ArticleHeliyon2021
Cross-sectional case-control study on medical students' psychosocial stress during COVID-19 pandemic in Hong Kong.
Article in Heliyon, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Psychosocial factors associated with academic performance in medical students: a systematic review.BMC medical education · 2026Pooled it
- Examining the Relationship Between Pediatric Clerkship Timing and Performance: COVID-19 Pandemic and Beyond.Medical science educator · 2025Article
- The associations between emotional empathy, emotional intelligence, and COVID-19-related stress among nursing students: a cross-sectional study.BMC medical education · 2024Article
- Emotional Impact of COVID-19 and Emotional Eating and the Risk of Alcohol Use Disorder in Peruvian Healthcare Students.Nutrients · 2024Article
- COVID-19 Pandemic: What We Have Learned on Stress, Technology Use, and Psychological Health Among University Students.Advances in experimental medicine and biology · 2024Review
- Cross-Sectional Analysis of Colombian University Students' Perceptions of Mental Health during the COVID-19 Pandemic: Repercussions on Academic Achievement.Healthcare (Basel, Switzerland) · 2023Article
- Students are at risk? Elucidating the impact of health risks of COVID-19 on emotional exhaustion and academic performance: role of mindfulness and online interaction quality.Current psychology (New Brunswick, N.J.) · 2023Article
- Stress and sleep quality in medical students: a cross-sectional study from Vietnam.Frontiers in psychiatry · 2023Article
- From text to e-text: perceptions of medical, dental and allied students about e-learning.Heliyon · 2022Article
- Perceived Past and Current COVID-19-Stressors, Coping Strategies and Psychological Health among University Students: A Mediated-Moderated Model.International journal of environmental research and public health · 2022Article
- PBL teaching in ultrasonography resident standardization training in the COVID-19 pandemic.BMC medical education · 2022Article
- Using clinical history taking chatbot mobile app for clinical bedside teachings - A prospective case control study.Heliyon · 2022Article
- The university students' viewpoints on e-learning system during COVID-19 pandemic: the case of Iran.Heliyon · 2022Article
- Academic Performance in Medical Education During the COVID-19 Pandemic: A Scoping Review.Advances in medical education and practice · 2022Article
- Best practices for effective implementation of online teaching and learning in medical and health professions education: during COVID-19 and beyond.AIMS public health · 2022Review
- A prospective case-control study on online teaching of ultrasonography skills to medical students during COVID-19 pandemic.Heliyon · 2022Article
- The COVID-19 Student Stress Questionnaire: Validation in Spanish university students from health sciences.Health psychology openArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionCOVID-19 pandemic has resulted in significant changes in pedagogy for undergraduate medical curriculum. Many physical clinical teachings have been replaced by online pedagogy. This study aims to evaluate the relation between medical students' stress during COVID-19 pandemic and their academic performance at the final examination.
methodsThis is a cross-sectional questionnaire-based study. Student's stress level were evaluated by the COVID-19 Student Stress Questionnaire (CSSQ). Correlation of stress level and students' performance at the final examination was performed.
results110 out of 221 (49.8%) final-year medical students responded to the questionnaire, 13 students failed in the final examination (case) while 97 students passed in the final MBBS examination (control).Baseline demographic data between case and control were comparable. The median age for both cases and controls were 24 years.Compared to controls, cases reported higher levels of stress in all domains, namely in relation to risk of contagion, social isolation, interpersonal relationships with relatives, university colleagues and professors, academic life, and sexual life. Notably, a significantly higher proportion of cases reported academic-related stress compared to controls (p < 0.01), with 100% of cases perceiving their academic studying experience during the COVID-19 pandemic to be "very" or "extremely" stressful, compared to 35.1% of controls.
conclusionIncreased stress to academic and study during COVID-19 was associated with worse examination outcome at the final examination. Extra academic support will be needed to cater students' need during the pandemic.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.