Students perceived stress in academic programs: consequences for its management

Cluster-based characterization of consistencies in individuals' thought profiles at rest in a cohort of 1779 French university students

Is ongoing conscious thought spontaneous and situation-related, or is it recurrent and dependent on psychological dispositions? The answer is critical for resting-state functional connectivity (RSFC) paradigms that seek to correlate neuroanatomical states with conscious mental states. The goal of the present study was to characterize individual resting state thought profiles (RSTPs) and identify the recurrent ones, i.e., that could both be predicted by personality traits and predict subsequent negative affective states. The 1779 participants had a mean age of 22.1 years, 71.8% were females, and 71.8% were undergraduates. We collected the form and content of their thoughts during a 15-min RSFC session with a computerized retrospective self-questionnaire (ReSQ 2.0). Subsamples of participants also completed online autoquestionnaires assessing their psychological maturity and trait negative affectivity (with a four-day gap on average, N = 1270) and subsequent depressive and anxious states (1.4 years later on average, N = 922). Based on the multiple correspondence and clustering analyses of the ReSQ 2.0 responses, we identified six RSTPs distinctive by their content scope, temporal orientation, empathetic concern, and emotional valence. Multivariate analyses revealed that the probability of experiencing five of the six RSTPs was predicted by trait negative affectivity interacting with psychological maturity. Among them, a negatively valenced RSTP also increased the likelihood of subsequent negative affective states, suggesting its stable and recurrent nature. Identifying recurrent RSTPs is helpful for the future understanding of RSTPs’ contribution to RSFC. Additionally, it will be relevant to test whether acting on psychological maturity can alter the relationship between ongoing conscious thought and negative affectivity.

The Relationships of Creative Coping and College Students' Achievement Emotions and Academic Stress: The Mediating Role of Psychological Capital

Creative coping is the use of creativity as a positive strategy when facing stress. The existing empirical investigation of creative coping is scarce, particularly in the field of educational psychology. The present study aims to explore the relationships of college students' creative coping and their achievement emotions and academic stress as well as the underlying mechanism. The sample included 780 Chinese college students. The Creative Coping Scale, Positive Psychological Capital Questionnaire, Learning Stress Inventory for College Students, and the short version of the Achievement Emotions Questionnaire were used. Statistical results showed that creative coping was positively related with students' positive achievement emotions and negatively related with negative achievement emotions, but insignificantly with academic stress. Moreover, psychological capital played a mediating role in the relationship between creative coping and achievement emotions and in the relationship between creative coping and academic stress with a suppression effect.

Fitness Dance Counteracts Female Ph.D. Candidates' Stress by Affecting Emotion Regulation

Background: The impact of stress on the nation's physical and mental health is considerable. Exercise is considered to have beneficial effects on mental health and the capacity for coping with stress. The purpose of this study is to verify the effects of fitness dance intervention on female Ph.D. candidates' stress, and compare it with the intervention effects of MBSR. Method: A repeated measurement experimental design was used to evaluate the effects of fitness dance and MBSR on Chinese female Ph.D. candidates' stress. Results: Twelve weeks of fitness dance and MBSR can reduce participants' stress from severe to moderate. Eight weeks of fitness dance can reduce the tension from perceived stress (p = 0.019) and loss of control from perceived stress (p = 0.043). Twelve weeks of fitness dance can reduce the tension from perceived stress (p < 0.000), loss of control from perceived stress (p = 0.002) and perceived stress (p = 0.001). Fitness dance and MBSR affect emotion regulation, thereby affecting stress. Fitness dance reduced participants' stress by improving their cognitive reappraisal ability. MBSR reduced participants' stress by improving their cognitive reappraisal ability and expression suppression ability. Conclusions: Fitness dance, as a method of exercise intervention, is suitable for reducing Chinese female Ph.D. candidates' stress.

How stress-related factors affect mental wellbeing of university students A cross-sectional study to explore the associations between stressors, perceived stress, and mental wellbeing

Background

Lowered mental wellbeing of students is a growing health and societal problem. Experiencing high levels of stress for a longer period of time has been associated with an increased risk for lower mental wellbeing and mental health problems. To reduce stress and improve mental wellbeing it is important to understand how various sources of stress are related with mental wellbeing and which factors can buffer the impact of stress on mental wellbeing.

Objectives

Deriving from a conceptual model the aim of the study was to explore 1) the association of underlying stressors (academic pressure, family circumstances, side-activity pressure, and financial situation) with perceived stress and mental wellbeing, 2) whether perceived stress mediates the association between the sources of stress and mental wellbeing and 3) whether loneliness, self-esteem, personality and coping styles buffer or reinforce the impact of perceived stress on mental wellbeing.

Method

A cross-sectional survey design was used among students of an University of Applied Sciences and conducted between November 16, 2020, and January 18, 2021. Study variables were mental wellbeing, perceived stress, academic pressure, financial pressure, family pressure and side-activity pressure, coping style, self-esteem, loneliness, personality. The questionnaire was constructed using validated measures. Simple and multiple linear regression analyses were conducted to assess the association between perceived stress, sources of stress and mental wellbeing. Mediation and moderation processes were explored using Hayes PROCESS models.

Results

A total of 875 university students (37,2% male, 62,3% female, mean age 21,6) participated. Perceived stress had a strong negative association with mental wellbeing (unstandardized regression coefficient (b) = -.848, p < .001; r = -.667, p < .01), explaining 45% of the variance. Academic pressure (b = -8.014, p < .01), family pressure (b = -3.189, p < .01), side-activity pressure (b = -3.032, p < .01) and financial pressure (b = -2.041, p < .01) all had a negative impact on mental wellbeing. This effect was mediated by perceived stress, but a direct effect remained for academic pressure (b = -3.306, p < .01) and family pressure (b = -1.130, p < .01). Significant interaction effects between perceived stress and mental wellbeing were found for approach coping (low = -.93, p < .01; high = -.64, p < .01) and emotional stability (low = -.81, p < .01; high = -.64, p < .01).

Conclusion

Perceived stress has a major impact on students’ mental wellbeing. Underlying stressors were mediated by perceived stress, but direct effects were also found. To protect the mental wellbeing of students, it is urgent to reduce perceived stress, suppress underlying stressors and make students more resilient through the development of found buffers, such as approach coping.

The Impact of Self-Efficacy, Optimism, Resilience and Perceived Stress on Academic Performance and Its Subjective Evaluation: A Cross-Sectional Study

This study aimed to highlight the contribution of self-efficacy, optimism, resilience and perceived stress on academic performance (GPA) at medical undergraduate students. Additionally, we investigated the relationship established between abovementioned variables, gender and position in the academic cycle and the factors associated with satisfaction regarding own academic results. 118 students (25 men, 93 women, mean age 22.863, SD = 1.763) participated in the study. They were administered the General Self-Efficacy Scale (G-SES), the Revised Life Orientation test (LOT-R), the Brief Resilience Scale (BRS) and the Perceived Stress Scale (PSS). t, Wilcoxon-Mann-Whitney, chi-square tests, and linear regressions were performed, in order to test the strength of the hypothesized associations. Data analysis demonstrates a significant association between low optimism, low resilience, high perceived stress and poor academic performance. Even though preclinical students displayed greater perceived stress, it negatively correlated to GPA only in clinical students, this indicating a possible accumulation of stress-related effects. No gender differences were met for the studied variables. Students in clinical cycle were significantly less satisfied about their own performance. These results indicate solid associations between psychosocial variables and academic performance, and differences in the subjective evaluation of own performance, suggesting key points to address, when designing interventions against academic stress.

Perceived Stress of Podiatric Medical Students

BACKGROUND

The primary objective of this investigation was to objectify perceived stresses of students enrolled at a US college of podiatric medicine.

METHODS

Following preliminary pilot data collection and representative student interviews, the Perceived Stress Scale and a newly developed survey consisting of 46 potential stresses were administered to students. Participants were asked to identify up to ten items from the survey that caused them the most stress and to further identify up to three of these ten that they considered to be the most stressful.

RESULTS

A response rate of 71.5% (261 of 365) was observed. Specific results demonstrate that levels of perceived stress in podiatric medical students are higher than those in the general population, as well as some potential trends with respect to specific perceived stresses that change over time.

CONCLUSIONS

The results of this investigation provide quantitative evidence of perceived levels of stress and specific stresses of students enrolled at a US college of podiatric medicine. We hope that these findings increase awareness of stress in podiatric medicine, lead to colleges of podiatric medicine taking active steps to improve student stress education, and lead to future investigations of stress and mental health in the field of podiatric medicine.

Impact of Background Music on Medical Student Anxiety and Performance During Anatomical Dissections: A Cluster Randomized Interventional Trial

Anatomical dissection on cadavers can be a source of anxiety for medical students. Studies in other stressful settings have shown a reduction in anxiety when there is background music. The objective of this study was to determine if music can have an impact on student anxiety, student satisfaction, and student performance in dissection room. This cluster randomized interventional trial included 187 second-year medical students. The intervention was standardized background music, selected based on the literature, with a tempo of between 60 and 80 bpm. Six balanced clusters were randomized (1:1) to music or no music during dissection sessions. The main assessment criterion was a validated self-evaluation scale score for anxiety, the State Trait Anxiety Inventory. Student satisfaction was measured using a visual analog scale and dissection performance was evaluated by an examination. The outcomes were analyzed with mixed models adjusted on group effect, chronic anxiety, and confounding factors. A significant (58%) relative decrease in acute anxiety, odds ratio 0.423 [0.160; 0.710] was found for the music intervention group. Music also had a positive impact on performance with students in the intervention group attaining higher grades than those in the control group (0.42/10 higher, P = 0.0016). The study also showed a nonsignificant increase in satisfaction with 0.37 extra points (P = 0.137) in the intervention group. Background music had a significant impact on anxiety in the dissection room and on technical and theoretical performance in the subsequent anatomy examination. This music intervention could be extended to other stressful work environments.

[Psychological characteristics of stress in nursing student]

BACKGROUND

Student nurses have perceived stress higher than students taking other training courses. The objective of this work was to investigate psychological characteristics of nursing students in an attempt to understand why they are more subject to stress than others.

METHODS

We carried out a self-administered questionnaire survey to compare students taking various training courses (i.e., sport sciences, psychology, medicine, and nursing). Perceived stress and health, high-risk behaviors, different psychological determinants of stress (i.e. coping, emotional skills, resilience, self-esteem, personality, chronotype) were assessed.

RESULTS

Multiple linear regression analysis yielded a model showing that seven independent variables were correlated with perceived stress among students: perceived health, neuroticism, stress tolerance, active coping, understanding of one's own emotions, chronotype amplitude, and use of one's own feelings. Moreover, medicine and nursing students were more stressed and perceived their health in a more negative way than students taking other training courses. Nursing students were also less stress tolerant.

CONCLUSION

The regression model suggests that psychological characteristics influence stress level among students. Moreover, the results show that medicine and nursing students differ from other students on resilience in stress tolerance dimension as well as on a set of behaviors. Practical perspectives are discussed.

Prevalence and correlates of common mental disorders among dental students in Brazil

This study aimed to estimate prevalence of common mental disorders (CMD) and associated factors among dental students. In this cross-sectional study, 230 students answered a questionnaire and instruments to assess CMD (Self Reporting Questionnaire-20), hazardous alcohol consumption (Alcohol Use Disorder Identification Test), social support (Social Support Scale), perceptions of academic life (Dundee Ready Education Environment Measure), coping (Ways of Coping Inventory) and resilience (Resilience Scale). Bivariate analysis was conducted using the Chi-Square and Mann-Whitney tests. Logistic regression included all explanatory variableswith p<0.20 in the bivariate analysis, besides sex and academic year. The explanatory variables were analyzed in five successive blocks (backward-stepwise), until all variables presented statistical significance in the final model (p<0.05). The prevalence of CMD was 45.2% (95%CI: 38.7–51.6), with no significant differences between sexes. Students with no extracurricular activities, who had negatively self- assessed their health status and their academic performance, were about four times more likely to present CMD, followed by receiving psychological or psychiatric treatment during university (AOR: 2.65; 95%CI: 1.1–6.1) and those with high scores for confrontive coping (AOR: 1.20; 95%CI: 1.0–1.4). Resilience was a protective factor for CMD among dental students (AOR: 0.93; 95%CI: 0.9–1.0). Aspects related to academic performance, health status and confrontive coping strategies were risk factors to students’ mental health. Individuals with high levels of resilience showed lower prevalence of CMD. Further prospective studies could contribute to understanding the role of resilience among this population.

Exploration of mental health of health students: Dental and medical formations promote anhedonia

OBJECTIVES

Health students usually report to experience stress during their formation. This is due to their exposure to patient's disease or death, to their learning of interpersonal relationships, and to the discovery of health practitioner's responsibility. Anhedonia represents a deficit in experiencing pleasure that is promoted by stressful living conditions. We hypothesized that health formations promote anhedonia. Our objectives have consisted in measuring anhedonia and analyzing its variation and heterogeneity among health students.

METHODS

The Temporal Experience of Pleasure Scale (TEPS) was used to assess anhedonia and its anticipatory and consummatory dimensions. TEPS corresponds to an 18-item questionnaire, the score of which is based on a 6-point Likert scale. Low score indicates a high anhedonia propensity. Score differences were analyzed by considering gender, curriculum and formation as independent variables. A cluster analysis was used to explore anhedonia heterogeneity among our sample.

RESULTS

We collected 1231 responses. Our data confirm French TEPS as a reliable tool for anhedonia evaluation in dental and medical students. Statistical analyses reveal a significant effect of gender (male>female), curriculum (clinical>preclinical) and formation (dental>medical) on anhedonia propensity. Cluster analysis highlights four sub-groups of students characterized by increasing anhedonia traits and by different gender, formation and curriculum proportions.

CONCLUSION

This work describes the first analysis of anhedonia manifestation during dental and medical studies in France. The consequences of our findings for the comprehension of dental and medical students' mental health during their formation are discussed.

Perceived Stress among French Dental Students and Their Opinion about Education Curriculum and Pedagogy

Objectives:

The purpose of this study was to identify the major sources of perceived stress and their relation to a student satisfaction questionnaire about the curriculum and the pedagogy among French dental students.

Materials and Methods:

All dental students (n = 178) from years 4 to 6 at the University of Montpellier (France) participated in this exploratory survey. In spring 2016, a 3-part questionnaire was distributed during clinical sessions: the first part asked about sociodemographic and living conditions, the second part aimed to assess the students' perceived stress (Dental Environmental Stress questionnaire), and the third part was a satisfaction questionnaire exploring the clinical organization and the teaching methodologies (Student Course Experience Questionnaire). A Spearman's correlation test and a principal component analysis were used to assess the relation between the variables of the questionnaire.

Results:

The response rate was 99.4%. The most stressful items were “the number of tasks to be performed during clinical practice,” “the waiting time before opinion from teachers,” and “the administrative part and computer problems.” Fifty-four percent of the students claimed to be satisfied with their studies, showing a score of seven or higher. There was a negative correlation between the level of student satisfaction and the level of perceived stress.

Conclusion:

Although most of the students were globally satisfied with their curriculum, this study highlighted dysfunctions in the clinical education with a level of stress correlated with the student's dissatisfaction. Most of all, students found that examinations were too stressful and that the clinical requested task quotas were overestimated.

Predictors of Stress in College Students

University students often face different stressful situations and preoccupations: the first contact with the university, the freedom of schedule organization, the selection of their master's degree, very selective fields, etc. The purpose of this study is to evaluate a model of vulnerability to stress in French college students. Stress factors were evaluated by a battery of six scales that was accessible online during 3 months. A total of 483 students, aged between 18 and 24 years (Mean = 20.23, standard deviation = 1.99), was included in the study. The results showed that 72.9, 86.3, and 79.3% of them were suffering from psychological distress, anxiety and depressive symptoms, respectively. More than half the sample was also suffering from low self-esteem (57.6%), little optimism (56.7%), and a low sense of self-efficacy (62.7%). Regression analyses revealed that life satisfaction, self-esteem, optimism, self-efficacy and psychological distress were the most important predictors of stress. These findings allow us to better understand stress-vulnerability factors in students and drive us to substantially consider them in prevention programs.

Examining perceptions of academic stress and its sources among university students: The Perception of Academic Stress Scale

The development of a scale to measure perceived sources of academic stress among university students. Based on empirical evidence and recent literature review, we developed an 18-item scale to measure perceptions of academic stress and its sources. Experts (n = 12) participated in the content validation process of the instrument before it was administered to (n = 100) students. The developed instrument has internal consistency reliability of 0.7 (Cronbach’s alpha), there was evidence for content validity, and factor analysis resulted in four correlated and theoretically meaningful factors. We developed and tested a scale to measure academic stress and its sources. This scale takes 5 minutes to complete.

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

BACKGROUND

University 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.

METHODS

A 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.

RESULTS

A 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).

CONCLUSIONS

This 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.