Stress, Anxiety, Depression, and Perfectionism Among Graduate Students in Health Sciences Programs

Graduate students in occupational therapy, physical therapy, physician assistant, and speech-language pathology programs in the United States were surveyed using an online questionnaire in spring 2020. The 1,916 students reported on mental health diagnoses and completed the Depression, Anxiety, and Stress Scale and three Hewitt-Flett Perfectionism subscales. Students in all four programs scored significantly higher than national norms on depression, anxiety, and stress; and females scored higher than males on anxiety and stress. There were small differences between students in the four programs, with speech-language pathology students demonstrating higher levels of depression, anxiety, and stress. First-year students had higher levels of anxiety than third-year students, and third-year students had lower levels of stress than both first-year and second-year students. All three perfectionism subscales were positively, although weakly, correlated to depression, anxiety, and stress. Finally, students reported significantly higher rates of anxiety after the onset of the COVID-19 pandemic than prior to the pandemic. These findings can be used to inform health science graduate programs of concerns related to student stress, anxiety, and depression as they re-evaluate program or curricular design.