Evidence map›Paper›PMID 30371222›Full record

ArticleMedical education online2018

Behaviour-based functional and dysfunctional strategies of medical students to cope with burnout.

Rebecca Erschens, Teresa Loda, Anne Herrmann-Werner, Katharina Eva Keifenheim, Felicitas Stuber, Christoph Nikendei, Stephan Zipfel, Florian Junne

Erratum issuedAbstract read
In one paragraph

Article in Medical education online, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Burnout symptoms, burnout rate, well-being, and academia-related stress factors in medical students : A study in two private medical schools in Austria.Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2026
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  19. Emotional Exhaustion Variables in Trainee Teachers during the COVID-19 Pandemic.European journal of investigation in health, psychology and education · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Rebecca Erschensa Department of Psychosomatic Medicine and Psychotherapy , Medical University Hospital Tuebingen , Tübingen , Germany.ORCID 0000-0002-4433-9378
Teresa Lodaa Department of Psychosomatic Medicine and Psychotherapy , Medical University Hospital Tuebingen , Tübingen , Germany.
Anne Herrmann-Wernera Department of Psychosomatic Medicine and Psychotherapy , Medical University Hospital Tuebingen , Tübingen , Germany.
Katharina Eva Keifenheima Department of Psychosomatic Medicine and Psychotherapy , Medical University Hospital Tuebingen , Tübingen , Germany.
Felicitas Stubera Department of Psychosomatic Medicine and Psychotherapy , Medical University Hospital Tuebingen , Tübingen , Germany.
Christoph Nikendeib Department of General Internal Medicine and Psychosomatics , University Medical Hospital Heidelberg , Heidelberg , Germany.
Stephan Zipfela Department of Psychosomatic Medicine and Psychotherapy , Medical University Hospital Tuebingen , Tübingen , Germany.ORCID 0000-0003-1659-4440
Florian Junnea Department of Psychosomatic Medicine and Psychotherapy , Medical University Hospital Tuebingen , Tübingen , Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh levels of burnout rates amongst medical students have been confirmed by numerous studies from diverse contexts. This study aims to explore the functional and dysfunctional coping strategies of medical students with regard to their respective burnout factors.

methodsAbout 845 medical students in the 3

resultsA total of 597 medical students (70.7%) participated in the cross-sectional study. The results showed high burnout rates, averaging 35%. Students in earlier stages of university education showed lower values for cynicism (a subdimension of burnout), but higher values for emotional exhaustion than students in higher stages. Concerning academic efficacy, there was a trend towards less efficient perception among students in higher education. The identified functional coping strategies were 'seeking support from friends', 'seeking support from family', 'doing relaxing exercise', 'doing sports' and 'seeking support from fellow students'. The identified dysfunctional coping strategies were 'taking tranquilizers', 'taking stimulants', 'drinking alcohol', 'withdrawal and ruminating', and 'playing games on the PC or mobile phone'. The medical students surveyed are more affected by burnout symptoms like emotional exhaustion than the reference populations, but the overall result was difficult to interpret.

conclusionsThe identified behavioural-based functional coping strategies suggest that social support and active relaxing exercises seem to be very important possibilities for medical students to reduce stress and exhaustion. The use of drugs and alcohol for stress reduction raises concerns. Programs are recommended to improve resilient behaviour and to impart the identified functional coping strategies to medical students.

Indexed as

Adaptation, PsychologicalBurnout, PsychologicalCross-Sectional StudiesHumansStudents, MedicalSurveys and Questionnairesacademic efficacyburnoutcynicismexhaustionMBI-SSMedical studentsreference populationstress

Identifiers

PMID30371222
PMCPMC6211255

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.