Correlation between Stress and Empathy in Medical Students As Compared To General Population

Authors

  • Kinjal Mehta Department of Community Medicine, SMIMER, Surat
  • Prakash Patel Department of Community Medicine, SMIMER, Surat
  • Swati Patel Department of Community Medicine, SMIMER, Surat
  • Ajay Pawar Department of Community Medicine, SMIMER, Surat

DOI:

https://doi.org/10.5455/njcm.20210920054635

Keywords:

Perceived stress, Empathy, Medical undergraduates, Students, General Population, TEQ, PSS

Abstract

Background: Medical students are exposed to numerous internal and external pressures exerted by the environment which may affect their empathy towards patients. This study was conducted to find association between perceived stress and empathy.

Methodology: The study was conducted in Surat, Gujarat, India from August 15 2021 to September 15 2021 among 225 participants using perceived stress score and using the Toronto Empathy Questionnaire. Two groups -Undergraduate medical students and general population were compared.

Results: Out of 160 medical undergraduates and 65 people from general population below average empathy was noted in total 51.1%. High empathic attitude was noted in general population in comparison to other medical undergraduates. 24.4% reported low stress, 64% moderate stress and 11.6% high stress and we can appreciate that low stress scores were calculated in general population in comparison to medical undergraduate students. A weak negative correlation between empathy and perceived stress was calculated in medical students whereas strong positive correlation between empathy and perceived stress was calculated in general population.

Conclusion: A significant proportion of medical students had a comparatively higher stress scores and decreased empathy hence their stress is considered distress whereas general population’s high stress scores were corelating to high empathic attitude, therefore their stress can be considered eustress.

References

Wahjudi JW, Findyartini A, Kaligis F. The relationship between empathy and stress: a cross-sectional study among undergraduate medical students. Korean J Med Educ. 2019 Sep;31(3):215-226. doi: 10.3946/kjme.2019.132. Epub 2019 Aug 26. PMID: 31455051; PMCID: PMC6715901. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6715 901/

Paro HB, Silveira PS, Perotta B, Gannam S, Enns SC, Giaxa RR, Bonito RF, Martins MA, Tempski PZ. Empathy among medical students: is there a relation with quality of life and burnout? PLoS One. 2014; 9(4):e94133. doi: 10.1371/journal.pone .0094133. PMID: 24705887; PMCID: PMC3976378. Available from: https://pubmed.ncbi.nlm.nih.gov/24705887/

Saravanan C, Wilks R. Medical students' experience of and reaction to stress: the role of depression and anxiety. Scientific World Journal. 2014;:737382. doi: 10.1155/2014/737382.

Dyrbye LN, Thomas MR, Shanafelt TD. Medical student dis-tress: causes, consequences, and proposed solutions. Mayo Clin Proc. 2005 Dec;80(12):1613-22. doi: 10.4065/80.12. 1613. PMID: 16342655.

Neumann M, Edelhäuser F, Tauschel D, Fischer MR, Wirtz M, Woopen C, Haramati A, Scheffer C. Empathy decline and its reasons: a systematic review of studies with medical students and residents. Acad Med. 2011 Aug;86(8):996-1009. doi: 10.1097/ ACM.0b013e318221e615. PMID: 21670661. Available from: https://pubmed.ncbi.nlm.nih.gov/21670661/

Wahjudi JW, Findyartini A, Kaligis F. The relationship between empathy and stress: a cross-sectional study among undergraduate medical students. Korean J Med Educ. 2019 Sep; 31(3):215-226. doi: 10.3946/kjme.2019.132. Epub 2019 Aug 26. PMID: 31455051; PMCID: PMC6715901. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6715901/

Cohen, S., Kamarck, T., & Mermelstein, R. (1983). Perceived Stress Scale [Database record]. APA PsycTests. Available from: https://psycnet.apa.org/doiLanding?doi=10.1037%2Ft02889-000

Spreng RN, McKinnon MC, Mar RA, Levine B. The Toronto Empathy Questionnaire: scale development and initial validation of a factor-analytic solution to multiple empathy measures. J Pers Assess. 2009 Jan;91(1):62-71. doi: 10.1080/0022389080 2484381. PMID: 19085285; PMCID: PMC2775495.

Sohail N. Stress and academic performance among medical students. J Coll Physicians Surg Pak. 2013 Jan;23(1):67-71. PMID: 23286627. Available from: https://pubmed.ncbi. nlm.nih.gov/ 23286627/

Sani M, Mahfouz MS, Bani I, Alsomily AH, Alagi D, Alsomily NY, et al. Prevalence of stress among medical students in Jizan University, Kingdom of Saudi Arabia. Gulf Medical Journal. 2012;1(1):19-25.

Yusoff, Muhamad Saiful Bahri & Fuad, Ahmad & Baba, Aziz & Ismail, Shaiful & Pa, Mohamad & Esa, Ab. (2012). Prevalence and associated factors of stress, anxiety and depression among prospective medical students. Asian Journal of Psy-chiatry. 6. 10.1016/j.ajp.2012.09.012.

Seedhom AE, Kamel EG, Mohammed ES, Raouf NR. Predictors of Perceived Stress among Medical and Nonmedical College Students, Minia, Egypt. Int J Prev Med. 2019 Jun 7;10:107. doi: 10.4103/ijpvm.IJPVM_6_18. PMID: 31360354; PMCID: PMC6592112. Available from: https://www.ncbi.nlm.nih.gov/ pmc/articles/PMC6592112/

Moussavi S, Chatterji S, Verdes E, Tandon A, Patel V, Ustun B. Depression, chronic diseases, and decrements in health: results from the World Health Surveys. Lancet. 2007 Sep 8;370(9590):851-8. doi: 10.1016/S0140-6736(07)61415-9. PMID: 17826170. Available from: https://pubmed.ncbi.nlm. nih.gov/17826170/

Alharbi H, Almalki A, Alabdan F, Haddad B. Depression among medical students in Saudi medical colleges: a cross-sectional study. Adv Med Educ Pract. 2018 Dec 4;9:887-891. doi: 10.2147/AMEP.S182960. PMID: 30584384; PMCID: PMC6287521. Available from: https://www.ncbi.nlm.nih.gov/ pmc/articles/PMC6287521/

Jafri SAM, Zaidi E, Aamir IS, et al. Stress Level Comparison of Medical and Non-medical Students: A Cross Sectional Study done at Various Professional Colleges in Karachi, Pakistan. Acta Psychopathol. 2017, 3:2. doi: 10.4172/2469-6676. 100080

Saeed AA, Bahnassy AA, Al-Hamdan NA, Almudhaibery FS, Alyahya AZ. Perceived stress and associated factors among medical students. J Family Community Med. 2016 Sep-Dec;23(3):166-71. doi: 10.4103/2230-8229.189132. PMID: 27625584; PMCID: PMC5009887. Available from: https://pubmed.ncbi.nlm.nih.gov/27625584/

Abdulghani HM, AlKanhal AA, Mahmoud ES, Ponnamperuma GG, Alfaris EA. Stress and its effects on medical students: a cross-sectional study at a college of medicine in Saudi Arabia. J Health Popul Nutr. 2011 Oct;29(5):516-22. doi: 10.3329/ jhpn.v29i5.8906. PMID: 22106758; PMCID: PMC3225114. Available from: https://pubmed.ncbi.nlm.nih.gov/22106758/

Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Acad Med. 2006 Apr;81(4):354-73. doi: 10.1097/00001888-200604000-00009. PMID: 16565188. Available from: https://pubmed.ncbi.nlm.nih.gov/16565188/

Aktekin M, Karaman T, Senol YY, Erdem S, Erengin H, Akaydin M. Anxiety, depression and stressful life events among medical students: a prospective study in Antalya, Turkey. Med Educ. 2001 Jan;35(1):12-7. doi: 10.1046/j.1365-2923. 2001.00726.x. PMID: 11123589. Available from: https:// pubmed.ncbi.nlm. nih.gov/ 11123589/

Misra, R., & McKean, M. (2000). College Students’ Academic Stress and Its Relation to Their Anxiety, Time Management, and Leisure Satisfaction. American Journal of Health Studies, 16, 41-51.

Jafri SAM, Zaidi E, Aamir IS, et al. Stress Level Comparison of Medical and Non-medical Students: A Cross Sectional Study done at Various Professional Colleges in Karachi, Pakistan. Acta Psychopathol. 2017, 3:2. doi: 10.4172/2469-6676.100080.

Saeed AA, Bahnassy AA, Al-Hamdan NA, Almudhaibery FS, Alyahya AZ. Perceived stress and associated factors among medical students. J Family Community Med. 2016 Sep-Dec; 23(3): 166-71. doi: 10.4103/2230-8229.189132. PMID: 27625584; PMCID: PMC5009887.

Bayram N, Bilgel N. The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatry Psychiatr Epidemiol. 2008 Aug;43(8):667-72. doi: 10.1007/s00127-008-0345-x. Epub 2008 Apr 8. PMID: 18398558. Available from: https:// pubmed.ncbi.nlm.nih.gov/18398558/

Saleh Dalia, Camart Nathalie, Romo Lucia, Predictors of Stress in College Students, Frontiers in Psychology, VOLUME=8, YEAR=2017, PAGES=19, DOI=10.3389/fpsyg.2017.00019, ISSN=1664-1078 Available from: https://www.frontiersin. org/article/10.3389/fpsyg.2017.00019

Koochaki GM, Charkazi A, Hasanzadeh A, Saedani M, Qorbani M, Marjani A. Prevalence of stress among Iranian medical students: a questionnaire survey. East Mediterr Health J. 2011 Jul;17(7):593-8. PMID: 21972483. Available from: https:// pubmed.ncbi.nlm.nih.gov/21972483/

Ahern NR, Norris AE. Examining factors that increase and decrease stress in adolescent community college students. J Pediatr Nurs. 2011 Dec;26(6):530-40. doi: 10.1016/j.pedn. 2010.07.011. Epub 2010 Sep 29. PMID: 22055373. Available from: https://pubmed.ncbi.nlm.nih.gov/22055373/

Bland, Helen W., B. Melton, L. Bigham and P. Welle. “Quantifying the Impact of Physical Activity on Stress Tolerance in College Students.” College student journal 48 (2014): 559-568.

Hojat M, Vergare MJ, Maxwell K, Brainard G, Herrine SK, Isenberg GA, Veloski J, Gonnella JS. Chen D, Lew R, Hershman W, Orlander J. A cross-sectional measurement of medical student empathy. J Gen Intern Med. 2007 Oct;22(10):1434-8. doi: 10.1007/s11606-007-0298-x. Epub 2007 Jul 26. PMID: 17653807; PMCID: PMC2305857.

Sherina MS, Rampal L, Kaneson N. Psychological stress among undergraduate medical students. Med J Malaysia. 2004 Jun;59(2):207-11. PMID: 15559171. Available from: https://pubmed.ncbi.nlm.nih.gov/15559171/

Chen D, Lew R, Hershman W, Orlander J. A cross-sectional measurement of medical student empathy. J Gen Intern Med. 2007 Oct;22(10):1434-8. doi: 10.1007/s11606-007-0298-x. Epub 2007 Jul 26. PMID: 17653807; PMCID: PMC2305857. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/ PMC2305857/

Kataoka HU, Koide N, Ochi K, Hojat M, Gonnella JS. Measurement of empathy among Japanese medical students: psychometrics and score differences by gender and level of medical education. Acad Med. 2009 Sep;84(9):1192-7. doi: 10.1097/ACM.0b013e3181b180d4. PMID: 19707056.

Paro HB, Silveira PS, Perotta B, Gannam S, Enns SC, Giaxa RR, Bonito RF, Martins MA, Tempski PZ. Empathy among medical students: is there a relation with quality of life and burnout? PLoS One. 2014 Apr 4;9(4):e94133. doi: 10.1371/ journal.pone.0094133. PMID: 24705887; PMCID: PMC3976378.

Vongas JG, Al Hajj R. The Evolution of Empathy and Women's Precarious Leadership Appointments. Front Psychol. 2015 Nov 12;6:1751. doi: 10.3389/fpsyg.2015.01751. PMID: 26617564; PMCID: PMC4641904.

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Published

2021-09-30

How to Cite

1.
Mehta K, Patel P, Patel S, Pawar A. Correlation between Stress and Empathy in Medical Students As Compared To General Population. Natl J Community Med [Internet]. 2021 Sep. 30 [cited 2024 Apr. 19];12(09):272-6. Available from: https://www.njcmindia.com/index.php/file/article/view/269

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Original Research Articles