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Evaluation of Examination Stress and Its Effect on Cognitive Function Among First Year Medical Students

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Specialty General Medicine
Date 2014 Oct 11
PMID 25302186
Citations 11
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Abstract

Background: Medical students experience stress at every phase of curriculum more so before examination. This stress may affect physiological, psychological and cognitive functions of the students.

Aim: The present study aimed to evaluate stress status among first year MBBS students by recording pulse rate (PR), systolic blood pressure (SBP), diastolic blood pressure (DBP) and using stress questionnaire; its effect on cognitive function by recording auditory reaction time (ART) and visual reaction time (VRT).

Setting And Design: It is a cross-sectional study.

Materials And Methods: A total of 100 (49 males and 51 females) first year healthy MBBS students participated. Stress questionnaire was given and assessed. Cardiovascular parameters were also assessed. The ART and VRT were recorded before (pre examination setting) and after 3 month of examination (post-examination setting).

Statistical Analysis: The data were analysed by using SPSS 21.0 version.

Results: All parameters namely PR, SBP, DBP, ART, VRT and stress scores were increased in preexamination setting irrespective of gender. Increased PR was observed in female learners where as stress score and SBP were increased in males in pre-examination setting. ART and VRT were more in females as compared to males in both setting.

Conclusion: It is concluded that examination in the form of stressor hampers cognitive function of first year medical students. The cognitive functions of the female learners were more affected as compared to males. Therefore, proper counselling of the students should be initiated at the earliest to decrease their stress level.

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References
1.
Kelly M, Tyrka A, Anderson G, Price L, Carpenter L . Sex differences in emotional and physiological responses to the Trier Social Stress Test. J Behav Ther Exp Psychiatry. 2007; 39(1):87-98. PMC: 4467692. DOI: 10.1016/j.jbtep.2007.02.003. View

2.
Firth J . Levels and sources of stress in medical students. Br Med J (Clin Res Ed). 1986; 292(6529):1177-80. PMC: 1340185. DOI: 10.1136/bmj.292.6529.1177. View

3.
Beilock S, Carr T . On the fragility of skilled performance: what governs choking under pressure?. J Exp Psychol Gen. 2002; 130(4):701-25. View

4.
Srinivasan K, Vaz M, Sucharita S . A study of stress and autonomic nervous function in first year undergraduate medical students. Indian J Physiol Pharmacol. 2006; 50(3):257-64. View

5.
Miller P . The first year at medical school: some findings and student perceptions. Med Educ. 1994; 28(1):5-7. DOI: 10.1111/j.1365-2923.1994.tb02678.x. View