Burnout and depression in medical students: Relations with avoidance and disengagement
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Acceptance and commitment therapy (ACT) has been reported to be effective in reducing burnout and depression among a variety of healthcare professionals as well as medical students.
“Acceptance and commitment therapy (ACT), a psychotherapy that targets the facilitation of psychological flexibility, has been used and reported to be effective in reducing burnout and depression among a variety of healthcare professionals as well as medical students [23, 32–35].”
Burnout risk is higher among medical students who engage in experiential avoidance or non-values-based actions.
“Furthermore, burnout risk is higher among medical students who engage in experiential avoidance [11,32] or non–values-based actions [60].”
From Evaluation of an App-Delivered Psychological Flexibility Skill Training Intervention for Medical Student Burnout and Well-being: Randomized Controlled Trial (2023) · cites this paper as [60]
Cites
Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001) · Annual Review of Psychology · doi:10.1146/annurev.psych.52.1.397 · Cited by 12,852 · see citing works
Acceptance and commitment therapy: model, processes and outcomes
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.06.006 · Cited by 6,587 · see citing works
(1999) · Cited by 5,934 · see citing works
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., Waltz, T., & Zettle, R. D. (2011) · Behavior Therapy · doi:10.1016/j.beth.2011.03.007 · Cited by 3,950 · see citing works
Dyrbye, L. N., Thomas, M. R., & Shanafelt, T. D. (2006) · Academic Medicine · doi:10.1097/00001888-200604000-00009 · Cited by 2,909 · see citing works
Rotenstein, L. S., Ramos, M. A., Torre, M., Segal, J. B., Peluso, M. J., Guille, C., Sen, S., & Mata, D. A. (2016) · JAMA · doi:10.1001/jama.2016.17324 · Cited by 2,479 · see citing works
Maslach, C., & Jackson, S. E. (1979) · PsycTESTS Dataset · doi:10.1037/t55656-000 · Cited by 2,360 · see citing works
Dyrbye, L. N., West, C. P., Satele, D., Boone, S., Tan, L., Sloan, J., & Shanafelt, T. D. (2014) · Academic Medicine · doi:10.1097/acm.0000000000000134 · Cited by 2,040 · see citing works
Burnout and Suicidal Ideation among U.S. Medical Students
Dyrbye, L. N., Thomas, M. R., Massie, F. S., Power, D. V., Eacker, A., Harper, W., Durning, S., Moutier, C., Szydlo, D. W., Novotny, P. J., et al. (2008) · Annals of Internal Medicine · doi:10.7326/0003-4819-149-5-200809020-00008 · Cited by 1,532 · see citing works
West, C. P., Huschka, M. M., Novotny, P. J., Sloan, J. A., Kolars, J. C., Habermann, T. M., & Shanafelt, T. D. (2006) · JAMA · doi:10.1001/jama.296.9.1071 · Cited by 1,454 · see citing works
Mindfulness-based stress reduction for health care professionals: results from a randomized trial
Shapiro, S. L., Astin, J. A., Bishop, S. R., & Cordova, M. (2005) · International Journal of Stress Management · doi:10.1037/1072-5245.12.2.164 · Cited by 1,323 · see citing works
Stress and depression among medical students: a cross-sectional study
Dahlin, M., Joneborg, N., & Runeson, B. (2005) · Medical Education · doi:10.1111/j.1365-2929.2005.02176.x · Cited by 1,226 · see citing works
Evaluating stress : a book of resources
Zalaquett, C. P., & Wood, R. J. (1997) · Scarecrow Press eBooks · Cited by 1,176 · see citing works
Relationship Between Burnout and Professional Conduct and Attitudes Among US Medical Students
Dyrbye, L. N., Massie, F. S., Eacker, A., Harper, W., Power, D., Durning, S. J., Thomas, M. R., Moutier, C., Satele, D., Sloan, J., et al. (2010) · JAMA · doi:10.1001/jama.2010.1318 · Cited by 896 · see citing works
Experiential avoidance as a functional dimensional approach to psychopathology: An empirical review
Chawla, N., & Ostafin, B. (2007) · Journal of Clinical Psychology · doi:10.1002/jclp.20400 · Cited by 805 · see citing works
Development and validation of the Inventory of Depression and Anxiety Symptoms (IDAS).
Watson, D., O'Hara, M. W., Simms, L. J., Kotov, R., Chmielewski, M., McDade-Montez, E. A., Gamez, W., & Stuart, S. (2007) · Psychological Assessment · doi:10.1037/1040-3590.19.3.253 · Cited by 740 · see citing works
Self-citationPersonal Life Events and Medical Student Burnout: A Multicenter Study
Dyrbye, L. N., Thomas, M. R., Huntington, J. L., Lawson, K. L., Novotny, P. J., Sloan, J. A., & Shanafelt, T. D. (2006) · Academic Medicine · doi:10.1097/00001888-200604000-00010 · Cited by 625 · see citing works
The valued living questionnaire: defining and measuring valued action within a behavioral framework
Wilson, K. G., Sandoz, E. K., Kitchens, J., & Roberts, M. (2010) · The Psychological Record · doi:10.1007/bf03395706 · Cited by 518 · see citing works
Mindfulness-Based Stress Reduction Lowers Psychological Distress In Medical Students
Rosenzweig, S., Reibel, D. K., Greeson, J. M., Brainard, G. C., & Hojat, M. (2003) · Teaching and Learning in Medicine · doi:10.1207/s15328015tlm1502_03 · Cited by 507 · see citing works
Burnout and Serious Thoughts of Dropping Out of Medical School: A Multi-Institutional Study
Dyrbye, L. N., Thomas, M. R., Power, D. V., Durning, S., Moutier, C., Massie, F. S., Harper, W., Eacker, A., Szydlo, D. W., Sloan, J. A., et al. (2010) · Academic Medicine · doi:10.1097/acm.0b013e3181c46aad · Cited by 480 · see citing works
Stress among medical students in a Thai medical school
Saipanish, R. (2003) · Medical Teacher · doi:10.1080/0142159031000136716 · Cited by 440 · see citing works
Distress Among Matriculating Medical Students Relative to the General Population
Brazeau, C. M. L. R., Shanafelt, T. D., Durning, S. J., Massie, F. S., Eacker, A. M., Moutier, C. Y., Satele, D., Sloan, J. A., & Dyrbye, L. N. (2014) · Academic Medicine · doi:10.1097/acm.0000000000000482 · Cited by 421 · see citing works
Dyrbye, L. N., Power, D. V., Massie, F. S., Eacker, A. M., Harper, W. R., Thomas, M. R., Szydlo, D. W., Sloan, J. A., & Shanafelt, T. D. (2010) · Medical Education · doi:10.1111/j.1365-2923.2010.03754.x · Cited by 397 · see citing works
Race, Ethnicity, and Medical Student Well-being in the United States
Dyrbye, L. N., Thomas, M. R., Eacker, A. M., Harper, W. R., Massie, F. S., Power, D. V., Huschka, M. M., Novotny, P. J., Sloan, J. A., & Shanafelt, T. D. (2007) · Archives of Internal Medicine · doi:10.1001/archinte.167.19.2103 · Cited by 353 · see citing works
Factors Associated With Undertreatment of Medical Student Depression
Tjia, J., Givens, J. L., & Shea, J. A. (2005) · Journal of American College Health · doi:10.3200/jach.53.5.219-224 · Cited by 319 · see citing works
Burnout in Medical Students: Examining the Prevalence and Associated Factors
Santen, S. A., Holt, D. B., Kemp, J. D., & Hemphill, R. R. (2010) · Southern Medical Journal · doi:10.1097/smj.0b013e3181e6d6d4 · Cited by 270 · see citing works
Tyssen, R., Vaglum, P., Grønvold, N. T., & Ekeberg, Ø. (2001) · Medical Education · doi:10.1046/j.1365-2923.2001.00770.x · Cited by 258 · see citing works
(2004) · Cited by 182 · see citing works
Dyrbye, L. N., Harper, W., Moutier, C., Durning, S. J., Power, D. V., Massie, F. S., Eacker, A., Thomas, M. R., Satele, D., Sloan, J. A., et al. (2012) · Academic Medicine · doi:10.1097/acm.0b013e31825cfa35 · Cited by 169 · see citing works
Vilardaga, R., Luoma, J. B., Hayes, S. C., Pistorello, J., Levin, M. E., Hildebrandt, M. J., Kohlenberg, B., Roget, N. A., & Bond, F. (2011) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2010.11.015 · Cited by 142 · see citing works
Dobie, S. A. (2007) · Academic Medicine · doi:10.1097/01.acm.0000259374.52323.62 · Cited by 124 · see citing works
The factor structure of the Maslach Burnout Inventory in two Swedish human service organizations
Söderfeldt, M., Söderfeldt, B., Warg, L., & Ohlson, C. (1996) · Scandinavian Journal of Psychology · doi:10.1111/j.1467-9450.1996.tb00675.x · Cited by 40 · see citing works
The Assessment of Burnout: A Review of Three Inventories Useful for Research and Counseling
Arthur, N. M. (1990) · Journal of Counseling & Development · doi:10.1002/j.1556-6676.1990.tb01484.x · Cited by 40 · see citing works
Moral distress related to ethical dilemmas among Spanish podiatrists
Losa‐Iglesias, M. E., Vallejo, R., & Fuentes, P. S. (2010) · Journal of Medical Ethics · doi:10.1136/jme.2009.034322 · Cited by 24 · see citing works
Spurgeon, A. (1998) · Psychological Medicine · doi:10.1017/s0033291798257163 · Cited by 18 · see citing works
Flagged first, then by citations
2 of the 37 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Zhao, Y., Qu, D., Chen, S., & Chi, X. (2022) · Computers in Human Behavior · doi:10.1016/j.chb.2022.107424 · Cited by 134 · see citing works
Inquiry into the correlation between burnout and depression.
Schonfeld, I. S., Verkuilen, J., & Bianchi, R. (2019) · Journal of Occupational Health Psychology · doi:10.1037/ocp0000151 · Cited by 86 · see citing works
A five‐sample confirmatory factor analytic study of burnout‐depression overlap
Bianchi, R., Schonfeld, I. S., & Verkuilen, J. (2020) · Journal of Clinical Psychology · doi:10.1002/jclp.22927 · Cited by 60 · see citing works
Rodríguez, F. M. M., Pérez‐Mármol, J. M., & Brown, T. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.02889 · Cited by 54 · see citing works
A review of the factors related to burnout at the early-career stage of medicine
Hariharan, T., & Griffin, B. (2019) · Medical Teacher · doi:10.1080/0142159x.2019.1641189 · Cited by 49 · see citing works
Huang, H., Zhang, H., Xie, Y., Wang, S., Cui, H., Li, L., Hua, S., & Geng, Q. (2019) · Neurology Psychiatry and Brain Research · doi:10.1016/j.npbr.2019.12.002 · Cited by 46 · see citing works
Puranitee, P., Sae-tang, S., Sumrithe, S., Busari, J. O., van Mook, W., & Heeneman, S. (2019) · International Journal of Medical Education · doi:10.5116/ijme.5dc6.8228 · Cited by 45 · see citing works
Garner, E. V., & Golijani-Moghaddam, N. (2021) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2021.06.007 · Cited by 41 · see citing works
Tunç, H., Morris, P. G., Kyranides, M. N., McArdle, A., McConachie, D., & Williams, J. (2023) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2023.02.004 · Cited by 40 · see citing works
Szarko, A. J., Houmanfar, R. A., Smith, G. S., Jacobs, N. N., Smith, B. M., Assemi, K., Piasecki, M., & Baker, T. K. (2022) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2022.02.004 · Cited by 31 · see citing works
Dereix-Calonge, I., Ruiz, F. J., Sierra, M. A., Peña-Vargas, A., & Ramírez, E. S. (2019) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2019.02.005 · Cited by 29 · see citing works
Jeon, M., Lee, I., & Lee, M. (2022) · Annals of Medicine · doi:10.1080/07853890.2022.2122551 · Cited by 27 · see citing works
Zhang, C., Li, X., Si, G., Chung, P., Huang, Z., & Gucciardi, D. F. (2022) · Psychology of sport and exercise · doi:10.1016/j.psychsport.2022.102341 · Cited by 23 · see citing works
Ditton, E., Knott, B., Hodyl, N., Horton, G., Oldmeadow, C., Walker, F. R., & Nilsson, M. (2023) · JMIR Mental Health · doi:10.2196/42566 · Cited by 22 · see citing works
Watanabe, T., & Akechi, T. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-04811-y · Cited by 21 · see citing works
“These results are similar to previous studies and support the idea that increasing psychological flexibility is important to combat burnout for medical students, with and without ALTs [23, 61, 62].”
ResultERSEZGİN, R., & Tok, E. S. S. (2018) · Uludağ Üniversitesi Fen Edebiyat Fakültesi Sosyal Bilimler Dergisi · doi:10.21550/sosbilder.457245 · Cited by 12 · see citing works
Alshobaili, A. M., Alshallan, H. A., Alruwaili, S. H., Alqarni, A. F., Alanazi, M. M., Alshinqeeti, T. A., & Awad, S. S. (2020) · International Journal of Higher Education · doi:10.5430/ijhe.v10n2p229 · Cited by 11 · see citing works
Ditton, E., Knott, B., Hodyl, N., Horton, G., Walker, F. R., & Nilsson, M. (2023) · JMIR Formative Research · doi:10.2196/43263 · Cited by 9 · see citing works
Watanabe, T., Kondo, M., Sakai, M., & Akechi, T. (2023) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2023.08.009 · Cited by 9 · see citing works
Yu, Q., Wang, X., Cao, Y., Lu, J., Gao, F., Fan, J., & Zhu, X. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.01.039 · Cited by 9 · see citing works
Laeeque, S. H., Saeed, M. A., & Bilal, A. (2022) · Motivation and Emotion · doi:10.1007/s11031-022-09925-6 · Cited by 9 · see citing works
Ditton, E., Knott, B., Hodyl, N. A., Horton, G. L., Walker, F. R., & Nilsson, M. (2022) · JMIR Research Protocols · doi:10.2196/32992 · Cited by 8 · see citing works
An Effort-Reward Imbalance Model to Study Engagement and Burnout: A Pilot Study
Hwang, J. E., Kim, N. J., Kwon, N., & Kim, S. Y. (2019) · Journal of Education and Development · doi:10.20849/jed.v3i2.542 · Cited by 6 · see citing works
Miner, A. S., Markowitz, D. M., Peterson, B. L., & Weston, B. W. (2020) · Health Communication · doi:10.1080/10410236.2020.1851862 · Cited by 5 · see citing works
Amir, E., Kumari, S., Olivetta, U., & Mansoor, M. (2018) · International Journal of Psychology & Behavior Analysis · doi:10.15344/2455-3867/2018/151 · Cited by 5 · see citing works
The Effect of Psychological Flexibility, Meaning in Life, and Work Engagement on Teacher Burnout
Çelik, H., & Dost, M. T. (2025) · International Journal of Psychology and Educational Studies · doi:10.52380/ijpes.2025.12.3.1405 · Cited by 4 · see citing works
Jahanaray, M., Pasha, A., & Jahanaray, A. (2026) · Journal of American College Health · doi:10.1080/07448481.2025.2611276 · Cited by 4 · see citing works
Dereix-Calonge, I., Ruiz, F. J., Suárez-Falcón, J. C., & Flórez, C. L. (2019) · Training and Education in Professional Psychology · doi:10.1037/tep0000229 · Cited by 3 · see citing works
The relationship between regulatory focus, perfectionism, and school burnout
Yasuda, Y., & Goegan, L. D. (2023) · Social Psychology of Education · doi:10.1007/s11218-023-09776-0 · Cited by 3 · see citing works
Depression Among Medical Students at West Bank Universities
Idkedek, M., Moreb, B., Al-Sharif, N., Rishiq, A., Hliqawi, A., Idkaidak, S., Khalil, M. O., Hamad, L., & Hallak, H. (2024) · Jordan Medical Journal · doi:10.35516/jmj.v58i1.2401 · Cited by 2 · see citing works
Student Engagement in an Online Engineering Afterschool Program During the COVID-19 Pandemic
Rangel, V. S., Henderson, J. A., Martinez, C., & Greer, R. (2022) · Journal of Pre-College Engineering Education Research (J-PEER) · doi:10.7771/2157-9288.1347 · Cited by 2 · see citing works
Wisanuyothin, T., Sawee, C., Saisavoey, N., Thongchot, L., & Dangprapai, Y. (2022) · Research Square · doi:10.21203/rs.3.rs-1551289/v1 · Cited by 2 · see citing works
Simons, G., & Effah, R. (2024) · Oxford University Press eBooks · doi:10.1093/oso/9780192864871.003.0005 · Cited by 1 · see citing works
Watanabe, T., 高桑, 修., & Akechi, T. (2026) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.70500 · Cited by 1 · see citing works
Primer for Clinicians Treating Medical Students and Residents
Goodman, H. S., Yang, P. H., Musselman, M. A., & Kenyon, L. J. (2025) · Psychiatric Annals · doi:10.3928/00485713-20250204-03 · Cited by 1 · see citing works
Watanabe, T., Omori, I. M., Nakaguchi, T., Shiraisi, N., Sakai, M., Kondo, M., Kakizaki, M., Takakuwa, O., & Akechi, T. (2025) · Research Square · doi:10.21203/rs.3.rs-7717852/v1 · Cited by 1 · see citing works
Understanding the Motivation of Female Ph.D. Students to Enroll and Persist in STEM-Related Fields
Witherspoon, L. (2018) · Scholars' Bank (University of Oregon)
Sintomas depressivos e ideação suicida em profissionais de saúde durante a pandemia por coronavírus
Fratari, N. D. S., & Claro, H. G. (2023) · SMAD Revista Eletrônica Saúde Mental Álcool e Drogas (Edição em Português) · doi:10.11606/issn.1806-6976.smad.2024.192968
Watanabe, T., & Akechi, T. (2024) · Figshare · doi:10.6084/m9.figshare.26586162
Watanabe, T., & Akechi, T. (2024) · Figshare · doi:10.6084/m9.figshare.26586159
Experiential avoidance, engaged living, and burnout in medical students, residents and fellows
Saugh, K. R., Ibrahim, Y., Giles, C., Baronia, R. B., & Dhanasekara, C. S. (2026) · Acta Psychologica · doi:10.1016/j.actpsy.2026.106905
Sardarnia, A., & Liyaghat, R. (2025) · Rooyesh Psychological Journal · doi:10.66224/rooyesh.14.3.123
Morgus, K., Noel, T. K., & Stavisky, C. J. (2026) · Journal of Occupational Therapy Education · doi:10.26681/jote.2026.100301
- Authors
- Kroska, E. B., Calarge, C., O’Hara, M. W., Deumic, E., & Dindo, L.
- Affiliations
- University of Iowa (US)
- Baylor College of Medicine (US)
- Corresponding author
- Dindo, Lilian
- Venue
- Journal of Contextual Behavioral Science
- Publisher
- Elsevier BV
- Published
- 2017-10
- Volume
- 6
- Issue
- 4
- Pages
- 404-408
- ISSN
- 2212-1447 (ISSN-L)
- OpenAlex
- W2742555526
- Cited by
- 41
- References
- 37
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 4 · 2023: 8 · 2022: 8 · 2021: 1 · 2020: 3 · 2019: 8 · 2018: 4
- FWCI
- 6.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Contextual Behavioral Science (publishedVersion)
- Funders
- Santen
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Keywords
- burnout, depression, medical students, disengagement, emotional exhaustion, depersonalization, personal accomplishment, acceptance and commitment therapy, coping strategies, psychological well-being, maladaptive coping
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