International Journal of Biomedical and Clinical Sciences
Articles Information
International Journal of Biomedical and Clinical Sciences, Vol.5, No.2, Jun. 2020, Pub. Date: Mar. 24, 2020
The Association Between Self-esteem and Academic Stress Among Undergraduate Medical Students
Pages: 64-74 Views: 2543 Downloads: 2841
[01] Cayson Ooi Yi Chung, Faculty of Medicine, Melaka Manipal Medical College (Manipal Academy of Higher Education), Muar, Malaysia.
[02] Dan Chiu Ping, Faculty of Medicine, Melaka Manipal Medical College (Manipal Academy of Higher Education), Muar, Malaysia.
[03] Puteri Suziani Zahari, Faculty of Medicine, Melaka Manipal Medical College (Manipal Academy of Higher Education), Muar, Malaysia.
[04] Tharoun Sharma Ravindran, Faculty of Medicine, Melaka Manipal Medical College (Manipal Academy of Higher Education), Muar, Malaysia.
[05] Kalaiyarasi Kannathasan, Faculty of Medicine, Melaka Manipal Medical College (Manipal Academy of Higher Education), Muar, Malaysia.
Academic stress is one of the prevailing issues faced by students nowadays and it could also affect other aspects of students’ lives if kept unbothered. There are many factors which contribute to academic stress experienced by undergraduate students. One of these factors is self-esteem which is considered to have an influence in explaining why the students undergo academic stress. The purpose of this cross-sectional study was to assess the level of academic stress and self-esteem in medical students of Melaka Manipal Medical College (MMMC). Undergraduate medical students were invited to participate during the lecture class. Self-administered questionnaire was used to assess socio-demographic data, self-esteem and academic stress. Rosenberg Self Esteem Scale was used to determine self-esteem while Perception of Academic Stress (PAS) scale was used for academic stress. Unpaired t-test, ANOVA and linear regression were used for statistical analysis. A total of 204 clinical year medical students participated. 80.88% of the students were found to have a high level of stress. However, the bivariate analysis shows no association between gender, ethnicity, relationship status, physical activity and academic stress. There was a significant positive association between self-esteem and academic stress (regression coefficient -0.522; P value<0.001), indicating that the higher the self-esteem, the lower the academic stress. Majority of the undergraduate medical students had high academic stress. Interventions to lower academic stress and to increase self-esteem should be carried out so that the learning process of students will be efficient.
Academic Stress, Self-esteem, Medical Student
[01] Friedlander, L. J., Reid, G. J., Shupak, N., & Cribbie, R. (2007). Social Support, Self-Esteem, and Stress as Predictors of Adjustment to University Among First-Year Undergraduates. Journal of College Student Development 48 (3), 259-274. doi: 10.1353/csd.2007.0024.
[02] Muhamad Saiful Bahri Yusoff, Ahmad Fuad Abdul Rahim, and Mohd Jamil Yaacob, (2010) Prevalence and Sources of Stress among Universiti Sains Malaysia Medical Students. 17 (1), 30-37.
[03] Alsulami, S., Al Omar, Z., Binnwejim, M. S., Alhamdan, F., Aldrees, A., Al-Bawardi, A., … Alhabeeb, M. (2018). Perception of academic stress among Health Science Preparatory Program students in two Saudi universities. Advances in medical education and practice, 9, 159–164. doi: 10.2147/AMEP.S143151
[04] Academic Stress in Students Anoushka Thakkar -
[06] Stress and Coping Strategies Among Community College Students [Internet]. Taylor & Francis. [cited 2019Nov11]. Available from:
[07] SELF-ESTEEM: meaning in the Cambridge English Dictionary
[08] Bedewy, D., & Gabriel, A. (2015). Examining perceptions of academic stress and its sources among university students: The Perception of Academic Stress Scale. Health Psychology Open.
[09] Noronha, Laveena, Monteiro, Meena, Pinto, Nelson. A Study on the Self Esteem and Academic Performance Among the Students [Internet]. SSRN. 2018 [cited 2019Nov11]. Available from:
[10] Effects of Low Self Esteem Adminmalick. 10 Most Common Effects of a Low Self-Esteem: FINE to FAB [Internet]. 10 Most Common Effects of a Low Self-Esteem | FINE to FAB. 2019 [cited 2019Nov11]. Available from:
[11] Ming Yu Wang YMLSCL. What causes the academic stress suffered by students at universities and colleges of technology? [Internet]. WIETE; 2009 [cited 2019Nov11]. Available from:
[12] Steptoe A, Wardle J, Pollard TM, Canaan L, Davies GJ. Stress, social support and health-related behaviour: A study of smoking, alcohol consumption and physical exercise [Internet]. Journal of Psychosomatic Research. Elsevier; 1999 [cited 2019Nov11]. Available from:
[13] 5 Main Causes of Stress For College Students
[14] Ma, Ying & Siu, Angela & Tse, Vincent. (2018). The Role of High Parental Expectations in Adolescents’ Academic Performance and Depression in Hong Kong. Journal of Family Issues. 0192513X1875519. 10.1177/0192513X18755194.'_Academic_Performance_and_Depression_in_Hong_Kong/citation/download
[15] Stress, Coping and Gender Differences in Third Year Medical Students - Sahana Madhyastha, K. S. Latha, Asha Kamath, 2014 Sahana Madhyastha-K. S. Latha-Asha Kamath -
[17] The effects of physical activity and exercise training on psychological stress and well-being in an adolescent population Richard Norris-Douglas Carroll-Raymond Cochrane -
[18] American Psychological Association. American Psychological Association; [cited 2019Nov11]. Available from:
[19] Self-Esteem and Academic Stress among Nursing Students R Acharya Pandey-H Chalise -
[20] A longitudinal study of stress and self-esteem in student nurses Deborah Edwards-Philip Burnard-Kim Bennett-Una Hebden -
[21] Academic Stress and Self-Regulation among University Students in Malaysia: Mediator Role of Mindfulness Hj Ramli-Nur Hamizah- Alavi- Masoumeh-Seyed Abolghasem- Ahmadi- Atefeh -
[22] Mohamed Sharif Mustaffa AKARH. Problem-Solving Coping and Social Support as Mediators of Academic Stress and Suicidal Ideation Among Malaysian and Indian Adolescents.
[23] Reddy KJ, Menon KR, Thattil A. Academic Stress and its Sources Among University Students [Internet]. Biomedical and Pharmacology Journal. 2018 [cited 2019 Nov 13]. Available from:
[24] Fernández-González, L., González-Hernández, A. & Trianes-Torres, M. V.. Relationships between academic stress, social support, optimism-pessimism and self-esteem in college students. (accessed).
[25] Dalia Bedewy1 and Adel Gabriel2. Examining perceptions of academic stress and its sources among university students: The Perception of Academic Stress Scale. (accessed).
[26] Morris Rosenberg, Ph.D. (deceased) Rosenberg, M. (1965). Society and The Adolescent Self-Image. Princeton, N. J.: Princeton University Press.. Rosenberg Self-Esteem Scale (SES). (accessed).
[27] ROSENBERG SELF-ESTEEM SCALE [Internet]. 2001. Available from:
[28] Rosli Y, Othman H, Ishak I, Lubis SH, Saat NZM, Omar B. Self-esteem and Academic Performance Relationship Amongst the Second Year Undergraduate Students of Universiti Kebangsaan Malaysia, Kuala Lumpur Campus [Internet]. Procedia - Social and Behavioral Sciences. Elsevier; 2012 [cited 2019Dec2]. Available from:
[29] Academic Stress amongst Adolescents: An Examination by Ethnicity, Grade, and Sex. Jones-Russell W.|Hattie-John A. -
[30] [Internet]. 2019 [cited 2 December 2019]. Available from:
[31] Depression, Anxiety and Stress among Undergraduate Students: A Cross Sectional Study Choon Khim Teh*, Choon Wei Ngo, Rashidatul Aniyah binti Zulkifli, Rammiya Vellasamy, Kelvin Suresh
[32] Physical activity and its associations with sociodemographic characteristics, dietary patterns, and perceived academic stress in students attending college in Puerto Rico Sonia Cruz-Carla Fabián-Ideliz Pagán-Josué Ríos-Anaisa González-Jesmari Betancourt-Michael González-Winna Rivera-Soto-Cristina Palacios -
[33] "Don't crack under pressure!"--Do leisure time physical activity and self-esteem moderate the relationship between school-based stress and psychosomatic complaints? Markus Gerber-Uwe Pühse -
[34] Associations of physical activity with sleep satisfaction, perceived stress, and problematic Internet use in Korean adolescents Subin Park -
[35] Mulyadi S, Rahardjo W, Basuki AMH. The Role of Parent-child Relationship, Self-esteem, Academic Self-efficacy to Academic Stress [Internet]. Procedia - Social and Behavioral Sciences. Elsevier; 2016 [cited 2019Dec2]. Available from:
MA 02210, USA
AIS is an academia-oriented and non-commercial institute aiming at providing users with a way to quickly and easily get the academic and scientific information.
Copyright © 2014 - American Institute of Science except certain content provided by third parties.