OBJECTIVES To investigate the most common sources of stress faced by medical students and the degree to which different stressors impact their lives. As a secondary objective, a new instrument, Medical Student Stress Factor Scale (MSSF), was developed based on these stressors. METHODS The MSSF was applied to 431 medical students. The Depression, Anxiety and Stress Scale was administered to investigate the relationship between these stressors and the students' mental health. RESULTS The five greatest stressors were the extensive content, lack of time to study, sleep deprivation, excessive self-pressure for good grades, and lack of leisure time. The MSSF showed good psychometric characteristics, resulting in a 28-item scale with five subscales. The Relationships and Health subscales were associated with depressive symptoms; Relationships, Health, and Learning Environment/Academic Performance were associated with anxiety symptoms, while Health, and Learning Environment/Academic Performance were associated with stress symptoms. CONCLUSIONS Our study presents important data about the most important stressors that affect medical students' lives and cause mental health issues. The factors are generally related to academic performance and the learning environment and should be targeted in future interventions.

中文翻译：

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问题的根源：确定巴西医学生压力的主要来源并开发医学生压力因子量表

目的 调查医学生面临的最常见压力来源以及不同压力源对他们生活的影响程度。作为次要目标，基于这些压力因素开发了一种新工具，即医学生压力因素量表 (MSSF)。方法 MSSF 适用于 431 名医学生。使用抑郁、焦虑和压力量表来调查这些压力源与学生心理健康之间的关系。结果 五个最大的压力源是内容广泛、缺乏学习时间、睡眠不足、为了好成绩而过度自我压力以及缺乏休闲时间。MSSF 显示出良好的心理测量特征，产生了一个 28 个项目的量表，其中包含五个子量表。关系和健康分量表与抑郁症状有关；人际关系、健康、和学习环境/学业表现与焦虑症状有关，而健康和学习环境/学业表现与压力症状有关。结论 我们的研究提供了关于影响医学生生活和导致心理健康问题的最重要压力源的重要数据。这些因素通常与学业成绩和学习环境有关，应该在未来的干预中成为目标。