Evidence map›Paper›PMID 41547759›Full record

ArticleBMC medical education2026

Relationships among psychological well-being, character strengths, gratitude, and grit in military medical university students: a network analysis.

Yan Zhang, Jin Zhao, Hongliang Lu, Shengjun Wu, Zhe Yang

Abstract read
In one paragraph

Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

5 authors.

Yan Zhang *Department of Military Medical Psychology, The Fourth Military Medical University, Changle West Rd No. 169, Xi'an, 710032, People's Republic of China.
Jin Zhao *Department of Nephrology, Xijing Hospital, The Fourth Military Medical University, Changle West Rd No. 127, Xi'an, 710032, People's Republic of China.
Hongliang LuDepartment of Military Medical Psychology, The Fourth Military Medical University, Changle West Rd No. 169, Xi'an, 710032, People's Republic of China.
Shengjun WuDepartment of Military Medical Psychology, The Fourth Military Medical University, Changle West Rd No. 169, Xi'an, 710032, People's Republic of China. wushj@fmmu.edu.cn.
Zhe YangDepartment of Health Statistics, School of Public Health, The Fourth Military Medical University, Changle West Rd No. 169, Xi'an, 710032, People's Republic of China. doudou05@fmmu.edu.cn.

Funding

Interdisciplinary Integration Special Project 2024JC046National Natural Science Foundation of China 82470735
6 · The paper itself

Abstract

backgroundMilitary medical students face dual academic-military pressures, making their mental health crucial for personal and national defense development. Current research focuses mainly on psychological disorders, leaving positive psychology approaches underexplored. This study uses network analysis to examine relationships between psychological well-being and positive psychological traits.

methodsA cross-sectional survey was conducted with 652 military medical university students. Standardized scales measured psychological well-being, character strengths, grit, and gratitude. A regularized network model was constructed using the EBICglasso algorithm. Centrality and bridge centrality analyses identified core and bridge nodes, with network stability assessed via bootstrap methods.

resultsGratitude showed positive correlations with all dimensions of psychological well-being, with the strongest correlation between interpersonal strength and intellectual strength (r = 0.86). Key network edges included interpersonal strength - intellectual strength, temperance strength -perseverance of effort, and gratitude-consistency of interests. Interpersonal strength, temperance strength, and purpose in life were core nodes, while perseverance of effort, temperance strength, and gratitude were critical bridge nodes. The network demonstrated good stability (CS = 0.75).

conclusionInterventions targeting the identified core and bridging psychological elements can effectively enhance military medical students’ mental health. This study provides a theoretical foundation for implementing positive psychology-based mental health education in military medical universities and practical guidance for designing targeted interventions.

trial registrationNot applicable.

Indexed as

Mental HealthMilitary MedicineMilitary PersonnelPsychological Well-BeingStudents, MedicalAdultCross-Sectional StudiesFemaleHumansMaleSurveys and QuestionnairesUniversitiesYoung AdultCharacter strengthGratitudeGritMilitary medical university studentsNetwork analysisPsychological well-being

Identifiers

PMID41547759
PMCPMC12895969

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.