Prevalence of Stress, Associated Factors, and Coping Strategies among Medical Students at the Faculty of Medicine, Wayamba University of Sri Lanka

Research Article

Abstract

Objective: To evaluate perceived stress levels, identify associated factors, and assess coping strategies among medical students at the Faculty of Medicine, Wayamba University of Sri Lanka.
Methods: A descriptive cross-sectional study was conducted among 233 medical students, selected via stratified sampling from all academic years. Data were collected using a self-administered questionnaire, including the Perceived Stress Scale (PSS) and items on stressors and coping strategies. Data were analysed with SPSS 26.
Results: Of the 233 respondents (mean age 23.45 ± 1.85 years; 75.1% female), 11.6% reported low stress, 81.5% moderate stress, and 6.9% high stress. Academic boredom was significantly associated with higher stress levels (p = 0.003). Coping levels varied: 5.2% reported coping very well, 54.5% fairly well, and 1.3% very poorly. Significant associations were found between coping ability and stress levels (p < 0.001) and between economic satisfaction and stress (p = 0.007). Financial difficulties, academic pressure, and interpersonal challenges were identified as the main stressors.
Conclusion: Most medical students experienced moderate stress, influenced primarily by academic, financial, and interpersonal factors. Adaptive coping strategies such as problem-solving and seeking social support were protective. These findings emphasise the need for comprehensive support systems within medical schools to promote student well-being and academic success.