Sources of distress during medical training and clinical practice: Suggestions for reducing their impact

Benbassat, Jochanan; Baumal, Reuben; Chan, Stephen; Nirel, Nurit

doi:10.3109/0142159x.2010.531156

Cited by 52 publications

(46 citation statements)

References 62 publications

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“…Although curriculum was not a risk factor for stress in our study, previous studies have shown that medical students are highly stressed and have proposed coping strategies [50]. To our knowledge, three recent nationally-representative surveys have studied the prevalence of substance use among young adults in France and allow comparisons [33,51,52].…”

Section: Discussionmentioning

confidence: 81%

“…Enhanced understanding of the personality profile of university students can be helpful in academic and career choices. Developing efficient coping strategies in students and improving academic environments could also contribute to preventing the potential deleterious consequences of stress [50]. …”

Section: Discussionmentioning

confidence: 99%

“…Problematic internet use and addiction is characterized by excessive urges or behaviors regarding internet use, leading to impairment or distress among adolescents and young adults [24]. Risk behavior and associated stress mainly related to tobacco, alcohol and cannabis use [7,25], have already been widely reported in a population of healthcare students [1,2,26,27]. However, eating disorders and risk of cyber addiction have never been associated with stress in university students.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and association of perceived stress, substance use and behavioral addictions: a cross-sectional study among university students in France, 2009–2011

et al. 2013

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BackgroundUniversity students face multiple stressors such as academic overload, constant pressure to succeed, competition with peers as well as concerns about the future. Stress should not be considered on its own, but should be associated with potential risk behaviors leading to onset of substance use and related problems heightened during the university period. The aim of this study was to determine the prevalence of main substance use and behavioral addictions among students in higher education in France and to examine the relationship with perceived stress.MethodsA self-administered questionnaire was filled out by university student volunteers from Upper Normandy (France) either by anonymous online questionnaire or by paper questionnaire. Data collected included socio-economic characteristics, Perceived Stress Scale (PSS), substance use (tobacco, alcohol, and cannabis) and hazardous behaviors: alcohol abuse problems, smoking, consumption of cannabis, eating disorders, and cyber addiction.ResultsA total of 1876 students were included. Mean PSS score was 15.9 (standard deviation = 7.2). Highly stressed students (4th quartile) were compared with lesser stressed students (1st quartile). A positive relation was observed between female gender, regular smokers, alcohol abuse problems, risk of cyberaddiction and especially eating disorders (AOR = 5.45, 95% CI = 3.42-8.69), and increasing PSS score. PSS score however, was not significantly related to the curriculum, regular alcohol use, drunkenness or binge drinking even after additional controlling for use of other substances. We found a significant negative association between stress and practice of sport: students with the most physical activity were less likely to report perceived stress (4th quartile: AOR = 0.57, 95% CI = 0.39-0.80).ConclusionsThis cross-sectional study among university students in France revealed that perceived stress was associated not only with known risks such as alcohol misuse, but also with new risks such as eating disorders and cyber addiction. These results could help to develop preventive interventions focussing on these risk behaviors and subsequently improving stress coping capacity in this high-risk population.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence and association of perceived stress, substance use and behavioral addictions: a cross-sectional study among university students in France, 2009–2011

et al. 2013

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“…), plus reduced job satisfaction (Bovier and Perneger ) and increased distress (Benbassat et al. ). Cognitive inflexibility associated with uncertainty intolerance hampers adaptability to stressful change (Bonanno et al.…”

Section: Discussionmentioning

confidence: 99%

Resilience among Employed Physicians and Mid‐Level Practitioners in Upstate New York

Waddimba

Scribani

Hasbrouck

et al. 2016

Health Services Research

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Objective. To investigate the factors associated with resilience among medical professionals. Data Sources/Study Setting. Administrative information from a rural health care network (1 academic medical center, 6 hospitals, 31 clinics, and 20 school health centers) was triangulated with self-report data from 308 respondents (response rate = 65.1 percent) to a 9/2013-1/2014 survey among practitioners serving a nine-county 5,600-square-mile area. Study Design. A cross-sectional questionnaire survey comprising valid measures of resilience, practice meaningfulness, satisfaction, and risk/uncertainty intolerance, nested within a prospective, community-based project. Data Collection/Extraction Methods. The sampling frame included practitioners on institutional payroll, excluding voluntary/involuntary attritions and advisory board/research team members. In multivariable mixed-effects models, we regressed full-range and high-/low-resilience scores on demographics, professional satisfaction, workplace needs, risk/uncertainty intolerance, and service unit characteristics. Principal Findings. Relational needs, uncertainty intolerance, satisfaction ≥75 percent of the time, number of practitioners on a unit, and workload were significantly associated with resilience. Higher scores were most strongly associated with uncertainty tolerance, satisfaction, and practitioner numbers. Practitioner/unit demographics were mostly nonsignificant. Conclusions. More resilient practitioners experienced frequent satisfaction, relational needs gratification, better uncertainty tolerance, lighter workloads, and practiced on units with more colleagues. Further studies should investigate well-being interventions based on these mutable factors.

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“…[1][2][3][4][5][6][7][8][9][10][11][12] Causes of stress include exogenous, endogenous, academic and non-academic factors. Stress and distress among medical students may lead to physical, psychological and academic difficulties; damaging effects on empathy, ethical conduct, and professionalism; personal consequences such as substance abuse, broken relationships, and suicidal ideation; and also contribute to burnout and dropout.…”

Section: Researchmentioning

confidence: 99%

A faculty-led solution to transport-related stress among South African medical students

Schoeman

Zyl

Smego

2015

AJHPE

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The 110-year-old UFS is 1 of 24 public universities in SA, of which 8 (including the UFS) have medical schools. With its 8 faculties (including Health Sciences, comprising schools of Medicine, Nursing, and Allied Health Professions), 3 campuses, and >31 000 students, including >720 medical students, UFS is one of the oldest institutions of higher learning in SA.The School of Medicine (SoM) is situated on the main UFS campus in Bloemfontein, the capital city of the Free State Province. The SoM has a 5-year Background. In many parts of the developing world the lack of consistent and affordable transport may be a serious obstacle to education and a unique sociocultural cause of stress among undergraduate students. Objective. To determine the student-perceived benefits of a faculty-led, grassroots student transport service for economically disadvantaged medical students. The service has been newly developed and implemented at the School of Medicine, University of the Free State, Bloemfontein, South Africa. Methods. A brief qualitative questionnaire survey, with Likert scales and free text, was administered to participants in the Student Transport Project after its first 21 months of operation. Students' views of the impact and effect of the project on their circumstances were surveyed. Results. During its first 2 years of operation, the Student Transport Project was used by 116 students in their clinical third -fifth years, representing 16.6% of students in these years of training. All the participating students using the shuttle service were from previously disadvantaged communities and were economically disadvantaged. A survey among the participating students yielded an 84% response rate; they all felt that the service significantly reduced their levels of financial and emotional stress, and many believed that the project positively impacted on their academic performance and assisted them in remaining in medical school. Conclusion. The basic, but novel, student transport service described in this article can have a dramatic effect in reducing medical student stress and, potentially, improving academic performance and success. It is hoped that others in lesser-developed countries in Africa and beyond may replicate such a student-centred transport initiative at their schools.

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Sources of distress during medical training and clinical practice: Suggestions for reducing their impact

Cited by 52 publications

References 62 publications

Prevalence and association of perceived stress, substance use and behavioral addictions: a cross-sectional study among university students in France, 2009–2011

Prevalence and association of perceived stress, substance use and behavioral addictions: a cross-sectional study among university students in France, 2009–2011

Resilience among Employed Physicians and Mid‐Level Practitioners in Upstate New York

A faculty-led solution to transport-related stress among South African medical students

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