Predicting stress in first year medical students

A longitudinal study

S. M. Stewart, C. Betson, T. H. Lam, I. B. Marshall, P. W H Lee, C. M. Wong

Research output: Contribution to journalArticle

109 Citations (Scopus)

Abstract

While there is ample documentation that medical training is stressful, less is known about predictive variables that might identify students who have the most difficulty in managing stress during medical training. Depression and anxiety in first year medical students were investigated in a longitudinal design. One-hundred and twenty-one medical students (81% of the class) were surveyed. The first survey took place immediately prior to the beginning of medical training (wave 1); the second survey was approximately 8 months after the beginning of classes (wave 2). Medical students who began their first year with relatively low 'A' level grades, high ratings of state anxiety and depression, high trait anxiety and low dispositional optimism, and reliance on avoidant coping strategies were found to be at higher risk for developing depression and anxiety symptoms at wave 2. Students reported increased concern about curriculum and environment, personal competence and endurance, and time to have a life outside medical school at wave 2, compared to their reports at wave 1. Increase in concerns correlated with an increase in depression and anxiety. At both surveys, use of avoidant coping strategies resulted in increased depression and anxiety; at wave 2, active coping and positive reinterpretation resulted in decreased depression and anxiety. These findings suggest characteristics of vulnerable students who might be identified early in their first year and provided with additional support. Educating students to expect an increase in concerns about environment and personal ability to manage the academic load might make these concerns less overwhelming. In addition, information about effective coping strategies (i.e. active coping efforts) and ineffective means of dealing with stress (avoidant coping efforts) might be helpful in preventing distress.

Original languageEnglish (US)
Pages (from-to)163-168
Number of pages6
JournalMedical Education
Volume31
Issue number3
StatePublished - 1997

Fingerprint

first-year student
Medical Students
Longitudinal Studies
medical student
longitudinal study
Anxiety
coping
anxiety
Depression
Students
student
Aptitude
endurance
optimism
Medical Schools
Documentation
Curriculum
Mental Competency
documentation
rating

Keywords

  • Adaptation, psychological
  • Anxiety, aetiology
  • Depression, aetiology
  • Education, medical, undergraduate
  • Stress, psychological, aetiology
  • Students, medical, psychology
  • Texas

ASJC Scopus subject areas

  • Nursing(all)
  • Education
  • Public Health, Environmental and Occupational Health

Cite this

Stewart, S. M., Betson, C., Lam, T. H., Marshall, I. B., Lee, P. W. H., & Wong, C. M. (1997). Predicting stress in first year medical students: A longitudinal study. Medical Education, 31(3), 163-168.

Predicting stress in first year medical students : A longitudinal study. / Stewart, S. M.; Betson, C.; Lam, T. H.; Marshall, I. B.; Lee, P. W H; Wong, C. M.

In: Medical Education, Vol. 31, No. 3, 1997, p. 163-168.

Research output: Contribution to journalArticle

Stewart, SM, Betson, C, Lam, TH, Marshall, IB, Lee, PWH & Wong, CM 1997, 'Predicting stress in first year medical students: A longitudinal study', Medical Education, vol. 31, no. 3, pp. 163-168.
Stewart SM, Betson C, Lam TH, Marshall IB, Lee PWH, Wong CM. Predicting stress in first year medical students: A longitudinal study. Medical Education. 1997;31(3):163-168.
Stewart, S. M. ; Betson, C. ; Lam, T. H. ; Marshall, I. B. ; Lee, P. W H ; Wong, C. M. / Predicting stress in first year medical students : A longitudinal study. In: Medical Education. 1997 ; Vol. 31, No. 3. pp. 163-168.
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