ArticleBMC medical education2026
Psychological resilience moderates the association between adverse academic events and probable anxiety disorder in Chinese clinical medicine postgraduates: a cross-sectional study.
Article in BMC 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.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
backgroundClinical medicine postgraduates face a heightened risk for mental health problems, particularly anxiety disorder, which is largely due to a high-pressure training environment and prevalent adverse academic events. Psychological resilience, defined as the ability to adapt to adversity, is theorized to modify the association of external stressors with mental health problems. However, limited evidence exists regarding its moderating role in this specific population, particularly using rigorous interaction analysis.
methodsIn this cross-sectional study, 1182 clinical medicine postgraduates from a major Chinese medical school completed an anonymous online survey. Exposure to adverse academic events was assessed via an 8-item checklist. Anxiety symptoms were measured using the Generalized Anxiety Disorder scale (GAD-7), and psychological resilience was assessed with the Connor-Davidson Resilience Scale (CD-RISC-10). Hierarchical logistic regression was used to examine associations. The moderating role of psychological resilience was tested using the interaction contrast approach, reporting the Relative Excess Risk due to Interaction (RERI), Attributable Proportion (AP), and Synergy Index (SI).
resultsReporting adverse academic events was strongly associated with probable anxiety disorder (OR = 3.157, 95% CI: 2.284-4.363, p < 0.001), and low psychological resilience was independently associated with higher odds (OR = 3.657, 95% CI: 2.546-5.253, p < 0.001). A significant additive interaction was observed (RERI = 5.308, 95% CI: 1.402-9.214; AP = 0.434, 95% CI: 0.218-0.650; SI = 1.897, 95% CI: 1.218-2.955). Stratified analysis revealed that the association of adverse academic events with probable anxiety disorder was substantially stronger among individuals with low resilience (OR = 12.226, 95% CI: 7.585-19.708) compared to those with high resilience (OR = 3.775, 95% CI: 2.043-6.975).
conclusionsAdverse academic events are positively associated with probable anxiety disorder among clinical medicine postgraduates. Psychological resilience is a potent factor that modifies this association. These findings highlight the importance of integrating resilience assessment and resilience‑building programs into postgraduate medical education to safeguard trainee mental well-being.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.