students after explaining the study
objectives. The students are free to withdraw at any time without giving any
reason, Strict confidentiality will be maintained throughout the process of
data collection, entry and analysis.

Time plan: 6 months.

 

REFERENCES

1. Dahlin M, Joneborg N, Runeson B. Stress and
depression among medical students: a cross-sectional study. Med Educ
2005;39:594-604.

2. Rosal MC, Ockene IS, Ockene JK, Barrett SV, Ma
Y, HebertJR. A longitudinal study of students’ depression at one medical college.
Acad Med 1997;72:542-6.

3. Stewart SM, Lam TH, Betson CL, Wong CM, Wong AM.
A prospective analysis of stress and academic performance in the first two
years of medical school. Med Educ 1999;33:243-50.

4. Singh G, Hankins M, Weinman JA. Does medical school
cause health anxiety and worry in medical students? Med Educ 2004;38:479-81.

5. Wilkinsos TJ, Gill DJ, Fitzjohn J, Palmer CL,
Mulder RT. The impact on students of adverse experiences during medical school.
Med Teach 2006;28:129-35.

6. Styles WM. Stress in undergraduate medical education:
‘the mask of relaxed brilliance’. Br J Gen Pract 1993;43:46-7.

7. Firth J. Levels and sources in medical
students. BMJ 1986;292:1177-80.

8. Saipanish R. Stress among medical students in
a Thai medical school. Med Teach 2003;25:502-6.

9. Sherina MS, Rampal L, Kaneson N. Psychological
stress among undergraduate medical students. Med J Malaysia 2004;59:207-11.

10.Wallin U, Runeson B. Attitudes towards suicide
and suicidal patients among medical students. Eur Psychiatry 2003;18
(7):329–33.DOI: 10.1016/j.eurpsy.2003.03.006.

11. El-Gilany AH, Amr M, Hammad S. Perceived
stress among male medical students in Egypt and Saudi Arabia: effect of
sociodemographic factors. Ann Saudi Med 2008;28:442-8.

12. Amr M, El-Gilany A, El-Sayed M, El-Sheshtawy
E. Study of stress among medical students at Manssoura University. Banha Med J
2007;37:25-31..

13.Guthrie E, Black D, Bagalkote H, Shaw C,
Campbell M, Creed F. Psychological stress and burnout in medical students: a
5-year prospective longitudinal study. J R Soc Med 1998;91 (5):237–43.