Evidence map›Paper›PMID 30081886›Full record

ArticleBMC medical education2018

U.S. medical students who engage in self-care report less stress and higher quality of life.

Erin E Ayala, Jeffrey S Winseman, Ryan D Johnsen, Hyacinth R C Mason

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC medical education, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05447689 (Integrative-Mind-Body Skills Group for Mood Management Among Medical Graduate Students), which is not on this map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
23.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05447689 narecruitingnot on this mapstarted 2023, after this paper: background citation

Integrative-Mind-Body Skills Group for Mood Management Among Medical Graduate Students

TypeinterventionalSponsorWeill Medical College of Cornell UniversityRan2023 to 2027Enrolled60ConditionsMood Change, Depressive Symptoms, Anxiety GeneralizedArmsIntegrative-Mind-Body Skills Group
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 115 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Association of Physical Activity with Sleep Quality in Indian Medical Students: A Mixed-Methods Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2025
    Article
  7. Article
  8. Article
  9. The Erosion of Professionalism or a New Norm.Journal of general internal medicine · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Self-care practices and depression, anxiety, and stress scores in veterinary students during a semester.The Canadian veterinary journal = La revue veterinaire canadienne · 2023
    Article
  16. Article
  17. Review
  18. Article
  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Erin E AyalaDepartment of Counseling Psychology, Saint Mary's University of Minnesota, 2500 Park Avenue, Minneapolis, MN, 55404, USA. eayala@smumn.edu.ORCID http://orcid.org/0000-0001-6640-2131
Jeffrey S WinsemanDepartment of Psychiatry, Albany Medical College, 25 Hackett Blvd, Albany, NY, 12208, USA.
Ryan D JohnsenDepartment of Emergency Medicine, HealthPartners Institute Regions Hospital, 640 Jackson Avenue, Saint Paul, MN, 55101, USA.
Hyacinth R C MasonDepartments of Medical Education and Family and Community Medicine, Albany Medical College, 47 New Scotland Avenue, 12208, Albany, NY, USA.
Albany Medical Center Hospital · USRegions Hospital · USSaint Mary's University of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResearch on student wellness has highlighted the importance of self-care for medical students; however, scholars have yet to identify the extent to which self-reported engagement in self-care behaviors is associated with attenuation of the negative relationship between stress and quality of life during the initial years of medical education.

methodsUsing a self-report survey designed to measure self-care, perceived stress, and quality of life, we hypothesized that self-care would moderate the relationship between stress and psychological quality of life in medical students, as well as stress and physical quality of life. An online questionnaire was completed by 871 medical students representing 49 allopathic medical colleges throughout the U.S. between December 2015 and March 2016. The survey assessed perceived stress, self-care, quality of life and a variety of demographic variables. Regression analyses were used to assess interaction effects of self-care on the relationships between stress and quality of life.

resultsSelf-reported engagement in self-care appeared to moderate the relationships between perceived stress and both physical (p < .001) and psychological (p = .002) quality of life. As the level of reported engagement in self-care increased, the strength of the inverse relationship between perceived stress and both physical and psychological quality of life appeared to weaken.

conclusionsOur findings suggest that self-reported engagement in self-care activities is associated with a decrease in the strength of the relationship between perceived stress and quality of life in medical students. Students who disclose utilizing a multitude of self-care practices throughout their training may also sustain greater resiliency and lower risk for higher levels of distress during medical education.

Indexed as

Quality of LifeSelf CareSelf ReportAdultFemaleHumansMaleMiddle AgedPerceptionStress, PsychologicalStudents, MedicalSurveys and QuestionnairesYoung AdultHealth promotionMedical educationMedical studentsQuality of lifeSelf-careStress

Identifiers

PMID30081886
PMCPMC6080382
OpenAlexW2885103833

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.