Abstract
BACKGROUND: Medical school is a demanding environment that can negatively impact student well-being. This study aimed to evaluate stress, social isolation, associated factors, and student experiences among Indian undergraduates. METHODS: A mixed method study was conducted at a medical college in Gujarat during January-March 2023. The 458 participants completed validated scales measuring stress (GHQ-12) and social isolation (LSNS-R). Associations with sociodemographics were analyzed using logistic regression and ANOVA tests. A qualitative phenomenological arm employed semi-structured interviews with 30 purposively sampled students to explore experiences and perceptions. RESULTS: Over 50% of students reported significant stress, rising with seniority (35% to 38.4% from first to second year). Social isolation was also higher in third years (41%) versus first years (17.5%). Females, rural students, and single children were more affected. Interviews revealed key stressors, such as academics, lack of recreation, and difficult transition to clinics. Impacts included anxiety, reduced motivation, and headaches. Coping methods were family contact and leisure activities. Students suggested curricular reforms, upgrading facilities, and support services. CONCLUSION: Alarmingly high stress and isolation exist among Indian medical undergraduates, necessitating urgent interventions like mentoring programs, life-skills training, and enhanced student support services to promote well-being. A nurturing academic environment must be fostered.