Academic stress and its clinical implications among college students
DOI:
https://doi.org/10.18203/2320-6012.ijrms20253166Keywords:
Psychological well-being, Mental health, Indian college students, General health, Academic stress, Undergraduate students, Depression, AnxietyAbstract
Background: Academic stress is increasingly recognized as a major mental health concern among undergraduate students worldwide, often leading to symptoms of depression, anxiety, and impaired general health. However, there is limited research focusing on students in nursing, paramedical, and allied health disciplines in India. This study aimed to assess the prevalence of academic stress and examine its relationship with depression, anxiety, stress, and overall general health among undergraduate students.
Methods: A cross-sectional study was conducted with 404 students from nursing, paramedical, and allied health sciences at Santosh medical college and hospital. Academic stress was measured using the academic stress scale (ASS), psychological symptoms were assessed with the depression anxiety stress scale-42 (DASS-42), and general health was screened with the general health questionnaire-12 (GHQ-12). Data were analyzed using descriptive statistics and Pearson’s correlation.
Results: A substantial 86.13% of students reported moderate to high academic stress levels. Correspondingly, moderate to extremely severe symptoms were reported by 61.4% for depression, 65.3% for anxiety, and 58.7% for stress. Furthermore, 70.8% of students scored above the clinical cutoff on the GHQ-12, indicating compromised general health. Significant positive correlations were found between academic stress and depression (r=0.75), anxiety (r=0.72), stress (r=0.70), and general health impairment (r=0.68) (p<0.05).
Conclusions: Academic stress is prevalent among undergraduate health science students and is strongly associated with poor psychological and general health outcomes. These findings highlight the need for early screening and tailored interventions in academic institutions to mitigate adverse mental health impacts and promote student well-being.
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References
Misra R, Castillo LG. Academic stress among college students: Comparison of American and international students. Int J Stress Manag. 2004;11(2):132-48. DOI: https://doi.org/10.1037/1072-5245.11.2.132
Bansal R, Bhargava M, Sharma D. Academic stress and its causes: A study on medical students in a tertiary care teaching hospital. J Med Sci Clin Res. 2019;7(3):681-7.
Kumar R, Chandrasekaran V, Murugesan K, Vinayagamoorthy V. Prevalence of perceived stress and its determinants among students of a private medical college in Tamil Nadu. Indian J Psychol Med. 2021;43(1):45-50.
Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scales. 2nd ed. Sydney: Psychology Foundation. 1995. DOI: https://doi.org/10.1037/t01004-000
Goldberg D, Williams P. A User’s Guide to the General Health Questionnaire. Windsor: NFER-Nelson. 1988.
Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among US and Canadian medical students. Acad Med. 2006;81(4):354-73. DOI: https://doi.org/10.1097/00001888-200604000-00009
Regehr C, Glancy D, Pitts A. Interventions to reduce stress in university students: A review and meta-analysis. J Affect Disord. 2013;148(1):1-11. DOI: https://doi.org/10.1016/j.jad.2012.11.026
Singh R, Ghosh D, Misra R. Academic stress and mental well-being among college students: A correlational study. Int J Indian Psychol. 2020;8(4):1452-60.
Kumari R, Nath B. Mental health of medical and paramedical students: Need for wellness initiatives. Indian J Community Med. 2020;45(2):165-9.
Rajendran R, Kaliappan KV. Academic stress and its sources among college students. J Indian Acad Appl Psychol. 1990;16(1-2):14-8.
Deb S, Strodl E, Sun J. Academic stress, parental pressure, anxiety and mental health among Indian high school students. Int J Psychol Behav Sci. 2015;5(1):26-34.
Beiter R, Nash R, McCrady M, Rhoades D, Linscomb M, Clarahan M, et al. The prevalence and correlates of depression, anxiety, and stress in a sample of college students. J Affect Disord. 2015;173:90-6. DOI: https://doi.org/10.1016/j.jad.2014.10.054
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. DOI: https://doi.org/10.1007/s00127-008-0345-x
Kumaraswamy N. Academic stress, anxiety and depression among college students-A brief review. Int Rev Soc Sci Humanit. 2013;5(1):135-43.
Ibrahim AK, Kelly SJ, Adams CE, Glazebrook C. A systematic review of studies of depression prevalence in university students. J Psychiatr Res. 2013;47(3):391-400. DOI: https://doi.org/10.1016/j.jpsychires.2012.11.015
Saravanan C, Wilks R. Medical students’ experience of and reaction to stress: the role of depression and anxiety. Sci World J. 2014;2014:737382. DOI: https://doi.org/10.1155/2014/737382
Shamsuddin K, Fadzil F, Ismail WS, Shah SA, Omar K, Muhammad NA, et al. Correlates of depression, anxiety and stress among Malaysian university students. Asian J Psychiatr. 2013;6(4):318-23. DOI: https://doi.org/10.1016/j.ajp.2013.01.014
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