Table 2 Response pattern of the 33 sources of stress and perceived severity (rated in a likert scale of 1-10) as reported by the students

Academic Stressors

   Frequency of Examinations

20

21

59

6

3 - 8

   Performance in Examinations

18

36

46

6

3 - 7

   Academic Curriculum

20

30

50

5

3 - 7

   Dissatisfaction with Class Lectures

29

42

29

5

3 - 7

   Non-Availability of Adequate learning materials

39

26

35

5

2 - 7

   Becoming a Doctor

30

30

40

5

2 - 8

   Lack of time for recreation

36

29

35

5

2 - 7

   Competition with Peers

43

23

34

4

1 - 7

   Performance in practicals

65

16

19

2

1 - 4

   Lack of special guidance from faculty

68

20

12

2

1 - 4

Psychosocial Stressors

   High Parental Expectations

24

13

63

7

3 - 10

   Loneliness

30

29

41

5

2 - 8

   Family Problems

46

29

25

4

1 - 7

   Accommodation away from home

41

24

35

4

1 - 8

   Political situation in the country

47

21

32

4

2 - 7

   Relations with the Opposite Sex

55

21

24

3

1 - 7

   Difficulty reading text books

63

26

11

3

1 - 5

   Lack of entertainment in the institution and Lahore itself

52

24

24

3

1 - 6

   Difficulty in the journey back home

49

17

34

3

1 - 7

   Quality of food in mess

44

21

35

3

1 - 8

   Financial strain

53

24

23

3

1 - 6

   Inability to socialize with peers

63

20

17

3

1 - 5

   Living conditions in the hostel

63

15

22

1

1 - 5

   Member of fraternity or sorority

83

6

11

1

1 - 2

   Lack of personal interest in medicine

76

14

10

1

1 - 3

   Adjustment with roommate/s

69

10

21

1

1 - 5

Health Related Stressors

   Sleeping Difficulties

27

25

48

6

3 - 8

   Class Attendance

49

23

28

4

1 - 6

   Nutrition

43

25

32

4

2 - 7

   Exercise

46

22

32

4

1 - 7

   Quality of food in mess

44

21

35

3

1 - 8

   Physical disability

63

21

16

2

1 - 5

   Alcohol/Drug abuse/Smoking

86

2

12

1

1 - 1