Assessment of the Relation of Atychiphobia with Stress and Certain Demographic Factors among Undergraduate Medical Students of Rawalpindi Medical University.

Abstract: Aims: This study explores the relationship between atychiphobia (fear of failure), stress, and demographic factors among medical students at Rawalpindi Medical University. The findings aim to help educators and mental health professionals develop strategies to manage academic anxiety. Material and methods: A cross-sectional study was conducted from May 2024 to November 2024 among 254 MBBS students (146 Females, 108 Males) from First to Final year. The Performance Failure Appraisal Inventory (PFAI) questionnaire assessed atychiphobia, while the Perceived Stress Scale measured stress. PFAI includes five domains: fear of upsetting important others (FUIO), fear of important others losing interest (FIOLI), fear of experiencing shame and embarrassment (FSE), fear of devaluing one's self-esteem (FDSE), and fear of having an uncertain future (FUF). Linear regression analyzed the association between stress and fear, while t-tests examined demographic differences across domains. Results: Females reported higher levels of FDSE (p=0.05), FUF (p=0.013), FSE (p=0.001), and FUIO (p=0.04), with no significant difference in FIOLI. Fear of failure peaked among third-year students, those with previous academic failures, and those scoring below 50% in professional exams. Stress was significantly associated with FSE (p=0.000), FUF (p=0.03), and FUIO (p=0.03). Conclusion: Atychiphobia varies by gender, academic progress, and past academic setbacks, influencing student experiences and stress levels. Addressing these factors is essential for improving student well-being in medical education.