Evidence map›Paper›PMID 41726256›Full record

ArticlePerspectives on medical education2026

Dual Pathways From Self-Compassion and Self-Criticism to Academic Achievement: The Roles of Engagement and Exhaustion.

Piermarco Consiglio, Marjon Fokkens-Bruinsma, Marie-Christine Opdenakker, Ellen P W A Jansen, Joke Fleer

Abstract read
In one paragraph

Article in Perspectives on medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Piermarco ConsiglioDepartment of Health Sciences, Section Health Psychology, University Medical Center Groningen, University of Groningen, The Netherlands.ORCID 0000-0001-5456-4678
Marjon Fokkens-BruinsmaDepartment of Teacher Education, University of Groningen, The Netherlands.ORCID 0000-0001-7551-6843
Marie-Christine OpdenakkerDepartment of Teacher Education, University of Groningen, The Netherlands.ORCID 0000-0001-7079-0245
Ellen P W A JansenDepartment of Teacher Education, University of Groningen, The Netherlands.ORCID 0000-0001-9618-1034
Joke FleerDepartment of Teacher Education, University of Groningen, The Netherlands.ORCID 0000-0002-9116-9404

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Engagement and burnout symptoms among medical students are key factors influencing their academic performance, risk of dropout, and overall well-being. While research has primarily focused on negative constructs such as burnout symptoms, less attention has been given to how positive constructs, such as engagement, evolve over time. This study examines the temporal changes in medical students' engagement and exhaustion while exploring two distinct pathways: the 'bright path', which investigates engagement as a mediator between self-compassion and academic achievement, and the 'dark path', which examines exhaustion as a mediator between self-criticism and academic achievement. Methods: Self-report measures were used to assess self-compassion, self-criticism, engagement, and exhaustion, while academic achievement was measured objectively. The data were drawn from a longitudinal research project that followed 117 medical students throughout their entire Bachelor's program. Analyses included linear growth models and parallel process latent growth curve models to examine changes over time and potential mediation effects. Results: The findings show a decline in engagement and exhaustion throughout the Bachelor's program. Furthermore, neither engagement nor exhaustion mediated the relationships within the bright and dark pathways. Conclusions: Findings underscore the importance of fostering environments that promote well-being and engagement while addressing negative factors like exhaustion that can hinder student success. They also highlight the potential influence of contextual factors in shaping medical students' experiences, suggesting that interactions between personal resources and environmental demands may play a key role in shaping students' engagement, exhaustion and academic achievement.

Indexed as

Academic SuccessEmpathySelf-AssessmentStudents, MedicalAcademiaBurnout, ProfessionalEmotional ExhaustionFemaleHumansLongitudinal Studies

Identifiers

PMID41726256
PMCPMC12922675

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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.