Abstract
Background
Medical students face high levels of anxiety, exacerbated by academic and lifestyle pressures. In India, cultural stigma and limited mental health access further complicate addressing these challenges. This study investigates the prevalence of anxiety among medical students, explores associated factors, and evaluates gaps in mental health service utilization.
Methods
A cross-sectional study was conducted at a medical college in New Delhi, India, in June 2023. Anxiety was assessed using the Generalized Anxiety Disorder-7 (GAD-7) scale, with a score ≥10 indicating significant anxiety. Data on sociodemographic, academic, and lifestyle factors, along with perceived mental health needs and service utilization, were collected. Logistic regression analyses identified significant predictors of anxiety.
Results
Among 413 participants, the prevalence of anxiety was 24.2% (95% CI: 20.1%–28.6%). Second-year students showed the highest vulnerability (adjusted OR = 1.9, 95% CI 1.1-3.5), while physical activity was protective (adjusted OR = 0.57; 95% CI 0.35-0.94). Despite 46% of anxious students recognizing the need for mental health services, only 23.9% sought professional help.
Conclusion
Anxiety among medical students is prevalent, with academic year and physical activity emerging as significant predictors. The findings underscore the importance of tailored mental health programs and institutional support to address unmet mental health needs and encourage service utilization.
Keywords:
Medical students, anxiety, mental health services utilization, GAD-7 scale, IndiaReferences
Guthrie EA, Black D, Shaw CM, Hamilton J, Creed FH, Tomenson B. Embarking upon a medical career: psychological morbidity in first year medical students. Med Educ. 1995;29(5):337–41.
Jacob R, Li T yan, Martin Z, Burren A, Watson P, Kant R, et al. Taking care of our future doctors: a service evaluation of a medical student mental health service. BMC Med Educ. 2020;20:172.
Bond AR, Mason HF, Lemaster CM, Shaw SE, Mullin CS, Holick EA, et al. Embodied health: the effects of a mind-body course for medical students. Med Educ Online. 2013;18:1–8.
Kaur H, Gupta V, Garg A, Sangeeta, Padhi BK. Prevalence of Depression, Anxiety, Stress and Suicide Ideation Among Undergraduate Medical Students in India: A Systematic Review and Meta-Analysis. National Journal of Community Medicine. 2024;15(10):868–83.
Waghachavare VB, Dhumale GB, Kadam YR, Gore AD. A Study of Stress among Students of Professional Colleges from an Urban area in India. Sultan Qaboos Univ Med J. 2013;13(3):429–36.
Chandavarkar U, Azzam A, Mathews CA. Anxiety symptoms and perceived performance in medical students. Depress Anxiety. 2007;24(2):103–11.
Eller T, Aluoja A, Vasar V, Veldi M. Symptoms of anxiety and depression in Estonian medical students with sleep problems. Depress Anxiety. 2006;23(4):250–6.
Quek TTC, Tam WWS, Tran BX, Zhang M, Zhang Z, Ho CSH, et al. The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis. Int J Environ Res Public Health. 2019;16(15):2735.
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;81(4):354–73.
Lins L, Carvalho FM, Menezes MS, Porto-Silva L, Damasceno H. Health-related quality of life of students from a private medical school in Brazil. Int J Med Educ. 2015;6:149–54.
Arun P, Ramamurthy P, Thilakan P. Indian Medical Students with Depression, Anxiety, and Suicidal Behavior: Why Do They Not Seek Treatment? Indian J Psychol Med. 2022;44(1):10–16
Radhakrishnan, M., & Nagaraja, S. B. (2023). Modified Kuppuswamy socioeconomic scale 2023: stratification and updates. International Journal of Community Medicine And Public Health, 10(11), 4415–4418.
Spitzer RL, Kroenke K, Williams JBW, Löwe B. A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7. Arch Intern Med. 2006;166(10):1092–1097.
Chakraborty S, Bhattacherjee S, Mukherjee A, Ishore K. Depression, anxiety and stress among medical students and junior doctors - a cross sectional study in a medical college of India. Int J Curr Adv Res. 2021;10(07[A]):24691-6
Merchant HH, Mulkalwar AA, Nayak AS. A study to assess the prevalence of depression, anxiety and stress among undergraduate medical students across the state of Maharashtra, India. Glob J Res Anal. 2018;7(4)
Karmakar N, Saha J, Datta A, Nag K, Tripura K, Bhattacharjee P. A Comparative Study on Depression, Anxiety, and Stress among Medical and Engineering College Students in North-East India. CHRISMED Journal of Health and Research. 2021;8(1):
Kumar S, Kumar A. Assessment of the depression, anxiety and stress levels among the medical undergraduate students using DASS. International Journal of Health and Clinical Research. 2020;3(11):206–12.
Deekala RS, Mandyam S, G SR, Guthi VR, Rosivari PS. A Study on Depression, Anxiety and Stress Among Medical Undergraduate Students of a Women’s Medical College, South India. National Journal of Community Medicine. 2023;14(02):90–6.
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Copyright (c) 2025 Priyansha Gupta, Nitin Panwar, Anita Verma, Aninda Debnath
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