Abstract
This study aims to assess the prevalence of stress and burnout among preclinical medical students in a private university in Beirut, Lebanon, and evaluate the association between extracurricular involvement and stress and burnout relief in preclinical medical students. A cross-sectional survey was conducted on a random sample of 165 preclinical medical students. Distress level was measured using the 12-item General Health Questionnaire (GHQ-12) while that of burnout was measured through the Maslach Burnout Inventory-Student Survey (MBI-SS). The MBI-SS assesses three interrelated dimensions: emotional exhaustion, cynicism, and academic efficacy. Extracurricular activities were divided into four categories: physical exercise, music, reading, and social activities. All selected participants responded. A substantial proportion of preclinical medical students suffered from stress (62%) and burnout (75%). Bivariate and multivariate regression analyses revealed that being a female or a 1st year medical student correlated with higher stress and burnout. Music-related activities were correlated with lower burnout. Social activities or living with parents were associated with lower academic efficacy. The high stress and burnout levels call for action. Addressing the studying conditions and attending to the psychological wellbeing of preclinical medical students are recommendations made in the study.
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References
Romani M, Ashkar K. Burnout among physicians. Libyan J Med 2014;9:23556.
Lazarus RS, Folkman S. Stress, appraisal, and coping 1984; 725.
Ashkar K, Romani M, Musharrafieh U, Chaaya M. Prevalence of burnout syndrome among medical residents: experience of a developing country. Postgrad Med J 2010;86:266–71.
Maslach C. Burnout: the cost of caring. Englewood Cliffs, NJ: Prentice Hall; 1982.
Chang EC, Rand KL, Strunk DP. Optimism and risk for burnout among working college students: stress as a mediator. Pers Individ Dif 2000;29:255–63.
Yang HJ. Factors affecting student burnout and academic achievement in multiple enrollment programs in Taiwan’s technical-vocational colleges. Int J Educ Dev 2004;24:283–301.
Yang HJ, Cheng KF. An investigation the factors affecting MIS student burnout in technical-vocational college. Comput Human Behav 2005;21:917–32.
Stewart SM, Betson C, Lam TH, Marshall IB, Lee PWH, Wong CM. Predicting stress in first year medical students: a longitudinal study. Med Educ 1997;31:163–8.
Ayoub F, Fares Y, Fares J. The psychological attitude of patients toward health practitioners in Lebanon. North Am J Med Sci 2015;7:451–8.
Galán F, Sanmartín A, Polo J, Giner L. Burnout risk in medical students in Spain using the Maslach Burnout Inventory-Student Survey. Int Arch Occup Environ Health 2011;84:453–9.
Dyrbye LN, Thomas MR, Massie FS, Power DV, Eacker A, Harper W, Shanafelt TD. Burnout and suicidal ideation among US medical students. Ann Intern Med 2008;149:334–41.
Goldberg DP, Williams P. A user’s guide to the general health questionnaire. Berkshire: NFER-Nelson Publishing Company Ltd.; 1991.
Yusoff MSB, Rahim AFA, Yaacob MJ. Prevalence and sources of stress among Universiti Sains Malaysia medical students. Malays J Med Sci 2010;17:30.
Schaufeli WB, Martínez IM, Marqués-Pinto AM, Salanova M, Bakker AB. Burnout and engagement in university students: a cross-national study. J Cross Cult Psychol 2002;33:464–81.
Hu Q, Schaufeli WB. The factorial validity of the Maslach Burnout Inventory–student survey in China. Psychol Rep 2009;105:394–408.
Maslach C. Burnout: a multidimensional perspecti. In: Schaufeli WB, Maslach C, Marek T, editors. Professional burnout: recent developments in theory and research. Washington, DC: Taylor & Francis; 1993. p. 19–32.
Konjengbam S, Laishram J, Singh BA, Elangbam V. Psychological morbidity among undergraduate medical students. Indian J Public Health 2015;59:65.
Sarikaya O, Civaner M, Kalaca S. The anxieties of medical students related to clinical training. Int J Clin Pract 2006;60:1414–8.
Sidik SM, Rampal L, Kaneson N. Prevalence of emotional disorders among medical students in a Malaysian university. Asia Pac Fam Med 2003;4:213–20.
Robinson GE. Stresses on women physicians: consequences and coping techniques. Depress Anxiety 2003;17:180–9.
McMurray JE, Linzer M, Konrad TR, Douglas J, Shugerman R, Nelson K. The work lives of women physicians results from the physician work life study. The SGIM Career Satisfaction Study Group. J Gen Intern Med 2000;15:372–80.
Peisah C, Latif E, Wilhelm K, Williams B. Secrets to psychological success: why older doctors might have lower psychological distress and burnout than younger doctors. Aging Ment Health 2009;13:300–7.
Dyrbye LN, Thomas MR, Harper W, Massie Jr FS, Power DV, Eaker A, et al. The learning environment and medical student burnout: a multicentre study. Med Educ 2009;43:274–82.
Dyrbye LN, Thomas MR, Huschka MM, Lawson KL, Novotny PJ, Sloan JA, et al. A multicenter study of burnout, depression, and quality of life in minority and non-minority US medical students. Mayo Clin Proc 2006;81:1435–42.
Dyrbye LN, Thomas MR, Eaker A, Harper W, Massie Jr FS, Power DV, et al. Race, ethnicity, and medical student well-being in the United States. Arch Intern Med 2007;167:2103–9.
Dyrbye LN, Harper W, Durning SJ, Moutier C, Thomas MR, Massie Jr FS, et al. Patterns of distress in US Medical Students. Med Teach 2011;33:834–9.
Guthrie E, Black D, Bagalkote H, Shaw C, Campbell M, Creed F. Psychological stress and burnout in medical students: a five year prospective longitudinal study. J R Soc Med 1998;91:237–43.
Dahlin ME, Runeson B. Burnout and psychiatric morbidity among medical students entering clinical training: a three year prospective questionnaire and interview-based study. BMC Med Educ 2007;7:6.
Sreeramareddy CT, Shankar PR, Binu VS, Mukhopadhyay C, Ray B, Menezes RG. Psychological morbidity, sources of stress and coping strategies among undergraduate medical students of Nepal. BMC Med Educ 2007;7:26.
Humphris G, Blinkhorn A, Freeman R, Gorter R, Hoad-Reddick G, Murtomaa H, et al. Psychological stress in undergraduate dental students: baseline results from seven European dental schools. Euro J Dent Educ 2002;6:22–9.
Canga B, Hahm CL, Lucido D, Grossbard ML, Loewy JV. Environmental music therapy a pilot study on the effects of music therapy in a chemotherapy infusion suite. Music Med 2012;4:221–30.
Kemper KJ, Danhauer SC. Music as therapy. South Med J 2005;98:282–8.
Urakawa K, Yokoyama K. Can relaxation programs with music enhance human immune function? J Altern Complement Med 2004;10:605–6.
Aragon D, Farris C, Byers JF. The effects of harp music in vascular and thoracic surgical patients. Altern Ther Health Med 2002;8(52–54):56–60.
De Moor MHM, Beem AL, Stubbe JH, Boomsma DI, De Geus EJC. Regular exercise, anxiety, depression and personality: a population-based study. Prev Med 2006;42:273–9.
Broman-Fulks JJ, Berman ME, Rabian BA, Webster MJ. Effects of aerobic exercise on anxiety sensitivity. Behav Res Ther 2004;42:125–36.
Van Dyk AC. Occupational stress experienced by caregivers working in the HIV/AIDS field in South Africa. Afr J AIDS Res 2007;6:49–66.
Akintola O. Defying all odds: coping with the challenges of volunteer care-giving for patients with AIDS. J Adv Nurs 2008;63:357–65.
Ramos R, Brauchli R, Bauer G, Wehner T, Ha¨mmig O. Busy yet socially engaged: volunteering, work–life balance, and health in the working population. J Occup Environ Med 2015;57:164–72.
Ghorpade J, Lackritz J, Singh G. Burnout and personality evidence from academia. J Career Assess 2007;15:240–56.
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Fares, J., Saadeddin, Z., Al Tabosh, H. et al. Extracurricular activities associated with stress and burnout in preclinical medical students. J Epidemiol Glob Health 6, 177–185 (2016). https://doi.org/10.1016/j.jegh.2015.10.003
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DOI: https://doi.org/10.1016/j.jegh.2015.10.003