ArticleAcademic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry2026
Anxiety in Medical Students: a Pilot Study on Associated Factors.
Article in Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveAnxiety can affect student performance and well-being. This pilot study examined the relationships between anxiety and headache, sleep disturbance, and irritability in first-year medical students 2 months before the end-of-year summative assessment.
methodsFifty-four first-year medical students (18.8% participation, 26 male, 28 female; mean age 20.47 years) completed an anonymous online survey comprising a custom symptom questionnaire and the Trait Anxiety Inventory (TAI).
resultsHeadache was prevalent, with 66% reporting worsening headache since commencing medical studies; 72% reported reduced sleep and 44% reported increased anxiety. Mean TAI score was 45.98, with 27.7% scoring in the relatively severe/severe range. Increased anxiety was significantly associated with feeling overworked (OR = 3.41, p = 0.049), sleep disturbance (OR = 4.98, p = 0.011), and irritability (OR = 7.71, p < 0.001). Trait anxiety correlated with headache frequency (R = 0.414, p = 0.002).
conclusionsThese findings highlight elevated anxiety and sleep disturbance during early medical training, underscoring the need for targeted well-being interventions. Medical schools should consider integrating routine mental health check-ins and accessible support pathways to facilitate earlier recognition and management of student anxiety.
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