Stress and Stress Coping Strategies Among Foreign Bachelor's Medical Interns in Bangkok Metropolitan Administration (BMA) Hospitals

• Main Author: Wannapaschaiyong P.
• Other Authors: Mahidol University
• Format: Article
• Published: 2023
• Subjects: Medicine
• Online Access: https://repository.li.mahidol.ac.th/handle/123456789/82493

Background: Stress among medical personnel is crucial, as it can cause the adverse health outcome to individuals who suffer from the stress as well as their clinical practice performance, which may cause serious outcomes to patients. This study focuses on the interns who received their medical degree overseas because they may have more stress due to their required clinical work and license examination. We conducted our study to determine the stress level, coping strategies, and associated factors among foreign bachelor's medical interns in Bangkok, Thailand. Method: A cross-sectional study design was conducted among 49 interns from Bangkok Metropolitan Administration Hospitals. Stress was assessed using the Suanprung stress test and the Brief COPE inventory (Thai version). Descriptive analysis, Chi-square tests, and multiple linear regression analysis were used to investigate the association between stress, coping strategies and other potential factors. Results: The prevalence of problematic stress among foreign bachelor's medical interns was 69.4%. Factors associated with problematic stress were being female (p = 0.047) and having a lower monthly income (p < 0.001). These medical interns predominantly used adaptive coping strategies (acceptance, active coping, and planning), rather than maladaptive coping strategies (self-distraction, self-blame, and venting). Practicing religion and being on duty in certain departments had significant associations with adaptive coping strategies, whereas high stress levels were significantly associated with maladaptive coping strategies. Conclusion: This is the first study in Thailand to evaluate coping strategies in these medical interns. These interns are recognized as vulnerable to the negative effects of stress.