Stress In Medical Students Research Articles

Core Clerkship Grading: The Illusion of Objectivity.

Core clerkship grading creates multiple challenges that produce high stress for medical students, interfere with learning, and create inequitable learning environments. Students and faculty alike succumb to the illusion of objectivity-that quantitative ratings converted to grades convey accurate measures of the complexity of clinical performance.Clerkship grading is the first high-stakes assessment within medical school and occurs just as students are newly immersed full-time in an environment in which patient care supersedes their needs as learners. Students earning high marks situate themselves to earn entry into competitive residency programs and selective specialties. However, there is no commonly accepted standard for how to assign clerkship grades, and the process is vulnerable to imprecision and bias. Rewarding learners for the speed with which they adapt inherently favors students who bring advantages acquired before medical school and discounts the goal of all learners achieving competence.The authors propose that, rather than focusing on assigning core clerkship grades, assessment of student performance should incorporate expert judgment of learning progress. Competency-based medical education is predicated on the articulation of stepwise expectations for learners, with the support and time allocated for each learner to meet those expectations. Concurrently, students should ideally review their own performance data with coaches to self-assess areas of relative strength and areas for further growth. Eliminating grades in favor of competency-based assessment for learning holds promise to engage learners in developing essential patient care and teamwork skills and to foster their development of lifelong learning habits.

Stressors and the Levels of Stress Among the Undergraduate Medical, Dental and Nursing Students of a Medical College in Kathmandu

Educational environment in medical schools is highly demanding and stressful due to various factors. The study was aimed to explore level of stress, stressors and the coping strategies among the undergraduate medical, dental and nursing students of a medical college in Kathmandu. A cross- sectional observational study was conducted among 174 consenting (95 medical, 51 dental and 28 nursing) first year undergraduate students with predesigned, pretested, semi-structured questionnaire which included socio-demographic details, Kessler psychological distress scale and Medical student stress questionnaire. Average age of students was 19.54±1.28 years. Results revealed that 66.66% of students were under stress with 25.86% having mild, 18.96% having moderate and 21.83% having severe levels of stress. Highest prevalence of stress was noted among nursing students (75.00%) with 32.14% under severe stress. Among 116 males and 58 females, males were more stressed (75.00%) than females (50.00%). Most of the students enjoyed music and chatted with their close ones to cope with stress. Academic related stressor was found to be the major stressor (2.65±0.69) with statistically significant association (p< 0.01) with the stress levels among the students. Informing students about the “must know” and “good to know” areas of the topics of every subject may be helpful to decrease the academic related stress. Regular practice of meditation, sports and cultural activities may help to reduce stress.

Prevalence of Anger in Medical Students: A Tertiary Care Experience from a Developing Country.

Background: Anger is defined as an emotional state that involves displeasure and consists of subjective feelings that vary in intensity, from mild irritation or annoyance to intense fury and rage. Anger is dangerous because it affects the health of the individual. It also affects relationships between fellow physicians and nurses and can ultimately compromise patient care. Medical school is perceived as stressful and a number of studies have proved the high prevalence of anxiety, stress, and depression in medical students. However, no significant studies have been performed to assess the frequency of anger in medical students. The purpose of our study is to find out whether anger is prevalent among medical students and its effect on different aspects of student’s lives.Methods: A cross-sectional survey was conducted on the students from all five years of Liaquat National Medical College. Sampling technique used was nonprobability purposive sampling. A self-administered questionnaire was filled by medical students. Data were recorded and analyzed using the IBM statistics SPSS software.Results: A total of 205 students participated in the survey. Using the questionnaire, it was found that the highest frequency of anger was found in first-year students (97.5%), followed by the fourth year (97.4%), final year (97.2%), third year (95.7%), and second year (91.9%). All five years identified stress as a major predictor of anger. Anger had the greatest effect on decision making, especially in final year medical students.Conclusion: Authors concluded a high frequency of anger in medical students. Increased stress has negative impacts on the mental health and coping strategies of students which greatly affect their decision-making power.

Mental health and quality of life of Brazilian medical students: Incidence, prevalence, and associated factors within two years of follow-up

Medical students’ mental health and quality of life (QoL) cause growing concern worldwide, but, to date, few longitudinal studies have followed these students. Our objective was to evaluate the incidence, prevalence, and factors associated with quality of life and symptoms of depression, anxiety, and stress of Brazilian medical students who were followed for a period of two years. Students’ mental health (DASS-21), QoL (WHOQOL-Bref), and religiousness (DUREL) were evaluated in four different waves(four semesters). A total of 312 (54.2%) medical students responded to all four waves. Medical students demonstrated a high prevalence and incidence of emotional disorders. Almost half of the students presented high levels of depression, anxiety, and stress during the two-year follow-up; approximately one out of five students without symptoms at the baseline were considered new cases and these problems have a cyclical nature. Baseline factors such as depression, anxiety, stress, having low income, being female, being in the early stages of medical training and non-white were associated with poorer mental health and quality of life in the follow-up. Our results show that medical students have a high prevalence and incidence of mental health disorders during their medical training. This data may help educators plan preventive strategies.

Effect of academic stressors on eating habits among medical students in Riyadh, Saudi Arabia

Context: Stress can be defined as an integral response of the organism to pressures from the internal or external environment with the aim to maintain homeostasis. Usually, it has a negative impact on human health. Medical students can feel stress during their preclinical studies due to overload of work such as assignments, lectures, and seminars. As a result, their appetite can be affected by skipping meals eating fast food. Aims: The aim of this study was to assess the pattern of eating habits and to define its association with stress among medical students. Settings and Design: This cross-sectional study was conducted among the medical students of Al-Imam Muhammed Ibn Saud Islamic University. Subjects and Methods: The sample consist of 105 Arabian males (100%) with 21-year old being the average. We use questionnaires divided into three sections. Statistical Analysis Used: SPSS. Results: We have confirmed three hypotheses: freshman would have Higher Stress Levels than sophomores and junior, the spread of fast food restaurants increases the chance for students to eat Unhealthy Foods, and the students Who Have High Stress Levels Would Eat More Unhealthy Foods Than Students Who Have Low Stress Levels. Conclusions: Our findings have revealed the importance to develop a specific intervention program with the aim to decrease the stress in medical students. We suggest also the development of accurate university programs with resources well programmed and well established, development of the educational program with the aim to promote healthy eating habits in medical students, the longitudinal courses should be converted to Blocks to decrease the Academic stress on students.

Effect of academic stressors on eating habits among medical students in Riyadh, Saudi Arabia.

Context:Stress can be defined as an integral response of the organism to pressures from the internal or external environment with the aim to maintain homeostasis. Usually, it has a negative impact on human health. Medical students can feel stress during their preclinical studies due to overload of work such as assignments, lectures, and seminars. As a result, their appetite can be affected by skipping meals eating fast food.Aims:The aim of this study was to assess the pattern of eating habits and to define its association with stress among medical students.Settings and Design:This cross-sectional study was conducted among the medical students of Al-Imam Muhammed Ibn Saud Islamic University.Subjects and Methods:The sample consist of 105 Arabian males (100%) with 21-year old being the average. We use questionnaires divided into three sections.Statistical Analysis Used:SPSS.Results:We have confirmed three hypotheses: freshman would have Higher Stress Levels than sophomores and junior, the spread of fast food restaurants increases the chance for students to eat Unhealthy Foods, and the students Who Have High Stress Levels Would Eat More Unhealthy Foods Than Students Who Have Low Stress Levels.Conclusions:Our findings have revealed the importance to develop a specific intervention program with the aim to decrease the stress in medical students. We suggest also the development of accurate university programs with resources well programmed and well established, development of the educational program with the aim to promote healthy eating habits in medical students, the longitudinal courses should be converted to Blocks to decrease the Academic stress on students.

Stres i radzenie sobie ze stresem studentów kierunków medycznych podczas pierwszych zajęć klinicznych – badania wstępne

ENWEndNote BIBJabRef, Mendeley RISPapers, Reference Manager, RefWorks, Zotero AMA Bodys-Cupak I, Grochowska A, Zalewska-Puchała J, Majda A. Stress and coping strategies of medical students during their first clinical practice – a pilot study. Medical Studies/Studia Medyczne. 2019;35(4):294-303. doi:10.5114/ms.2019.91247. APA Bodys-Cupak, I., Grochowska, A., Zalewska-Puchała, J., & Majda, A. (2019). Stress and coping strategies of medical students during their first clinical practice – a pilot study. Medical Studies/Studia Medyczne, 35(4), 294-303. https://doi.org/10.5114/ms.2019.91247 Chicago Bodys-Cupak, Iwona, Aneta Grochowska, Joanna Zalewska-Puchała, and Anna Majda. 2019. "Stress and coping strategies of medical students during their first clinical practice – a pilot study". Medical Studies/Studia Medyczne 35 (4): 294-303. doi:10.5114/ms.2019.91247. Harvard Bodys-Cupak, I., Grochowska, A., Zalewska-Puchała, J., and Majda, A. (2019). Stress and coping strategies of medical students during their first clinical practice – a pilot study. Medical Studies/Studia Medyczne, 35(4), pp.294-303. https://doi.org/10.5114/ms.2019.91247 MLA Bodys-Cupak, Iwona et al. "Stress and coping strategies of medical students during their first clinical practice – a pilot study." Medical Studies/Studia Medyczne, vol. 35, no. 4, 2019, pp. 294-303. doi:10.5114/ms.2019.91247. Vancouver Bodys-Cupak I, Grochowska A, Zalewska-Puchała J, Majda A. Stress and coping strategies of medical students during their first clinical practice – a pilot study. Medical Studies/Studia Medyczne. 2019;35(4):294-303. doi:10.5114/ms.2019.91247.

Asociación entre violencia, estrés y rendimiento académico en alumnos de medicina del primer y sexto años de una universidad pública, 2017

Introducción. Existen reportes nacionales e internacionales de presencia de estrés en estudiantes de medicina, mayor que en otras carreras profesionales; asimismo, la presencia de estrés se encuentra relacionada a bajo rendimiento académico. Objetivo. Determinar si existe asociación entre violencia, estrés y el rendimiento académico de los alumnos de primer y sexto año de medicina de la Universidad Nacional Mayor de San Marcos. Métodos. Se encuestó a 109 (47%) alumnos del 6to año, y 122 (53%) alumnos del 1er año. La percepción de violencia y estrés se determinaron con instrumentos validados; el rendimiento académico se determinó mediante el promedio ponderado anual. Se utilizó la prueba U de Mann Whitney para establecer diferencias entre las medias de las variables cuantitativas. Para establecer la correlación entre las variables de estudio se utilizó el coeficiente de correlación de Spearman. Valores p<0,05 se consideraron como significativos. Resultados. La percepción de violencia fue mayor en estudiantes de 6to año. Se estableció correlación positiva entre el estrés y violencia en estudiantes de 6to año. Conclusión. En ambos grupos estudiados se determinó percepción de violencia, mayor en estudiantes de 6to año. La correlación entre violencia y estrés fue significativa sólo en los estudiantes de 6to año. No hubo asociación significativa del estrés y violencia con el rendimiento académico.

Application of fuzzy comprehensive model for evaluating the mental quality of medical students

Objective To explore the application of fuzzy mathematics theory in the evaluation of medical students' comprehensive mental quality. Methods A total of 80 medical undergraduates studying in the Affiliated Huai'an No.1 People’s Hospital of Nanjing Medical University from October to December 2017 were randomly selected to conduct a questionnaire survey on medical students' mental quality. The questionnaires were designed by the study group, containing 3 first-level items (learning pressure, life stress and interpersonal stress), and 19 secondary items, with the recovery rate as 95%. Fuzzy comprehensive evaluation method was used for data processing and analysis. Results By comparing the data obtained from the comprehensive evaluation of the secondary factors with those of the pre-set evaluation set, the study concluded that 25.00% of the medical students need to adjust the future pressure, 41.70% the family health status pressure and 26.79% the appearance pressure according to the principle of maximum membership degree. The comprehensive evaluation of the first four factors (0.249 7, 0.268 9, 0.270 2, and 0.211 2) showed that the comprehensive mental quality of medical students was good. The quantitative analysis results showed that 27.02% of the medical students had good comprehensive mental quality, 24.97% need the mental quality adjustments, 26.89% had the average mental quality, and 21.12% had outstanding mental quality. Fuzzy comprehensive evaluation indicated that it is necessary to adjust the learning pressure and life stress of medical students, while the interpersonal stress had little effect on the mental quality of medical students. Conclusion The fuzzy comprehensive evaluation adopts the quantitative method to deal with the qualitative indicators uniformly, being scientific and reasonable. The corresponding data of each indicator can be easily identified with the help of the indicator system built up in the evaluation, which provides evidence for distinguishing and improving the corresponding decision-making for improving the medical students' mental quality. This evaluation method has strong applicability and provides new methods and ideas for objectively evaluating the comprehensive mental quality of medical students. Key words: Medical students; Comprehensive mental quality; Fuzzy comprehensive evaluation

Stress and Coping: A Comparative Study between Government and Private Medical College Students in Guntur District, Andhra Pradesh

Stress in medical students is a burning issue these days, prolonged stress among students is leading to different psychological disorders. The aim of the present study is to make a comparison of the stress levels experienced between a government medical college’s students and private medical college’s students of Guntur district, Andhra Pradesh. The total sample size of the study was 507. Findings of the study revealed that there is a significant difference between the stress experienced by government medical college students and private medical college students. Respondents were using different coping mechanisms like going to shopping/movies/watch TV/internet/listening to music to relax, keeping the sense of humor, etc., to overcome the stress. Attention should be paid to the students to address this issue.

The roles of attachment and resilience in perceived stress in medical students

Medical students are susceptible to high levels of psychological stress, while being equipped with lower levels of resilience, especially females. Adult attachment is a known risk factor for a broad range of mental health difficulties and poor coping. The purpose of this study is to examine relationship attachment style, perceived stress, and resilience in medical students. Data was collected via an online survey using self-report measures from University of Saskatchewan undergraduate medical students (n = 188). Attachment was assessed with the Relationship Questionnaire and Experiences in Close Relationships Scale. Resilience and stress were assessed with the Connor-Davidson Resilience Scale and Perceived Stress Scale, respectively. Approximately half of our sample endorsed secure attachment style (49.4%). Females reported significantly more attachment insecurity, higher attachment anxiety, higher perceived stress, and lower resilience compared to males, as expected. As predicted, attachment anxiety and avoidance were predictors of perceived stress. Mediation analyses supported the hypothesis that resilience acted as a partial mediator between attachment insecurity and perceived stress. These findings suggest attachment plays a role in perceived stress in medical students. In addition, the role of resiliency in protecting against this effect highlights potential areas for intervention to improve medical student well-being and provides a foundation for longitudinal follow-up.

Associations between coping styles and psychological stress among medical students at Universiti Putra Malaysia

Effective coping styles can help buffer psychological stress in medical students. As the prevalence rate of stress is considerably high in such population, identifying the associations between coping styles and psychological stress is paramount. This cross-sectional study aims to determine the associations between coping styles and psychological stress involving medical students at Universiti Putra Malaysia. Participants completed the Depression Anxiety Stress Scale (DASS 21), the Brief COPE. Using Chi-square tests, findings revealed that venting and self-blame were significantly associated with psychological stress. Stress management techniques emphasizing in coaching students to improve their coping styles are important to reduce stress and to sustain well-being throughout medical program.

Motivos para o Perfeccionismo e Intolerância à Frustração nos Estudantes de Medicina da Universidade de Coimbra

Perfectionism and intolerance to frustration are the main factors of vulnerability to psychological stress observed in students of the Integrated Master Degree in Medicine of the Faculty of Medicine, University of Coimbra, a study claims. We aimed to ascertain their reasons, seeking for their prevention. An observational triangulation study was performed, collecting the main reasons according to the opinion of a students focus-group, organized in a questionnaire completed with epidemiologic data, applied online to all students of the Integrated Master Degree in Medicine of the Faculty of Medicine, University of Coimbra. Statistical analysis was performed. A representative sample, of n = 368, 77.7% female, was studied. The most important responded reasons were 'intrinsic factors' and 'medical profession demands', with, respectively, 91.1% and 91.8% of 'important'/'very important' answers; 'environmental pressure' is the less important, with 68.2% attributing those classifications. Students satisfied with curricular life attribute less importance to 'environmental pressure' (p = 0.004), 'insecurity about professional training' (p = 0.017), 'curricular evaluation methods' (p = 0.002) and 'Integrated Master Degree in Medicine of the Faculty of Medicine, University of Coimbra curricular demands' (p = 0.002); female students assign more importance to 'Integrated Master Degree in Medicine curricular demands' (p = 0.001); students involved in an extracurricular activity consider less important the 'environmental pressure' (p = 0.007). In this Integrated Master Degree in Medicine of the Faculty of Medicine, University of Coimbra students sample, vulnerability to psychological stress associated to perfectionism and intolerance to frustration is due essentially to self-demanding personality. Insecurity about professional demands, associated to suffering in anticipation and the absence of professional perspectives, represent another important cause. Psychological support, involvement in specific extracurricular activities and curricular reorganisation appear to be means of reducing the vulnerability to stress in medical students.

A study of smart phone addiction and effects on perceived stress in medical students in a tertiary hospital in central India

A study of smart phone addiction and effects on perceived stress in medical students in a tertiary hospital in central India

Burnout, perceived stress, and empathic concern: differences in female and male Millennial medical students

ABSTRACTThe ‘Millennial’ generation faces medical education learning environment challenges differently. We explore gender differences in burnout, perceived stress, and empathic concern in third-year medical students. A sample size of 654 third-year medical students completed an annual survey over 6 years. Survey items included: the Maslach Burnout Inventory-Student Scale (MBI-SS), Interpersonal Reactivity Index (IRI), and Perceived Stress Scale (PSS). We examined demographic differences using independent sample t-tests and performed a two-way ANOVA to test for potential interactions. Female students were more likely to have higher empathic concern compared to male students (IRI) (20.9±3.9 versus 19.1±4.1, p<0.001), and reported more personal distress (IRI) (9.0±4.4 versus 7.6±3.8, p<0.001), emotional exhaustion (MBI-SS) (15.6±5.9 versus 14.4±5.9, P<0.013), and perceived stress (PSS) (17.3±6.1 versus 15.2±6.7, p<0.001). Male students were more likely to have cynicism (MBI-SS) and lower professional efficacy (MBI-SS) scores. Results of multivariate analyses yielded no significant interactions between gender, age, and ethnicity. Self-reported experiences of burnout and stress differed in male and female third-year medical students. Burnout and perceived stress scores while statistically significant were small. These findings suggest that support services should be made broadly available to all medical students, but should be targeted to the specific needs of male and female students.

Impact of Usage of Different Coping Strategies on Academic Performance of Female Students in College of Medicine, Al-Ahsa

Background: academic stress can be prescribed as mental distress with respect to some anticipated frustration associated with academic failure or even awareness of the possibility of such failure. Medicine in specific is one of the most stressful fields of education because of its highly demanding professional and academic requirements, highly extensive medical curricula, repeated difficult exams and fear of failure all are causes of persistent stress and anxiety for medical students. Student’s ability to handle these increasing demands of medical school can affect their academic success and emotional health. Experiencing stress and anxiety is beneficial to some extent as it can enhance the academic performance. In the other hand, increasing levels of stress that students exposed may have a negative effect on their cognitive functioning and learning abilities in the medical school. Coping is an important key point of dealing with stress and preventing psychological problems. Aim of the work: this studyexplored the impact of usage of different coping strategies on academic performance of students of College of Medicine in Al-Ahsa, 2018 and which type they use more than the other and which of these different strategies comprise more satisfaction than the others do. Methods: this wasa cross sectional study was carried out among female students in college of medicine in king Feisal University in the academic year 2017-2018. Data had been collected by electronic and paper survey, which contained demographics, educational level, family income, GPA, studying hours and the Lazarus's ways of coping framework, which was a widely accepted model containing 66 points that distinguishes between distinct active and emotion based coping methods. Results: 73 students were completed the survey, 58.9% of them reported being upset\sad for significant amount in 2 weeks period, and 49.3% of students report that they feel they need psychiatric consultation. No significant association was noticed between GPA and each of coping strategies addressed in this study. Positive reappraisal was the most used strategy by 76.86%, while confrontive coping was the least to use by 55.83%. Conclusion: medical students were more vulnerable to academic stress due to highly demanding professional and academic requirements. To overcome this, students used different coping strategies.According to our study, there was no significant impact on the GPA or difference between these strategies.

Prevalence of Stress among Female Medical Students at AL-Maarefa Colleges

Background: Stress is a state of mental tension and worry. A study was conducted in Al Maarefa Colleges, College of Medicine in a sample of 130 female medical students to assess the prevalence of stress. Objectives: This study aimed at determining the prevalence and levels of stress in female medical students. Association of stress with some factors was determined. Method: This was an observational, descriptive, cross-sectional study in which a sample of randomly collected female medical students between 3rd and 8th level completed a self-administrated questionnaire. SPPS was used to analyze data and Chi-square test to investigate the association of the proposed variables. Results: students in level 7-8, 78% who were single, 82% of students who studied 2-4 hours/day, 77% of students who chose their specialty based on their own desire, and 79% of students who had a relationship with their family had low stress. There was a significant association between the adaptation to frequent exams and the levels of stress. (p=0.048). Otherwise, there was no statistical association between any of the other factors such as hours/day spent on studying, the method of tuition payment or choice of specialty and stress. Conclusion: It was found that the majority of the students had low levels of stress. The highest proportion of low stress was in those who were in level 7-8 and those who were not adapted to frequent examination. It was found that those who had good relations with their family, teachers, and colleagues had a low level of stress.

Prevalence of Stress among Female Medical Students at AL-Maarefa Colleges

Background: Stress is a state of mental tension and worry. A study was conducted in Al Maarefa Colleges, College of Medicine in a sample of 130 female medical students to assess the prevalence of stress. Objectives: This study aimed at determining the prevalence and levels of stress in female medical students. Association of stress with some factors was determined. Method: This was an observational, descriptive, cross-sectional study in which a sample of randomly collected female medical students between 3rd and 8th level completed a self-administrated questionnaire. SPPS was used to analyze data and Chi-square test to investigate the association of the proposed variables. Results: students in level 7-8, 78% who were single, 82% of students who studied 2-4 hours/day, 77% of students who chose their specialty based on their own desire, and 79% of students who had a relationship with their family had low stress. There was a significant association between the adaptation to frequent exams and the levels of stress. (p=0.048). Otherwise, there was no statistical association between any of the other factors such as hours/day spent on studying, the method of tuition payment or choice of specialty and stress. Conclusion: It was found that the majority of the students had low levels of stress. The highest proportion of low stress was in those who were in level 7-8 and those who were not adapted to frequent examination. It was found that those who had good relations with their family, teachers, and colleagues had a low level of stress.

Medical School and Stress: A Cross-sectional Study of Stress among Medical Students in Uttar Pradesh University of Medical Sciences in district Etawah

Background: Medical education has come long way since the era of Hippocrates. It is progressively evolving into a more organized and complicated system. All over the world, Medical education is criticized as one of the most demanding and stressful academics, showing effects on physical and mental health of medical students. This research was conducted to study stress and its factors in students of UPUMS, Saifai, Etawah, Uttar Pradesh. Aim &amp; Objectives: To estimate the prevalence of stress among medical students of UPUMS. To estimate internal consistency of Medical Students Stress Questionnaire (MSSQ-40). Material &amp; Methods: A Cross-sectional study was carried out during Oct. 2017 - Mar. 2018 among MBBS Students of all academic years in Uttar Pradesh University of Medical Sciences (UPUMS), Saifai. All the students enrolled in the university available on the day of data collection were recruited in the study. MSSQ-40 was the study tool to assess stress. Ethical clearance was obtained from Ethical Committee. Statistical analysis done in SPSS-23. Results: The mean age of subjects was 22.4±2.3 years, more than 84% of the respondents had moderate and high stress. More number of females perceived stress than the male, 33% female were suffering from high &amp; severe stress. statistically significant. Conclusion: Gender &amp; grades had clear association with stress, academics &amp; interpersonal relation caused more stress. Early detection and effective intervention can prevent future illness among medical students.

A Study of Perceived Stress, Coping Strategies and Psychiatric Morbidity among First year MBBS Students of a Medical College

Background: Stress in medical students is a Global phenomenon. Medical curriculum is regarded as a strenuous one demanding long study hours and assimilation of large amount of knowledge. Failure to deal with stresses may be because of the maladaptive coping strategies which may lead to Psychiatric morbidity. Aims and Objectives: To study 1. Perceived stress, 2. Stress coping strategies 3. Psychiatric morbidity in first year MBBS students. Settings and Design: A cohort study was conducted in outpatient department of Psychiatry of a medical college. Materials and Methods: 119 first year MBBS student of a medical college participated in the study. They were interviewed using a Semi structured proforma. Perceived stress was assessed using Cohen's Perceived stress scale 10 item questionnaire. Coping strategy was assessed using short form of Adolescent coping scale 2nd edition. Psychiatric morbidity was assessed by MINI 6.0.0 English version. Results: Of 119 students 22(18.49%) had Low stress, 62(52.10%) had Moderate stress and 35(29.41%) had High stress. Adaptive (Productive) coping usage (Mean = 68.84±10.87) was statistically significant than Non Adaptive (Non Productive/Avoidant) coping usage (Mean = 51.20±11.20). Psychiatric morbidity was found in 41(34.45%) students. Anxiety Disorder is most common psychiatric morbidity. Conclusions: Majority of students had moderate to high type of stress. Adaptive coping strategy was used by students to relieve stress. Anxiety disorder (15.96%) was the most common psychiatric morbidity.