ASSESSMENT OF THE INFLUENCE OF MEDICAL SCHOOL CURRICULUM ON THE MENTAL HEALTH OF STUDENTS IN PAMO UNIVERSITY OF MEDICAL SCIENCES, PORT HARCOURT, RIVERS STATE
Abstract
Mental health is a critical component of wellbeing, and medical students are at heightened
risk of psychological distress due to the intensity of their academic workload, demanding
curricula, and clinical responsibilities. This study assessed the influence of the medical
school curriculum on the mental health of students at PAMO University of Medical
Sciences, Port Harcourt, Rivers State, with objectives to evaluate students’ knowledge of
mental health, identify unique curriculum-related stressors, determine their impact on
mental wellbeing, and explore unintended psychological consequences. A descriptive cross-
sectional design was used, with 350 students selected through stratified sampling
proportionate to level and systematic selection. Data were collected via a semi-structured,
self-administered questionnaire covering knowledge, challenges, stressors, and
consequences, and analyzed using SPSS v29. Respondents had a mean age of 19.23 ± 2.31
years; 74.0% were female, and 77.2% demonstrated good mental health knowledge.
However, 94.1% reported sleep deprivation from academic demands, 52.1% frequent
burnout, 42.9% frequent anxiety, and 19.6% frequent depression. High-priority stressors
included overwhelming study volume (59.4% significantly affected) and difficulty
balancing academics with personal life (39.0% significantly affected). Only 5.3% reported
access to institutional mental health support, while stigma and fear of judgement
discouraged help-seeking in 42.0%. Common coping strategies were avoidance (“just move
on,” 56.8%) and informal peer support (36.1%). The findings reveal that while knowledge
of mental health is high, curriculum-related stressors significantly compromise wellbeing,
with limited formal support and persistent stigma exacerbating the problem. Institutional
reforms—such as integrating structured wellness programs, providing accessible
counselling, adjusting workload, and fostering a supportive learning culture—are
recommended to promote resilience, enhance academic performance, and safeguard future
patient care.
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