Health
Survey Reveals High Levels of Anxiety and Depression Among UK Medical Students, Raising Concerns Over Dropout Rates
A recent survey of medical students in the UK has revealed alarming levels of poor mental health, with around 40% reporting symptoms of anxiety or depression, and one in five considering dropping out of their studies. The findings, published in the scientific journal BMJ Open, highlight the significant pressures faced by students training to become doctors.
The survey, funded by the British Medical Association (BMA), involved nearly 800 medical students from nine UK institutions who responded to an initial online questionnaire between November 2020 and February 2021. A follow-up survey, completed by around 407 students between February and May 2021, found that more than half of respondents experienced insomnia, over a third reported emotional exhaustion, and four in 10 exhibited symptoms of anxiety or depression. Additionally, six in 10 students admitted to hazardous drinking, and more than half showed signs of obsessive-compulsive disorder (OCD).
The study’s authors, from University College London and Erasmus University Rotterdam, noted that students reporting poor mental health were more likely to express intentions to leave their studies. “These findings suggest that medical students’ mental health is a significant factor in dropout rates and underscores the importance of providing support to students during their training,” the authors wrote.
Ria Bansal and Akshata Valsangkar, welfare deputy chairs of the BMA’s medical students committee, described the results as “worrying” and reflective of the daily struggles faced by medical students. “No one should feel so stressed and under such immense pressure that they experience serious symptoms of poor mental health,” they said in a statement.
The survey also highlighted financial pressures as a contributing factor to students’ mental health challenges. A separate BMA survey of over 3,500 medical students, published earlier this month, found that more than 40% had considered pausing their studies or leaving medicine altogether due to financial strain. “The pressures we’re putting on medical students are astonishing and completely unnecessary,” Bansal and Valsangkar added.
The study’s findings have broader implications for the healthcare workforce, which is already facing significant shortages. Globally, the World Health Organization (WHO) estimates a deficit of 6.4 million doctors, with Europe particularly vulnerable due to an aging population. A 2020 estimate projected a shortage of 4.1 million healthcare workers, including doctors and nurses, across EU countries and the UK by 2030.
Milou Silkens, an assistant professor at Erasmus University and one of the study’s authors, emphasized the need for medical schools to create supportive learning environments. “Medical schools can use these findings to destigmatize mental health issues and encourage students to seek help,” she told Euronews Health.
The WHO’s Europe office has also launched a survey to better understand the mental health and working conditions of healthcare workers, noting that these factors contribute to professionals leaving the workforce. A 2022 WHO report highlighted extreme pressures, heavy workloads, and stress faced by healthcare workers, urging countries to align education with population needs and prioritize mental well-being.
As the healthcare sector grapples with workforce shortages, the mental health of medical students remains a critical issue that demands urgent attention and action.
Health
World Cup Emotion Can Strain the Heart, Cardiologists Warn Fans at Risk
As the World Cup begins, medical experts are cautioning football fans with underlying heart conditions that the emotional intensity of matches can place unexpected strain on the cardiovascular system.
Cardiologists say that the excitement, tension, and anxiety generated during high-stakes games can trigger physical reactions similar to intense exercise, raising heart rate, blood pressure, and stress hormones.
“Intense emotions, whether positive or negative, can act as ‘precipitating risk factors’ for cardiovascular events such as heart attack,” said Paola Santalucia, a cardiologist and board member of the European Heart Network.
She explained that moments of extreme excitement, such as a decisive penalty shootout or a last-minute goal, may pose risks for people already living with heart disease. Those with additional risk factors, including hypertension, obesity, or smoking habits, are also advised to be cautious during emotionally charged matches.
Research using wearable devices has shown that during major football events, some fans experience heart rates climbing as high as 150 beats per minute. That level is comparable to sprinting and reflects how strongly the body reacts to emotional stress.
A study examining supporters during the 2025 German Cup final found that even watching from home can significantly affect physiological responses. “They still had an increase in heart rate that compares to walking, even though they didn’t walk,” said Christian Deutscher, professor of sports economics at Bielefeld University and co-author of the study.
He noted that the most intense reactions often occur not during goals themselves, but during moments of uncertainty such as VAR checks, penalty shootouts, or shots striking the post. These unpredictable situations, he said, are what drive the strongest emotional and physical responses among fans.
Deutscher also pointed out that stadium spectators may experience even greater strain due to environmental factors such as heat and alcohol consumption.
However, experts emphasize that football itself is not inherently dangerous. Instead, it is the body’s natural response to excitement that can create temporary stress.
“The adrenergic stimulation is at its max: extreme high blood pressure, high heart rate, and adrenaline, cortisol, skyrocketing,” said Dan Atar, professor of cardiology at Oslo University Hospital. In rare cases, he added, this surge can contribute to the rupture of arterial plaque in vulnerable individuals, potentially leading to a heart attack.
Atar stressed that such events can occur in everyday situations as well, including physical exertion like shoveling snow. “It is in no way dangerous to watch a football game,” he said. “All this is physiologic. It’s not dangerous to be excited.”
Still, he acknowledged that combining emotional stress with alcohol, heat, and pre-existing conditions can increase risk for some viewers.
Doctors advise those at higher risk to continue prescribed medications, limit alcohol intake, avoid smoking, and watch for warning signs such as chest pain or irregular heartbeat.
“The key message is not to avoid enjoying the match, but to do so with moderation and awareness,” Santalucia said.
Health
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Health
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