Abstract
Background. Students are exposed to numerous stress factors. The large number of demands and high strain can lead to a higher drop-out rate. For this reason, the aim of the study is to examine and comparing the experience of stress among German and international students during their studies under adaptation to generally stressful conditions. The international students performed a complete study program in Germany.
Methods. Data from 194 students (41.8% women, 58.2% men) were evaluated. The average age of the participants was 23.0±3.44 years. Our sample consisted of 80 international students. The questionnaire on strains during the study (and at the workplace) was used. We registered the frequency and the intensity of the stress factors in everyday study life. We factor analysed the 34 stress items, which gave five main stress factors. We then looked at the differences between German and international students on these factors, while adjusting for generally stressful conditions.
Results. The most important stressors were unfavourable working hours, incompatibility of tasks, climate, excessive demands, high responsibility, lack of information, social isolation, emotional strain and financial problems. The stressors differed in 17 out of 34 stressors in the groups of students of different origin. The international students experienced more physical and psychosocial strain and they experienced resources less often than German students did, but if they felt them, it was more intense.
Conclusions. Strains during studies and their individual demands vary. German and international students have different perceptions of stress during study programs. There is a need for health promotion and prevention programs, which should be integrated during study.
References
Kirsch, A.-S., Laemmert, P., Tittlbach, S. (2017). Gesundheitliche Anforderungen und Ressourcen von Studierenden [Student health requirements and resources]. Präv Gesundheitsf [Prev Health], 12, 181–188. doi: 10.1007/s11553-017-0584-3 [German].
Statista. Number of students at universities in Germany from 2002/2003 to 2018/2019. 2019. Retrieved from: https://de.statista.com/statistik/daten/studie/221/umfrage/anzahl-derstudenten-an-deutschen-hochschulen . (Accessed 22 Feb 2020).
Holm-Hadulla, R.M., Hofmann, F.-H., Sperth, M., Funke, J. (2009). Psychische Beschwerden und Störungen von Studierenden [Psychological complaints and disorders of students]. Psychotherapeut [Psychotherapist], 54, 346–356. doi: 10.1007/s00278-009-0693-3 [German].
Schäfer, A. [Schafer, A.] Psychische Belastung im Studium: Daten, Fakten, Handlungsfelder – ein Überblick [Psychological stress during studies: data, facts, fields of action - an overview]. Düsseldorf [Dusseldorf]; 2013. Retrieved from: https://is.gd/kA1HcG [German].
Faller G. Gesundheit im Studium: Bedingungen und Ressourcen [Health in Studies: Conditions and Resources]. In: Faller G, Schnabel EP, editors. Wege zur gesunden Hochschule: Ein Leitfaden für die Praxis [Paths to a Healthy College: A Practical Guide]. 1st ed. Berlin: Sigma, 2016. P. 49–57. Retrieved from: https://www.fachportal-paedagogik.de/literatur/vollanzeige.html?FId=786042 [German].
Messing B. Das Studium: Vom Start zum Ziel. Leitfaden für Studierende [The course: from start to finish. Guide for students]. 2nd ed. Berlin: Springer, 2012. Retrieved from: https://www.springer.com/gp/book/9783540294405 [German].
Braun, M., Laging, M., Heidenreich, T., Ganz, T. (2014). Gesundheitsberichterstattung an der Hochschule Esslingen am Beispiel der Studie „Stresserleben und Stressverarbeitung unter Studierenden“ [Health reporting at the Esslingen University of Applied Sciences using the example of the study "Experiencing stress and coping with stress among students"]. Gesundheitswesen [Healthcare], 76, A15. doi: 10.1055/s-0034-1386865 [German].
Poskowsky, J. (2016). Datenlage zu mehrfach belasteten Studierenden [Data situation on students exposed to multiple stresses]. Fachtagung „Mehrfach belastete Studierende“ [Symposium "Students exposed to multiple stresses"]. Germany, Paderborn. Retrieved from: http://www.gesundheitsfoerdernde-hochschulen.de/Inhalte/A_Arbeitskreis /A6_Tagungsberichte/16_09_30_ Paderborn/Poskowsky_300916.pdf [German].
Burkhardt, S., Kercher, J. Abbruchquoten ausländischer Studierender. Bonn: DAAD, 2014. 10 p. Retrieved from: https://is.gd/GT9RFd [German].
Klug, C., Strack, M., Reich, G. (2013). Belastungen von Bachelor- und Diplom-Studierenden [Burdens on Bachelor and Diploma students]. Psychotherapeut [Psychotherapist], 58, 159–164. doi: 10.1007/s00278-012-0914-z [German].
Ackermann, E., Schumann, W. (2010). University life’s not a bed of roses. The psychosocial situation of German students. Praev Gesundheitsf [Praev Health], 5, 231–237. doi: 10.1007/s11553-010-0234-5 [German].
Moreira, T., Foxcroft, D.R. (2008). The effectiveness of brief personalized normative feedback in reducing alcohol-related problems amongst University students: protocol for a randomized controlled trial. BMC Public Health, 8, 113. doi: 10.1186/1471-2458-8-113.
Grützmacher, J. [Grutzmacher, J.], Gusy, B., Lesener, T., Sudheimer, S., Willige, J. (2018). Gesundheit Studierender in Deutschland 2017. Ein Kooperationsprojekt zwischen dem Deutschen Zentrum für Hochschul- und Wissenschaftsforschung, der Freien Universität Berlin und der Techniker Krankenkasse [Health Students in Germany 2017. A cooperation project between the German Center for University and Science Research, the Free University of Berlin and the Techniker Krankenkasse]. Retrieved from: https://www.ewi-psy.fu-berlin.de/einrichtungen/arbeitsbereiche/ppg/bwb-2017/_inhaltselemente/faktenblaetter/Gesamtbericht-Gesundheit-Studierender-in-Deutschland-2017.pdf [German].
Stock, C. Wie bedeutsam ist Gesundheit für den Studienerfolg von Studierenden? [How important is health for student success?] Praev Gesundheitsf [Prev Health], 12, 230–233. doi: 10.1007/s11553-017-0609-y [German].
Herbst, U., Voeth, M., Eidhoff, A., Müller, M. [Muller, M.], Stief, S. (2013). Studierendenstress in Deutschland – Eine empirische Untersuchung [Student Stress in Germany – An Empirical Study]. Berlin: AOK Bundesverband. Retrieved from: https://www.aokbv.de/imperia/md/aokbv/presse/pressemitteilungen/archiv/2016/08_projektbericht_stressstudie_druck.pdf [German].
Hofmann, F.-H., Sperth, M., Holm-Hadulla, R.M. (2017). Psychische Belastungen und Probleme Studierender [Psychological stress and problems of students]. Psychotherapeut [Psychotherapist], 62, 395–402. doi: 10.1007/s00278-017-0224-6 [German].
Schmitt L. Bestellt und nicht abgeholt. Soziale Ungleichheit und Habitus-Struktur-Konflikte im Studium [Ordered and not picked up. Social inequality and habitus structure conflicts in studies]. Wiesbaden: GWV Fachverlage GmbH; 2013. Retrieved from: https://www.springer.com/de/book/9783531171883 [German].
Galán, F. [Galan, F.], Sanmartín, A. [Sanmartin, A.], Polo, J., Giner, L. (2011). Burnout risk in medical students in Spain using the Maslach Burnout Inventory-Student Survey. Int Arch Occup Environ Health, 84, 453–459. doi: 10.1007/s00420-011-0623-x.
Luczak, H., Rohmert, W. Belastungs-Beanspruchungs-Konzepte [Stress-strain concepts]. In: Luczak H, Volpert W (Hrsg). Handbuch Arbeitswissenschaft [Manual of ergonomics]. Stuttgart: Schäffer-Poeschel, 1997. [German].
Muth, T., Siegmann, S., Schwarze, S. (2011). Was belastet Studierende der Humanmedizin? [What burdens students of human medicine?] Arbeitsmed. Sozialmed.Umweltmed [Occupational medicine, social medicine, environmental medicine], 46, 162–163.
Strobel, B. (2016). Does family language matter? The role of foreign language use and family social capital in the educational achievement of immigrant students in Germany. Ethnic and Racial Studies, 39, 2641–2663. doi: 10.1080/01419870.2016.1145712.
Vancea, M., Utzet, M. (2017). How unemployment and precarious employment affect the health of young people: A scoping study on social determinants. Scand J Public Health, 45, 73–84. doi: 10.1177/1403494816679555.
Beerkens, M., Mägi, E. [Magi, E.], Lill, L. (2011). University studies as a side job: causes and consequences of massive student employment in Estonia. Higher Education, 61, 679–692. doi: 10.1007/s10734-010-9356-0.
Hovdhaugen, E. (2015). Working while studying: the impact of term-time employment on dropout rates. Journal of Education and Work, 28, 631–651. doi: 10.1080/13639080.2013.869311.
Muth, T., Siegmann, S., Schwarze, S. (2007). Lebenssituation und berufliche Belastungen von Studierenden der Medizin [Living situation and occupational stresses of students of medicine]. Praktische Arbeitsmedizin [Practical occupational medicine], 9, 593–594 [German].
Granderath, J.S., Martin, A., Froehlich, L. (2021). The Effect of Participation in Adult Education on Life Satisfaction of Immigrants and Natives: A Longitudinal Analysis. Journal of Happiness Studies. doi: 10.1007/s10902-020-00340-7.
Klaner, A. Streßbewältigung im Studium. Mit 20 praktischen Übungen zum erfolgreichen Streßabbau [Coping with stress in studies. With 20 practical exercises to successfully reduce stress]. Berlin: A. Spitz, 1998. Retrieved from: https://is.gd/S2RK2F [German].
Prakhov, I., Sergienko, D. (2020). Matching between students and universities: What are the sources of inequalities of access to higher education? Eur J Educ, 55, 261–274. doi: 10.1111/ejed.12389.
Behr, A., Giese, M., Teguim, K.H.D., Theune, K. (2020). Dropping out from Higher Education in Germany an Empirical Evaluation of Determinants for Bachelor Students. Open Education Studies, 2, 126–148. doi: 10.1515/edu-2020-0104.
Brydsten, A., Rostila, M., Dunlavy, A. (2019). Social integration and mental health – a decomposition approach to mental health inequalities between the foreign-born and native-born in Sweden. Int J Equity Health, 18, 48. doi: 10.1186/s12939-019-0950-1.
Huhn, D., Junne, F., Zipfel, S., Duelli, R., Resch, F., Herzog, W., Nikendei, C. (2015). International medical students – a survey of perceived challenges and established support services at medical faculties. GMS Z Med Ausbild, 32, Doc9. doi: 10.3205/zma000951.
Erschens, R., Herrmann-Werner, A., Keifenheim, K.E., Loda, T., Bugaj, T.J., Nikendei, C. … Junne, F. (2018). Differential determination of perceived stress in medical students and high-school graduates due to private and training-related stressors. PLoS ONE, 13, e0191831. doi: 10.1371/journal.pone.0191831.
Elias, M.J. (1995). Primary prevention as health and social competence promotion. Journal of Primary Prevention, 16, 5–24. doi: 10.1007/BF02407230.
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