Psychological impact and coping mechanisms among sudanese medical students: a study on anxiety, depression, behavioral, and cognitive changes post COVID-19 lockdown and ongoing conflict

Abstract Introduction Mental health is crucial for overcoming obstacles, completing tasks, and contributing to society. Mental, social, and cognitive healths are included. In demanding fields like medicine, academic pressure can cause exhaustion, poor performance, and behavioral changes. Mental heal...

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Main Authors: Ali Awadallah Saeed, Ahmad Mohammad Al Zamel, Abrar Abdu Abass, Aisha Ahmed Mohammed, Fidaaldeen Adil Abdallh, Hiba Elhadi Ali, Nooralain Mohammed Hassan, Raad Mohammed Osman, Toga Abdelmutaal Mohammed, Azza Osman Yousif, Lamya Bashir Eisa
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Psychology
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Online Access:https://doi.org/10.1186/s40359-025-02347-2
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author Ali Awadallah Saeed
Ahmad Mohammad Al Zamel
Abrar Abdu Abass
Aisha Ahmed Mohammed
Fidaaldeen Adil Abdallh
Hiba Elhadi Ali
Nooralain Mohammed Hassan
Raad Mohammed Osman
Toga Abdelmutaal Mohammed
Azza Osman Yousif
Lamya Bashir Eisa
author_facet Ali Awadallah Saeed
Ahmad Mohammad Al Zamel
Abrar Abdu Abass
Aisha Ahmed Mohammed
Fidaaldeen Adil Abdallh
Hiba Elhadi Ali
Nooralain Mohammed Hassan
Raad Mohammed Osman
Toga Abdelmutaal Mohammed
Azza Osman Yousif
Lamya Bashir Eisa
author_sort Ali Awadallah Saeed
collection DOAJ
description Abstract Introduction Mental health is crucial for overcoming obstacles, completing tasks, and contributing to society. Mental, social, and cognitive healths are included. In demanding fields like medicine, academic pressure can cause exhaustion, poor performance, and behavioral changes. Mental health must be addressed to improve student success and well-being. Medical students’ coping strategies, anxiety, depression, and behavioral changes in uncontrollable situations will be studied. Methodology A cross-sectional study involved 393 medical students from various universities in Khartoum. Data was collected using an online questionnaire to assess mental health responses during both controllable and uncontrollable situations across all academic years. Results Data analysis using SPSS 27 indicated minimal missing data (0.25%) among the 393 participants. PHQ-4 scores assessed psychological distress, anxiety, and depression. The study found that 74.2% of participants experienced behavioral, cognitive, and emotional changes. Significant associations were observed between PHQ-4 scores and these changes (p < .05) using Chi-Square testing. Most participants were females aged 20 to 22, primarily from the Medicine and Pharmacy departments. The study revealed that most individuals utilized pharmacological coping strategies following significant life changes due to uncontrollable situations. Conclusion The study highlights that women experienced stress, dissatisfaction, concern, and anger more frequently than men during ongoing war and the post-COVID-19 lockdown. Medical students faced substantial challenges in behavior, emotions, and cognition during societal unrest, including fatigue, feelings of failure, and sleep disturbances. Over 74% reported multiple changes in their emotions and behaviors. Coping strategies included nicotine, sleeping aids, socializing, exercise, venting, meditation, and journaling.
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institution Kabale University
issn 2050-7283
language English
publishDate 2025-01-01
publisher BMC
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series BMC Psychology
spelling doaj-art-aa062468a6a847ac817f3cf3432a74832025-01-19T12:43:53ZengBMCBMC Psychology2050-72832025-01-0113111110.1186/s40359-025-02347-2Psychological impact and coping mechanisms among sudanese medical students: a study on anxiety, depression, behavioral, and cognitive changes post COVID-19 lockdown and ongoing conflictAli Awadallah Saeed0Ahmad Mohammad Al Zamel1Abrar Abdu Abass2Aisha Ahmed Mohammed3Fidaaldeen Adil Abdallh4Hiba Elhadi Ali5Nooralain Mohammed Hassan6Raad Mohammed Osman7Toga Abdelmutaal Mohammed8Azza Osman Yousif9Lamya Bashir Eisa10National UniversityAl-Neelain UniversityNational UniversityNational UniversityNational UniversityNational UniversityNational UniversityNational UniversityNational UniversityNational UniversityDoud Research GroupAbstract Introduction Mental health is crucial for overcoming obstacles, completing tasks, and contributing to society. Mental, social, and cognitive healths are included. In demanding fields like medicine, academic pressure can cause exhaustion, poor performance, and behavioral changes. Mental health must be addressed to improve student success and well-being. Medical students’ coping strategies, anxiety, depression, and behavioral changes in uncontrollable situations will be studied. Methodology A cross-sectional study involved 393 medical students from various universities in Khartoum. Data was collected using an online questionnaire to assess mental health responses during both controllable and uncontrollable situations across all academic years. Results Data analysis using SPSS 27 indicated minimal missing data (0.25%) among the 393 participants. PHQ-4 scores assessed psychological distress, anxiety, and depression. The study found that 74.2% of participants experienced behavioral, cognitive, and emotional changes. Significant associations were observed between PHQ-4 scores and these changes (p < .05) using Chi-Square testing. Most participants were females aged 20 to 22, primarily from the Medicine and Pharmacy departments. The study revealed that most individuals utilized pharmacological coping strategies following significant life changes due to uncontrollable situations. Conclusion The study highlights that women experienced stress, dissatisfaction, concern, and anger more frequently than men during ongoing war and the post-COVID-19 lockdown. Medical students faced substantial challenges in behavior, emotions, and cognition during societal unrest, including fatigue, feelings of failure, and sleep disturbances. Over 74% reported multiple changes in their emotions and behaviors. Coping strategies included nicotine, sleeping aids, socializing, exercise, venting, meditation, and journaling.https://doi.org/10.1186/s40359-025-02347-2AnxietyDepressionMedical studentsCOVID-19WarSudan
spellingShingle Ali Awadallah Saeed
Ahmad Mohammad Al Zamel
Abrar Abdu Abass
Aisha Ahmed Mohammed
Fidaaldeen Adil Abdallh
Hiba Elhadi Ali
Nooralain Mohammed Hassan
Raad Mohammed Osman
Toga Abdelmutaal Mohammed
Azza Osman Yousif
Lamya Bashir Eisa
Psychological impact and coping mechanisms among sudanese medical students: a study on anxiety, depression, behavioral, and cognitive changes post COVID-19 lockdown and ongoing conflict
BMC Psychology
Anxiety
Depression
Medical students
COVID-19
War
Sudan
title Psychological impact and coping mechanisms among sudanese medical students: a study on anxiety, depression, behavioral, and cognitive changes post COVID-19 lockdown and ongoing conflict
title_full Psychological impact and coping mechanisms among sudanese medical students: a study on anxiety, depression, behavioral, and cognitive changes post COVID-19 lockdown and ongoing conflict
title_fullStr Psychological impact and coping mechanisms among sudanese medical students: a study on anxiety, depression, behavioral, and cognitive changes post COVID-19 lockdown and ongoing conflict
title_full_unstemmed Psychological impact and coping mechanisms among sudanese medical students: a study on anxiety, depression, behavioral, and cognitive changes post COVID-19 lockdown and ongoing conflict
title_short Psychological impact and coping mechanisms among sudanese medical students: a study on anxiety, depression, behavioral, and cognitive changes post COVID-19 lockdown and ongoing conflict
title_sort psychological impact and coping mechanisms among sudanese medical students a study on anxiety depression behavioral and cognitive changes post covid 19 lockdown and ongoing conflict
topic Anxiety
Depression
Medical students
COVID-19
War
Sudan
url https://doi.org/10.1186/s40359-025-02347-2
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