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INTRODUCTION
Stress among college students is a grow
ing public health concern. According to a
recent national survey by the American Col
lege Health Association, 42.8% of college
students reported more than average stress
or tremendous stress within the last 12
months, with another 28.4% of the students
reporting that stress affected their academic
performance (American College Health Asso
ciation, 2013). Research suggests that factors
189
METHODS
Study Design and Data Collection
Procedures
RESULTS
Data were collected between April and
May 2010 via web-based self-administered
surveys. A total of 306 students completed the
surveys, yielding a response rate of 60%.
Prevalence of Stress
A majority of the students (n = 198,
69.9%) reported feeling stressed fairly or
very often when asked how often they felt
stressed during the last academic year. In ad
dition, P2 students reported feeling stressed
the most (mean SD = 4.52 0.57), followed
by PI students (4.190.83) and P3 students
(3.790.86). P4 students reported feeling
stressed the least (2.981.20).
Factors Contributing to Perceived Stress
One of the main objectives of this study
was to identify the contributing factors of
perceived stress among a cross-section of
PharmD students. The sample size (n = 262)
included in our regression analysis was higher
than the estimated minimum sample size cal
culation of 55, given power (1-P) = 80%, al
pha (a) = 0.05, f2= 0.15 (medium effects size
was assumed), number of predictors = 7, and
two tails distribution (Faul, 1992). The overall
model was statistically significant (F=18.83;
d.f. = 7; p<0.001). This means that at least one
of the independent variables was associated
with the stress. Furthermore, the R-squared
associated with the model was 0.342, indicat
ing that 34% of the variance in the dependent
variable (i.e., perceived academic stress) was
explained by all the independent variables
combined (See Table 1).
t-value
p-value
PI
0.996
0.142
7.018
P2
1.326
0.202
P3
0.818
Academic workload
Lower
Upper
0.001'
0.717
1.276
6.557
0.001'
0.928
1.725
0.185
4.429
0.001'
0.454
1.182
0.298
0.067
4.473
0.00T
0.167
0.430
Social support
0.116
0.063
1.832
0.068
-0.009
0.240
Outside employment
0.017
0.052
0.315
0.753
-0.087
0.120
Extracurricular activities
0.021
0.055
0.380
0.705
-0.087
0.128
Students classification11
CONCLUSION
A majority of students reported feeling
stressed fairly or very often, and P2 students
reported the highest levels of stress. Of the
measured variables, academic workload was
significantly related to perceived academ
ic stress. While a relaxation laboratory and
stress-management classes and groups were
available to help manage stress, students failed
to utilize these free and confidential resources.
Further research is needed across colleges
and schools of pharmacy to assess levels of
stress that may be caused by varying curric
ulum or other factors, such as availability of
appropriate support services for coping with
stress. Additionally, future research should
assess utilization of these support services
and factors that influence students decision
to utilize these resources.
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