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    Cerebral Cortical Activity During Academic Stress Amongst Undergraduate Medical Students at Kampala International University (Uganda)

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    Date
    2022
    Author
    Mujinya, Regan
    Kalange, Muhamudu
    Ochieng, Juma John
    Ninsiima, Herbert Izo
    Ejike, Daniel Eze
    Afodun, Adam Moyosore
    Nabirumbi, Ritah
    Sulaiman, Sheu Oluwadare
    Kairania, Emmanuel
    Echoru, Isaac
    Okpanachi, Alfred Omachonu
    Matama, Kevin
    Asiimwe, Oscar Hilary
    Nambuya, Grace
    Usman, Ibe Michael
    Obado, Osuwat Lawrence
    Zirintunda, Gerald
    Ssempijja, Fred
    Nansunga, Miriam
    Matovu, Henry
    Ayikobua, Emmanuel Tiyo
    Nganda, Ponsiano Ernest
    Onanyang, David
    Ekou, Justine
    Musinguzi, Simon Peter
    Ssimbwa, Godfrey
    Keneth Iceland, Kasozi
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    Abstract
    Background: Stress among medical students is related to their academic lifespan; however, information on brain health among medical students from developing countries continues to be scarce. The objective of this study was to establish perceived academic stress levels, assess the ability to cope with stress, and investigate its effects on the visual reaction time (VRT), audio reaction time (ART), and tactile reaction time (TRT) in the somatosensory cortex among medical students of Uganda. Methods: This was a cross-sectional study conducted among preclinical (n = 88) and clinical (n = 96) undergraduate medical students at Kampala International University Western Campus. A standard Perceived Stress Scale (PSS) was used to categorize stress into low, moderate, and severe while the ability to cope with stress was categorized into below average, average, above average, and superior stresscoper (SS). Data on reaction time were acquired through VRT, ART, and TRT using the catch-a-ruler experiment, and this was analyzed using SPSS version 20. Results: This study shows that preclinical students are more stressed than clinical students (PSS prevalence for low stress = preclinical; clinical: 40, 60%). Moderate stress was 48.4 and 51.6% while high perceived stress was 75 and 25% among preclinical and clinical students. Among male and female students in preclinical years, higher TRT and VRT were found in clinical students showing that stress affects the tactile and visual cortical areas in the brain, although the VRT scores were only significantly (P = 0.0123) poor in male students than female students in biomedical sciences. Also, highly stressed individuals had higher TRT and ART and low VRT. SS had high VRT and ART and low TRT in preclinical students, demonstrating the importance of the visual cortex in stress plasticity. Multiple regression showed a close relationship between PSS, ability to cope with stress, age, and educational level (P < 0.05), demonstrating the importance of social and psychological support, especially in the biomedical sciences. Conclusion: Preclinical students suffer more from stress and are poorer SS than clinical students. This strongly impairs their cortical regions in the brain, thus affecting their academic productivity. Keywords:Brain Stress, Medical Education, Cerebral Cortex, Brains, Africans, Reaction Time (RT), Academic Stress
    URI
    http://hdl.handle.net/20.500.12493/908
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