Assessment of Burnout, Academic Stress, and Coping Mechanisms Among Undergraduate Medical Students in Public and Private Sector Medical Colleges
Sector-Based Comparison of Medical Student Well-being
DOI:
https://doi.org/10.69750/dmls.02.04.0120Keywords:
burnout, academic stress, coping, medical students, public, private, PakistanAbstract
Background: Burnout and academic stress are significant challenges in medical education, affecting mental health, academic performance, and future professional competence. Comparative data between public and private sector medical students are limited, especially in Pakistan.
Objective: To assess and compare burnout, academic stress, and coping mechanisms among undergraduate medical students in public and private sector medical colleges in Lahore, Pakistan.
Methods: This comparative study was conducted from June 2023 to June 2024 at Lahore Medical and Dental College and other medical colleges in Lahore. A total of 100 undergraduate students (50 public, 50 private) were enrolled. Burnout was measured using the Maslach Burnout Inventory-Student Survey, academic stress with the Medical Student Stressor Questionnaire, and coping strategies with the Brief COPE Inventory. Statistical comparisons were conducted using chi-square and independent-samples t-tests.
Results: High burnout was reported in 47% of students, significantly more in private sector students (56%) compared to public sector students (38%, p = 0.04). Emotional exhaustion was also higher among private students (mean 4.8 ± 1.1 vs. 4.2 ± 1.3, p = 0.02). Academic stress was moderate-to-high in 72% of students, with private sector students showing higher stress levels (mean 3.9 ± 0.9 vs. 3.5 ± 1.0, p = 0.03). Adaptive coping strategies were common, but maladaptive strategies were significantly more frequent in private sector students (24% vs. 12%, p = 0.04).
Conclusion: Burnout and academic stress are widespread among medical students, with private sector students more severely affected. Targeted interventions to reduce stress and promote healthier coping are urgently needed in both sectors.
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Salama R, Javaid S, Mohsin M, Mohsin A, Wadid N. Assessment of academic burnout among undergraduate medical and health sciences students: a survey study from the United Arab Emirates. Journal of Public Mental Health. 2024;23.doi: 10.1108/JPMH-04-2024-0050
Nebhinani N, Kuppili PP. Stress, Burnout, and Coping among First-Year Medical Undergraduates. J Neurosci Rural Pract. 2021;12(3):483-9.doi: 10.1055/s-0041-1727576
March-Amengual JM, Cambra Badii I, Casas-Baroy JC, Altarriba C, Comella Company A, Pujol-Farriols R, et al. Psychological Distress, Burnout, and Academic Performance in First Year College Students. Int J Environ Res Public Health. 2022;19(6).doi: 10.3390/ijerph19063356
Melaku L, Bulcha G. Evaluation and Comparison of Medical Students Stressors and Coping Strategies among Undergraduate Preclinical and Clinical Year Students Enrolled in Medical School of Arsi University, Southeast Ethiopia. Education Research International. 2021;2021(1):9202156.doi: 10.1155/2021/9202156
Eva EO, Islam MZ, Mosaddek ASM, Rahman MF, Rozario RJ, Iftekhar AFMH, et al. Prevalence of stress among medical students: a comparative study between public and private medical schools in Bangladesh. BMC Research Notes. 2015;8(1):327.doi: 10.1186/s13104-015-1295-5
Muaddi MA, El-Setouhy M, Alharbi AA, Makeen AM, Adawi EA, Gohal G, et al. Assessment of Medical Students Burnout during COVID-19 Pandemic. International Journal of Environmental Research and Public Health [Internet]. 2023; 20(4).doi: 10.3390/ijerph20043560
Akham N, Goutam S, Gambhir Singh T. Stress and burnout among first year undergraduate medical students of a private medical college: a cross-sectional study. International Journal Of Community Medicine And Public Health. 2023;10(12):4828-34.doi: 10.18203/2394-6040.ijcmph20233786
Di Mario S, Rollo E, Gabellini S, Filomeno L. How Stress and Burnout Impact the Quality of Life Amongst Healthcare Students: An Integrative Review of the Literature. Teaching and Learning in Nursing. 2024;19(4):315-23.doi: 10.1016/j.teln.2024.04.009
Alfuqaha OA, Barakat RO, Al-masarwah UM, Aladwan DaA, Baniamer AO. Predictors of Psychological Burnout Among Jordanian University Students: Multicenter Cross-Sectional Study. Education Sciences [Internet]. 2025; 15(2).doi: 10.3390/educsci15020184
Kabunga A, Kigongo E, Okalo P, Udho S, Grace AA, Tumwesigye R, et al. Burnout and coping mechanisms among healthcare professionals in central Uganda. Frontiers in Psychiatry. 2024;Volume 15 - 2024.doi: 10.3389/fpsyt.2024.1373743
Waterhouse P, and Samra R. University Students’ Coping Strategies to Manage Stress: A Scoping Review. Educational Review.1-41.doi: 10.1080/00131911.2024.2438888
Emerson DJ, Hair JF, Smith KJ. Psychological Distress, Burnout, and Business Student Turnover: The Role of Resilience as a Coping Mechanism. Research in Higher Education. 2023;64(2):228-59.doi: 10.1007/s11162-022-09704-9
Mirza AA, Baarimah H, Baig M, Mirza AA, Halawani MA, Beyari GM, et al. Academic and non-academic life stressors and their impact on psychological wellbeing of medical students. AIMS Public Health. 2021;8(4):563-80.doi: 10.3934/publichealth.2021046
Avila-Carrasco L, Díaz-Avila DL, Reyes-López A, Monarrez-Espino J, Garza-Veloz I, Velasco-Elizondo P, et al. Anxiety, depression, and academic stress among medical students during the COVID-19 pandemic. Frontiers in psychology [Internet]. 2022 2022; 13:[1066673 p.].doi: 10.3389/fpsyg.2022.1066673
Fasoro AA, Oluwadare T, Ojo TF, Oni IO. Perceived stress and stressors among first-year undergraduate students at a private medical school in Nigeria. Journal of Taibah University Medical Sciences. 2019;14(5):425-30.doi: 10.1016/j.jtumed.2019.08.003
Manzoor S, Sajjad M, Anwar I, Rafi A. Coping strategies adopted by medical residents in dealing with work-related stress: a mixed-methods study. BMC Medical Education. 2022;22(1):449.doi: 10.1186/s12909-022-03520-6
Pascoe MC, E. HS, and Parker AG. The impact of stress on students in secondary school and higher education. International Journal of Adolescence and Youth. 2020;25(1):104-12.doi: 10.1080/02673843.2019.1596823
Alduais F, Samara AI, Al-Jalabneh HM, Alduais A, Alfadda H, Alaudan R. Examining Perceived Stress and Coping Strategies of University Students during COVID-19: A Cross-Sectional Study in Jordan. International journal of environmental research and public health [Internet]. 2022 2022/07//; 19(15):[9154 p.].doi: 10.3390/ijerph19159154
Priyadharshini KM, George N, Britto DR, Nirmal SR, Tamilarasan M, Kulothungan K. Assessment of Stress, Resilience, and Coping Style among Medical Students and Effectiveness of Intervention Programs on Stress Level in South India: A Non-randomized Control Trial. Indian Journal of Community Medicine. 2021;46(4).doi: 10.4103/ijcm.IJCM_157_21
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