Published: 2022-08-26

Impact of COVID-19 pandemic on education and mental health of medical students: a nation-wide survey in India

Chinmay Guralwar, Amey Kundawar, Sarita K. Sharma


Background: The purpose of this study was to investigate the impact of COVID-19 pandemic on the education and mental health of undergraduate medical students in India.

Methods: A cross-sectional web-based study was conducted among MBBS students of all five years (n=604) selected by random sampling. Participants were administered questionnaires consisting of perceived stress scale (PSS-10), generalised anxiety disorder (GAD-7) for mental health assessment. A COVID-19 impact on medical education (CIME) questionnaire was developed for evaluating the impact on education. Bivariate logistic regression analyses were performed to examine the socio-demographic correlates.

Results: The mean score of COVID-19 impact on education, stress and anxiety were 26.2±5.2, 24.5±6.0 and 10.7±6.1 and their overall prevalence were 70.1% (66.4-73.8%), 38.9% (35.0-42.9%) and 54.1% (50.1-58.2%) respectively. There was positive correlation between CIME and stress (r=0.382, p<0.01) and anxiety (r=0.321, p<0.01). Internship [aOR=3.5 (1.5-8.3), p=0.003], not having romantic partner [aOR=1.4 (1.1-1.9)], stress [aOR=2.3 (1.4-3.7)] and anxiety [aOR=1.6 (1.1-2.5)] were positive predictors (p<0.05) of severe impact on education.

Conclusions: There was a severe impact of the pandemic on education of majority of the students. The stress and anxiety levels during the pandemic were relatively higher than usual indicating generalized worsening. Poor mental health outcomes and negative impact on education were evident positive predictors and correlates of each other.


COVID-19, Medical education, Mental health, Medical students, Survey

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Pal M, Berhanu G, Desalegn C, Kandi V. Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2): an update. Cureus. 2020;12(3).

Cucinotta D, Vanelli M. WHO Declares COVID-19 a Pandemic. Acta Biomed. 2020;91(1):157-60.

World Health Organization. WHO Coronavirus Disease (COVID-19) Dashboard. 2021 Available: Accessed on 12 June 2021.

Mazumder A, Arora M, Bharadiya V, Berry P, Agarwal M, Behera P, et al. SARS-CoV-2 epidemic in India: epidemiological features and in silico analysis of the effect of interventions. F1000Research. 2020;9:315.

Pattanshetti V, Pattanshetti S. The impact of COVID-19 on medical education in India. J Scient Soc. 2020;47(1):1.

Saraswathi I, Saikarthik J, Kumar KS, Srinivasan KM, Ardhanaari M, Gunapriya R. Impact of COVID-19 outbreak on the mental health status of undergraduate medical students in a COVID-19 treating medical college: a prospective longitudinal study. Peer J. 2020;8:e10164.

Choi B, Jegatheeswaran L, Minocha A, Alhilani M, Nakhoul M, Mutengesa E. The impact of the COVID-19 pandemic on final year medical students in the United Kingdom: a national survey. BMC Med Educ. 2020;20(1):1-1.

Alsoufi A, Alsuyihili A, Msherghi A, Elhadi A, Atiyah H, Ashini A, et al Impact of the COVID-19 pandemic on medical education: Medical students’ knowledge, attitudes, and practices regarding electronic learning. PLoS One. 2020;15(11):e0242905.

Liu C, You-Hsien Lin H. The impact of COVID-19 on medical education: experiences from one medical university in Taiwan. J Formosan Med Assoc. 2021;120(9):1782-4.

Harries A, Lee C, Jones L, Rodriguez R, Davis J, Boysen-Osborn M, et al. Effects of the COVID-19 pandemic on medical students: a multicenter quantitative study. BMC Med Educ. 2021;21(1).

Nishimura Y, Ochi K, Tokumasu K, Obika M, Hagiya H, Kataoka H, et al. Impact of the COVID-19 pandemic on the psychological distress of medical students in Japan: cross-sectional survey study. J Med Internet Res. 2021;23(2):e25232.

Cohen S, Williamson G. Perceived stress in a probability sample of the United States. In: Spacapan S, Oskamp S, eds. The Social Psychology of Health. Newbury Park, CA: Sage; 1988.

Spitzer RL, Kroenke K, Williams JBW, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092-7.

Venkatarao E, Iqbal S, Gupta S. Stress, anxiety and depression among medical undergraduate students and their socio-demographic correlates. Indian J Med Res. 2015;141(3):354.

Das P, Basu M, Dasgupta U, Roy B, Das PK, Mundle M. Health related quality of life among undergraduate medical students of Kolkata. Healthline. 2013;4:56-63.

Srivastava K, Raju M, Saldanha D, Chaudhury S, Basannar D, Pawar A, et al. Psychological well-being of medical students. Med J Armed Forces India. 2007;63(2):137-40.