Evidence map›Paper›PMID 39272179›Full record

ArticleBMC medical education2024

Psychological distress, social media use, and academic performance of medical students: the mediating role of coping style.

Ramin Shiraly, Ashrafalsadat Roshanfekr, Abdolrahim Asadollahi, Mark D Griffiths

Abstract read
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Article in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  5. Time to Address Eating Disorder Risk Among Medical Students.Behavioral sciences (Basel, Switzerland) · 2026
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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.

Ramin ShiralyDepartment of Preventive and Community Medicine, School of Medicine, Health Behavior Science Research Unit, Shiraz University of Medical Sciences, Shiraz, Iran. rshiraly@gmail.com.
Ashrafalsadat RoshanfekrStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Abdolrahim AsadollahiDepartment of Gerontology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Mark D GriffithsDistinguished Professor of Behavioural Addiction. International Gaming Research Unit, Psychology Department, Nottingham Trent University, 50 Shakespeare Street, Nottingham, NG1 4FQ, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGiven that social media use (SMU) is an increasingly widespread activity among university students, more information is needed to evaluate its relationship with students' mental health, particularly medical students.

objectiveThe present study assessed the relationships between SMU and coping style with psychological distress and academic performance of medical students.

methodsAn offline cross-sectional survey conducted with 398 undergraduate medical students. The survey collected data on demographics, psychological distress (DASS-21), coping strategies (Brief COPE Scale), academic performance (grade point average) and estimated average time spent on social media per day. Structural equation modeling was used to clarify relationships between the main study variables. The study also examined the mediating effect of maladaptive coping between SMU and psychological distress.

resultsStudents with higher levels of psychological distress were more likely to be engaged in frequent social media use. Spending more than two hours a day on social media use had a positive association with maladaptive coping (p < 0.001), particularly with substance use and behavioral disengagement both of which could negatively affect academic performance. Maladaptive coping mediated the relationship between students' SMU and psychological distress.

conclusionThe findings suggest that medical students commonly use social media as a maladaptive coping tool to deal with psychological distress. Empowering students to adopt and foster appropriate coping strategies could help them to enhance resilience against life stresses and ameliorate potential long-term mental health consequences associated with maladaptive behaviors.

Indexed as

Academic PerformanceAdaptation, PsychologicalPsychological DistressSocial MediaStudents, MedicalAdultCross-Sectional StudiesEducation, Medical, UndergraduateFemaleHumansMaleStress, PsychologicalSurveys and QuestionnairesYoung AdultAcademic performanceAnxietyCoping strategiesDepressionMedical studentsPsychological distressSocial media useStress

Identifiers

PMID39272179
PMCPMC11401414

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.