Determinants of Stress Among Health Students: Academic Pressure, Internal Conditions, and Learning Support
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Abstract
Background: Health students tend to have a higher prevalence of stress compared to those in other study programs, which may negatively affect academic achievement and potentially lead to burnout. Stress is one of the most common psychological problems among health students, primarily triggered by academic demands and limited learning support. This study aimed to determine stress levels and analyze their association with academic pressure, negative internal conditions, and learning support.
Methods: A descriptive-analytic cross-sectional study was conducted among 367 health science students at one university in Surakarta, Indonesia, selected using accidental sampling. Stress levels were measured using the Depression Anxiety Stress Scale (DASS-21) along with a questionnaire assessing stress-related determinants. Data were analyzed using cross-tabulation and chi-square tests to examine the association between determinant factors and students’ stress levels.
Results: Data analysis showed that 51.0% of students experienced mild stress, 43.9% had normal stress levels, and 5.2% experienced severe stress. Academic pressure, negative internal conditions, and limited learning support were significantly associated with stress levels (p < 0.001). Students with high academic pressure and limited learning support were more likely to experience mild to severe stress.
Conclusion: Student stress levels are significantly influenced by academic demands, internal psychological factors, and learning support availability. Strengthening academic assistance, psychological support, and learning resources is essential to reduce student stress and improve well-being.
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Al-Shahrani, M. M., Alasmri, B. S., Al-Shahrani, R. M., Al-Moalwi, N. M., Al Qahtani, A. A., & Siddiqui, A. F. (2023). The prevalence and associated factors of academic stress among medical students of King Khalid University: An analytical cross-sectional study. Healthcare, 11(14), 2029. https://doi.org/10.3390/healthcare11142029
Andini, E. P., Rochmawati, D. H., & Susanto, W. (2023). Hubungan antara tingkat stres dengan kejadian insomnia pada mahasiswa FIK yang akan menjelang ujian akhir semester. Jurnal Ilmiah Sultan Agung, 2(1), 272–282.
Aulia, W. R., Marhayuni, E., Sandrayanti, V., & Lestari, S. M. P. (2023). Hubungan lingkungan belajar dengan stres akademik pada mahasiswa kedokteran Universitas Malahayati angkatan 2020. Jurnal Inovasi Riset Ilmu Kesehatan, 10 910, 1-10, https://doi.org/10.33024/jikk.v10i10.12729
Gong, W., & Geertshuis, S. A. (2023). Distress and eustress: An analysis of the stress experiences of offshore international students. Frontiers in Psychology, 14, 1144767. https://doi.org/10.3389/fpsyg.2023.1144767
Hernández-Torrano, D., & Ibrayeva, L. (2025). How do university students navigate distress? An examination of determinants, coping strategies, and support systems through the lens of self-determination theory. Qualitative Health Research. https://doi.org/10.1177/10497323251315430
Izza, A. Al, & Lailiyah, S. (2024). Literature review: Factors affecting final year students’ anxiety in preparing a thesis in Indonesia. Journal of Community Mental Health and Public Policy, 6(2), 114–125. https://doi.org/10.51602/cmhp.v6i2.153
Khovi, N., Baharun, H., Yahya, R., Fatimah, S., & Syah, H. (2025). Manajemen mutu terhadap kesejahteraan. Journal of Management and Education, 55–69.
Konstantinidis, A. (2024). An integrative review of the literature on factors influencing student well-being in the learning environment. International Journal of Educational Research Open, 7, 100384. https://doi.org/10.1016/j.ijedro.2024.100384
Lovela, A., & Suryadi, D. (2024). Peran kepercayaan diri terhadap stres akademik pada mahasiswa tingkat akhir. Jurnal Pendidikan Tambusai, 8(300), 48901–48911.
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343. https://doi.org/10.1016/0005-7967(94)00075-U
Malau, D. I. Y. (2020). Hubungan kecemasan mengerjakan tugas dengan regulasi diri dalam belajar pada mahasiswa Fakultas Kedokteran Universitas Malahayati tahun 2019. Jurnal Psikologi Universitas HKBP Nommensen.
Mofatteh, M. (2020). Risk factors associated with stress, anxiety, and depression among university undergraduate students. AIMS Public Health, 8(1), 36–65. https://doi.org/10.3934/publichealth.2021004
Nappoe, B. C., & Triwahyuni, P. (2025). Tingkat stres akademik pada mahasiswa keperawatan tahun pertama. Jurnal Keperawatan, 6, 167–186.
National HIV Curriculum. (2025). Patient Health Questionnaire-9 (PHQ-9). https://www.hiv.uw.edu
Ovsіannikova, Y., Pokhilko, D., Kerdyvar, V., Krasnokutsky, M., & Kosolapov, O. (2024). Peculiarities of the impact of stress on physical and psychological health. Multidisciplinary Science Journal, 6, 2024ss0711. https://doi.org/10.31893/multiscience.2024ss0711
Putri, A., Febriana, B., & Endang, W. (2024). Hubungan harga diri dengan stres akademik pada mahasiswa tingkat akhir. Jurnal Psikologi Edukasi dan Konseling, 7(1), 21–30.
Romadon, M. R., Inzaghi, A. G., & Pradana, H. H. (2025). Dampak anxiety berlebih: Studi kasus tekanan pembelajaran pada mahasiswa. Psycho Aksara: Jurnal Psikologi, 3(2), 140–153. https://doi.org/10.28926/pyschoaksara.v3i2.1687
Sarfika, R., Malini, H., Wicaksana, A. L., Wenny, B. P., & Saifudin, I. M. M. Y. (2024). Cross-cultural adaptation and psychometric evaluation of the Indonesian version of the Depression Anxiety Stress Scales for Youth (IDASS-Y). Heliyon, 10(19), e38830. https://doi.org/10.1016/j.heliyon.2024.e38830
Sari, A. R., Rahmi, U., Rohaedi, S., & Wahdini, R. (2025). Pengaruh senam Tai Chi terhadap kecemasan, stres, dan depresi pada dewasa muda. Jurnal Porkes, 8(2), 634–645. https://doi.org/10.29408/porkes.v8i2.30251
Sugiyono. (2019). Metode penelitian kuantitatif, kualitatif, dan R&D. Alfabeta.
Trigueros, R., Padilla, A., Aguilar-Parra, J. M., Lirola, M. J., García-Luengo, A. V., Rocamora-Pérez, P., & López-Liria, R. (2020). The influence of teachers on motivation and academic stress. International Journal of Environmental Research and Public Health, 17(23), 9089. https://doi.org/10.3390/ijerph17239089
Tuwanakotta, M. F., & Kristinawati, W. (2024). Hubungan antara penyesuaian diri dan stres akademik pada mahasiswa baru. Journal of Innovation Research and Knowledge, 4.
Ullah, M. S., Akhter, S., Aziz, M. A., & Islam, M. (2023). Social support: Mediating the emotional intelligence-academic stress link. Frontiers in Psychology, 14, 1218636. https://doi.org/10.3389/fpsyg.2023.1218636
Yunarti, Y., Ikashaum, F., Wulantina, E., Mustika, J., & Sari, D. R. P. (2024). Analysis of academic stress factors and their impact on academic achievement of mathematics education students. Jurnal Didaktik Matematika, 11(2), 235–251. https://doi.org/10.24815/jdm.v11i2.37202