The Psychological Impact of the COVID-19 Pandemic on Faculty and Medical College Students in Karachi, Pakistan: A Cross-Sectional Study

Authors

  • Sabeen Hashmat Qazi United Medical & Dental College, Karachi Author
  • Humaira Sharif United Medical & Dental College, Karachi Author
  • Javeria Raza Jinnah Medical & Dental College, Karachi, Memon Medical Institute Hospital, Karachi Author
  • Durr-e- Sameen Jinnah Medical & Dental College, Karachi Author

DOI:

https://doi.org/10.63735/baqa.v26i2.41-50

Keywords:

COVID-19, Psychological Impact, Mental Health, Medical Students, Medical Faculty, Stress, Anxiety, Depression, Pakistan

Abstract

Objective: This study aimed to investigate how common stress, anxiety, and depression were among medical students and faculty in Karachi, Pakistan, during the COVID-19 pandemic, and to explore their connections with various demographic characteristics.

Methods: A cross-sectional study was conducted from July 2021 to April 2022 using a cluster sampling technique. Participants from various medical colleges in Karachi were invited to complete an online Google Form. The questionnaire collected demographic data and utilized three validated scales: the Perceived Stress Scale (PSS-10) for stress, the Generalized Anxiety Disorder-7 (GAD-7) for anxiety, and the Patient Health Questionnaire-9 (PHQ-9) for depression. Data were analyzed using SPSS version 25.0.

Results: Analysis of 300 complete responses revealed a high prevalence of psychological distress among the academic population: 78.0% reported moderate-to-high stress, 58.3% exhibited moderate-to-severe anxiety, and 49.7% reported moderate-to-severe depression. Students demonstrated statistically significant elevations in both anxiety (p<0.05) and depression (p<0.05) compared to faculty members. Multivariable analysis identified several key correlates of heightened psychological distress, including female gender, student status, dissatisfaction with academic progress, and the experience of losing a friend or family member to COVID-19.

Conclusion: The COVID-19 pandemic has had a profound psychological impact on the medical academic community in Karachi, with alarmingly high rates of stress, anxiety, and depression, particularly among students. These findings underscore the urgent need for medical institutions to implement the potential mental health support programs and crisis intervention strategies in order to ensure the well-being of both students as well as faculty members.

References

Ahmed M, Hamid R, Hussain G, Bux M, Ahmed N, Kumar M. Anxiety and depression in medical students of Sindh province during the Covid-19 pandemic. Rawal Med J. 2020;45(4):947-50. DOI: https://www.rmj.org.pk/?mno=123902.

Bashir TF, Hassan S, Maqsood A, Khan ZA, Issrani R, Ahmed N, et al. The psychological impact analysis of novel COVID-19 pandemic in health sciences students: a global survey. European J dentistry. 2020;14(01):91-6. DOI: 4849Vol.26, No.2, July - December, 2025 Baqai J. Health Sci. https://doi.org/10.1055/s-0040-1721653

Bohong L, Taresh SM. Mental Health Challenges Among Teachers In China During Covid-19: The Mediating Influence Of Psychological Climate And Online Teaching Fatigue. Sci Conservation Archaeolog. 2024;36(3):327-32. DOI: http://sci-arch.org/index.php/wwbhen/article/view/156.

Cheung RY. Patient health questionnaire-9 (PHQ-9). InHandbook of assessment in mindfulness research 2025 Jul 3 (pp. 1837-1848). Cham: Springer Nature Switzerland. DOI: https://doi.org/10.1007/978-3-031-47219-0_63.

Choi B, Jegatheeswaran L, Minocha A, Alhilani M, Nakhoul M, Mutengesa E. The impact of the COVID-19 pandemic on final year medical students in the United Kingdom: a national survey. BMC med educat. 2020;20(1):206-209. DOI: https://doi.org/10.1186/s12909-020-02117-1

Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J health and social behavior. 1983:385-96. DOI: https://doi.org/10.2307/2136404

de Lima Nardin K. Digital Burnout: The Effect of Screen Workloads on Mental Health and Quality of Life. EC Psychology and Psychiatry. 2025;14:01-14. DOI: https://doi.org/10.31080/ECPP.2025.14.01149

Dhahri AA, Arain SY, Memon AM, Rao A, Khan MM, Hafeez G, et al. The psychological impact of COVID-19 on medical education of final year students in Pakistan: A cross-sectional study. Annals of Medicine and Surgery. 2020;60(1):445-50. DOI: https://doi.org/10.1016/j.amsu.2020.11.025

Ghazawy ER, Ewis AA, Mahfouz EM, Khalil DM, Arafa A, Mohammed Z, et al. Psychological impacts of COVID-19 pandemic on the university students in Egypt. Health Promotion Int. 2021 ;36(4):1116-25. DOI: https://doi.org/10.1093/heapro/daaa147.

Grover S, Sahoo S, Mehra A, Avasthi A, Tripathi A, Subramanyan A, et al. Psychological impact of COVID-19 lockdown: An online survey from India. Indian J psychiatry. 2020 ;62(4):354-62. DOI: https://doi.org/10.4103/psychiatry.IndianJPsychiatry_427_20

Hassnain S, Ahmad A, Qayyum MS, Farrukh MG, Nawaz UA, Ahmad H. Effects of COVID- 19 Lockdown on mental health of medical students in Lahore, Pakistan. Bangladesh J Medical Sci. 2021:125-30. DOI: https://doi.org/10.3329/bjms.v20i5.55406

Imran N, Haider II, Mustafa AB, Aamer I, Kamal Z, Rasool G, et al. The hidden crisis: COVID- 19 and impact on mental health of medical students in Pakistan. Middle East Current Psychiatry. 2021 ;28(1):45. DOI: https://doi.org/10.1186/s43045-021-00123-7

Junaid Tahir M, Tariq W, Anas Tahseen Asar M, Irfan Malik M, Kamal Akhtar F, Malik M, et al. Psychological impact of COVID-19 on doctors and medical students of Punjab, Pakistan: a logistic regression analysis. J multidisciplinary healthcare. 2022:1297-308. DOI: https://doi.org/10.2147/JMDH.S369452

Junça-Silva A, Kulyk M, Caetano A. The impact of morning meditation and sleep quality onaffective and health outcomes in healthcare workers. Int J Environment Res Pub Healt. 2025;22(4):592. DOI: https://doi.org/10.3390/ijerph22040592

Kroenke K, Spitzer RL, Williams JB. The PHQ- 9: validity of a brief depression severity measure. J general internal med. 2001;16(9):606-13. DOI:https://doi.org/10.1046/j.1525-1497.2001.016009606.x

Liu R, Qiu Q, Ye B. The relationship between COVID-19 stress and test anxiety in art students: the chain mediating roles of intolerance of uncertainty and sleep quality. BMC Public Health. 2024;24(1):1163. DOI: https://doi.org/10.1186/s12889-024-18684-7

Meneo D, Baldi E, Benz F, Fabris MA. A biopsychosocial approach to sleep health during puberty: Individual and contextual aspects and the role of gender differences. A narrative review. Cogent Mental Health. 2025;4(1):1-59. DOI: https://doi.org/10.1080/28324765.2025.2541697

Menzies RE, Neimeyer RA, Menzies RG. Death anxiety, loss, and grief in the time of COVID- 19. Behaviour Change. 2020;37(3):111-5. DOI: https://doi.org/10.1017/bec.2020.10 Vol. 26, No.2, July - December, 2025 Baqai J. Health Sci.

Nishimura Y, Ochi K, Tokumasu K, Obika M, Hagiya H, Kataoka H, et al. Impact of the COVID-19 pandemic on the psychological distress of medical students in Japan: crosssectional survey study. J med Internet Res. 2021;23(2):e25232. DOI:

Pries S. Communication of the COVID-19 Pandemic by the WHO Analysing the Flow of Information from Organisational Communication to Media Reporting. DOI: http://hdl.handle.net/10230/48009

Reis RS, Hino AA, Añez CR. Perceived stress scale. J. health Psychol. 2010;15(1):107-14. DOI: https://doi.org/10.1177/1359105309346343

Salman M, Asif N, Mustafa ZU, Khan TM, Shehzadi N, Tahir H, et al. Psychological impairment and coping strategies during the COVID-19 pandemic among students in Pakistan: a cross-sectional analysis. Disaster medicine and public health preparedness. 2022;16(3):920-6. DOI: https://doi.org/10.1017/dmp.2020.397

Saraswathi I, Saikarthik J, Kumar KS, Srinivasan KM, Ardhanaari M, Gunapriya R. Impact of COVID-19 outbreak on the mental health status of undergraduate medical students in a COVID- 19 treating medical college: a prospective longitudinal study. PeerJ. 2020;8:e10164. DOI: https://doi.org/10.7717/peerj.10164.

Seetan, Khaled, Mohammad Al-Zubi, Yousef Rubbai, Mohammad Athamneh, Almu’atasim Khamees, et al. "Impact of COVID-19 on medical students’ mental wellbeing in Jordan."ÊPlos one. 2021;Ê16(6): e0253295. DOI: https://doi.org/10.1371/ journal.pone.0253295

Silva AA, Vieira BA, Santos JC. The relationship between sleep deprivation and the worsening of mood disorders in health professionals working night shifts. Dementia & Neuropsychologia. 2025;19(1):e20240186. DOI: https://doi.org/10.1590/1980-5764-DN-2024-0186

Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of internal medicine. 2006;166(10):1092-7. DOI: https://doi.org/10.1001/archinte.166.10.1092

Torun F, Torun SD. The psychological impact of the COVID-19 pandemic on medical students in Turkey. Pak J med sci. 2020;36(6):1355. DOI:https://doi.org/10.12669/pjms.36.6.2985

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Published

12/30/2025

How to Cite

The Psychological Impact of the COVID-19 Pandemic on Faculty and Medical College Students in Karachi, Pakistan: A Cross-Sectional Study. (2025). Baqai Journal of Health Sciences, 26(2), 41-50. https://doi.org/10.63735/baqa.v26i2.41-50

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