International Journal of Academic Research in Business and Social Sciences

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Systematic Review Provides Evidence That Anxiety and Negative Thoughts are Prevalent among Medical Students in Malaysia

Open access

Ayesha Saddique, Chong Seng Choi, Normala Binti Ibrahim, Tan Kit Aun, Saba Sajjad, Amreen Naseem

Pages 1571-1579 Received: 16 May, 2023 Revised: 19 Jun, 2023 Published Online: 21 Jul, 2023

http://dx.doi.org/10.46886/IJARBSS/v13-i7/8819
Introduction: Medical education is a challenging and demanding field that requires rigorous academic study, practical experience, and intense emotional investment. This intense environment can contribute to anxiety and negative thinking among medical students. This systematic review aims to explore the prevalence and impact of anxiety and negative thoughts on medical students in Malaysia. A comprehensive search was conducted on electronic databases including PubMed, Scopus, and Google Scholar. The search keywords included "anxiety", "negative thoughts", "medical students", and "Malaysia". The inclusion criteria were articles written in English and published between 2010 and 2022, reporting on the prevalence and impact of anxiety and negative thoughts on medical students in Malaysia. A total of 12 articles met the inclusion criteria and were included in this systematic review. The studies reported a high prevalence of anxiety and negative thoughts among medical students in Malaysia. The prevalence of anxiety ranged from 20% to 70%, while negative thoughts ranged from 25% to 70%. Factors contributing to anxiety and negative thoughts included academic pressure, workload, clinical training, and lack of social support. The impact of anxiety and negative thoughts on medical students included academic underperformance, decreased quality of life, and mental health disorders. This systematic review provides evidence that anxiety and negative thoughts are prevalent among medical students in Malaysia and have a significant impact on their academic performance, quality of life, and mental health. Therefore, it is crucial to implement interventions that address the underlying causes of anxiety and negative thoughts and provide social support to medical students. Further research is needed to develop and evaluate effective interventions for managing anxiety and negative thoughts among medical students in Malaysia.
Abdalla-Filho, E., Pimenta, C. A. M., & Amaral, C. F. S. (2016). Depression, anxiety and quality of life in medical residents in Brazil. Psychiatry Research, 243, 302–306. https://doi.org/10.1016/j.psychres.2016.06.027
Abdulghani, H. M., AlKanhal, A. A., Mahmoud, E. S., Ponnamperuma, G. G., Alfaris, E. A. (2011). Stress and its effects on medical students: a cross-sectional study at a college of medicine in Saudi Arabia. Journal of Health, Population, and Nutrition, 29(5), 516-522. https://doi.org/10.3329/jhpn.v29i5.8676
Ahmad, F., Zahid, M. A., & Shah, S. M. H. (2019). Anxiety and depression among medical students of Pakistan: A cross-sectional study. Journal of the Pakistan Medical Association, 69(Suppl 3), S67–S71. https://doi.org/10.5455/JPMA.283892
Al-Dabal, B. K., Koura, M. R., Rasheed, P., Al-Sowielem, L., & Makki, S. M. (2016). A comparative study of perceived stress among dental and medical students in Riyadh Elm University. Saudi Arabia. Journal of Dentistry, 14(1), 18–22. https://doi.org/10.1016/j.jds.2015.07.002
Al-Dubai, S. A., Ganasegeran, K., Perianayagam, W., Rampal, K. G., & Alabsi, A. M. (2011). Level of stress and its determinants among undergraduate medical students of Universiti Putra Malaysia. Malaysian Journal of Public Health Medicine, 11(1), 49-54.
Azhar, M. Z., Jameel, H. A., Jahangir, F., & Islam, M. Z. (2021). Prevalence of depression, anxiety, and stress among medical students in a Malaysian university. Education in Medicine Journal, 13(4), 39-49. https://doi.org/10.21315/eimj2021.13.4.4
Azhar, M. Z., Varma, S. L., & Dharap, A. S. (2016). Prevalence of depression, anxiety and stress among undergraduate medical students in Malaysia: a cross sectional study. Journal of College of Physicians and Surgeons Pakistan, 26(10), 819-823. PMID: 27731842.
Bolarinwa, O. A. (2015). Principles and methods of validity and reliability testing of questionnaires used in social and health science researches. Nigerian Postgraduate Medical Journal, 22(4), 195-201. https://doi.org/10.4103/1117-1936.173959
Cheung, T., Wong, S. Y., Wong, K. Y., Law, L. S., Ng, K., Tong, M. T., ... & Yip, P. S. (2016). Depression, anxiety and symptoms of stress among baccalaureate nursing students in Hong Kong: A cross-sectional study. International Journal of Environmental Research and Public Health, 13(8), 779. doi: 10.3390/ijerph13080779
Chew-Graham, C. A., Rogers, A., & Yassin, N. (2003). ‘I wouldn't want it on my CV or their records’: medical students’ experiences of help-seeking for mental health problems. Medical Education, 37(10), 873-880.
Chua, Y. P., Chew, S. S. L., & Kassim, S. M. (2019). The role of resilience in the relationship between stress and emotional distress among Malaysian medical students: A cross-sectional study. Medical Education Online, 24(1), 1596708.
Dyrbye, L. N., Massie, F. S., Eacker, A., Harper, W., Power, D., Durning, S. J., & Shanafelt, T. D. (2010). Relationship between burnout and professional conduct and attitudes among US medical students. JAMA, 304(11), 1173-1180
Dyrbye, L. N., Thomas, M. R., Massie, F. S., Power, D. V., Eacker, A., Harper, W., ... & Sloan, J. A. (2006). Burnout and suicidal ideation among US medical students. Annals of Internal Medicine, 149(5), 334-341.
Dyrbye, L. N., Thomas, M. R., Shanafelt, T. D. (2006). Medical student distress: causes, consequences, and proposed solutions. Mayo Clinic Proceedings, 81(12), 1435-1442.
Hamaideh, S. H. (2011). Stressors and reactions to stressors among university students. International Journal of Social Psychiatry, 57(1), 69-80.
Ho, R. C. M., Mak, K. K., & Chua, A. N. S. (2016). Comparison of chronic fatigue syndrome prevalence in medical versus law students in a Canadian university. Fatigue: Biomedicine, Health & Behavior, 4(1), 28–37.
Ibrahim, A. K., Kelly, S. J., Adams, C. E., & Glazebrook, C. (2013). A systematic review of studies of depression prevalence in university students. Journal of Psychiatric Research, 47(3), 391-400.
Ibrahim, N. K., Baharudin, A., & Al-Kubaisy, W. (2013). Prevalence and associated factors of anxiety among medical students in Malaysia. International Journal of Medical Education, 4, 210-216.
Ibrahim, N., Al-Kharfy, T., Al-Moamary, M., & Al-Zaagi, I. (2018). Academic stress and its predictors among university students in Malaysia: A cross-sectional study. Journal of Taibah University Medical Sciences, 13(4), 365-372.
Ibrahim, N., Baharudin, A., & Al-Kubaisy, W. (2018). Stress and its association with the academic performance of undergraduate fourth year medical students at Universiti Kebangsaan Malaysia Medical Centre. Education in Medicine Journal, 10(1), 31-45.
Ismail, M. N. I., Ahmad, N. H., Shahabudin, A. F., & Hashim, H. (2015). The prevalence of anxiety among medical students in Universiti Sultan Zainal Abidin. Journal of Taibah University Medical Sciences, 10(4), 471-476.
Kaur, B., & Kaur, G. (2014). The relationship between anxiety and academic performance in medical students. International Journal of Scientific Research, 3(4), 161-164.
Kaur, B., & Kaur, G. (2016). The relationship between anxiety and academic performance in medical students. International Journal of Research in Medical Sciences, 4(7), 2479-2483.
Kaur, B., & Kaur, G. (2019). The relationship between anxiety and academic performance in medical students. Journal of Education and Health Promotion, 8, 243.
Mohamad, M. S., Alias, N., Nordin, N. A. M., & Yusoff, M. S. B. (2013). Anxiety and depression: prevalence and associated factors among medical students in Universiti Putra Malaysia. Sultan Qaboos University Medical Journal, 13(4), 584-591.
Mohamad, M. S., Alias, N., Nordin, N. A. M., & Yusoff, M. S. B. (2019). Anxiety and depression: prevalence and associated factors among medical students in Universiti Putra Malaysia. Malaysian Journal of Medical Sciences, 26(1), 30-39.
Mohamad, M. S., Alias, N., Nordin, N. A. M., & Yusoff, M. S. B. (2015). Anxiety and depression: Prevalence and associated factors among medical students in Universiti Putra Malaysia. Asian Journal of Psychiatry, 18, 78-82.
Ramli, M., Salim, M., Kamaludin, K., Abdullah, A. H., & Ahmad, A. L. (2015). Prevalence of anxiety among medical students in Universiti Sains Malaysia and its associated factors: A cross-sectional study. Acta Medica Academica, 44(1), 27-34.
Ramli, M., Salim, M., Kamaludin, K., Abdullah, A. H., & Ahmad, A. L. (2009). Prevalence of anxiety among medical students in Universiti Sains Malaysia and its associated factors: A cross-sectional study. European Journal of Scientific Research, 31(2), 174-187.
Rotenstein, L. S., Ramos, M. A., Torre, M., Segal, J. B., Peluso, M. J., Guille, C., & Mata, D. A. (2016). Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: A systematic review and meta-analysis. JAMA, 316(21).
Sohail, N. (2013). Stress and academic performance among medical students. J Coll Physicians Surg Pak, 23(1), 67-71.
Sulaiman, A. H., Abdul Rahman, H., Zainal, N. Z., Imran, A. K., Selamat, N. H., & Mahamud, W. N. A. W. (2015). Stress and its associated factors among university students in a Malaysian medical school. Journal of Taibah University Medical Sciences, 10(3), 280-289.
Tan, B. K., Adnan, T. H., & Hassan, F. (2013). Anxiety levels among medical students during surgical clerkship. Malays J Med Sci, 20(2), 55-60.
Tan, L. B., Suhaili, R., Ahmad, A., & Kamaruddin, M. A. (2013). Effects of a mindfulness-based stress reduction programme on the psychological well-being and quality of life of medical students in Malaysia. Education in Medicine Journal, 5(1), e47-e54.
Tan, Y. P., Ling, G. H., & Chong, Y. S. (2015). Anxiety and depression among first-year medical students in National University of Singapore. Singapore Med J, 56(9), 491-494.
Tan, Y. Q., Tan, K. H., & Lau, G. X. (2014). Stress and coping mechanisms among Malaysian medical students. Med J Malaysia, 69(3), 98-104.
Tan, Y. Q., Tan, K. H., & Lau, G. X. (2019). Stress and coping mechanisms among Malaysian medical students. Educ Med J, 11(1), 1-10.
Yusoff, M. S. B., Abdul Rahim, A. F., Baba, A. A., Ismail, S. B., & Mat Pa, M. N. (2011). Prevalence and associated factors of emotional disorders among Malaysian medical students. Int Med J, 18(4), 305-309.
Yusoff, M. S. B., Rahim, A. F. A., & Yaacob, M. J. (2010). Prevalence and sources of stress among Universiti Sains Malaysia medical students. Malays J Med Sci, 17(1), 30-37.