Analysis of the factors that induce stress in medical students
Keywords:
ESTRÉS PSICOLÓGICO; ESTUDIANTES DE MEDICINA; RENDIMIENTO ACADÉMICO; SALUD MENTAL.; STRESS, PSYCHOLOGICAL; STUDENTS, MEDICAL; ACADEMIC PERFORMANCE; MENTAL HEALTH. ; ESTRESSE PSICOLÓGICO; ESTUDANTES DE MEDICINA; DESEMPENHO ACADÊMICO; SAÚDE MENTAL.Abstract
Introduction: academic stress is a frequent phenomenon among university students, especially in Medicine, where academic workload and personal demands affect physical and psychological health.
Objective: to analyze the factors that induce stress in Medicine students at the Universidad Regional Autónoma de los Andes, Ambato.
Methods: an observational, descriptive, cross-sectional study was conducted with 87 fifth-semester Medicine students enrolled at the Universidad Regional Autónoma de los Andes, selected through non-probabilistic convenience sampling. A structured test with 96 items grouped into six domains (lifestyle, environment, symptoms, occupation, relationships, and personality) was applied. Results were classified into five stress zones. Informed consent, anonymity, and confidentiality were guaranteed.
Results: Zone 3 concentrated 39 % of the students, followed by Zone 4 with 32 % and Zone 5 with 27 %, considered high risk. The main stressors were personality (2097 points), interpersonal relationships (2060), and work/occupation (1883). Sociodemographic factors such as marital status and number of children were identified as increasing the final score in some cases.
Conclusions: the study showed that personality is the main stressor among Medicine students, followed by relationships and academic occupation. Although most students were located in intermediate zones, a significant number presented critical levels of stress, highlighting the need to implement psychological support strategies and coping programs to prevent negative consequences on their well-being and academic performance.
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1. Folkman S, Lazarus RS. If it changes it must be a process: study of emotion and coping during three stages of a college examination. Journal of personality and social psychology[Internet]. 1985[Citado 15/12/2025]; 48(1), 150–170. Disponible en: https://doi.org/10.1037//0022-3514.48.1.150
2. Akdemir M, Aktekin MR, Şenol YY, Sönmez Y, Doğanavşargil Baysal Ö, Mamakli S, et al. Depression and Psychological Distress in Medical Students, A Prospective Study. Noro Psikiyatr Ars [Internet]. 2022 Mar 1 [Citado 15/12/2025]; 59(2): 116-122. Disponible en: https://pubmed.ncbi.nlm.nih.gov/35685051/
3. Fares J, Al Tabosh H, Saadeddin Z, El Mouhayyar C, Aridi H. Stress, Burnout and Coping Strategies in Preclinical Medical Students. N Am J Med Sci [Internet]. 2016 Feb [Citado 15/12/2025]; 8(2):75-81. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27042604/
4. 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 [Internet]. 2006 Apr [Citado 15/12/2025]; 81(4): 354-73. Disponible en: https://pubmed.ncbi.nlm.nih.gov/16565188/
5. Fawzy M, Hamed SA. Prevalence of psychological stress, depression and anxiety among medical students in Egypt. Psychiatry Res [Internet]. 2017 Sep [Citado 15/12/2025]; 255: 186-194. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0165178116313002
6. Thun-Hohenstein L, Höbinger-Ablasser C, Geyerhofer S, Lampert K, Schreuer M, Fritz C. Burnout in medical students. Neuropsychiatr [Internet]. 2021 Mar [Citado 15/12/2025]; 35(1): 17-27. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32880881/
7. Chandankhede MS, Tiwade YR. Stress among Medical Students and Its Association with Mental Health Support to Reduce Stigma: A Critical Review of Programmes and Practices. Niger Postgrad Med J [Internet]. 2025 Oct 1 [Citado 15/12/2025]; 32(4): 429-432. Disponible en: https://www.ovid.com/jnls/npmj/fulltext/10.4103/npmj.npmj_29_25~stress-among-medical-students-and-its-association-with
8. Di Vincenzo M, Arsenio E, Della Rocca B, Rosa A, Tretola L, Toricco R, et al. Is There a Burnout Epidemic among Medical Students? Results from a Systematic Review. Medicina (Kaunas) [Internet]. 2024 Mar 30 [Citado 15/12/2025]; 60(4): 575. Disponible en: https://pubmed.ncbi.nlm.nih.gov/38674221/
9. Burbano JP, Sánchez JP, Mera AY. Biomarcadores de estrés laboral. Rev Fac Cienc Salud [Internet]. 2019 [Citado 15/12/2025]; 21(2): 24-31. Disponible en: https://doi.org/10.47373/rfcs.2019.v21.1373
10. Moreno EM, Naranjo T, Poveda S, Izurieta D. Estrés académico en universitarios durante la pandemia de COVID-19. Rev.Med.Electrón [Internet]. 2022 [Citado 15/12/2025]; 44(3): 468-482. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242022000300468
11. Soto C, Franco LI, López LR. Estrés académico en universitarios y la práctica de ejercicio físico deportivo. Rev. Publicando [Internet]. 2021 [Citado 15/12/2025]; 8(28): 1-8. Disponible en: https://revistapublicando.org/revista/index.php/crv/article/view/2175
12. Mandiola MI, Arancibia M, Elton V, Madrid E, Meza N, Stojanova J, et al. Perfeccionismo, estrés académico y ansiedad social en estudiantes de medicina y riesgo de trastornos alimentarios. Rev Med Chile [Internet]. 2022 [Citado 15/12/2025]; 150(8): 1046-1053. Disponible en: https://www.scielo.cl/scielo.php?pid=S0034-98872022000801046&script=sci_arttext
13. Arbués ER, Abadía B, Granada López JM, Echániz Serrano E, Pellicer García B, Juárez Vela R, et al. Conducta alimentaria y su relación con el estrés, la ansiedad, la depresión y el insomnio en estudiantes universitarios. Nutr Hosp [Internet]. 2019 [Citado 15/12/2025]; 36(6): 1339-1345. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112019000600017
14. Freitas PHB, Meireles AL, Ribeiro IKDS, Abreu MNS, Paula W, Cardoso CS. Symptoms of depression, anxiety and stress in health students and impact on quality of life. J Bras Psiquiatr [Internet]. 2023 [Citado 15/12/2025]; 31: e3884. Disponible en: https://pubmed.ncbi.nlm.nih.gov/37075384/
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