Clinical and psychometric study of asthenia in foreign applicants for medical education at different stages of training




foreign applicants, asthenia, asthenic syndrome, adaptation disorders, psychometry


This article analyzes the results of the clinical and psychometric study of asthenia in foreign applicants for higher medical education at different stages of training. The study involved 110 applicants of the preparatory department (group 1) and 44 applicants of the I-II course (group 2). They were trained at Dnipro State Medical University. Duration of training was from 1 to 2 months and from 6 months to 2 years, respectively (at the time of participation in the study). The clinical and psychopathological examination was conducted using the semi-structured interview method and the psychometric investigation of the level of asthenia with using the Multidimensional Fatigue Inventory scale (MFI-20). It was found that the investigated group 2 had the significantly higher frequency of detection of both complaints/symptoms and nosological forms (by 1.8 times) than group 1. The analysis of the MFI-20 scale data confirmed the clinically obtained results: the normal (24,5%) and moderate level (23,5%) of asthenia was significantly more often observed in group 1. The high level (32%) of asthenia was in group 2 that proves the maladaptive process deepening. The obtained result indicates the necessity to develop preventive, differential and corrective measures to improve the quality of life of this contingent.


Antomonov MY. [Mathematical processing and analysis of biomedical data]. 2nd ed. Kyiv: Medinform; 2018.

Yuryeva LM, Ogorenko VV, Gnenna OM, Kokashinskii VO. [The influence of the level of self-esteem of medical students on the confidence in choosing a future specialization]. Modern engineering and innovative technologies [Internet]. 2020;13(5):49-53. Russian.

Gutnik VV, Chepelev SN. [The prevalence of signs of asthenic syndrome in medical students]. Fundamentalnaia nauka v sovremennoi meditsine [Іnter-net]. 2021:388-92. Available from:

Zhurakovskaya L. [Educational (educational) migration to Ukraine: state, problems and prospects]. Moldoscopie. 2017;4(79):127-43. Russian.

Leshhenko TO, Yufimenko VG. [The Ukrainian language as a tool for professional adaptation of foreign students in Ukraine. Actual issues of medical (pharma-ceutical) education of foreign citizens: problems and prospects]. Conference. 2018 Nov 22; Poltava. 2018. p. 54-56. Ukrainian.

Trofimov EA, Trofimova TI. [Features of educational migration in the context of globalization. In: Trends and problems in the Russian economy: theoretical and practical aspects]. Materials of the All-Russian scientific and practical conference; 2017 March 23. Irkutsk: Baikal State University. 2017. p. 219-24. Russian. doi:

Haustov MM. [Medico-psychological view on the problem of adaptation disorders in students]. Medytsyna sohodni i zavtra. 2020 Dec 19;83(2). Ukrainian. doi:

Osório FL, Loureiro SR, Hallak JE, Machado‐de‐Sousa JP, Ushirohira JM, Baes CV, et al. Clinical validity and intrarater and test–retest reliability of the Structured Clinical Interview for DSM‐5 – Clinician Version (SCID‐5‐CV). Psychiatry and Clinical Neurosciences [Internet]. 2019 Oct 14;73(12):754-60. doi:

Smets EM, Garssen B, Bonke B, De Haes JC. The Multidimensional Fatigue Inventory (MFI) psychometric qualities of an instrument to assess fatigue. Journal of Psychosomatic Research [Internet]. 1995;39(3):315-25. doi: https://doi:10.1016/0022-3999(94)00125-o

The Universal Declaration on Bioethics and Human Rights. International Social Science Journal [Internet]. 2005 Dec [cited 2021 Oct 29];57(186):745-53. doi:

Zdun-Ryżewska A, Nadrowska N, Basiński K, Walkiewicz M, Błażek M. Who is a tired student? Fatigue and its predictors from a gender perspective. Journal of University Teaching & Learning Practice. 2021;18(6):139-54. doi:

World Medical Association Declaration of Helsinki. JAMA [Internet]. 2013 Nov 27 [cited 2021 Oct 29];310(20):2191. doi:



How to Cite

Yuryeva L, Shusterman T, Podolska L. Clinical and psychometric study of asthenia in foreign applicants for medical education at different stages of training. Med. perspekt. [Internet]. 2022Dec.29 [cited 2023Jun.10];27(4):136-43. Available from: