Prevalence of Stress, Psychological Distress and Social Support among Clinical Medical Rehabilitation Students in a Nigeria University
Abstract:
Background: University students are faced with challenges on a
regular basis and these could be in form of academics, mental, emotional,
social, physical, financial and environmental challenges that predisposes them
to stress. The objectives of this study are to assess the prevalence of stress,
psychological distress and social support received among clinical medical
rehabilitation students of Obafemi Awolowo University, Ile-Ife, Nigeria and
also assess for any association with demographic variable.
Methods: This study is a cross – sectional study to investigate
the prevalence of stress, psychological distress and social support among
clinical medical rehabilitation students in a Nigerian University. Self-administered
questionnaires consisting of demographic data, perceived stress scale,
psychological distress scale, and perceived social support scale questionnaires
were used as survey instruments. Data were collated and analyzed using descriptive
and inferential statistics. The level of significance was set at p < 0.05.
Results: The outcome of the study revealed moderate perceived stress as (69.1%) having the highest
percentage, low (27.3%) and high (3.6%). Prevalence for mental distress was
(47.3%). Mild distress was (19.1%), moderate (18.2%) severe (10.0 %,) and
well/normal was (52.7%). For social support, low support was (9.1%), moderate
(40.9%) high (50.0%). Perceived stress had significant correlation with parent
marital status and student level in school; p value was 0.039 and 0.038
respectively. Kessler score had significant correlation with students’ living
arrangement, p value was 0.050, while social support correlated significantly
with family economic status of the students, and p was 0.013. No other factors have been found to be significantly
correlated.
Conclusions: There is a high prevalence of perceived stress and
below average mental distress, symptoms among the university students. Majority
had high social support. This is of a great concern in public health.
Therefore, there is need for more concerted efforts, preventive measures
against mental distress and more sufficient supportive services need be put in
place for this group.
Keywords: Prevalence, Perceived stress, psychological distress, social
supports.
References:
[1]. Abdulghani
Hamza. M (2008): Stress and depression among medical students: A cross
sectional study at a medical college in Saudi Arabia. Pakistan Journal of
Medical Sciences. Quarterly, Vol 24, No 1, 12 – 17.
[2]. Adiaf
EM, Gliksman L, Demers A, Newton Taylor B (2001): The prevalence of elevated
psychological distress among Canadian undergraduates: findings from the 1998
Canadian campus survey. J AM College of Health Sept, 50 (2), 67 – 72
[3]. Anna
C Phillips (2013): Perceived stress. Encyclopaedia of Behavioral Medicine. pg
1453 – 1454.
[4]. Azza
Ali Taha, Etemad AA El-Shereef, Wedad Althobaiti, Mai Muaimedh Algethami
(2017): Study of perceived stress among female students, Taif University, Saudi
Arabia. America Journal of Public health research. 5(3): 50 – 55. doi.
10.12691/ajphr-5-3-1.
[5]. Basson
W.J., Nel K.A. and Bhat S.B. (2015): Stress amongst dental students at an
emerging medical university. J Psychology 6(1): 87 – 90.
[6]. Bridgette
Bewick, Gina Kontsopoulou, Jeremy Miles, Esther Slaa and Michael Barkham
(2010): Changes in undergraduate students’ psychological wellbeing as they
progress through university. Studies in higher education. Vol. 35, Issue 6,
pages 633 – 645.
[7]. Burns
VE, Drayson M, Ring C, Carrol D (2002): Perceived stress and psychological
wellbeing are associated with antibody status after meningitis C conjugate
vaccination. Psychosom Med. Nov – Dec, 64(6): 963 – 70.
[8]. Dalia
Saleh, Nathalie Camart and Lucia Romo (2017): Predictors of stress in college
students. Front. Psychology. Vol. 8: 19. January.
[9]. Dusan
V. Backovic, Jelema IIic Zivojinovic, Jadrankamak Simovic, Milos Maksimovic
(2012): Gender differences in academic stress and burnout among medical
students in final years of education. Psychiatria Danubina. Vol. 24, No 2.
Pages 175 – 181.
[10]. Dyrbye
L.N. et al 2006. Systematic Review of depression, anxiety and other indications
of psychological distress among US and Canadian medical students. “Academic
Medicine 81(4): 354 – 373.
[11]. Ekpenyong
C.E., Davis K.J., Akpan U.P. and Daniel N.E. (2011): Academic stress and
menstrual disorders among female undergraduates in Uyo, South Estern Nigeria.
The need for heath education. Niger. J. Physiol. Sc: 26 (December) 193 – 198.
Mental disorders are a major contribution to the burden of diseases in all
regions of the world.
[12]. Eliza
Omar Eva, Md Zakiru Islam, Abu Syed Md Mosaddek, Md Faizur Rahman, Rini Juliet
Rozario, Af Md Hassan Iftekhar, Tarafder Shahniam Ahmed, Iffat Jahan, Rabiu
Abubakar, Wan Putri Elena Han Dali, Mohammed S Razzaque, Rahat Bin Habib and
Mainul Haque (2015): Prevalence of stress among medical students: a comparative
study between public and private medical schools in Bangladesh. BMC Research
Notes 8.327. DOI: 10.1186/S 13104-015-1295-5.
[13]. Faith
Ozbay, Douglas C Johnson, Eleni Dimoulas, C.A. Morgan Dennis Charney and Steven
Southwick (2007): Social Support and resilience to stress: from Neurobiology to
clinical practice. Psychiatry (Edgmont). May; 4(5): 35 – 40.
[14]. Figen
Kocyigit, Emel Dikbas Torun, Ummuhan Bas Aslan (2015): Anxiety, depression,
physical activity and quality of life in student physical therapists; A cross
sectional study. American Journal of Educational Research Vol. 3, No 10A, pp 26
– 29. http://pubs.sciepub.com/education/3/10A/4
[15]. Frank
Patrick Addonizio (2011): Stress, coping, social support and psychological
distress among MSW students. University of South Carolina, ProQuest
Disertations Publishing, UMI Number: 3481178.
[16]. Franklin
N. Glozah (2013). Effects of academic stress and perceived social support on
the psychological wellbeing of adolescents in Ghana. Open Journal of Medical
Psychology. 2. 143 – 150. http://dx.doi.org/10.4236/ojmp.2013.24022.
[17]. Ganeshs
Kumar, Animesh Jain and Supriya Hegde (2012): Prevalence of depression and its
associated factors using Beck Depression Inventory among students of a medical
college in Karnataka. Indian J. Psychiatry. July – September. 54(3); 223 – 226.
[18]. Habibah
Elias, Wong Siew Ping and Maria Chong Abdullah (2011): Stress and Academic
Achievement among Undergraduate Students in University Putra Malaysia. Procedia
– Social and Behavioural Sciences 29: 646 – 655.
[19]. Helen
M. Stallman (2010): Psychological distress in university students: A comparison
with general population data. Australian Psychologist. Vol 45, Issue 4 page 249
– 257.
[20]. Khadijah
Shamsuddin, Fariza Fadzil, Wan Salwina, Wan Ismail, Shamsul Azhar Shah,
Khairani Omar, Noor Azimah Muhammad, Aida Jaffar, Aniza Ismail, Raynuha
Madadevan (2013): Correlates of depression, anxiety and stress among Malaysian
University Students. Asian Journal of Psychiatry, 6, 318 – 323.
[21]. Koochaki
GM, Charkazi A, Hasanzadel A, Saedain M, Qorbani M, Marjani A (2011):
Prevalence of stress among Iranian medical students: a questionnaire survey.
East Mediterranean Health J. July; 17(7); 593 – 8.
[22]. Lakyntiew
Pariat, Angelyne Rynjah, Joplin. M.G. Kharjana (2014). Stress levels of college
students: Interrelationship between stressors and coping strategies. IOSR
Journal of Humanities and Social Science, Vol. 19. Issue 8; Ver. III (Aug). Pg
40 – 46.
[23]. Liselotte
N. Dyrbye, Matthew R. Thomas, Standford Massie, David V. Power, Anne Eacker,
William Harper, Steven Durning, Christine Moutler, Daniel, W. Szydlo, Paul J.
Novotry, Jeff A. Sloan and Talt, D.Shanafelt. (2011). Patterns of distress in
US medical students (2011): Medical Teacher Vol. 33: 834 – 839.
[24]. Liselotte
N. Dyrbye, Matthew R. Thomas, Standford Massie, David V. Power, Anne Eacker,
William Harper, Steven Durning, Christine Moutler, Daniel, W. Szydlo, Paul J.
Novotry, Jeff A. Sloan and Talt, D. Shanafelt. (2008).Medical student Burnout
and suicidal ideation. Annals Internal Medicine Medical Teacher Vol. 149 (5):
334 – 341.
[25]. Lisolette
N. Dyrbye, Matthew R. Thomas, Tait D. Shanafekt (2005): Medical Students
Distress: causes, consequences and proposed solutions. Vol. 80, Issue 12, pages
1613 – 1622. Elsevier.
[26]. Mohsin
Shah, Shahid Hasan, Samina Malik and Chandrashekhar T Sreeramaredoly (2010).
Perceived stress, sources and severity of stress among medical undergraduates
in a Pakistan Medical School. BMC Med Educ. Vol. 10:2.
[27]. Nicole
Fairbrother (2011): Social Support. Issues of visions Journal Vol. 6(4) pg 7.
[28]. Nirza
I, Jenkins R (2004): Risk factors, prevalence and treatment of anxiety and
depression disorders in Pakistan: Systematic review BMJ. April. Vol 328 (7443):
794.
[29]. Pamela
L. (2009): Premenstrual syndrome and academic stress in emerging adulthood
women. Available at (http://www.nursingarizona.edu/library/091) as cited by
Ekpenyong et al 2011.
[30]. Purna
Prabhakar Nandamuri and Gowthami Ch. Sources of academic stress – A study on
management students, http://JMS.nonolympictime.org/Articles/4.pdf.
[31]. Reda
Abouserie (2006): Sources and levels of stress in relation to locus of control
and self-esteem in university students http://dx.doc.org/10.1080/0144341940140306
published online, pg 323 – 330.
[32]. Reda
Abouserie (2009): Sources and levels of stress in relation to locus of control
and self-esteem in university students. Educational Psychology. (An
international journal of experimental educational psychology). Vol. 14, Issue
3, pages 323 – 330.
[33]. Richard
Cooke, Bridgette M. Bewick, Michael Barkham, Margaret Bradley and Kerry Audin
(2007): Measuring, monitoring and managing the psychological wellbeing of the
first year students. British Journal of Guidance and Counselling, Vol. 34,
Issue 4, pages 505 – 517.
[34]. Ridner
SH (2004): Psychological distress; Concept analysis. J. Advanced Nursing.
March, Vol. 45(5):536 – 545.
[35]. Ronald
C. Kessler, Patricial Berglund Olga Demler, Jin R, Koretz D, Merikanga SKR,
Rush AJ, Walter’s EE, Wang PS (2003). June. Vol. 289(23): 3095 – 105.
[36]. Ross,
Shannon E, Niebling, Bradley C and Heckert, Teresa M. 1999. Sources of stress
among college students. College Student Journal; June, vol. 33, Issue 2, pg
312, 6p.
[37]. Sanjeev
Kumar and J.P. Bhukar (2013): Stress level and coping strategies of college
students. Journal of Physical Education and Sports Management, Vol. 4(1): pp 5
– 11, January.
[38]. Sathya
R. Devi and Shaj Mohan (2015): A study on stress and its effects on college
students. International Journal of Scientific Engineering and Applied Science
(IJSEAS) – Vol. 1, Issue 7, Oct.
[39]. Sherry
A. Benton, John M. Robertson, Wen-Chin Tseng, Fred B-Newton and Stephen L.
Benton (2003): Changes in counselling centre client problem across 13 years.
Professional Psychology; Research and Practice. Vol 34, No 1, 66 – 72.
[40]. Tamar
Jacob and Ofira Einstein (2016): Stress among bachelor of physical therapy
students in Israel during clinical practice and its association with academic
achievements – Result of a longitudinal study. The Internet Journal of Allied
Health Sciences and Practice, January, 12; 14(1), Article 9.
[41]. Tomlinson
M, Grimsrud, Stein. J. Dan Anna T., William David R, Myer Landon (2009). The
epidemiology of major depression in South Africa: Results from the South
African Stress and Health Study: South African Medical J, 99: 368 – 373.
[42]. Uma
K and Manikardan K (2013): Influence of locus of control, self-esteem and sex
on academic stress among adolescents. Guru Journal of Behavioral and Social
Sciences. Vol. 1, Issue 4 (Oct - Dec) 186 – 193.
[43]. Wong.
P.T.P, Wong L.C.J. and Scott G. (2006). The positive psychology of
transformation beyond stress and coping. In Wong, P.T.P. and Wong, L.C.J. (Eds),
Handbook of multicultural perspectives on stress and coping. New York, Nt:
Springer.