Evidence map›Paper›PMID 40395953›Full record

ArticleGMS journal for medical education2025

Stress experience and coping strategies in medical studies - insights and a discussion of preventive measures.

Iris Warnken, Sabine Polujanski, Thomas Rotthoff, Ann-Kathrin Schindler

Abstract read
In one paragraph

Article in GMS journal for medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. MBMC medical education · 2026
    Article
  2. Article
  3. Article
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.

Iris WarnkenUniversity of Augsburg, Faculty of Medicine, Medical Didactics and Education Research, DEMEDA, Augsburg, Germany.
Sabine PolujanskiUniversity of Augsburg, Faculty of Medicine, Medical Didactics and Education Research, DEMEDA, Augsburg, Germany.
Thomas RotthoffUniversity of Augsburg, Faculty of Medicine, Medical Didactics and Education Research, DEMEDA, Augsburg, Germany.
Ann-Kathrin SchindlerUniversity of Augsburg, Faculty of Medicine, Medical Didactics and Education Research, DEMEDA, Augsburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: A high level of stress and critical burnout values (27-56%) has been identified among medical students in numerous international research and review studies. The aim of this interview study was to gain insights into students' perspectives on stressors, stress amplifiers and reactions, as well as the coping strategies they applied. The results will be used to discuss preventative measures in higher education. Methods: A total of 22 semi-standardised, semi-narrative interviews were conducted with medical students, students in their practical year and junior doctors to gain retrospective perspectives on their studies. All data were audio-recorded, pseudonymised, fully transcribed as well as structured and analysed using qualitative content analysis, based on Kaluza's stress model. Results: Study-related causes (e.g. the amount of material), private issues (e.g. social conflicts) and aspects arising during clinical work phases (e.g. complexity of tasks) were named as stressors. Individual stress amplifiers, such as perfectionism, were also described. The respondents showed stress reactions, such as doubts and fears. The coping strategies described were varied, but some were seen to be effective only in the short term. Conclusion: The ability to cope with stress must be consciously learned and reflected upon across various causative areas. In particular, the discussion of mental strategies for dealing with repeatedly described stress amplifiers, such as one's own perfectionism, appears to be a behavioural prevention measure that is still little used by medical students. In terms of behavioural prevention, discourses on large amounts of learning material, increased support in the transition phase at the start of a degree course and more flexible studying for medical students (e.g. with a family) must be further developed.

Indexed as

Adaptation, PsychologicalStress, PsychologicalStudents, MedicalAdultBurnout, ProfessionalCoping SkillsFemaleHumansInterviews as TopicMaleQualitative ResearchRetrospective Studiescoping sillsfear, burnout psychologicalperfectionismqualitative researchretrospective studiesstudent, medical

Identifiers

PMID40395953
PMCPMC12086247

What OpenQuestion holds

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Registered trials

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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.