Mapping the multidimensional factors of medical student resilience development: A scoping review | BMC Medical Education

0
Mapping the multidimensional factors of medical student resilience development: A scoping review | BMC Medical Education
  • Gonçalves A, Fontes L, Simães C, Gomes AR. In. Stress and burnout in health professionals. 2019. pp. 563–71.

  • Bhugra D, Sauerteig SO, Bland D, Lloyd-Kendall A, Wijesuriya J, Singh G, et al. A descriptive study of mental health and wellbeing of Doctors and medical students in the UK. Int Rev Psychiatry. 2019;31(7–8):563–8.

    Google Scholar 

  • Kötter T, Tautphäus Y, Obst KU, Voltmer E, Scherer M. Health-promoting factors in the freshman year of medical school: a longitudinal study. Med Educ. 2016;50(6):646–56.

    Google Scholar 

  • Dyrbye LN, Shanafelt T. A narrative review on burnout experienced by medical students and residents. Med Educ. 2016;50(1):132–49.

    Google Scholar 

  • Eley DS, Slavin SJ. Medical student mental health– the intransigent global dilemma: contributors and potential solutions. Med Teach. 2024;46(2):156–61.

    Google Scholar 

  • Zhang J, Peng C, Chen C. Mental health and academic performance of college students: knowledge in the field of mental health, self-control, and learning in college. Acta Psychol (Amst). 2024;248:104351.

    Google Scholar 

  • West MCD. Caring for doctors, caring for patients. 2019.

  • Sahu PK, Nayak BS, Rodrigues V, Umakanthan S. Prevalence of psychological distress among undergraduate medical students: A Cross-Sectional study. Int J Appl Basic Med Res. 2020;10(4):270–5.

    Google Scholar 

  • Peng P, Hao Y, Liu Y, Chen S, Wang Y, Yang Q, et al. The prevalence and risk factors of mental problems in medical students during COVID-19 pandemic: A systematic review and meta-analysis. J Affect Disord. 2023;321:167–81.

    Google Scholar 

  • Akdemir M, Aktekin MR, Şenol YY, Sönmez Y, Doğanavşargil Baysal Ö, Mamakli S, et al. Depression and psychological distress in medical students, A prospective study. Noro Psikiyatr Ars. 2022;59(2):116–22.

    Google Scholar 

  • Angkurawaranon C, Jiraporncharoen W, Sachdev A, Wisetborisut A, Jangiam W, Uaphanthasath R. Predictors of quality of life of medical students and a comparison with quality of life of adult health care workers in Thailand. Springerplus. 2016;5(1):584.

    Google Scholar 

  • Haider SI, Ahmed F, Pasha H, Pasha H, Farheen N, Zahid MT. Life satisfaction, resilience and coping mechanisms among medical students during COVID-19. PLoS ONE. 2022;17(10):e0275319.

    Google Scholar 

  • Färber F, Rosendahl J. The association between resilience and mental health in the somatically ill. Dtsch Arztebl Int. 2018.

  • Sriskandarajah N, Bawden R, Blackmore C, Tidball KG, Wals AEJ. Resilience in learning systems: case studies in university education. Environ Educ Res. 2010;16(5–6):559–73.

    Google Scholar 

  • Windle G. What is resilience? A review and concept analysis. Rev Clin Gerontol. 2011;21(2):152–69.

    Google Scholar 

  • Tempski P, Santos IS, Mayer FB, Enns SC, Perotta B, Paro HBMS, et al. Relationship among medical student resilience, educational environment and quality of life. PLoS ONE. 2015;10(6):e0131535.

    Google Scholar 

  • Roslan NS, Yusoff MSB, Ab Razak A, Morgan K, Ahmad Shauki NI, Kukreja A, et al. Training characteristics, personal factors and coping strategies associated with burnout in junior Doctors: A Multi-Center study. Healthcare. 2021;9(9):1208.

    Google Scholar 

  • Urie Bronfenbrenner. Making human beings human bioecological perspectives on human development. Cornell University, USA: Sage; 2005.

  • Waugh M, Guhn M. Bioecological theory of human development. Encyclopedia of quality of life and Well-Being research. Cham: Springer International Publishing; 2023. pp. 462–5.

    Google Scholar 

  • Roslan NS, Yusoff MSB, Morgan K, Ab Razak A, Ahmad Shauki NI. What are the common themes of physician resilience?? A Meta-Synthesis of qualitative studies. Int J Environ Res Public Health. 2022;19(1):469.

    Google Scholar 

  • Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, And other indicators of psychological distress among U.S. And Canadian medical students. Acad Med. 2006;81(4):354–73.

    Google Scholar 

  • Rotenstein LS, Ramos MA, Torre M, Segal JB, Peluso MJ, Guille C, et al. Prevalence of depression, depressive symptoms, and suicidal ideation among medical students. JAMA. 2016;316(21):2214.

    Google Scholar 

  • Hill MR, Goicochea S, Merlo LJ. In their own words: stressors facing medical students in the millennial generation. Med Educ Online. 2018;23(1):1530558.

    Google Scholar 

  • Shapiro SL, Shapiro DE, Schwartz GER. Stress management in medical education. Acad Med. 2000;75(7):748–59.

    Google Scholar 

  • Lin YK, Lin CD, Lin BYJ, Chen DY. Medical students’ resilience: a protective role on stress and quality of life in clerkship. BMC Med Educ. 2019;19(1):473.

    Google Scholar 

  • Chapter 11. Scoping reviews. JBI manual for evidence synthesis. JBI; 2020.

  • Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467–73.

    Google Scholar 

  • Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.

    Google Scholar 

  • Duncan AR, Bell SB, Hellman CM. Intersections of perceived stress, burnout, dispositional hope, intellectual humility, locus of control, and lifestyle factors in undergraduate medical education. Curr Psychol. 2023;42(26):22301–11.

    Google Scholar 

  • Dyrbye LN, Satele D, West CP. A longitudinal National study exploring impact of the learning environment on medical student burnout, empathy, and career regret. Acad Med. 2021;96(11S):S204–5.

    Google Scholar 

  • Dyrbye LN, Power DV, Stanford Massie F, Eacker A, Harper W, Thomas MR, et al. Factors associated with resilience to and recovery from burnout: A prospective, multi-institutional study of US medical students. Med Educ. 2010;44(10):1016–26.

    Google Scholar 

  • Dyrbye LN, Thomas MR, Harper W, Massie FS, Power DV, Eacker A, et al. The learning environment and medical student burnout: A multicentre study. Med Educ. 2009;43(3):274–82.

    Google Scholar 

  • Chatterjee K, Edmonds VS, Girardo ME, Vickers KS, Hathaway JC, Stonnington CM. Medical students describe their wellness and how to preserve it. BMC Med Educ. 2022;22(1).

  • Hardeman RR, Perry SP, Phelan SM, Przedworski JM, Burgess DJ, Van Ryn M. Racial identity and mental well-being: the experience of African American medical students, a report from the medical student CHANGE study. J Racial Ethn Health Disparities. 2015;3(2):250–8.

    Google Scholar 

  • Hu KS, Chibnall JT, Slavin SJ. Maladaptive perfectionism, impostorism, and cognitive distortions: threats to the mental health of Pre-clinical medical students. Acad Psychiatry. 2019;43(4):381–5.

    Google Scholar 

  • Langness S, Rajapuram N, Marshall M, Rahman AS, Sammann A. Risk factors associated with student distress in medical school: associations with faculty support and availability of wellbeing resources. PLoS ONE. 2022;17(4):e0265869.

    Google Scholar 

  • Brazeau CMLR, Schroeder R, Rovi S, Boyd L. Relationships between medical student burnout, empathy, and professionalism climate. Acad Med. 2010;85(10 SUPPL.).

  • Reed DA, Shanafelt TD, Satele DW, Power DV, Eacker A, Harper W, et al. Relationship of pass/fail grading and curriculum structure with well-being among preclinical medical students: A multi-institutional study. Acad Med. 2011;86(11):1367–73.

    Google Scholar 

  • O’Marr JM, Chan SM, Crawford L, Wong AH, Samuels E, Boatright D. Perceptions on burnout and the medical school learning environment of medical students who are underrepresented in medicine. JAMA Netw Open. 2022;5(2):E220115.

    Google Scholar 

  • Jordan Ensz1, Changiz Mohiyeddini. Disentangling the link between burnout, resilience, and emotional regulation among medical students: The role of gap years.

  • Rajapuram N, Langness S, Marshall MR, Sammann A. Medical students in distress: the impact of gender, race, debt, and disability. PLoS ONE. 2020;15(12 December).

  • Cook AF, Arora VM, Rasinski KA, Curlin FA, Yoon JD. The prevalence of medical student mistreatment and its association with burnout. Acad Med. 2014;89(5):749–54.

    Google Scholar 

  • Wolf MR, Rosenstock JB. Inadequate sleep and exercise associated with burnout and depression among medical students. Acad Psychiatry. 2017;41(2):174–9.

    Google Scholar 

  • Himmelberger ZM, Tibbetts Y, Barron KE, Hulleman CS, Harootunian G, Speicher MR. How can a growth mindset-supportive learning environment in medical school promote student well-being? Families Syst Health. 2024;42(3):343–54.

    Google Scholar 

  • Behzadnia A, Smith D, Goodson ML. A cross-sectional examination of the relationship between approaches to learning and perceived stress among medical students in Malaysia. Educ Health: Change Learn Pract. 2018;31(2):80–6.

    Google Scholar 

  • Yusoff MSB, Esa AR, Mat Pa MN, Ching Mey S, Abdul Aziz R. Abdul Rahim AF63. 2013;26(1):39–47.

    Google Scholar 

  • Yusoff MSB. Impact of Summative Assessment on First Year Medical Students’ Mental Health Article in [Internet]. Vol. 18, International Medical Journal. 1994. Available from: https://www.researchgate.net/publication/215632306

  • Zalts R, Green N, Tackett S, Lubin R. The association between medical students’ motivation with learning environment, perceived academic rank, and burnout. Int J Med Educ. 2021;12:25–30.

    Google Scholar 

  • Yusoff MSB, Rahim AFA, Yaacob MJ. The prevalence of final year medical students with depressive symptoms and its contributing factors. Int Med J. 2011;18(4):305–9.

    Google Scholar 

  • Cvejic E, Huang S, Vollmer-Conna U. Can you snooze your way to an ‘A’? Exploring the complex relationship between sleep, autonomic activity, wellbeing and performance in medical students. Australian New Z J Psychiatry. 2018;52(1):39–46.

    Google Scholar 

  • Bore M, Kelly B, Nair B. Potential predictors of psychological distress and well-being in medical students: A cross-sectional pilot study. Adv Med Educ Pract. 2016;7:125–35.

    Google Scholar 

  • Bacchi S, Licinio J. Resilience and psychological distress in psychology and medical students. Academic Psychiatry. Volume 41. Springer International Publishing; 2017. pp. 185–8.

  • Roling G, Lutz G, Edelhäuser F, Hofmann M, Valk-Draad MP, Wack C, et al. Empathy, well-being and stressful experiences in the clinical learning environment. Patient Educ Couns. 2020;103(11):2320–7.

    Google Scholar 

  • Dederichs M, Weber J, Muth T, Angerer P, Loerbroks A. Students’ perspectives on interventions to reduce stress in medical school: A qualitative study. PLoS ONE. 2020;15(10):e0240587.

    Google Scholar 

  • Hahn N, Brzoska P, Kiessling C. On the correlation between gratitude and resilience in medical students. GMS J Med Educ. 2024;41(1):Doc8.

    Google Scholar 

  • Azim SR, Baig M. Frequency and perceived causes of depression, anxiety and stress among medical students of a private medical Institute in Karachi: a mixed method study. J Pak Med Assoc. 2019;69(6):840–5.

    Google Scholar 

  • Ahmed N, Tariq M, Bin Siddique TS, Maryam R, Fatima DS, Saeed S, et al. Assessing the impacts of physical activity on mental health and perceived stress among undergraduate medical students in Pakistan: a cross-sectional study. Annals of Medicine & Surgery; 2025.

  • Beg AA, Kanwal S, Karmani VK. Zainab Mohammad Anjarwala. Resilience, coping and personal factors of medical students at a public university; Karachi, Pakistan. J Pak Med Assoc. 2024;74(2):S14–8.

    Google Scholar 

  • Dai P, Yi G, Qian D, Wu Z, Fu M, Peng H. Social support mediates the relationship between coping styles and the mental health of medical students. Psychol Res Behav Manag. 2023;16:1299–313.

    Google Scholar 

  • Yu W, Yao W, Chen M, Zhu H, Yan J. School climate and academic burnout in medical students: a moderated mediation model of collective self-esteem and psychological capital. BMC Psychol. 2023;11(1).

  • Bartlett J, Fowler K. Beyond the curriculum: a cross-sectional study of medical student psychological distress, and health care needs, practices and barriers. Soc Psychiatry Psychiatr Epidemiol. 2020;55(9):1215–21.

    Google Scholar 

  • Neufeld A, Malin G. How medical students’ perceptions of instructor autonomy-support mediate their motivation and psychological well-being. Med Teach. 2020;42(6):650–6.

    Google Scholar 

  • Ilic I, Ilic M. Academic burnout syndrome among medical students in Serbia: prevalence of high risk and determinants. BMC Med Educ. 2024;24(1):948.

    Google Scholar 

  • Ilic I, Zivanovic Macuzic I, Ilic M. High risk of burnout syndrome and associated factors in medical students: A cross-sectional analytical study. PLoS ONE. 2024;19(5):e0304515.

    Google Scholar 

  • Zimovjanova A, Zimovjanova A, Wekesah F, Brož J, Urbanova J, Firouzabadi F et al. Socioeconomic and transcultural determinants of mental health in medical students of four countries. Popul Med. 2023;5(Supplement).

  • Kilic R, Nasello JA, Melchior V, Triffaux JM. Academic burnout among medical students: respective importance of risk and protective factors. Public Health. 2021;198:187–95.

    Google Scholar 

  • Victor A, Ruzhenkov VV, Ruzhenkova, Inna S, Lukyantseva AV, Boeva, Uliana S. Moskvitina. Academical stress for the first and second year medical students and possible risks to mental health. Int J Adv Biotechnol Res. 2018;9(1):1066–73.

    Google Scholar 

  • Asfaw H, Fekadu G, Tariku M, Oljira A. Anxiety and stress among undergraduate medical students of Haramaya university, Eastern Ethiopia. Neuropsychiatr Dis Treat. 2021;17:139–46.

    Google Scholar 

  • Kajjimu J. Mark Mohan Kaggwa, Felix Bongomin. Burnout and associated factors among medical students in a public university in Uganda: A Cross- sectional study. Adv Med Educ Pract. 2021;63–75.

  • Nwachukwu CE, Olufunmilayo EO, Otor VO, Yakubu AO, Akingbade AE, Odefemi OF, et al. Common mental health problems and associated factors among medical students of university of Ibadan, Nigeria. J Mental Health. 2021;30(3):315–22.

    Google Scholar 

  • Mahroon ZA, Borgan SM, Kamel C, Maddison W, Royston M, Donnellan C. Factors associated with depression and anxiety symptoms among medical students in Bahrain. Acad Psychiatry. 2018;42(1):31–40.

    Google Scholar 

  • Mboya IB, John B, Kibopile ES, Mhando L, George J, Ngocho JS. Factors associated with mental distress among undergraduate students in Northern Tanzania. BMC Psychiatry. 2020;20(1).

  • Alotiby A, Almaghrabi M, Alosaimy R, Alharthi A, Khawandanah B, Alansari R, et al. Learning environment quality for medical students at Umm Al-Qura University: A comprehensive study on stressors, sources, and solutions after introduction of a new bachelor of medicine and bachelor of surgery (MBBS) curriculum. Adv Med Educ Pract. 2021;12:1487–97.

    Google Scholar 

  • Wimberly CE, Rajapakse H, Park LP, Price A, Proeschold-Bell RJ, Østbye T. Mental well-being in Sri Lankan medical students: a cross-sectional study. Psychol Health Med. 2022;27(6):1213–26.

    Google Scholar 

  • Radcliffe C, Lester H. Perceived stress during undergraduate medical training: a qualitative study. Med Educ. 2003;37(1):32–8.

    Google Scholar 

  • Puranitee P, Kaewpila W, Heeneman S, van Mook WNKA, Busari JO. Promoting a sense of belonging, engagement, and collegiality to reduce burnout: a mixed methods study among undergraduate medical students in a non-Western, Asian context. BMC Med Educ. 2022;22(1).

  • Carrard V, Bourquin C, Berney S, Schlegel K, Gaume J, Bart PA, et al. The relationship between medical students’ empathy, mental health, and burnout: A cross-sectional study. Med Teach. 2022;44(12):1392–9.

    Google Scholar 

  • Findyartini A, Greviana N, Putera AM, Sutanto RL, Saki VY, Felaza E. The relationships between resilience and student personal factors in an undergraduate medical program. BMC Med Educ. 2021;21(1):113.

    Google Scholar 

  • Damiano RF, de Oliveira IN, Ezequiel O da, Lucchetti S, Lucchetti AL. The root of the problem: identifying major sources of stress in Brazilian medical students and developing the medical student stress factor scale. Brazilian J Psychiatry. 2021;43(1):35–42.

  • Al-Najdi S, Mansoor A, Al Hayk O, Al-Hashimi N, Ali K, Daud A. Silent struggles: a qualitative study exploring mental health challenges of undergraduate healthcare students. BMC Med Educ. 2025;25(1):157.

    Google Scholar 

  • Le Minh D, Tuyet TBT, Dieu LDT, Tran Tho N, Thi TN, Tri TN, et al. Burnout among medical students of a medical university in Vietnam: A cross-sectional study. Int J Healthc Manag. 2025 Jan 2;18(1):1–6.

  • Boone A, Menouni A, Korachi IB, Nejjari C, Khalis M, Jaafari S, El, et al. Burnout and predictive factors among medical students: a cross-sectional survey. BMC Med Educ. 2024;24(1):812.

    Google Scholar 

  • Scheepers RA, Hilverda F, Vollmann M. Study demands and resources affect academic well-being and life satisfaction of undergraduate medical students in the Netherlands. Med Educ. 2024;58(9):1097–106.

    Google Scholar 

  • Kristoffersson E, Boman J, Bitar A. Impostor phenomenon and its association with resilience in medical education– a questionnaire study among Swedish medical students. BMC Med Educ. 2024;24(1):782.

    Google Scholar 

  • Moura AT, Coriolano AM, Kobayasi R, Pessanha S, Cruz HL, Melo SM, et al. Is there an association among spirituality, resilience and empathy in medical students? BMC Med Educ. 2024;24(1):704.

    Google Scholar 

  • Chye SM, Kok YY, Chen YS, Er HM. Building resilience among undergraduate health professions students: identifying influencing factors. BMC Med Educ. 2024;24(1):1168.

    Google Scholar 

  • Dyrbye LN, Satele D, West CP. Association of characteristics of the learning environment and US medical student burnout, empathy, and career regret. JAMA Netw Open. 2021;4(8):e2119110.

    Google Scholar 

  • Anna Medaris. Women say they’re stressed, misunderstood, and alone. 2023.

  • de Oliveira ACP, Machado APG, Aranha RN. Identification of factors associated with resilience in medical students through a cross-sectional census. BMJ Open. 2017;7(11):e017189.

    Google Scholar 

  • Cairns P, Isham AE, Zachariae R. The association between empathy and burnout in medical students: a systematic review and meta-analysis. BMC Med Educ. 2024;24(1):640.

    Google Scholar 

  • Carroll L. Problem-Focused coping. Encyclopedia of behavioral medicine. Cham: Springer International Publishing; 2020. pp. 1747–8.

    Google Scholar 

  • Ryff CD. Spirituality and Well-Being: theory, science, and the nature connection. Religions (Basel). 2021;12(11):914.

    Google Scholar 

  • Sattar K, Yusoff MSB, Arifin WN, Mohd Yasin MA, Mat Nor MZ. A scoping review on the relationship between mental wellbeing and medical professionalism. Med Educ Online. 2023;28(1).

  • Mohmand S, Monteiro S, Solomonian L. How are medical institutions supporting the Well-being of undergraduate students?? A scoping review. Med Educ Online. 2022;27(1).

  • Bergmann C, Muth T, Loerbroks A. Medical students’ perceptions of stress due to academic studies and its interrelationships with other domains of life: a qualitative study. Med Educ Online. 2019;24(1):1603526.

    Google Scholar 

  • Maslach C, Leiter MP. Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry. 2016;15(2):103–11.

    Google Scholar 

  • Steptoe AS, Butler N. Sports participation and emotional wellbeing in adolescents. Lancet. 1996;347(9018):1789–92.

    Google Scholar 

  • Mukesh HV, Acharya V, Pillai R. Are extracurricular activities stress busters to enhance students’ well-being and academic performance? Evidence from a natural experiment. J Appl Res High Educ. 2023;15(1):152–68.

    Google Scholar 

  • link

    Leave a Reply

    Your email address will not be published. Required fields are marked *