Effectiveness of stress management program on perceived stress and anxiety among medical students at Helwan University: An intervention study

Theodor Bilharz Research Institute

Bibliographic Information

Authors: Ebrahim O.S.; Sayed H.A.; Rabei S.; Ghandour A.A.

Journal: Journal of Public Health Research

Publisher: SAGE Publications Ltd

Publication Date: 29 October 2025

Volume / Issue: Volume 14 / Issue 4

Article No.: 22799036251388300

ISSN: 22799028

DOI: 10.1177/22799036251388309

Scopus: View on Scopus

Document Type: Article

Access: All Open Access; Gold Open Access; Green Open Access

Authors and Affiliations

Ebrahim O.S., Department of Community, Occupational and Environmental Medicine, Faculty of Medicine, Helwan University, Cairo, Egypt; Sayed H.A., Department of Community, Occupational and Environmental Medicine, Faculty of Medicine, Helwan University, Cairo, Egypt, Department of Public Health, Theodor Bilharz Research Institute, Giza, Egypt; Rabei S., Department of Neuropsychiatry, Faculty of Medicine, Helwan University, Cairo, Egypt; Ghandour A.A., Department of Community, Occupational and Environmental Medicine, Faculty of Medicine, Helwan University, Cairo, Egypt

Abstract

Background: Medical students in Egypt are increasingly susceptible to higher levels of stress and anxiety compared to their peers. The current study aimed to assess the effect of stress management intervention in decreasing their stress and anxiety levels. Design and methods: A randomized controlled study was conducted on two phases survey and intervention phase using perceived stress scale to assess stress and Beck Anxiety Inventory to assess anxiety. Students with moderate/severe stress in the survey stage were stratified randomized to intervention or control group (140 in each group). The program was composed of 12 sessions for 12 weeks. Stress and anxiety were re assessed immediately after and in 3 months post intervention. Results: There was no significant difference between the means of perceived stress between the intervention and control groups at the baseline (25.03 ± 3.18, 24.40 ± 3.15, p = 0.098). There was a significant higher mean score of perceived stress in the control group compared to intervention group immediately post intervention (33.39 ± 9.47, 24.40 ± 3.46, p < 0.001) and 3 months later (33.03 ± 9.40, 23.76 ± 3.37, p < 0.001). While there is no significant difference between the mean score of perceived anxiety between the intervention and control groups at the baseline, post intervention and in the follow up. Conclusions: The stress management program was effective in decreasing perceived stress level among medical students. The widespread implementation of the study program could help medical students for coping with their stress levels. © The Author(s) 2025. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).

Keywords

anxiety; effectiveness; Egypt; medical students; stress management; adult; article; Beck Anxiety Inventory; controlled study; coping; female; follow up; human; intervention study; major clinical study; male; medical student; open access; Perceived Stress Scale; physiological stress; randomized controlled trial; young adult

Citation Information

Scopus Citations: 1

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