Effect of emotional distress and academic stress on level of nicotine addiction among medical students

Rasool Heydari, Azadeh Mazaheri Mobidi, Reza Mohammadi, Zeinab Forouzandeh, Sina Rashidzadeh


Background: Nicotine addiction has been increasing among medical students significantly that this phenomenon leads

 several concerns, according to the necessity of recognizing the risk factors for drugs abuse, the study investigates

 the relationship between emotional distress and academic stress and the level of nicotine addiction among medical students.

Material and methods: The design of this study is descriptive – correlation type. The population contained of all the students of Shahid Beheshti University of Medical Sciences. In this study, sample size was 200 students who were studying (in academic year 2015-2016) and were randomly selected. In this study, confidentiality and ethical considerations have been met. In this research a questionnaire named “Difficulties in emotion regulation scale” by Gratz and Roemer (DERS), Academic Stress Scale (ASQ) and Nicotine Dependence Syndrome Scale (NDSS) were applied as instrumentation to gather information respectively. Data were examined using SPSS statistical software and descriptive statistical methods (mean and standard deviation) and regression analysis.

Results: Regression analysis for the research variables showed that, academic stress factors can predict 61 percent the level of nicotine addiction and the rest of 39 percent is related to the prediction error. Also, emotional turmoil factors can predict 70 percent the level of nicotine addiction. Among all the factors, perception of the amount of task and tests and the time limit had the highest correlation with nicotine addiction among students. The subscales of difficulty in controlling impulses, difficulty in doing purposeful behavior and lack of access to appropriate emotion regulation strategies were the most important effective factors in drugs abuse among medical students.

Conclusion: Results of this study showed that there is a significant relationship stress between emotional distress and academic stress and the level of nicotine addiction. Therefore, it is essential that stress management training and emotion regulation training carry out for medical students by the authorities of universities and centers of social pathology to prevent tendency to drug abuse.

Keywords: academic stress, emotional distress, nicotine, students

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DOI Prefix: 10.20286