ArticleMedical science educator2025
The Role of Optimism and Self-Efficacy in the Relationship between Academic Stress and Depressive Symptoms in Medical Students Including the Use and Knowledge of Structural Health Promotion Offers.
Article in Medical science educator, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Global prevalence and associated factors of social anxiety disorder among medical students: a systematic review and meta-analysis.BMC psychology · 2026Pooled it
- Exploring the relationships between academic burnout and well-being in adolescents: the mediating role of optimism.BMC psychology · 2025Article
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3 authors.
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Abstract
Background: In recent years, studies have highlighted that stress levels among medical students are alarmingly high. The study aim was to examine how academic stress and depressive symptoms in medical students are affected by individual moderators (self-efficacy/optimism) and structural influencing factors (health promotion offers). Methods: Data collection occurred at three measurement points during the first 1.5 years at a medical school in Germany [baseline measurement (BM; Winter 2019, 226 participants), follow-up measurement 1 (FUM1; Summer 2020, 106 participants) and follow-up measurement 2 (FUM2; Winter 2020, 107 participants)]. Cross-sectional and longitudinal analyses were conducted with the data of FUM1 and FUM2, BM being only cross-sectionally analyzed as a baseline measurement. Interactions were calculated cross-sectionally with multiple linear regressions, and longitudinally with mixed effects models. Results: Academic stress was positively correlated with depressive symptoms cross-sectionally. In the longitudinal sample, optimism was found to moderate the association between academic stress and depressive symptoms, while the moderating effect of self-efficacy was found cross-sectionally for FUM2. "University sports offers" was the most-used health promotion offer for both FUM1 and FUM2. The other services, especially "psychological counseling", were rarely used by the students. The prevalence of depressive symptoms increased during the study course (BM: 4.9%; FUM1: 25.5%; FUM2: 23.4%). Conclusion: The increase of depressive symptoms linked to rising academic stress within the study course is alarming. Individual attributes such as optimism and self-efficacy have a moderating role on the relationship between academic stress and depressive symptoms and prevention offers may affect those individual attributes.. Supplementary Information: The online version contains supplementary material available at 10.1007/s40670-024-02240-4.
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