Evidence map›Paper›PMID 41139881›Full record

ArticleThe clinical teacher2025

From Suppression to Integration: A Self-Determination Theory Perspective on Emotion Regulation in Medical Education.

Adam Neufeld

Abstract read
In one paragraph

Article in The clinical teacher, 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. 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

1 author.

Adam NeufeldDepartment of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Canada.ORCID 0000-0003-2848-8100

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEmotions influence physicians' learning, well-being and clinical care. Yet, emotion regulation remains an underdeveloped area in medical education, often lacking the conceptual clarity and structure needed for consistent teaching and assessment. This paper introduces self-determination theory (SDT) as a comprehensive framework for advancing emotion regulation in clinical training and practice. ARGUMENT: SDT describes three distinct forms of emotion regulation-dysregulation, suppression and integration-each shaped by the degree to which basic psychological needs for autonomy, competence and relatedness are supported. Clinical learning environments may unintentionally foster suppression or dysregulation through cultural norms and structural pressures. These patterns can undermine physician wellness and patient care, whereas integrated regulation has been linked to resilience, empathy and sustained professional engagement. INSIGHTS: SDT brings conceptual precision, strong empirical foundations and existing validated tools for assessment. It offers educators and institutions a ready-to-use framework to support emotional development through curriculum design, coaching and organisational culture, enabling emotion regulation to be approached as a developmental skill.

conclusionApplying SDT to emotion regulation offers a promising path forward for medical education. It provides a shared language and actionable strategies to foster emotional integration, enhancing learner development, care quality and system sustainability.

Indexed as

Education, MedicalEmotional RegulationPersonal AutonomyPsychological TheoryCurriculumEmotionsHumansbasic psychological needsemotion regulation index (ERI)integrative emotion regulationpsychological safetyself‐determination theory (SDT)

Identifiers

PMID41139881
PMCPMC12554996

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.