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Sinval J, Oliveira P, Novais F, Almeida CM, Telles-Correia D. Correlates of burnout and dropout intentions in medical students: A cross-sectional study. J Affect Disord 2024; 364:221-230. [PMID: 39128773 DOI: 10.1016/j.jad.2024.08.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2024] [Revised: 08/03/2024] [Accepted: 08/08/2024] [Indexed: 08/13/2024]
Abstract
BACKGROUND Burnout is a pervasive issue among medical students, exhibiting a high prevalence that jeopardizes their academic success and may also predispose them to more severe affective disorders such as depression. This study aims to explore the complex relationships between psychological capital (PsyCap), general social support, educational satisfaction, and burnout, and how these factors collectively influence dropout intentions. METHODS A non-probabilistic convenience sample was collected through an online survey from first- and second-year medical students at a Faculty of Medicine in Portugal. The survey employed psychometric instruments to measure burnout (BAT-12), social support (F-SozU K-6), PsyCap (CPC-12R), satisfaction with education, and dropout intentions (Screening Instrument for Students At-Risk of Dropping Out). Structural equation modeling was applied to analyze the data from 351 participants. RESULTS The model demonstrated a significant positive association between burnout and dropout intentions (β̂ = 0.37; p < 0.001), underscoring burnout as a direct correlate of dropout intentions alongside educational satisfaction (β̂ = -0.25; p = 0.003) and PsyCap (β̂ = -0.22; p = 0.005). Higher social support is associated with reduced burnout (β̂ = -0.28; p < 0.001) and increased educational satisfaction (β̂ = 0.22; p = 0.002). LIMITATIONS The non-probabilistic sampling method prevents the generalization of the findings. The cross-sectional data do not permit the inference of temporal relationships between the studied variables. CONCLUSIONS These findings emphasize the importance that burnout may have on dropout intentions, and contribute to the understanding of affective syndromes such as burnout in educational settings.
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Affiliation(s)
- Jorge Sinval
- Faculdade de Medicina, Universidade de Lisboa, Portugal; National Institute of Education, Nanyang Technological University, Singapore; Business Research Unit (BRU-IUL), Instituto Universitário de Lisboa (Iscte-IUL), Portugal; Faculty of Philosophy, Sciences and Languages of Ribeirão Preto, University of São Paulo, Brazil; Department of Evidence-Based Health, Escola Paulista de Medicina, Universidade Federal de São Paulo, Brazil.
| | | | - Filipa Novais
- Clínica Universitária de Psiquiatria e Psicologia Médica, Faculdade de Medicina, Universidade de Lisboa, Portugal; PSYLAB - Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Portugal
| | - Carla Maria Almeida
- Clínica Universitária de Psiquiatria e Psicologia Médica, Faculdade de Medicina, Universidade de Lisboa, Portugal; PSYLAB - Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Portugal
| | - Diogo Telles-Correia
- Clínica Universitária de Psiquiatria e Psicologia Médica, Faculdade de Medicina, Universidade de Lisboa, Portugal; PSYLAB - Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Portugal
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Carmona-Halty M, Alarcón-Castillo K, Semir-González C, Sepúlveda-Páez G, Mena-Chamorro P, Barrueto-Opazo F, Salanova M. How study-related positive emotions and academic psychological capital mediate between teacher-student relationship and academic performance: a four-wave study among high school students. Front Psychol 2024; 15:1419045. [PMID: 39268383 PMCID: PMC11390622 DOI: 10.3389/fpsyg.2024.1419045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2024] [Accepted: 07/30/2024] [Indexed: 09/15/2024] Open
Abstract
This article presents a theory-driven model in which teacher-student relationships and academic performance are indirectly related through study-related positive emotions and academic psychological capital. A sample of 1,054 Chilean high school students (50.4% females) aged 12-17 (M = 14.46, SD = 1.74) participated in the study. Through structural equation modeling, the direct and indirect effects of the proposed model were calculated. The results show that study-related positive emotions and academic psychological capital mediate between the teacher-student relationship and academic performance. These results have significant implications for improving teaching competencies through positive psychological interventions aimed at developing skills in students and thus improving students' academic performance and general well-being in educational settings.
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Affiliation(s)
| | | | | | | | | | | | - Marisa Salanova
- WANT Research Team, Universitat Jaume I, Castellón de la Plana, Spain
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Zhang S, Zhao B, Li X, Zhang C, Lin X, Zhang Y, Li J, Lai C. Chinese nursing students' academic self-concept and deep learning in online courses: Does psychological capital play a moderating role? Heliyon 2024; 10:e35150. [PMID: 39161810 PMCID: PMC11332870 DOI: 10.1016/j.heliyon.2024.e35150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Revised: 07/16/2024] [Accepted: 07/23/2024] [Indexed: 08/21/2024] Open
Abstract
The advent of online education has become indispensable for nursing students seeking to acquire knowledge. However, the efficacy of online education often falls short of initial expectations. Deep learning (DL) can assist learners tackle complex problems and make innovative decisions. Despite its potential, there has been limited exploration into the underlying mechanisms of DL among nursing students, both domestically and globally. This study examined the potential moderating effect of psychological capital (PC) on the association between academic self-concept (AS-c) and DL among nursing students from China enrolled in online courses. Conducted from October 2022 to January 2023, the survey involved 635 nursing students from four public universities in eastern China, utilizing convenience sampling. Data was collected using the AS-c scale, psychological capital scale, and DL scale in online courses. Correlation analyses, univariate analyses, multiple linear regression analyses, and the PROCESS macro were employed for a comprehensive examination. The results revealed a strong positive relationship between nursing students' DL and both their AS-c (r = 0.766, P < 0.01) and PC (r = 0.714, P < 0.01), respectively. Additionally, the effect of AS-c on DL was stronger among individuals with high PC (β = 0.34, SE = 0.03, P < 0.001) compared to those with low (β = 0.29, SE = 0.02, P < 0.001) or medium (β = 0.24, SE = 0.02, P < 0.001) levels of PC, indicating that PC exerts moderating effects and promotes DL among nursing students enrolled in online courses. Based on these findings, several implications are suggested for the theory and practice of facilitating DL.
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Affiliation(s)
- Siai Zhang
- Cardiac Intensive Care Unit (CICU), Meizhou People's Hospital (Meizhou Academy of Medical Sciences), Meizhou, Guangdong province, China
| | - Bingyan Zhao
- Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, China
| | - Xuejiao Li
- Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, China
| | - Chunmei Zhang
- School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin, China
| | - Xinyu Lin
- Nursing Department, ShunDe Hospital GuangZhou University of Chinese Medicine (ShunDe District Hospital of Chinese Medicine of Foshan City), Foshan, Guangdong province, China
| | - Yajun Zhang
- Operating Room, The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China
| | - Jiajia Li
- Cardiac Intensive Care Unit (CICU), Meizhou People's Hospital (Meizhou Academy of Medical Sciences), Meizhou, Guangdong province, China
| | - Cuiwei Lai
- Nursing Department, Meizhou People's Hospital (Meizhou Academy of Medical Sciences), Meizhou, Guangdong province, China
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Heikkila R, Finch J, Waters AM, Farrell LJ. Preliminary Effectiveness of a Brief School-Based HERO Intervention: Improving the Wellbeing of Final Year Adolescent Female Students. Child Psychiatry Hum Dev 2024; 55:575-587. [PMID: 38049605 DOI: 10.1007/s10578-023-01629-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/27/2023] [Indexed: 12/06/2023]
Abstract
Young people face multiple challenges, including appearance dissatisfaction, academic stressors, anxiety and depression. These challenges may increase during the final year of high school and may have become further exacerbated by the COVID-19 pandemic. This study examines the preliminary effectiveness of a brief, uncontrolled school-based intervention aimed at enhancing Psychological Capital (PsyCap), consisting of positive resources of hope, self-efficacy, resilience and optimism (HERO), and reducing mental health symptoms among female year 12 students (n = 95, Mage = 16.78, SD = 0.45). Outcomes on measures of HERO and secondary outcomes of flourishing, appearance dissatisfaction, anxiety and depression were measured at pre and post-intervention. In the overall cohort, no significant changes were found on the HERO outcomes or flourishing post-intervention, while symptoms of depression, anxiety and appearance dissatisfaction decreased significantly. For students with higher baseline anxiety, optimism and anxiety symptoms improved significantly at post-intervention. However, students with lower baseline anxiety experienced significant decreases in self-efficacy and optimism, as well as a significant increase in anxiety symptoms post-intervention. Baseline depression levels did not impact intervention outcomes. The findings, although mixed and limited by the lack of control group, suggest that a brief intervention grounded in PsyCap theory may improve student wellbeing under challenging circumstances.
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Affiliation(s)
- Reetta Heikkila
- School of Applied Psychology, Griffith University, Gold Coast Campus, Australia
| | - Jules Finch
- School of Applied Psychology, Griffith University, Gold Coast Campus, Australia
| | - Allison M Waters
- School of Applied Psychology, Griffith University, Mt Gravatt Campus, Australia
| | - Lara J Farrell
- School of Applied Psychology, Griffith University, Gold Coast Campus, Australia.
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Finch J, Waters AM, Farrell LJ. Adolescent Anxiety, Depression and Flourishing before and During COVID-19 and the Predictive Role of Baseline Psychological Capital (PsyCap) on Student Mental Health and Subjective Wellbeing During the Pandemic. Child Psychiatry Hum Dev 2023:10.1007/s10578-023-01568-z. [PMID: 37418072 DOI: 10.1007/s10578-023-01568-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 07/01/2023] [Indexed: 07/08/2023]
Abstract
Studies indicate the COVID-19 pandemic has resulted in rises in adolescent mental health symptoms globally, although the impact of the pandemic on subjective wellbeing is under-researched in this population. Psychological capital (PsyCap), a cluster of four positive psychological constructs comprising hope, efficacy, resilience and optimism (HERO), has demonstrated preventative and promotive qualities on mental health symptoms and subjective wellbeing outcomes with adult populations (employees, university students). However, PsyCap's influence on these outcomes in young people is unclear. The present exploratory study investigated changes in self-reported anxiety and depressive symptoms (measured via the RCADS-SV) and subjective wellbeing (measured by the Flourishing Scale) from pre-pandemic levels to 3 months into the pandemic and explored gender differences at each time point in a sample of Australian Year 10 students (N = 56, Mage = 14.93 years, SD = 0.50, 51.8% male). The longitudinal predictive role of baseline PsyCap on follow-up assessments of anxiety symptoms, depressive symptoms and flourishing were also examined. There were no significant changes in levels of anxiety and depressive symptoms between the timepoints, but flourishing significantly declined from T1 to T2. Baseline PsyCap was not a significant predictor of T2 anxiety and depressive symptoms but was a significant predictor of T2 flourishing. Further, different baseline HERO constructs predicted T2 mental health symptoms and flourishing. Future larger studies building on the current preliminary findings investigating the roles of student PsyCap, mental health and subjective wellbeing are warranted to better understand these constructs in the COVID-19 era and beyond.
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Affiliation(s)
- Jules Finch
- School of Applied Psychology, Griffith University, Gold Coast Campus, Australia.
| | - Allison M Waters
- School of Applied Psychology, Griffith University, Mt Gravatt Campus, Australia
| | - Lara J Farrell
- School of Applied Psychology, Griffith University, Gold Coast Campus, Australia
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