Document Type : Original Article


1 Department of Physiology, Government Medical College, Bharatpur, Rajasthan, Uttar Pradesh, India

2 Department of Anatomy, Government Institute of Medical Sciences, Greater Noida, Uttar Pradesh, India

3 Department of Transfusion Medicine, All India Institute of Medical Sciences, Raibareilly, Uttar Pradesh, India

4 Department of Physiology, Government Institute of Medical Sciences, Greater Noida, Uttar Pradesh, India


BACKGROUND: Medical students who are prone to psychological stress due to their overburdened 
curriculum, are at an increased risk of getting adversely affected by the pandemic. The present study 
was planned to assess the anxiety level among undergraduate medical students across the country 
using generalized anxiety disorder scale (GAD‑7).
MATERIALS AND METHODS: In this online survey, anonymous data was collected through Google 
forms from undergraduate students from all the phases of MBBS course across the country from 
August 15, 2020, to October 15, 2020. Section I collected various demographic information, section 
II included GAD‑7 questionnaire for assessing anxiety and section III had open‑ ended questions 
about their impending fear, uncertainties, and apprehensions. The data was expressed in percentage 
and association among the variables was determined using Chi‑square test. Thematic analysis of 
the open‑ended responses was done.
RESULTS: Among the sample of 1208 students, 81% were from urban areas. During the pandemic, 
77% were residing with their parents and 71% parents having stable jobs. Eighty percent students had 
no relative diagnosed with COVID‑19, whereas 52% students had family members with comorbidity. 
The GAP score showed mild, moderate, and severe anxiety in 27, 24, and 16% students, respectively. 
Anxiety was significantly associated with rural setting and with COVID‑19 positive or comorbid family 
member (P < 0.05). Open ended responses revealed that majority of the students were finding it 
difficult to cope with the academic stress at home but still did not want to join back.
CONCLUSION: With such a high incidence of anxiety among medical students, it is pertinent to 
safeguard the mental health and implement efficient approaches to upkeep the scholastic, physical, 
emotional, and professional well‑being of medical students during such vulnerable times.


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