<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2 20190208//EN" "https://jats.nlm.nih.gov/publishing/1.2/JATS-journalpublishing1.dtd">
<article xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" article-type="research-article" dtd-version="1.2" xml:lang="en">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJMABHR</journal-id>
<journal-title-group><journal-title>International Journal of Medical and All Body Health Research</journal-title><abbrev-journal-title>IJMABHR</abbrev-journal-title></journal-title-group>
<issn pub-type="epub">2582-8940</issn>
<publisher><publisher-name>Anfo Publication House</publisher-name></publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">349</article-id>
<article-id pub-id-type="doi">10.54660/IJMBHR.2025.6.3.1-5</article-id>
<title-group><article-title>The Impact of the COVID-19 Pandemic on Anxiety among Medical Students in Indonesia: A Literature Review</article-title></title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Roikhan</surname><given-names>Muhammad Abdillah</given-names></name></contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Rochmanti</surname><given-names>Maftuchah</given-names></name></contrib>
<contrib contrib-type="author"><name><surname>Sari</surname><given-names>Dewi Ratna</given-names></name></contrib>
<aff id="aff1"><label>1</label>Faculty of Medicine, Universitas Airlangga, Jl. Mayjend. Prof. Dr. Moestopo No. 47, Pacar Kembang, Surabaya, Indonesia</aff>
<aff id="aff2"><label>2</label>Department of Anatomy Histology and Pharmacology, Universitas Airlangga, Jl. Mayjend. Prof. Dr. Moestopo No. 47, Pacar Kembang, Surabaya, 60131, Indonesia</aff>
</contrib-group>
<pub-date publication-format="electronic" date-type="pub"><day>16</day><month>06</month><year>2025</year></pub-date>
<volume>6</volume>
<issue>3</issue>
<fpage>01</fpage>
<lpage>05</lpage>
<history>
<date date-type="received"><day>02</day><month>05</month><year>2025</year></date>
<date date-type="accepted"><day>03</day><month>06</month><year>2025</year></date>
</history>
<permissions><license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by-nc-sa/4.0/?utm"><license-p>CC BY-NC-SA 4.0</license-p></license></permissions>
<self-uri xlink:href="https://www.allmedicaljournal.com/article/349/the-impact-of-the-covid-19-pandemic-on-anxiety-among-medical-students-in-indonesia-a-literature"/>
<self-uri content-type="pdf" xlink:href="https://www.allmedicaljournal.com/article/349/download"/>
<abstract><p>Background: The COVID-19 pandemic caused significant disruption to global medical education, triggering a sharp increase in anxiety levels among students. This phenomenon was particularly severe in Indonesia due to existing systemic challenges. This literature review aims to synthesize evidence regarding the prevalence of anxiety and to systematically categorize its causal factors among Indonesian medical students during the crisis.
Methods: The method used is a narrative literature review. Literature search was conducted on Google Scholar, PubMed, and Scopus databases for relevant research articles, reports, and reviews published between 2020 and 2024, using keywords such as &quot;anxiety&quot;, &quot;medical students&quot;, &quot;COVID-19&quot;, and &quot;Indonesia&quot;.
Results: The results indicate a very high prevalence of anxiety in Indonesia (often &gt;60%), a rate that consistently exceeds global and regional averages. Causal factors were classified into two domains. External factors include changes in the education system, socioeconomic and digital divides, lack of institutional support, and learning loss in clinical skills. Internal factors include health-related fears, gender vulnerability, mental health literacy, academic burnout, and the selection of coping strategies.
Conclusion: Anxiety among Indonesian medical students is a complex, multifactorial issue. Building a more resilient medical education system requires a combination of supportive institutional policies and programs to strengthen individual resilience to effectively address mental health challenges.
 </p></abstract>
<kwd-group kwd-group-type="author"><kwd>Anxiety</kwd><kwd>COVID-19 pandemic</kwd><kwd>Medical students</kwd><kwd>Mental health</kwd><kwd>Online learning</kwd></kwd-group>
</article-meta>
</front>
<back><ref-list><title>References</title>
<ref id="R1"><label>1</label><mixed-citation>Kusuma MAS, Erdat ST, Tiatri S, et al. Prevalence and associated factors of anxiety, depression, and stress in medical students during the COVID-19 pandemic: A systematic review and meta -analysis. Glob Health. 2022;18(1):99.</mixed-citation></ref>
<ref id="R2"><label>2</label><mixed-citation>Nugraha D, Salamah S, Luke K, et al. Evaluation of Health-Related Quality of Life and Mental Health in 729 Medical Students in Indonesia During the COVID-19 Pandemic. Med Sci Monit. 2023;29:e938892.</mixed-citation></ref>
<ref id="R3"><label>3</label><mixed-citation>Cyntia NPKP, Kareri DGR, Rante SDT, Folamauk CLH. Hubungan Tingkat Kecemasan dengan Pr estasi Akademik Mahasiswa Fakultas Kedokteran Universitas Nusa Cendana. Cendana Med J. 2021;21(1):24-9.</mixed-citation></ref>
<ref id="R4"><label>4</label><mixed-citation>Lismandasari, Farhan FS. Risiko Terjadinya Learning Loss Mahasiswa dalam Pembelajaran Daring. JIME. 2022;8(2):1298-308.</mixed-citation></ref>
<ref id="R5"><label>5</label><mixed-citation>Sia CH, Ramdzan SN, Tan L, et al. Prevalence of anxiety and depression among healthcare workers and students in Southeast Asia during the COVID-19 pandemic: A systematic review and meta-analysis. Int J Soc Psychiatry. 2021;67(4):321-31.</mixed-citation></ref>
<ref id="R6"><label>6</label><mixed-citation>Rondonuwu VWK, Mewo YM, Wungow HIS. Pendidikan Kedokteran di Masa Pandemi COVID-19 Dampak Pembelajaran Daring Bagi Mahasiswa Fakultas Kedokteran Angkatan 2017 Unsrat. J Biomedik (JBM). 2021;13(1):67.</mixed-citation></ref>
<ref id="R7"><label>7</label><mixed-citation>Tampubolon NDS. Gambaran Tingkat Stres, Kecemasan dan Depresi Mahasiswa Fakultas Kedokteran Universitas HKBP Nonmensen Angkatan 2018-2020 pada Masa Pandemi Covid-19. 2022.</mixed-citation></ref>
<ref id="R8"><label>8</label><mixed-citation>Ursula F, Sunjaya AP, Chris A. Anxiety and Sleep Quality Among Medical Students in Indonesia During the COVID-19 Pandemic. Proceedings of the 1st Tarumanagara International Conference on Medicine and Health (TICMIH 2021). 2021;41:78-82.</mixed-citation></ref>
<ref id="R9"><label>9</label><mixed-citation>Susanti M, Puspita T, Rahmadhoni B, Nelson ZP. Gambaran Tingkat Kecemasan dalam Menghadapi Covid-19 pada Mahasiswa Kedokteran Angkatan 2019 Universitas Baiturrahmah. Nusantara Hasana J. 2022;1(1):107.</mixed-citation></ref>
<ref id="R10"><label>10</label><mixed-citation>Gaite G, Ingkiriwang E, Tania E. Gambaran Tingkat Stress, Kecemasan dan Depresi Mahasiswa saat Adaptasi Tahun Kedua Pandemi COVID -19. J Kedokteran Meditek. 2022;28(3):289-94.</mixed-citation></ref>
<ref id="R11"><label>11</label><mixed-citation>Adnan M, Anwar K. Online learning amid the COVID-19 pandemic: Students&apos; perspectives. J Pedagog Sociol Psychol. 2020;2(1):45-51.</mixed-citation></ref>
<ref id="R12"><label>12</label><mixed-citation>Aristovnik A, Keržič D, Ravšelj D, Tomaževič N, Umek L. Impacts of the COVID-19 pandemic on life of higher education students: A global perspective. Sustainability. 2020;12(20):8438.</mixed-citation></ref>
<ref id="R13"><label>13</label><mixed-citation>Sari Y, Trianasari. Dampak Sosial Ekonomi Keluarga dan Stres Akademik Mahasiswa Selama Pandemi Covid-19. J Psikol Jambi. 2021;6(1):1-10.</mixed-citation></ref>
<ref id="R14"><label>14</label><mixed-citation>Gemiharto I, Priyadarshani HE. The Challenges of the Digital Divide in the Online Learning Process During the COVID-19 Pandemic in Indonesia. Ilomata Int J Manag. 2022;3(1):17-30.</mixed-citation></ref>
<ref id="R15"><label>15</label><mixed-citation>Budianto A, Tosepu R. The Digital Divide in Indonesia: A Review of the Literature. J Crit Rev. 2020;7(13):256-61.</mixed-citation></ref>
<ref id="R16"><label>16</label><mixed-citation>Tantri AW, Yusuf Y. Analisis kesenjangan digital pada pembelajaran daring masa pandemi COVID-19 di kalangan mahasiswa. J Riset Komun. 2021;4(1):101-14.</mixed-citation></ref>
<ref id="R17"><label>17</label><mixed-citation>Purwanto A, Asbari M, Santoso PB. The Role of Digital Literacy and ICT Competence on Student&apos;s Academic Performance During the COVID-19 Pandemic. J Pendidik Ekon Bisnis (JPEB). 2021;9(1):48-59.</mixed-citation></ref>
<ref id="R18"><label>18</label><mixed-citation>Komariah M, Ibrahim K, Pahria T. Manajemen Stres dengan Latihan Mindfulness pada Mahasiswa di Masa Pandemi Covid-19. PengabdianMu: J Ilm Pengabdian Kepada Masyarakat. 2022;7(4):495-501.</mixed-citation></ref>
<ref id="R19"><label>19</label><mixed-citation>Sayampanathan AA, Tan YT, Fong JM, et al. An update on finances and financial support for medical students in Yong Loo Lin School of Medicine. Singapore Med J. 2017;58(4):206-11.</mixed-citation></ref>
<ref id="R20"><label>20</label><mixed-citation>Vogan CL, McKimm J, Da Silva AL, Grant A. Twelve tips for providing effective student support in undergraduate medical education. Med Teach. 2014;36(6):480-5.</mixed-citation></ref>
<ref id="R21"><label>21</label><mixed-citation>Maba W, Widiastuti IAM, Mantra IBN, et al. Learning loss: Impact of the COVID-19 pandemic on the students&apos; psychosocial condition. J Educ E -Learn Res. 2023;10(2):209-14.</mixed-citation></ref>
<ref id="R22"><label>22</label><mixed-citation>Rajesh E, Subramaniam S, Pasupathy P, et al. Lived experiences of medical students of online learning: lessons for adopting virtual learning in medical education. BMC Med Educ. 2024;24:982.</mixed-citation></ref>
<ref id="R23"><label>23</label><mixed-citation>Ibrahim NK, Al Raddadi R, AlDarmasi M, et al. Medical students&apos; acceptance and perceptions of e-learning during the Covid-19 pandemic in the Kingdom of Saudi Arabia. J Public Health (Oxf). 2021;43(2):299-306.</mixed-citation></ref>
<ref id="R24"><label>24</label><mixed-citation>Mail S, Huwae L, Manuputty AG, et al. Gambaran Tingkat Kecemasan pada Mahasiswa Kepaniteraan Klinik di Era Pandemi Covid-19 Tahun 2022. 2023;5(1):55-65.</mixed-citation></ref>
<ref id="R25"><label>25</label><mixed-citation>Parker G, Brotchie H. Gender differences in depression. Int Rev Psychiatry. 2010;22(5):429-36.</mixed-citation></ref>
<ref id="R26"><label>26</label><mixed-citation>Matud MP. Gender differences in stress and coping styles. Pers Individ Differ. 2004;37(7):1401-15.</mixed-citation></ref>
<ref id="R27"><label>27</label><mixed-citation>Nolen-Hoeksema S. Gender differences in depression. Curr Dir Psychol Sci. 2001;10(5):173-6.</mixed-citation></ref>
<ref id="R28"><label>28</label><mixed-citation>Dadfar M, Nemati K. COVID-19-related anxiety and concerns: The role of mental health literacy and resilience in university students. J Affect Disord Rep. 2021;5:100174. International Journal of Medical and All Body Health Research www.allmedicaljournal.com</mixed-citation></ref>
<ref id="R29"><label>29</label><mixed-citation>Lie JG, Chris A. Hubungan Tingkat Pengetahuan COVID-19 dengan Tingkat Kecemasan pada Mahasiswa Fakultas Kedokteran Universitas Tarumanagara selama Pandemi COVID-19. J Kedokt Kesehat. 2022;18(1).</mixed-citation></ref>
<ref id="R30"><label>30</label><mixed-citation>Sulistya HA, Maramis MM. Stress, anxiety, and depression among Indonesian medical students during the COVID-19 pandemic: A Brief Overview.</mixed-citation></ref>
<ref id="R31"><label>31</label><mixed-citation>Madinah NN, Suprihhartini S, Fuad W. Hubungan kecemasan dengan kelelahan pada mahasiswa Fakultas Kedokteran Universitas Muhammadiyah Semarang angkatan 2019. J Ilmu Kedokt Kesehat. 2023;10(2):78-82.</mixed-citation></ref>
<ref id="R32"><label>32</label><mixed-citation>Setiati S, Azwar MK. The second wave of COVID-19 pandemic in Indonesia: a catastrophic situation. Acta Med Indones. 2021;53(3):235-8.</mixed-citation></ref>
<ref id="R33"><label>33</label><mixed-citation>Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol. 2001;52:397-422.</mixed-citation></ref>
<ref id="R34"><label>34</label><mixed-citation>Ganesha IGH, Sundariyati IGAH, Sadewa INBAW, et al. Pengaruh Kondisi Burnout dengan Indeks Prestasi Kumulatif (IPK) Mahasiswa Jenjang Sarjana di Masa Pembelajaran Dalam Jaringan Selama Pandemi Covid-19 pada Program Studi Sarjana Kedokteran dan Profesi Dokter Fakultas Kedokteran Universitas Udayana. J Med Udayana. 2023;12(3):65-73.</mixed-citation></ref>
<ref id="R35"><label>35</label><mixed-citation>Meliana RAD, Oktaviyantini T, Yuliadi I. Hubungan tingkat kecemasan dengan kualitas hidup mahasiswa kedokteran akibat pandemi COVID-19 di Fakultas Kedokteran UNS angkatan 2018. Med Sci Hosp Manag J. 2023;1(2):27-34.</mixed-citation></ref>
<ref id="R36"><label>36</label><mixed-citation>Frajerman A, et al. The link between burnout and anxiety/depressive symptoms in medical students: A systematic review and meta-analysis. J Affect Disord. 2019;247:1-9.</mixed-citation></ref>
<ref id="R37"><label>37</label><mixed-citation>Rinaldi MR, Yuniasanti R. Kecemasan pada Masyarakat saat Masa Pandemi COVID-19 di Indonesia. In: *Covid-19 dalam Ragam Tinjauan Perspektif;* 2020:137-50.</mixed-citation></ref>
<ref id="R38"><label>38</label><mixed-citation>Pacheco JPG, Giacomin HT, Tam WW, et al. The relationship between academic inefficacy and anxiety in medical students. BMC Med Educ. 2017;17(1):1-8.</mixed-citation></ref>
<ref id="R39"><label>39</label><mixed-citation>Nurrahmasia N, Amalia E, Sari DP. Hubungan mekanisme koping dengan skor kecemasan dalam menghadapi ujian keterampilan medik pada mahasiswa prodi pendidikan dokter Universitas Mataram. Smart Med J. 2021;4(1):18-28.</mixed-citation></ref>
<ref id="R40"><label>40</label><mixed-citation>Rastegar Kazerooni A, Amini M, Tabari P, Moosavi M. Peer mentoring for medical students during COVID-19 pandemic via a social media platform. Med Educ. 2020;54:10.1111/medu.14206.</mixed-citation></ref>
<ref id="R41"><label>41</label><mixed-citation>Elvina N, Bintari DR. The role of religious coping in moderating the relationship between stress and Non-Suicidal Self-Injury (NSSI). Humaniora. 2023;14(1):11-21.</mixed-citation></ref>
<ref id="R42"><label>42</label><mixed-citation>Whitley R. The need for a gender-sensitive approach to mental health. Can J Psychiatry. 2021;66(1):11-13.</mixed-citation></ref>
<ref id="R43"><label>43</label><mixed-citation>Gill D, Whitehead C, Wondimagegn D. Challenges and opportunities for medical education in the COVID-19 era and beyond. Med Educ. 2021;55(1):10-12.</mixed-citation></ref>
</ref-list></back>
</article>