Occupational Stress and Coping Strategies in Chinese Medical Research Graduate Students: An Investigation into the Origins of Stress and Recommendations for Effective Mitigation

Background: Medical research graduate students face considerable stress that can adversely impact their wellbeing and performance. A comprehensive understanding of stress sources, effects and coping methods is needed to create a supportive academic environment. This study investigated the multidimensional stress landscape among medical research graduate students. Methods A mixed-methods approach combining an online survey (N = 186) and semi-structured interviews was utilized to examine stress experiences among graduate students at two hospitals in Shanghai. Quantitative data was analyzed using descriptive statistics, comparative analysis and correlation methods. Qualitative data was thematically analyzed. Results High stress levels were reported, especially regarding research workload (mean 3.74/5) and publishing demands (mean 3.92/5). Key stressors were academic requirements, career uncertainty and work-life imbalance. Females exhibited more work-life and relationship stress. Doctoral students showed greater publishing stress. Coping strategies varied by demographics; females and older students preferred counseling while males used physical activities more. Conclusions The complex interplay of stress sources, impacts and coping methods with demographic factors emphasizes the need for tailored interventions to support graduate students. A multidimensional approach is recommended to address this significant issue. Findings provide insights to foster graduate student wellbeing and growth.