ArticleMedical education online2024
Uncovering heterogeneity in mental health changes among first-year medical students.
Article in Medical education online, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Gender differences in mental health profiles among Chinese adolescents: a multiple-group latent profile analysis.BMC psychology · 2026Article
- Transdiagnostic processes in university mental health: the role of psychological inflexibility, impulsivity and stress in depression and life satisfaction using structural equation modeling.Frontiers in public health · 2026Article
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Authors and funding
5 authors.
Funding
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Abstract
introductionThe initial year of medical school is linked to a decline in mental health. To assess mental health comprehensively, the dual-factor model posits the consideration of both psychopathology (e.g., depression) and positive mental health (e.g., well-being). Previous mental health research among medical students has primarily examined these two factors independently. This study uses the dual-factor approach for a deeper understanding of mental health changes during the first year of medical school.
methodsStudents from eight German medical schools (
resultsWe identified five mental health groups: (1) complete mental health, (2) moderately mentally healthy, (3) symptomatic but content, (4) vulnerable, and (5) troubled. The examination of change trajectories unveiled diverse paths pointing towards both recovery and deterioration. In comparison to the other groups, students belonging to the complete mental health group exhibited greater stability and a higher potential to recover after initial deteriorations in the first semester.
conclusionsOur study uncovers distinct mental health trajectories in the first year of medical school, emphasizing the crucial role of initial mental health status. Our findings stress the diverse nature of mental health changes in medical students, underscoring the need for tailored prevention strategies. The implications for research and practice are discussed.
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