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Introduction <p>India’s medical education system, marked by a surge in seats from 51,000 to 108,000 (2014–2024), has intensified competition, fuelling a mental health crisis among undergraduate medical students.</p> Methodology <p>This multicentric, cross-sectional study (January–June 2024) examined stress dynamics, triggers, and sleep disruptions in 625 medical students across two institutes: Institute-A (<i>n</i> = 385, Uttar Pradesh) and Institute-B (<i>n</i> = 240, Raipur). Employing the Perceived Stress Scale and Modified Sleep Disorders Questionnaire, we assessed stress levels, sleep disturbances, and help-seeking behaviours. Using R-software version 4.5.0.</p> Results <p>Findings revealed 55.5% of students faced moderate stress, 13.6% high stress, and 18.9% severe insomnia, with Institute-B showing significantly elevated stress (17.9% vs. 10.9%, <i>p</i> = 0.011) and insomnia (25.0% vs. 15.1%, <i>p</i> = 0.002). Academic pressure (56.8%) and exam stress (61.3%) were predominant triggers, while circadian rhythm disorders affected 34.4%. Only 41.2% of high-stress and 41.5% of severe insomnia students sought consultation, underscoring stigma and access barriers. Institute-B’s higher burden suggests academic and environmental influences.</p> Conclusion <p>This study unveils a silent epidemic, urging institutions to adopt mandatory stress management, sleep hygiene programs, and stigma-free counselling to protect India’s future healthcare workforce and address rising dropout and suicide risks.</p>

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Investigating stress dynamics triggers and sleep disturbances among Indian medical students

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年1月22日

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  • Anuj Singh,
  • Anjani Kumar Srivastava,
  • Neha Singh Chauhan,
  • Anjali Singh,
  • Mritunjay Singh Thakur,
  • Vineeta Gupta

摘要

Introduction

India’s medical education system, marked by a surge in seats from 51,000 to 108,000 (2014–2024), has intensified competition, fuelling a mental health crisis among undergraduate medical students.

Methodology

This multicentric, cross-sectional study (January–June 2024) examined stress dynamics, triggers, and sleep disruptions in 625 medical students across two institutes: Institute-A (n = 385, Uttar Pradesh) and Institute-B (n = 240, Raipur). Employing the Perceived Stress Scale and Modified Sleep Disorders Questionnaire, we assessed stress levels, sleep disturbances, and help-seeking behaviours. Using R-software version 4.5.0.

Results

Findings revealed 55.5% of students faced moderate stress, 13.6% high stress, and 18.9% severe insomnia, with Institute-B showing significantly elevated stress (17.9% vs. 10.9%, p = 0.011) and insomnia (25.0% vs. 15.1%, p = 0.002). Academic pressure (56.8%) and exam stress (61.3%) were predominant triggers, while circadian rhythm disorders affected 34.4%. Only 41.2% of high-stress and 41.5% of severe insomnia students sought consultation, underscoring stigma and access barriers. Institute-B’s higher burden suggests academic and environmental influences.

Conclusion

This study unveils a silent epidemic, urging institutions to adopt mandatory stress management, sleep hygiene programs, and stigma-free counselling to protect India’s future healthcare workforce and address rising dropout and suicide risks.