Anxiety In Medical Students Research Articles

Differentiating anxiety profiles in medical students: a latent profile analysis

ABSTRACT Previous studies have confirmed a high prevalence of anxiety among medical students. The present study aimed to identify distinct medical student anxiety profiles to develop targeted interventions. A cross-sectional study was conducted with 735 medical students (346 males and 389 females) recruited voluntarily from mainland China. Latent profile analysis (LPA) was applied to explore profiles of various types of anxiety, including test anxiety, academic anxiety, social anxiety, career choice anxiety, general anxiety, and trait anxiety. The results showed that LPA yielded four profiles, comprising 17.14, 20.82, 21.50, and 40.54% of the sample respectively. Specifically, Class 1 (17.14%) showed the highest levels of multiple types of anxiety, particularly the highest level of general anxiety. Class 2 (20.82%) and Class 3 (21.50%) showed moderate levels of anxiety, but they displayed different patterns across various types of anxiety except for social anxiety. Class 4 (40.54%) displayed the lowest levels of anxiety across all types. These profiles differed in academic status and depression. Further, the multinomial logistic regression analysis showed that the high-anxiety group (Class 1) was more likely to be elder students, with lower sports frequency and a higher degree of self-handicapping. These results call for the need to move beyond linear relations among global constructs to address the complexity of anxiety coping and highlight the importance of customized intervention for these heterogeneous groups.

Association of depression and anxiety with health-related quality of life in beginning Medical Sciences Student.

The present study sought to examine the association between depression and anxiety with health-related quality of life (HRQoL) among clinical and non-clinical medical students. This study was conducted on newly entrance students (2019 and 2020) in Neyshabur University of Medical Science (NUMS). 471 students participated in this cross-sectional study. The Beck Depression (BDI-II), Anxiety Inventory (BAI), and SF-12 questionnaires were used. To assess the correlation between depression, anxiety, and HRQoL, the Pearson correlation was used. The independent t-test was performed to evaluate the association among different variables with HRQoL. Further, a multiple linear regression model was used to control the confounding effects of the covariates. The mean age of the study population was 21.9 (SD = 6.1), majority of them were female (62.4%). More than 21% and about 32% of students had mild to severe levels of depression and anxiety, respectively. According to correlation analysis (Pearson's r), the correlations between depression, anxiety, and total HRQoL were relatively strong and negative. The multiple linear regression model revealed a statistically significant association between depression and anxiety with different subscales, components, and total HRQoL (p < 0.05). It has been confirmed that the different levels of depression and anxiety in medical students are negatively associated with HRQoL.

The effectiveness of education based on problem solving approach on exam anxiety of medical students of Islamic Azad University, Tehran Medical Sciences Branch

The effectiveness of education based on problem solving approach on exam anxiety of medical students of Islamic Azad University, Tehran Medical Sciences Branch

998 Reducing Medical Student Anxiety and Stress by Providing Guidance on Specialty Training and Self-Assessment Portfolios Early on Within Their Medical School Careers

998 Reducing Medical Student Anxiety and Stress by Providing Guidance on Specialty Training and Self-Assessment Portfolios Early on Within Their Medical School Careers

Relationship of Physical Activity with Sleep Disturbance and Anxiety in Medical Students of Sahiwal

Background: Physical activity has been shown to have anxiolytic effects, improve sleep quality, and enhance overall student mental health. Despite these benefits, medical students often have limited time for physical activity due to demanding academic schedules and clinical rotations. Objective: To examine the relationship between physical activity, sleep disturbance, and anxiety among medical students in Sahiwal. Methods: This observational study was conducted over six months among medical students in Sahiwal. A simple random sample of 280 university students, aged 19-25 years and from the 3rd to 5th years of study, was selected. Participants completed three standardized questionnaires: the International Physical Activity Questionnaire (IPAQ) to assess physical activity, the Pittsburgh Sleep Quality Index (PSQI) to evaluate sleep quality, and the Generalized Anxiety Disorder-7 (GAD-7) to measure anxiety levels. Data were analyzed using SPSS version 25, with descriptive statistics summarizing demographic data and key variables. The Chi-square test of association was used to determine the relationships between physical activity levels (IPAQ scores), sleep quality (PSQI scores), and anxiety levels (GAD-7 scores), with a significance level set at p &lt; 0.05. Results: The mean age of the participants was 22.24 ± 1.285 years. Among the 280 students, 207 (73.9%) were females and 73 (26.1%) were males. Anxiety levels were as follows: 39 (13.9%) had mild anxiety, 124 (44.3%) had moderate anxiety, 76 (27.1%) had moderately severe anxiety, and 41 (14.6%) had severe anxiety. Physical activity levels were: 144 (51.4%) had low physical activity, 79 (28.2%) had moderate physical activity, and 57 (20.4%) had high physical activity. A significant association was found between GAD-7 and IPAQ levels (Chi-square value = 60.691, p = 0.031). No significant association was found between PSQI and IPAQ levels (Chi-square value = 22.162, p = 0.680). Conclusion: This study highlights the significant relationship between physical activity and anxiety among medical students, suggesting that regular physical activity is associated with reduced anxiety symptoms. However, no significant relationship was observed between physical activity and sleep quality.

Comparison of Perfectionism Between Music and Medical Students and its Association with Anxiety.

Perfection is a central goal for many musicians and health professionals. The present study compared perfectionism between music and medical students to examine whether perfectionism is adaptive or maladaptive and how it evolves during university studies. Furthermore, the association between perfectionism and anxiety was investigated in both populations to determine possible implications for mental and general health. 110 music students (61 F, avg age 23.2 yrs) and 281 medical students (209 F, avg age 23.3 yrs) took part in the study. Perfectionism was surveyed using two multidimensional perfectionism scales and anxiety was measured using the State-Trait-Anxiety-Inventory. Subscales and total scores of the perfectionism scales were compared within and between groups and correlated with the anxiety measures. Music and medical students did not differ in their level of perfectionism. However, music students in the early semesters showed significantly (p = 0.009) stronger maladaptive perfectionism (mean 0.3, SD 1.4) than students from more senior semesters (-0.3, 1.7). Musicians from early semesters also scored higher on "parental expectations and criticism" (p = 0.04), showed more "concerns over mistakes and doubts" (p = 0.009), and perfectionism in general (p = 0.01). Analysis of the anxiety measure showed a strong correlation (rs = 0.55) between maladaptive perfectionism and anxiety for the music students. Semester and age had no influence on anxiety. Maladaptive perfectionism and adaptive perfectionism both correlated significantly with anxiety in medical students. Music and medical students had similar levels of perfectionism. Medical students maintained a consistent level of perfectionism throughout their studies, while music students were more perfectionistic at the beginning of their education. For both groups, perfectionism was significantly correlated with anxiety.

The Relationship of OSCE (Objective Structured Clinical Examination) to the Levels of Anxiety in Medical Students Universitas Indonesian Muslim Year 2020

Objective: OSCE (objective structured clinical examination) is a test that includes evaluation of knowledge, communication skills, physical examination skills, skills in interpreting and analyzing diagnostic examination results, and skills in determining diagnosis. When OSCE (objective structured clinical examination) takes place, students will demonstrate the skills they have learned and be tested by examiners at each station. This condition causes excessive anxiety in students which can interfere with students' ability to demonstrate skills. Finally, it will have an impact on exam performance and also on passing the OSCE. By knowing this, it is hoped that institutions can create a more conducive OSCE atmosphere. Purpose: To determine the relationship of OSCE (objective structured clinical examination) to the level of anxiety in Medical Students of Universitas Muslim Indonesian Year 2020. Method: This is an observational analysis with a cross-sectional study design. Dependent variable is OSCE performance and independent variable is the level of anxiety using HARS questionnaire. The data were analyzed using Chi-Square. Results: Of the 253 respondents who filled out the questionnaire, 17 respondents (6.7%) had no anxiety, 130 respondents (51.4%) had mild anxiety, 72 respondents (28.5%) had moderate anxiety, and 34 respondents (13.4%) had severe anxiety. From the results of the objective structured clinical examination (OSCE) exam, 200 respondents (79.1%) passed the OSCE. While those who did not pass were 53 respondents (20.9%). Based on the Chi-square test results, the p-value (0.770) &gt; 0,05. Conclusion: Although the research results do not show a relationship between OSCE and the level of anxiety, there were still respondents who had severe levels of anxiety who should receive attention from institutions.International Journal of Human and Health Sciences Supplementary Issue 01: 2024 Page: S68

A Randomized Clinical Trial Comparing the Effects of Mindfulness-Based and Cognitive Behavioral Therapy-Based Stress Reduction in Medical Students

IntroductionMedical students face an enormous amount of stress (Dyrbye LN et al. Ann Intern Med 2008; 149: 334-41). They suffer from higher rates of depression, anxiety, and suicide compared to the general population. Despite experiencing more mental health problems, there is a lack of research exploring ways to improve their mental health. Although there are a few small sample studies investigating the effectiveness of Mindfulness-Based Stress Reduction (MBSR) on medical students, there is no study comparing its effectiveness against an active intervention group in the literature (van Dijk I et al. Acad Med 2017; 92: 1012-1021)ObjectivesWe aimed to compare the effects of the Mindfulness-Based Stress Reduction (MBSR) and the Cognitive Behavioural Based Stress Reduction (CBSR) group interventions on depressive and anxious symptoms and perceived stress of medical students.Methods323 medical students applied to participate in one of the group interventions and were assessed with the Mini International Neuropsychiatric Interview. Of these, 253 (77% female, mean age=21.9 ± 2.9 years) were allocated into online MBSR (n=127) and online CBSR (n=126) groups after randomization. Their anxiety and depressive symptoms and perceived stress levels were assessed at baseline and after 8 weeks of interventions. 33,2% of participants (MBSR: n=39; CBSR: n=45) completed the protocol by attending five or more sessions. Both intention-to-treat (ITT) analysis and per-protocol (PP) analysis were used to assess outcomes. In the ITT analysis, we used multiple imputation to address missing values. All assessments and group interventions were done online.ResultsIn the ITT analysis, both MBSR and CBSR were found to be slight to moderately effective in reducing symptoms of depression (MBSR: d=.50; CBSR: d=.40), anxiety (MBSR:d=.73; CBSR: d=.52), and perceived stress (MBSR: d=.48; CBSR: d=.42), but they were no superior to each other. In the PP analysis, both interventions moderately to strongly improved the symptoms of depression (MBSR: d=1.03; CBSR: d=.74), anxiety (MBSR: r=-.74; CBSR: r=-.72), and perceived stress (MBSR: r=-.80; CBSR: r=-.68). While there was no statistically significant difference between them in reducing depressive symptoms and perceived stress, MBSR was found to be significantly more effective than CBSR in reducing anxiety symptoms (u=469, z=-2.756, p=0.006).ConclusionsBoth MBSR and CBSR improve symptoms of depression and anxiety in medical students after 8 weeks of interventions. Completing the protocol or attending more sessions may increase the effectiveness of the interventions. While the interventions did not show superiority to each other in terms of effectiveness in reducing depressive symptoms and perceived stress, MBSR appears to be more effective in reducing anxiety symptoms compared to CBSR in the group that completed the protocol.Disclosure of InterestNone Declared

Impact of Classic Music Intervention on Anxiety Levels of Medical Students during Online Learning on COVID-19 Pandemic

Background: Situation of COVID-19 pandemic has become a global health problem and has caused public health anxiety, especially for medical students. Anxiety disorder experienced by a person can be treated by pharmacological or non-pharmacological therapy. One of many procedures of non-pharmacological treatments that can be done is by intervening in western classical instrumental music. According to existing studies, music interventions are known to have the effect of providing calm, elevating mood, and making a person feel more relaxed. This study aimed to determine the effectiveness of receptive western classical instrumental music intervention in overcoming anxiety disorders in preclinical medical students of FKIK Atma Jaya University during online classroom learning during the COVID-19 pandemic.Methods: This study was an experimental study composed of a single group with a research design of pre-test and post-test done by 78 medical students from FKIK UnikaAtma Jaya Batch 2021. The measuring instrument used was the GAD-7 questionnaire. The data analysis performed was univariate, bivariate, and multivariate analysis.Results: There were 78 respondents, with the majority aged 17-18 years old. The majority gender was female (61.54%). Most of the respondents were in the upper socioeconomic class (84.62%). The 78.21% of students live with their parents. Bivariate analysis showed a decrease in student anxiety before and after the music intervention. Multivariate analysis showed a significant relationship between anxiety level and place of residence.Conclusion: Western instrumental classical music can reduce anxiety in medical students of FKIK UnikaAtma Jaya Batch of 2021 during online learning.

Influencing Factors and Prevalence of Anxiety in Medical Students: A Cross-Sectional Study

Introduction: While current research highlights student anxiety globally, limited data exists on the specific situation of Vietnamese medical students. This study addresses this gap by investigating the prevalence and contributing factors of anxiety within this population, aiming to gain a deeper understanding of their mental health experiences.&#x0D; Methods: Utilizing a convenience sampling technique, 400 medical students from Ho Chi Minh City University of Medicine &amp; Pharmacy were surveyed using the Zung Self-Rating Anxiety Scale and a custom questionnaire assessing factors contributing to anxiety. Data analysis included descriptive statistics, independent-samples t-tests, ANOVA, and Pearson's correlation.&#x0D; Results: Findings revealed mild to moderate anxiety levels among medical students (M = 49.68 ± 11.54), with significant differences based on gender, academic year, and academic performance. Males (M = 51.27 ± 12.26) and senior students (M = 53.18 ± 12.50) reported higher anxiety levels. Key contributors to anxiety included financial concerns, major examinations, and discrepancies between perceived and desired academic performance. Notably, a strong positive correlation was found between academic performance discrepancies and anxiety levels (r = 0.888, p &lt; 0.001).&#x0D; Conclusion: The study highlights a potentially higher prevalence of anxiety among medical students than previously reported, emphasizing the need for targeted interventions. Understanding the multifaceted nature of anxiety and its contributing factors is crucial for fostering a supportive learning environment, ultimately nurturing well-equipped and resilient healthcare professionals.

Level of Anxiety among Medical Students: A Descriptive Cross-Sectional Study

Introduction: Anxiety is one of the common psychological disorders showing more prevalence among medical students. Symptoms seen in the anxiety are excessive fear- worry and negative thoughts. In India and Pakistan have reported prevalence of anxiety consist of 66.9% and 44.7% % among undergraduate medical students, respectively. This study aims to find out the prevalence of anxiety among medical students. Objective: To assess the prevalence of anxiety among medical students of fourth year MBBS students of National Medical College and Teaching Hospital, Birgunj, Nepal. Method: A descriptive cross-sectional study was done to observe prevalence of anxiety in medical students of fourth year by using Hamilton Anxiety Rating Scale questionnaire. Data was entered and analyzed by the use of Statistical Package for Social Sciences version 20.0 Result: The prevalence of anxiety among the students was found to be 70.4%, where as 64.3% students had mild and moderate anxiety, 6.1% of them had severe anxiety. The prevalence of anxiety among male students was 53.6%. Conclusion: Anxiety of prevalence was high among medical students. Rate of anxiety was more in male.

DETERMINATION OF DEPRESSION AND ANXIETY AMONG MEDICAL UNIVERSITY OF LARKANA

A stressful environment is concerned with medical colleges, and often, they have an adverse effect on physical health, academic performance, and psychological wellness. There is a high percentage of anxiety and depression in the medical curricula, and still, it is unfortunate to see the faces behind the white coats. The study aimed to determine the prevalence of depression and anxiety among medical students at Shaheed Mohtarma Benazir Bhutto Medical University Larkana. The research was conducted from March to June 2023 and included all medical students who had spent at least six months in SMBBMU Larkana and had no physical illness. The results were analyzed using percentages and proportions through SPSS 24. The study found a high incidence of depression and anxiety in medical students, which can negatively affect their learning, productivity, and quality of life, as well as the care of patients. The research highlights the need for proper intervention and early detection measures to reduce the effects of depression in education and career.

Investigating the link between vitamin d deficiency and depression and anxiety in medical students at Jazan university: a cross-sectional study

Background: Numerous studies have assessed the prevalence of vitamin D insufficiency among Saudi individuals and correlated depression and anxiety with vitamin D deficiency. However, studies have not looked at these factors in Saudi Arabia's Jazan medical students. The current study aimed to clarify the relationship between low vitamin D levels, depression, anxiety, and academic performance. Methods: A cross-sectional study was conducted among medical students at Jazan university. The dependent variables were depression and anxiety, and their association with covariates, including sex, marital status, GPA, BMI, vitamin D level, and physical exercise, was evaluated. The 21-item depression, anxiety, and stress scale, which has been validated, was utilized. Results: Of 252 students, the prevalence of vitamin D deficiency was 54.4%; anxiety, 62.3%; and depression 68.7%. Comparatively, more female students than male students were vitamin D deficient. Stress was found to be substantially related to vitamin D deficiency (p&lt;0.001). Anxiety was also significantly related to vitamin D deficiency (p&lt;0.001), wherein the students with anxiety had a considerably higher prevalence of vitamin D deficiency than those without anxiety (84% vs. 32.5%). Similarly, depression was significantly associated with vitamin D deficiency (p&lt;0.001), wherein students with depression were much more likely to get vitamin D deficiency than students without depression (86.7% vs. 27.5%)-no significant association otherwise with other variables. Conclusions: Stress, depression, and anxiety are associated with vitamin D deficiency. This finding highlights the importance of mental health promotion among medical students owing to its link to quality of life and academic performance.

Gamifying Assessments in Medical Education: A Novel Approach to Tackling Test Anxiety in Medical Students

Introduction: Test anxiety is a specific type of anxiety that typically occurs during assessments and may compromise students’ academic performance. The use of gamification in assessment has the potential to reduce test anxiety. Aims &amp;Objectives: This study aims to provide an understanding of the potential benefits of gamification as an intervention in formative assessments to reduce test anxiety in medical students. The objective of this study was to investigate the effect of gamification on the academic performance and test anxiety scores of medical students during formative assessments. Place and Duration of Study:The study was conducted at Shifa Tameer-e-Millat University and Bahria University Medical and Dental College from July to December 2022 Material &amp;Methods: The present mixed-method study used Nist&amp; Diehl Patrick-Henry-Community-College (PHCC) questionnaire to measure test anxiety in 251 medical students of Year 1&amp;2 MBBS after formative MCQ assessments based on the Biochemistry course related to the structure and Metabolism of carbohydrates delivered during their respective modules using gamified and non-gamified online applications in the quantitative phase. Qualitative data was collected through interviews with students based on their test anxiety scores. Sciences (SPSS) version 26.0 was used to analyze the quantitative data, a p-value of ?0.05 was considered significant. Results: Mean anxiety scores of male students in all groups were significantly lower than female students. There was no significant difference in the test anxiety score of students taking assessments through gamified and non-gamified assessment tools. Conclusion: Female students reported significantly higher anxiety scores both in gamified and non-gamified formative assessments. There was no significant difference in the test anxiety scores of students taking assessments through gamified and non-gamified assessment tools. Qualitative analysis revealed a positive effect on the motivation of the learners using gamified assessment tools.

Effects of auricular acupressure on test anxiety in medical students: a randomized parallel-group trial

BackgroundTest anxiety is a prevalent issue among students, including those in the medical field. The present study aims to examine the impact of auricular acupressure on reducing test anxiety specifically among medical students.MethodsIn this single-blind randomized parallel-group trial, a total of 114 medical students from Kermanshah, Iran, were allocated into two groups: intervention and control. Each group consisted of 57 students. The data collection instruments included a demographic information form and the Sarason Anxiety Inventory. In the intervention group, bilateral auricular acupressure was administered on the Shen Men point for a duration of 10 min. On the other hand, the control group received bilateral auricular acupressure on the Sham point, located in the earlobe, as a placebo, also for 10 min.ResultsThe mean test anxiety scores in the Shen Men acupressure group exhibited a significant reduction from 18.4 ± 5.3 before the intervention to 13.3 ± 4.8 after the intervention (P = 0.001). Conversely, in the Sham acupressure group, the mean test anxiety scores showed no significant change, with values of 16.36 ± 6.4 before the intervention and 16.4 ± 6.1 after the intervention (P = 0.963). Prior to the intervention, the majority of participants in both the intervention group (87.7%) and control group (86.0%) exhibited moderate to severe levels of test anxiety. Following acupressure, a significant improvement was observed in the intervention group, with 52.6% of participants experiencing a reduction to mild anxiety levels (P = 0.001); however, no notable change in anxiety levels was observed in the control group. Furthermore, a statistically significant difference in anxiety intensity after the intervention was found between the two groups (P = 0.001).ConclusionShen Men auricular acupressure demonstrates efficacy in reducing test anxiety among medical students. However, to validate its effectiveness, further research using objective measures is warranted.

Prevalence of test anxiety and their related coping strategies in medical students – A cross-sectional study

Abstract Introduction: Exam anxiety is characterized by a combination of bodily symptoms, such as overarousal, tension, and somatic symptoms; mental symptoms, such as concern, dread, and fear of failing; and physical symptoms, similar to catastrophizing. According to recent research, test anxiety affects anywhere between 25% and 40% of students. Self-distraction, denial, substance use, behavioral disengagement, emotional support, venting, humor, acceptance, self-blame, religion, active coping, the use of instrumental support, positive reframing, and planning have all been claimed to be successful coping mechanisms. Aim and Objectives: This study aimed to assess the test anxiety levels and related coping strategies in medical students. Materials and Methods: A total of 106 medical students of a tertiary care teaching hospital were included between September 2022 and January 2023. The students who consented to participate in the study were asked to complete the self-administered questionnaire consisting of parts on sociodemographic profile, Westside Test Anxiety Scale, and Brief Coping Orientation to Problems Experienced Scale. Results: Males had 38.1%, 35.7%, and 26.7% of average, moderate, and high levels of test anxiety and females reported of 43.8%, 34.4%, and 21.9%, respectively. Conclusion: Academic factors are greater perceived cause of anxiety in medical students. Interventions must be developed and implemented to target particular stressors to reduce the burden and anxiety on students from the 1st year itself. Early screening and interventions of test anxiety among medical students were warranted.

Anxiety in Medical Students: A Moroccan Overview

Introduction: The mental health of medical students as a subject of interest in the scientific community appears to have emerged in the literature from the 1950s. Despite the divergence on the stressful nature of medical studies, students appear to be confronted with a multitude of stress-inducing factors. Notwithstanding their high levels of distress, only a few medical students seem to seek professional help, mainly due to "self-stigmatization". Results: A total of 239 medical students of the Faculty of Medicine and Pharmacy of Rabat completed the questionnaire. 87% of students reported a history of anxiety symptoms since the beginning of their medical studies, with 57.7% having three or more areas of concern. Age and the years of study were associated with the emergence of anxiety symptoms. The second year of medical school was the only found risk factor for the presence of anxiety symptoms. Conclusions: Within medical students, anxiety appears to be particularly widespread. It causes psychological distress, which has repercussions on well-being, academic performance, and also the quality of care provided. Awareness campaigns should be one of the main focuses of both Moroccan and worldwide public health programs and healthcare professionals to promote the mental health of future caregivers.

Depression and anxiety among medical students in virtual education during COVID-19 pandemic

The lockdown derived from the declaration of a pandemic due to SARS-CoV-2 in March 2020 by the World Health Organization altered daily activities, including the academic ones, which were adapted to virtuality. In Ecuador, the new modality of study had an increase in the use of electronic devices that triggered new problems. To stablish the prevalence of depression and anxiety among medical students from the Universidad Central del Ecuador (Central University of Ecuador) in virtual education during the COVID-19 pandemic. Cross-sectional analytic study conducted between June and July of 2021 in students from first to tenth semester during virtual education. All studied subjects were evaluated using an electronic survey, depression and anxiety variables were assessed with the BDI-II and GAD-7 scales, respectively. In addition, sociodemographic data were collected, including the family APGAR. A response rate of 63.3% (1528 students) was obtained. Overall prevalence of depression was 37.8% and the prevalence of anxiety 30.3%. Lower-years students were the most affected by these pathologies. The protective factors found were physical activity and psychological support in religion, whereas the main risk factors found were a dysfunctional family, lack of an exclusive study space and low academic performance. Furthermore, the frequency of depression and anxiety was significantly higher in women. The virtual modality showed a high prevalence of depression and anxiety in medical students.

The Correlation of Insomnia and Anxiety in Students of The Faculty of Medicine, University of Pelita Harapan

&lt;p&gt;&lt;strong&gt;Background and Aim: &lt;/strong&gt;Insomnia and anxiety are common disorders with high prevalence rate especially in medical students. Moreover, many confounding factors playing a role in influencing anxiety. Most studies does not include or measure other confounding factors of anxiety into the analysis. This requires research which examines insomnia and anxiety assessing the contribution of the factors influencing anxiety.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A cross-sectional study methodology with linear regression analysis on a sample of students from the Faculty of Medicine, University of Pelita Harapan using the DASS-21 questionnaire to assess anxiety and ISI to assess insomnia.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Prevalence rates of insomnia was 34.29% and anxiety 32.38% in Pelita Harapan University medical student. From the results of the bivariate linear regression, a weak relationship between insomnia and anxiety (r = 0.322; p = 0.000) is seen. In multivariate results, there were confounding stress variables (r = 0.565; p= 0.000) and trauma (r = 0.250; p = 0.005) which contributed greatly to anxiety (In order of largest).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;There is a weak correlation and anxiety. Moreover, high prevalence rate of anxiety in medical students may be contributed heavily not only by insomnia but also stress and childhood trauma.&lt;/p&gt;

Anxiety level among undergraduate medical students: A cross-sectional study using the Hamilton: A scale

Introduction: Medical education being a stressful course; high levels of anxiety and depression have been studied and documented among medical students all over the globe. Anxiety, being the precursor of depression, needs special attention and screening in Indian medical students. Objectives: To study the level of anxiety in medical students of different academic years. Methodology: A self-reporting questionnaire using ‘Google forms’ format was shared by WhatsApp and emails to undergraduate medical students of college. The questionnaire contained demographic details and Hamilton-A scale to assess the anxiety having maximum score of 56. Written consent was part of questionnaire and only consented forms were accepted. The responses were collected anonymously and analyzed using MS excel 2007 and EpiInfo 7.2 Results: Total 623 students participated in the study, of which 54.4% were male. 73%, students had minimal to mild anxiety, whereas 15% and 13% had mild to moderate and moderate to severe anxiety respectively. Severe anxiety in male students was higher (16.07%) as compared to female students (8.71). Final year medical students (24.11%) and Day Scholars (19.57%) showed highest severe anxiety. Conclusion: Anxiety is prevalent in medical students. Female and final year students reported higher levels on the anxiety score.