International Journal of Medical and All Body Health Research  |  e-ISSN: 2582-8940  |  Double-Blind Peer Review  |  Open Access  |  CC BY-NC-SA 4.0

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     2026:7/4

International Journal of Medical and All Body Health Research

e-ISSN: 2582-8940 | Open Access

The Impact of the COVID-19 Pandemic on Anxiety among Medical Students in Indonesia: A Literature Review

Muhammad Abdillah Roikhan, Maftuchah Rochmanti, Dewi Ratna Sari

Faculty of Medicine, Universitas Airlangga, Jl. Mayjend. Prof. Dr. Moestopo No. 47, Pacar Kembang, Surabaya, Indonesia; Department of Anatomy Histology and Pharmacology, Universitas Airlangga, Jl. Mayjend. Prof. Dr. Moestopo No. 47, Pacar Kembang, Surabaya, 60131, Indonesia

Article Information

Volume / Issue6 / 3 (July-September 2025)
Pages01-05
AccessOpen Access

Publication Timeline

  • Received02 May 2025
  • Accepted03 June 2025
  • Published

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Abstract

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 "anxiety", "medical students", "COVID-19", and "Indonesia".
Results: The results indicate a very high prevalence of anxiety in Indonesia (often >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.
 

Keywords

AnxietyCOVID-19 pandemicMedical studentsMental healthOnline learning

References

  1. 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. [Google Scholar][Crossref]
  2. 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. [Google Scholar][Crossref]
  3. 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. [Google Scholar][Crossref]
  4. Lismandasari, Farhan FS. Risiko Terjadinya Learning Loss Mahasiswa dalam Pembelajaran Daring. JIME. 2022;8(2):1298-308. [Google Scholar][Crossref]
  5. 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. [Google Scholar][Crossref]
  6. 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. [Google Scholar][Crossref]
  7. Tampubolon NDS. Gambaran Tingkat Stres, Kecemasan dan Depresi Mahasiswa Fakultas Kedokteran Universitas HKBP Nonmensen Angkatan 2018-2020 pada Masa Pandemi Covid-19. 2022. [Google Scholar][Crossref]
  8. 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. [Google Scholar][Crossref]
  9. 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. [Google Scholar][Crossref]
  10. 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. [Google Scholar][Crossref]
  11. Adnan M, Anwar K. Online learning amid the COVID-19 pandemic: Students' perspectives. J Pedagog Sociol Psychol. 2020;2(1):45-51. [Google Scholar][Crossref]
  12. 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. [Google Scholar][Crossref]
  13. Sari Y, Trianasari. Dampak Sosial Ekonomi Keluarga dan Stres Akademik Mahasiswa Selama Pandemi Covid-19. J Psikol Jambi. 2021;6(1):1-10. [Google Scholar][Crossref]
  14. 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. [Google Scholar][Crossref]
  15. Budianto A, Tosepu R. The Digital Divide in Indonesia: A Review of the Literature. J Crit Rev. 2020;7(13):256-61. [Google Scholar][Crossref]
  16. 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. [Google Scholar][Crossref]
  17. Purwanto A, Asbari M, Santoso PB. The Role of Digital Literacy and ICT Competence on Student's Academic Performance During the COVID-19 Pandemic. J Pendidik Ekon Bisnis (JPEB). 2021;9(1):48-59. [Google Scholar][Crossref]
  18. 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. [Google Scholar][Crossref]
  19. 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. [Google Scholar][Crossref]
  20. 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. [Google Scholar][Crossref]
  21. Maba W, Widiastuti IAM, Mantra IBN, et al. Learning loss: Impact of the COVID-19 pandemic on the students' psychosocial condition. J Educ E -Learn Res. 2023;10(2):209-14. [Google Scholar][Crossref]
  22. 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. [Google Scholar][Crossref]
  23. Ibrahim NK, Al Raddadi R, AlDarmasi M, et al. Medical students' 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. [Google Scholar][Crossref]
  24. 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. [Google Scholar][Crossref]
  25. Parker G, Brotchie H. Gender differences in depression. Int Rev Psychiatry. 2010;22(5):429-36. [Google Scholar][Crossref]
  26. Matud MP. Gender differences in stress and coping styles. Pers Individ Differ. 2004;37(7):1401-15. [Google Scholar][Crossref]
  27. Nolen-Hoeksema S. Gender differences in depression. Curr Dir Psychol Sci. 2001;10(5):173-6. [Google Scholar][Crossref]
  28. 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 [Google Scholar][Crossref]
  29. 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). [Google Scholar][Crossref]
  30. Sulistya HA, Maramis MM. Stress, anxiety, and depression among Indonesian medical students during the COVID-19 pandemic: A Brief Overview. [Google Scholar][Crossref]
  31. 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. [Google Scholar][Crossref]
  32. Setiati S, Azwar MK. The second wave of COVID-19 pandemic in Indonesia: a catastrophic situation. Acta Med Indones. 2021;53(3):235-8. [Google Scholar][Crossref]
  33. Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol. 2001;52:397-422. [Google Scholar][Crossref]
  34. 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. [Google Scholar][Crossref]
  35. 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. [Google Scholar][Crossref]
  36. 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. [Google Scholar][Crossref]
  37. Rinaldi MR, Yuniasanti R. Kecemasan pada Masyarakat saat Masa Pandemi COVID-19 di Indonesia. In: *Covid-19 dalam Ragam Tinjauan Perspektif;* 2020:137-50. [Google Scholar][Crossref]
  38. 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. [Google Scholar][Crossref]
  39. 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. [Google Scholar][Crossref]
  40. 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. [Google Scholar][Crossref]
  41. 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. [Google Scholar][Crossref]
  42. Whitley R. The need for a gender-sensitive approach to mental health. Can J Psychiatry. 2021;66(1):11-13. [Google Scholar][Crossref]
  43. 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. [Google Scholar][Crossref]

How to Cite

Roikhan, M. A., Rochmanti, M., & Sari, D. R. (2025). The Impact of the COVID-19 Pandemic on Anxiety among Medical Students in Indonesia: A Literature Review. International Journal of Medical and All Body Health Research, 6(3), 01-05. https://doi.org/10.54660/IJMBHR.2025.6.3.1-5

Roikhan, Muhammad Abdillah, et al. "The Impact of the COVID-19 Pandemic on Anxiety among Medical Students in Indonesia: A Literature Review." International Journal of Medical and All Body Health Research, vol. 6, no. 3, 2025, pp. 01-05. https://doi.org/10.54660/IJMBHR.2025.6.3.1-5.

Roikhan, M. A., Rochmanti, M. and Sari, D. R. (2025) 'The Impact of the COVID-19 Pandemic on Anxiety among Medical Students in Indonesia: A Literature Review', International Journal of Medical and All Body Health Research, 6(3), pp. 01-05. doi: 10.54660/IJMBHR.2025.6.3.1-5.

Roikhan MA, Rochmanti M, Sari DR. The Impact of the COVID-19 Pandemic on Anxiety among Medical Students in Indonesia: A Literature Review. International Journal of Medical and All Body Health Research. 2025;6(3):01-05. doi:10.54660/IJMBHR.2025.6.3.1-5

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