Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students

The CES-D Scale: A Self-Report Depression Scale for Research in the General Population

Radloff, L. S. (1977) · Applied Psychological Measurement · doi:10.1177/014662167700100306 · Cited by 53,267 · see citing works

An inventory for measuring depression

BECK, A. T. (1961) · Archives of General Psychiatry · doi:10.1001/archpsyc.1961.01710120031004 · Cited by 38,032 · see citing works

A Global Measure of Perceived Stress

Cohen, S., Kamarck, T., & Mermelstein, R. (1983) · Journal of Health and Social Behavior · doi:10.2307/2136404 · Cited by 32,807 · see citing works

Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation

Beck, A. T., Steer, R. A., & Carbin, M. G. (1988) · Clinical Psychology Review · doi:10.1016/0272-7358(88)90050-5 · Cited by 11,696 · see citing works

The Epidemiology of Major Depressive Disorder: Results From the National Comorbidity Survey Replication (NCS-R)

Kessler, R. C., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K. R., Rush, A. J., Walters, E. E., & Wang, P. S. (2003) · JAMA · doi:10.1001/jama.289.23.3095 · Cited by 7,988 · see citing works

The brief symptom inventory: an introductory report.

Derogatis, L. R., & Melisaratos, N. (1983) · Psychological Medicine · doi:10.1017/s0033291700048017 · Cited by 6,650 · see citing works

The Hopkins Symptom Checklist (HSCL): A self-report symptom inventory

Derogatis, L. R., Lipman, R. S., Rickels, K., Uhlenhuth, E. H., & Covi, L. (1974) · Behavioral Science · doi:10.1002/bs.3830190102 · Cited by 4,604 · see citing works

The SCL-90 and the MMPI: A Step in the Validation of a New Self-Report Scale

Derogatis, L. R., Rickels, K., & Rock, A. F. (1976) · British Journal of Psychiatry · doi:10.1192/bjp.128.3.280 · Cited by 2,298 · see citing works

Assessing depressive symptoms in five psychiatric populations: a validation study.

Weissman, M., Sholomskas, D., Pottenger, M., Prusoff, B., & Locke, B. Z. (1977) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a112455 · Cited by 2,232 · see citing works

Burnout and self-reported patient care in an internal medicine residency program

Shanafelt, T. D., Bradley, K. A., Wipf, J. E., & Back, A. L. (2002) · Annals of Internal Medicine · doi:10.7326/0003-4819-136-5-200203050-00008 · Cited by 2,165 · see citing works

Beyond curriculum reform

Hafferty, F. W. (1998) · Academic Medicine · doi:10.1097/00001888-199804000-00013 · Cited by 1,881 · see citing works

Screening Depressed Patients in Family Practice

Beck, A. T., & Beck, R. W. (1972) · Postgraduate Medicine · doi:10.1080/00325481.1972.11713319 · Cited by 1,836 · see citing works

One-Month Prevalence of Mental Disorders in the United States: Based on Five Epidemiologic Catchment Area Sites

Regier, D. A. (1988) · Archives of General Psychiatry · doi:10.1001/archpsyc.1988.01800350011002 · Cited by 1,737 · see citing works

The hidden curriculum, ethics teaching, and the structure of medical education

Hafferty, F. W., & Franks, R. A. (1994) · Academic Medicine · doi:10.1097/00001888-199411000-00001 · Cited by 1,701 · see citing works

The prevalence and distribution of major depression in a national community sample: the National Comorbidity Survey

(1994) · American Journal of Psychiatry · doi:10.1176/ajp.151.7.979 · Cited by 1,485 · 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

Self-Rating Depression Scale in an Outpatient Clinic

Zung, W. W. K. (1965) · Archives of General Psychiatry · doi:10.1001/archpsyc.1965.01730060026004 · Cited by 1,075 · see citing works

An empirical study of decline in empathy in medical school

Hojat, M., Mangione, S., Nasca, T. J., Rattner, S., Erdmann, J. B., Gonnella, J. S., & Magee, M. (2004) · Medical Education · doi:10.1111/j.1365-2929.2004.01911.x · Cited by 864 · see citing works

Resident Burnout

Thomas, N. K. (2004) · JAMA · doi:10.1001/jama.292.23.2880 · Cited by 750 · see citing works

Factor structure, concurrent validity, and internal consistency of the beck depression inventory?second edition in a sample of college students

Storch, E. A., Roberti, J. W., & Roth, D. A. (2004) · Depression and Anxiety · doi:10.1002/da.20002 · Cited by 694 · see citing works

Some norms and reliability data for the State‐Trait Anxiety Inventory and the Zung Self‐Rating Depression scale

Knight, R. G., Waal‐Manning, H. J., & Spears, G. F. (1983) · British Journal of Clinical Psychology · doi:10.1111/j.2044-8260.1983.tb00610.x · Cited by 693 · see citing works

Changes in Binge Drinking and Related Problems Among American College Students Between 1993 and 1997 Results of the Harvard School of Public Health College Alcohol Study

Wechsler, H., Dowdall, G. W., Maenner, G., Gledhill-Hoyt, J., & Lee, H. (1998) · Journal of American College Health · doi:10.1080/07448489809595621 · Cited by 681 · see citing works

Depressed Medical Studentsʼ Use of Mental Health Services and Barriers to Use

Givens, J. L., & Tjia, J. (2002) · Academic Medicine · doi:10.1097/00001888-200209000-00024 · Cited by 583 · see citing works

Screening for Depression in Primary Care Clinics: The CES-D and the BDI

Zich, J. M., Attkisson, C. C., & Greenfield, T. K. (1990) · The International Journal of Psychiatry in Medicine · doi:10.2190/lykr-7vhp-yjem-mkm2 · Cited by 570 · see citing works

Stress, burnout and doctors' attitudes to work are determined by personality and learning style: A twelve year longitudinal study of UK medical graduates

McManus, I. C., Keeling, A. N., & PAICE, E. W. (2004) · BMC Medicine · doi:10.1186/1741-7015-2-29 · Cited by 558 · see citing works

Perfectionism, the impostor phenomenon and psychological adjustment in medical, dental, nursing and pharmacy students

Henning, K., Ey, S., & Shaw, D. L. (1998) · Medical Education · doi:10.1046/j.1365-2923.1998.00234.x · Cited by 529 · 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

Anxiety, depression and stressful life events among medical students: a prospective study in Antalya, Turkey

Aktekin, M. R., Karaman, T., Senol, Y. Y., Erdem, S., Erengin, H., & Akaydın, M. (2001) · Medical Education · doi:10.1046/j.1365-2923.2001.00726.x · Cited by 498 · see citing works

Assessing Depression in Primary Medical and Psychiatric Practices

Schulberg, H. C. (1985) · Archives of General Psychiatry · doi:10.1001/archpsyc.1985.01790350038008 · Cited by 497 · see citing works

Do clinical clerks suffer ethical erosion? Studentsʼ perceptions of their ethical environment and personal development

Feudtner, C., Christakis, D., & Christakis, N. A. (1994) · Academic Medicine · doi:10.1097/00001888-199408000-00017 · Cited by 487 · see citing works

Global Mental Health: A New Global Health Field Comes of Age

Patel, V., & Prince, M. (2010) · JAMA · doi:10.1001/jama.2010.616 · Cited by 485 · see citing works

A longitudinal study of studentsʼ depression at one medical school

Rosal, M. C., Ockene, I. S., Ockene, J. K., Barrett, S. V., Ma, Y., & Hebert, J. R. (1997) · Academic Medicine · doi:10.1097/00001888-199706000-00022 · Cited by 464 · see citing works

Psychological stress and burnout in medical students: a five-year prospective longitudinal study

Guthrie, E., Black, D., Bagalkote, H., Shaw, C., Campbell, M., & Creed, F. (1998) · Journal of the Royal Society of Medicine · doi:10.1177/014107689809100502 · Cited by 456 · see citing works

First year medical student stress and coping in a problem‐based learning medical curriculum

Moffat, K. J., McConnachie, A., Ross, S., & Morrison, J. M. (2004) · Medical Education · doi:10.1046/j.1365-2929.2004.01814.x · Cited by 443 · see citing works

Suicidal ideation among medical students and young physicians: a nationwide and prospective study of prevalence and predictors

Tyssen, R., Vaglum, P., Grønvold, N. T., & Ekeberg, Ø. (2001) · Journal of Affective Disorders · doi:10.1016/s0165-0327(00)00205-6 · Cited by 439 · see citing works

One‐month prevalence of mental disorders in the United States and sociodemographic characteristics: the Epidemiologic Catchment Area study

Regier, D. A., Farmer, M. E., Rae, D. S., Myers, J. K., Kramer, M. E., Robins, L. N., George, L. K., Karno, M. P., & Locke, B. Z. (1993) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1993.tb03411.x · Cited by 437 · see citing works

Depression in Ambulatory Medical Patients

Nielsen, A. C. (1980) · Archives of General Psychiatry · doi:10.1001/archpsyc.1980.01780220037003 · Cited by 421 · see citing works

Variation of Mood and Empathy During Internship

Bellini, L. M. (2002) · JAMA · doi:10.1001/jama.287.23.3143 · Cited by 413 · see citing works

Medical students' personality characteristics and academic performance: a five‐factor model perspective

Lievens, F., Coetsier, P., Fruyt, F. D., & Maeseneer, J. D. (2002) · Medical Education · doi:10.1046/j.1365-2923.2002.01328.x · Cited by 401 · see citing works

Adaptive and maladaptive perfectionism in medical students: a longitudinal investigation

Enns, M. W., Cox, B. J., Sareen, J., & Freeman, P. (2001) · Medical Education · doi:10.1046/j.1365-2923.2001.01044.x · Cited by 392 · see citing works

Raw versus relative scores in the assessment of coping strategies

VITALIANO, P. P., Maiuro, R. D., Russo, J. E., & Becker, J. (1987) · Journal of Behavioral Medicine · doi:10.1007/bf00845124 · Cited by 370 · see citing works

A prospective analysis of stress and academic performance in the first two years of medical school

Stewart, Lam, Betson, Wong, & Wong (1999) · Medical Education · doi:10.1046/j.1365-2923.1999.00294.x · Cited by 369 · see citing works

Stress, coping, and well-being among third-year medical students

Mosley, T. H., Perrin, S. G., Neral, S. M., Dubbert, P. M., Grothues, C. A., & Pinto, B. M. (1994) · Academic Medicine · doi:10.1097/00001888-199409000-00024 · Cited by 358 · see citing works

Embarking upon a medical career: psychological morbidity in first year medical students

Guthrie, E., Black, D., Shaw, C. M., HAMILTON, J. D., Creed, F. H., & Tomenson, B. (1995) · Medical Education · doi:10.1111/j.1365-2923.1995.tb00022.x · Cited by 356 · see citing works

Medical student abuse. Incidence, severity, and significance

Hk, S. (1990) · JAMA · doi:10.1001/jama.263.4.527 · Cited by 352 · see citing works

Attitude change during medical school: a cohort study

Woloschuk, W., Harasym, P. H., & TEMPLE, W. J. (2004) · Medical Education · doi:10.1046/j.1365-2929.2004.01820.x · Cited by 347 · see citing works

Dimensions of Alexithymia and Their Relationships to Anxiety and Depression

HENDRYX, M. S., Haviland, M. G., & Shaw, D. G. (1991) · Journal of Personality Assessment · doi:10.1207/s15327752jpa5602_4 · Cited by 338 · see citing works

Adult and geriatric normative data and validation of the profile of mood states

Nyenhuis, D. L., Yamamoto, C., Luchetta, T., Terrien, A., & Parmentier, A. H. (1999) · Journal of Clinical Psychology · doi:10.1002/(sici)1097-4679(199901)55:1 · Cited by 337 · 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

A Pilot Study of Medical Student 'Abuse'

Sheehan, D. V. (1990) · JAMA · doi:10.1001/jama.1990.03440040072031 · Cited by 294 · see citing works

Undergraduate Medical Education

Crawford, S. A., Crowley, A. E., Egan, R. L., Hillis, W. C., Leymaster, G. R., Mason, H. R., Petersen, E. S., & Uzemack, E. A. (1967) · JAMA · doi:10.1001/jama.1967.03130210103022 · Cited by 282 · see citing works

The interview for recent life events

PAYKEL, E. S. (1997) · Psychological Medicine · doi:10.1017/s0033291796004424 · Cited by 275 · see citing works

Toward creating physician-healers

Novack, D. H., Epstein, R. M., & Paulsen, R. H. (1999) · Academic Medicine · doi:10.1097/00001888-199905000-00017 · Cited by 270 · see citing works

Mental Health Consequences and Correlates of Reported Medical Student Abuse

Richman, J. A. (1992) · JAMA · doi:10.1001/jama.1992.03480050096032 · Cited by 258 · see citing works

Factors in medical school that predict postgraduate mental health problems in need of treatment. A nationwide and longitudinal study

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

Well‐being in an academic environment

Stecker, T. A. (2004) · Medical Education · doi:10.1046/j.1365-2929.2004.01812.x · Cited by 256 · see citing works

Vicissitudes of Depressed Mood During Four Years of Medical School

Clark, D. C. (1988) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1988.03410170069036 · Cited by 249 · see citing works

Self-care in Medical Education

Ball, S. G., & Bax, A. (2002) · Academic Medicine · doi:10.1097/00001888-200209000-00023 · Cited by 244 · see citing works

Stress, coping and health: enhancing well‐being during medical school

WOLF, T. M. (1994) · Medical Education · doi:10.1111/j.1365-2923.1994.tb02679.x · Cited by 240 · see citing works

Ethics in a short white coat

Christakis, D., & Feudtner, C. (1993) · Academic Medicine · doi:10.1097/00001888-199304000-00003 · Cited by 240 · see citing works

On the culture of student abuse in medical school

KASSEBAUM, D. G., & Cutler, E. R. (1998) · Academic Medicine · doi:10.1097/00001888-199811000-00011 · Cited by 236 · see citing works

Students’ perception of medical school stress and their evaluation of a wellness elective

Lee, J., & Graham, A. V. (2001) · Medical Education · doi:10.1046/j.1365-2923.2001.00956.x · Cited by 232 · see citing works

Stress in junior medical students: relationship to personality and performance.

Linn, B. S., & Zeppa, R. (1984) · Journal of Medical Education · doi:10.1097/00001888-198401000-00002 · Cited by 228 · see citing works

Medical School Pressures and Their Relationship to Anxiety

VITALIANO, P. P., Russo, J. E., Carr, J. E., & HEERWAGEN, J. H. (1984) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198412000-00006 · Cited by 222 · see citing works

Characteristics of the informal curriculum and traineesʼ ethical choices

Hundert, E. M., Hafferty, F. W., & Christakis, D. (1996) · Academic Medicine · doi:10.1097/00001888-199606000-00014 · Cited by 215 · see citing works

Medical Student Abuse

Silver, H. K. (1990) · JAMA · doi:10.1001/jama.1990.03440040066030 · Cited by 214 · see citing works

Reliability, Discriminant and Predictive Validity of the Zung Self-Rating Depression Scale

Gabrys, J. B., & Peters, K. (1985) · Psychological Reports · doi:10.2466/pr0.1985.57.3f.1091 · Cited by 213 · see citing works

Effect of the 80-Hour Workweek on Resident Burnout

Gelfand, D. V. (2004) · Archives of Surgery · doi:10.1001/archsurg.139.9.933 · Cited by 208 · see citing works

Predicting stress in first year medical students: a longitudinal study

Stewart, S. M., Betson, C., Lam, T., Marshall, I., Lee, P. W. H., & Wong, C. M. (1997) · Medical Education · doi:10.1111/j.1365-2923.1997.tb02560.x · Cited by 201 · see citing works

Drink and drugs: from medical students to doctors

Newbury‐Birch, D., Walshaw, D., & Kamali, F. (2001) · Drug and Alcohol Dependence · doi:10.1016/s0376-8716(01)00128-4 · Cited by 198 · see citing works

On White Coats and Professional Development: The Formal and the Hidden Curricula

Wear, D. (1998) · Annals of Internal Medicine · doi:10.7326/0003-4819-129-9-199811010-00010 · Cited by 194 · see citing works

Analysis of stress levels among medical students, residents, and graduate students at four Canadian schools of medicine

Toews, J. A., Lockyer, J., DOBSON, D. J. G., Simpson, E., Brownell, A. K. W., Brenneis, F. R., MacPherson, K., & Cohen, G. S. (1997) · Academic Medicine · doi:10.1097/00001888-199711000-00019 · Cited by 191 · see citing works

Cheating in medical school

Baldwin, D. C., Daugherty, S. R., Rowley, B. D., & Schwarz, M. D. (1996) · Academic Medicine · doi:10.1097/00001888-199603000-00020 · Cited by 189 · see citing works

A Stress Management Workshop Improves Residents' Coping Skills

McCue, J. D. (1991) · Archives of Internal Medicine · doi:10.1001/archinte.1991.00400110117023 · Cited by 188 · see citing works

Substance use among senior medical students. A survey of 23 medical schools

Baldwin, D. C. (1991) · JAMA · doi:10.1001/jama.265.16.2074 · Cited by 182 · see citing works

Attitude changes during medical school

Rezler, A. G. (1974) · Academic Medicine · doi:10.1097/00001888-197411000-00001 · Cited by 174 · see citing works

Depression among medical students

Zoccolillo, M., Murphy, G. E., & Wetzel, R. D. (1986) · Journal of Affective Disorders · doi:10.1016/0165-0327(86)90065-0 · Cited by 173 · see citing works

Perceptions of academic vulnerability associated with personal illness: A study of 1,027 students at nine medical schools

Roberts, L. W., Warner, T. D., Lyketsos, C. G., Frank, E., Ganzini, L. K., & Carter, D. (2001) · Comprehensive Psychiatry · doi:10.1053/comp.2001.19747 · Cited by 169 · see citing works

Medical students' attitudes toward providing care for the underserved. Are we training socially responsible physicians?

Crandall, S. J. S. (1993) · JAMA · doi:10.1001/jama.269.19.2519 · Cited by 165 · see citing works

Project 3000 by 2000 -- Racial and Ethnic Diversity in U.S. Medical Schools

Nickens, H. W., Ready, T. P., & Petersdorf, R. G. (1994) · New England Journal of Medicine · doi:10.1056/nejm199408183310712 · Cited by 156 · see citing works

Early clinical exposure to people who are dying: learning to care at the end of life

MacLeod, R., Parkin, C., Pullon, S., & Robertson, G. A. J. (2003) · Medical Education · doi:10.1046/j.1365-2923.2003.01412.x · Cited by 155 · see citing works

“Face-to-face with It”

Wear, D. (2002) · Academic Medicine · doi:10.1097/00001888-200204000-00003 · Cited by 154 · see citing works

The evolution of life events research in psychiatry

Paykel, E. S. (2001) · Journal of Affective Disorders · doi:10.1016/s0165-0327(00)00174-9 · Cited by 153 · see citing works

A retrospective study of attitude change during medical education

Wolf, T., Balson, P. M., Faucett, J. M., & Randall, H. M. (1989) · Medical Education · doi:10.1111/j.1365-2923.1989.tb00807.x · Cited by 150 · see citing works

Medical Student Distress. A Longitudinal Study

VITALIANO, P. P., MAIURO, R. D., RUSSO, J., & MITCHELL, E. S. (1989) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198902000-00002 · Cited by 150 · see citing works

Effect of medical education on medical students' attitudes.

Eron, L. D. (1955) · PubMed · Cited by 150 · see citing works

Effect of medical school stress on the mental health of medical students in early and late clinical curriculum

Bramness, J. G., Fixdal, T. C., & Vaglum, P. (1991) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1991.tb03157.x · Cited by 149 · see citing works

Becoming a Doctor -- Critical-Incident Reports from Third-Year Medical Students

Branch, W. T., Pels, R. J., Lawrence, R. S., & Arky, R. A. (1993) · New England Journal of Medicine · doi:10.1056/nejm199310073291518 · Cited by 145 · see citing works

The health status and life satisfaction of first-year medical students

Parkerson, G. R., Broadhead, W. E., & Tse, C. K. (1990) · Academic Medicine · doi:10.1097/00001888-199009000-00009 · Cited by 143 · see citing works

Life Events and the Research Diagnostic Criteria Endogenous Subtype

Frank, E. (1994) · Archives of General Psychiatry · doi:10.1001/archpsyc.1994.03950070011005 · Cited by 135 · see citing works

Gender comparisons of medical students' psychosocial profiles

Hojat, M., Glaser, K., Xu, G., Veloski, J. J., & Christian, E. B. (1999) · Medical Education · doi:10.1046/j.1365-2923.1999.00331.x · Cited by 135 · see citing works

Reaffirming Professionalism through the Education Community

Reynolds, P. P. (1994) · Annals of Internal Medicine · doi:10.7326/0003-4819-120-7-199404010-00013 · Cited by 131 · see citing works

Medical Students' Attitudes Toward Providing Care for the Underserved

Crandall, S. J. S. (1993) · JAMA · doi:10.1001/jama.1993.03500190063036 · Cited by 131 · see citing works

Psychiatric symptoms in medical students

Lloyd, C., & Gartrell, N. K. (1984) · Comprehensive Psychiatry · doi:10.1016/0010-440x(84)90036-1 · Cited by 122 · see citing works

CULTURE, COMMUNICATION, AND THE INFORMAL CURRICULUM

Stern, D. T. (1998) · Academic Medicine · doi:10.1097/00001888-199810000-00036 · Cited by 119 · see citing works

Differences in Medical Studentsʼ Empathy

Newton, B. W., Savidge, M. A., Barber, L. D., Cleveland, E. R., Clardy, J. A., Beeman, G. M., & Hart, T. W. (2000) · Academic Medicine · doi:10.1097/00001888-200012000-00020 · Cited by 115 · see citing works

Differences in medical students’ attitudes to academic misconduct and reported behaviour across the years—a questionnaire study

Rennie, S. C., & Rudland, J. (2003) · Journal of Medical Ethics · doi:10.1136/jme.29.2.97 · Cited by 111 · see citing works

Use of alcohol to cope with tension, and its relation to gender, years in medical school and hazardous drinking: a study of two nation‐wide Norwegian samples of medical students

Tyssen, R., Vaglum, P., Aasland, O. G., Grønvold, N. T., & Ekeberg, Ø. (1998) · Addiction · doi:10.1046/j.1360-0443.1998.93913415.x · Cited by 109 · see citing works

Studentsʼ psychosocial characteristics as predictors of academic performance in medical school

Hojat, M., Robeson, M., Damjanov, I., Veloski, J. J., Glaser, K., & Gonnella, J. S. (1993) · Academic Medicine · doi:10.1097/00001888-199308000-00015 · Cited by 102 · see citing works

Medical Comorbidity of Major Depressive Disorder in a Primary Medical Practice

Coulehan, J. L. (1990) · Archives of Internal Medicine · doi:10.1001/archinte.1990.00390220099020 · Cited by 102 · see citing works

Psychosocial and Immune Effects of Self-Hypnosis Training for Stress Management Throughout the First Semester of Medical School

Whitehouse, W. G., Dinges, D. F., Orne, E. C., Keller, S. E., Bates, B. L., Bauer, N. K., Morahan, P. S., Haupt, B. A., Carlin, M. M., Bloom, P. B., et al. (1996) · Psychosomatic Medicine · doi:10.1097/00006842-199605000-00009 · Cited by 100 · see citing works

Prevalence of Depression Over a 12-Month Period in a Nonpatient Population

Barrett, J. E. (1978) · Archives of General Psychiatry · doi:10.1001/archpsyc.1978.01770300083009 · Cited by 99 · see citing works

The process of suicidal planning among medical doctors: predictors in a longitudinal Norwegian sample.

Tyssen, R., Hem, E., Vaglum, P., Grønvold, N. T., & Ekeberg, Ø. (2004) · Journal of Affective Disorders · doi:10.1016/s0165-0327(03)00091-0 · Cited by 99 · see citing works

Perceived stress in medical school: Resistors, persistors, adaptors and maladaptors

VITALIANO, P. P., Maiuro, R. D., Mitchell, E. S., & Russo, J. E. (1989) · Social Science & Medicine · doi:10.1016/0277-9536(89)90351-1 · Cited by 98 · see citing works

Graduating medical studentsʼ ratings of stresses, pleasures, and coping strategies

Wolf, T., Faucett, J. M., Randall, H. M., & Balson, P. M. (1988) · Academic Medicine · doi:10.1097/00001888-198808000-00008 · Cited by 95 · see citing works

Mental Health in Medical Students a Case Control Study Using the 60 Item General Health Questionnaire

Carson, A. J., Dias, S. S., Johnston, A. D., McLoughlin, M. A., O’Connor, M. J., Robinson, B. L., Sellar, R., Trewavas, J. J. C., & Wojcik, W. (2000) · Scottish Medical Journal · doi:10.1177/003693300004500406 · Cited by 93 · see citing works

Substance Use Among Senior Medical Students

Baldwin, D. C. (1991) · JAMA · doi:10.1001/jama.1991.03460160052028 · Cited by 92 · see citing works

The Ravelled Sleeve of Care

Colford, J. M. (1989) · JAMA · doi:10.1001/jama.1989.03420060105041 · Cited by 91 · see citing works

Prevalence of suicidal feelings in a sample of non‐consulting medical students

Okasha, A., Lotaif, F., & Sadek, A. (1981) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1981.tb00690.x · Cited by 89 · see citing works

Health-related quality of life among final-year medical students.

Raj, S. R., Simpson, C. S., Hopman, W. M., & Singer, M. A. (2000) · Europe PMC (PubMed Central) · Cited by 88 · see citing works

Anxiety and study methods in preclinical students: causal relation to examination performance

TOOTH, D., TONGE, K., & McManus, I. C. (1989) · Medical Education · doi:10.1111/j.1365-2923.1989.tb00896.x · Cited by 87 · see citing works

Stress among residents, medical students, and graduate science (MSc/PhD) students

Toews, J. A., Lockyer, J., DOBSON, D. J. G., & Brownell, A. K. W. (1993) · Academic Medicine · doi:10.1097/00001888-199310000-00042 · Cited by 85 · see citing works

Cheating by students

Anderson, R. E., & Obenshain, S. S. (1994) · Academic Medicine · doi:10.1097/00001888-199405000-00002 · Cited by 84 · see citing works

Alcohol-use patterns through medical school. A longitudinal study of one class

Clark, D. C. (1987) · JAMA · doi:10.1001/jama.257.21.2921 · Cited by 84 · see citing works

The Right Thing to Do, The Smart Thing to Do

Institute of Medicine (2001) · National Academies Press eBooks · doi:10.17226/10186 · Cited by 82 · see citing works

Education about death and dying during the clinical years of medical school.

Rappaport, W., & Witzke, D. B. (1993) · PubMed · Cited by 81 · see citing works

INDIVIDUAL AND CROSSOVER EFFECTS OF STRESS ON ADJUSTMENT IN MEDICAL STUDENT MARRIAGES

Katz, J., Monnier, J., Libet, J. M., Shaw, D. L., & Beach, S. R. H. (2000) · Journal of Marital and Family Therapy · doi:10.1111/j.1752-0606.2000.tb00303.x · Cited by 77 · see citing works

Depressive symptoms and depressed mood among Chinese medical students in Hong Kong

Chan, D. W. (1991) · Comprehensive Psychiatry · doi:10.1016/0010-440x(91)90010-a · Cited by 72 · see citing works

Caring for Terminally ILL Persons: Comparative Analysis of Attitudes (Thanatophobia) of Practicing Physicians, Student Nurses, and Medical Students

MERRILL, J. M., Lorimor, R. J., Thornby, J. A., et al. (1998) · Psychological Reports · doi:10.2466/pr0.1998.83.1.123 · Cited by 72 · see citing works

Sex differences in medical student mental health

Lloyd, C., & Gartrell, N. (1981) · American Journal of Psychiatry · doi:10.1176/ajp.138.10.1346 · Cited by 70 · see citing works

Do Clerkship Experiences Affect Medical Studentsʼ Attitudes toward Chronically Ill Patients?

Davis, B. E., Nelson, D. B., Sahler, O. J. Z., et al. (2001) · Academic Medicine · doi:10.1097/00001888-200108000-00015 · Cited by 70 · see citing works

A longitudinal study of substance use and abuse in a single class of medical students

Croen, L. G., Woesner, M. E., Herman, M., & Reichgott, M. J. (1997) · Academic Medicine · doi:10.1097/00001888-199705000-00017 · Cited by 62 · see citing works

A biopsychosocial model of medical student distress

VITALIANO, P. P., Maiuro, R. D., Russo, J. E., Mitchell, E. S., Carr, J. E., & Citters, R. L. V. (1988) · Journal of Behavioral Medicine · doi:10.1007/bf00844933 · Cited by 59 · see citing works

Physical activity, physical fitness, and psychological characteristics of medical students

Buchman, B. P., Sallis, J. F., Criqui, M. H., Dimsdale, J. E., & Kaplan, R. M. (1991) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(91)90074-x · Cited by 58 · see citing works

Stress and adaptation in medical students: Who is most vulnerable?

Notman, M. T., Salt, P., & Nadelson, C. C. (1984) · Comprehensive Psychiatry · doi:10.1016/0010-440x(84)90068-3 · Cited by 57 · see citing works

The Loss of Idealism Throughout Internship

Griffith, C. H., & Wilson, J. F. (2003) · Evaluation & the Health Professions · doi:10.1177/0163278703258107 · Cited by 56 · see citing works

Tobacco and Alcohol Use Among 1996 Medical School Graduates

Mangus, R. S., Hawkins, C. E., & Miller, M. J. (1998) · JAMA · doi:10.1001/jama.280.13.1192-jms1007-4-1 · Cited by 54 · see citing works

Decreasing GME Training Stress to Foster Residents’ Professionalism

Mareiniss, D. P. (2004) · Academic Medicine · doi:10.1097/00001888-200409000-00003 · Cited by 54 · see citing works

Do stressful life-events or sociodemographic variables associate with depression and alexithymia among a general population?—a 3-year follow-up study

Honkalampi, K. M., Koivumaa-Honkanen, H. T., Hintikka, J. J., Antikainen, R., Haatainen, K. M., Tanskanen, A. J., & Viinamäki, H. T. (2004) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2004.03.014 · Cited by 53 · see citing works

The effect of marital status on stress in medical school

Coombs, R. H., & Fawzy, F. I. (1982) · American Journal of Psychiatry · doi:10.1176/ajp.139.11.1490 · Cited by 53 · see citing works

Adult Psychosocial Assets and Depressive Mood Over Time

Richman, J. A., & Flaherty, J. A. (1987) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198712000-00001 · Cited by 52 · see citing works

The question of stress among first-year medical students

Mitchell, R. E., Matthews, J. R., Grandy, T. G., & Lupo, J. V. (1983) · Academic Medicine · doi:10.1097/00001888-198305000-00001 · Cited by 52 · see citing works

Psychosocial changes during the first year of medical school

Wolf, T., von Almen, T. K., Faucett, J. M., Randall, H. M., & Franklin, F. A. (1991) · Medical Education · doi:10.1111/j.1365-2923.1991.tb00049.x · Cited by 51 · see citing works

An examination of the relationships among interpersonal stress, morale and academic performance in male and female medical students

Spiegel, D. A., Smolen, R. C., & Jonas, C. K. (1986) · Social Science & Medicine · doi:10.1016/0277-9536(86)90334-5 · Cited by 51 · see citing works

Psychosocial problems of clinical students in the University of Ibadan Medical School.

Omokhodion, F. O., & Gureje, O. (2003) · PubMed · Cited by 48 · see citing works

Gender differences in medical student distress: Contributions of prior socialization and current role-related stress

Richman, J. A., & Flaherty, J. A. (1990) · Social Science & Medicine · doi:10.1016/0277-9536(90)90201-3 · Cited by 48 · see citing works

Effectiveness of a formal post-baccalaureate pre-medicine program for underrepresented minority students

Giordani, B., Edwards, A. S., Segal, S. S., Gillum, L. H., Lindsay, A., & Johnson, N. (2001) · Academic Medicine · doi:10.1097/00001888-200108000-00020 · Cited by 46 · see citing works

Self-reported cheating by students at one medical school

Dans, P. E. (1996) · Academic Medicine · doi:10.1097/00001888-199601000-00046 · Cited by 42 · see citing works

Stress and the practice of medicine— The myth and reality

Krakowski, A. J. (1982) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(82)90068-x · Cited by 40 · see citing works

Patterns of medical student abuse during the internal medicine clerkship

Elnicki, D. M., Linger, B., Asch, E. L., et al. (1999) · Academic Medicine · doi:10.1097/00001888-199910000-00053 · Cited by 39 · see citing works

Small-group Teaching Emphasizing Reflection Can Positively Influence Medical Studentsʼ Values

Branch, W. T. (2001) · Academic Medicine · doi:10.1097/00001888-200112000-00001 · Cited by 39 · see citing works

Medical student career intentions at the Christchurch School of Medicine. The New Zealand Wellbeing, Intentions, Debt and Experiences (WIDE) survey of medical students pilot study. Results part II.

Gill, D. J., Palmer, C., Mulder, R., et al. (2001) · PubMed · Cited by 37 · see citing works

The effects of two methods of pelvic examination instruction on student performance and anxiety

Vontver, L. A., Irby, D. M., Rakestraw, P. G., Haddock, M. G., Prince, E., & Stenchever, M. A. (1980) · Academic Medicine · doi:10.1097/00001888-198009000-00007 · Cited by 37 · see citing works

Stress management training in medical school

Kelly, J. A., Bradlyn, A. S., Dubbert, P. M., & Lawrence, J. S. S. (1982) · Academic Medicine · doi:10.1097/00001888-198202000-00003 · Cited by 35 · see citing works

Intimacy, Power, and Psychological Weil-Being in Medical Students

Zeldow, P. B., Daugherty, S. R., & McAdams, D. P. (1988) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198803000-00007 · Cited by 35 · see citing works

Does a problem-based learning curriculum affect depression in medical students?

Camp, D. L., Hollingsworth, M. A., Zaccaro, D. J., et al. (1994) · Academic Medicine · doi:10.1097/00001888-199410000-00031 · Cited by 34 · see citing works

Distress in medical and law students

Kellner, R., Wiggins, R. J., & Pathak, D. R. (1986) · Comprehensive Psychiatry · doi:10.1016/0010-440x(86)90044-1 · Cited by 34 · see citing works

Variables Associated with Attrition from Uniformed Services University of the Health Sciences Medical School

Stetto, J. E., Gackstetter, G. D., Cruess, D. F., et al. (2004) · Military Medicine · doi:10.7205/milmed.169.2.102 · Cited by 34 · see citing works

Effects of positive and negative life events on time to depression onset: an analysis of additivity and timing

Frank, E., Tu, X. M., Anderson, B., Reynolds, C. F., Karp, J. F., Mayo, A., Ritenour, A., & Kupfer, D. J. (1996) · Psychological Medicine · doi:10.1017/s0033291700035686 · Cited by 33 · see citing works

Academic anxiety, locus of control, and achievement in medical school

Grover, P. L., & Smith, D. U. (1981) · Academic Medicine · doi:10.1097/00001888-198109000-00004 · Cited by 31 · see citing works

Medical student stress and clerkship performance

Spiegel, D. A., Smolen, R. C., & Ka, H. (1986) · Academic Medicine · doi:10.1097/00001888-198611000-00015 · Cited by 31 · see citing works

Masculinity, Femininity, and Psychosocial Adjustment in Medical Students: A 2-Year Follow-Up

Zeldow, P. B., Daugherty, S. R., & Clark, D. T. (1987) · Journal of Personality Assessment · doi:10.1207/s15327752jpa5101_1 · Cited by 30 · see citing works

Personality factors as predictors of medical student performance

Hobfoll, S. E., Anson, O., & Antonovsky, A. (1982) · Medical Education · doi:10.1111/j.1365-2923.1982.tb01260.x · Cited by 30 · see citing works

Psychosocial assets and mental health of minority medical students

Pyskoty, C. E., Richman, J. A., & Flaherty, J. A. (1990) · Academic Medicine · doi:10.1097/00001888-199009000-00008 · Cited by 29 · see citing works

The Relationship of Parental Style to Depression and Self-Esteem in Adulthood

Lloyd, C., & Miller, P. (1997) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199711000-00001 · Cited by 29 · see citing works

The development of major depressive episodes during the course of dysthymic and episodic major depressive disorders: a retrospective examination of life events

Moerk, K. C. (2000) · Journal of Affective Disorders · doi:10.1016/s0165-0327(99)00102-0 · Cited by 27 · see citing works

Anxiety, depression, and menstrual symptoms among freshman medical students.

Sherry, S., Notman, M. T., Nadelson, C. C., et al. (1988) · PubMed · Cited by 26 · see citing works

Gender differences in the association among nicotine dependence, body image, depression, and anxiety within a college population

Psujek, J. K., Martz, D. M., Curtin, L., Michael, K. D., & Aeschleman, S. R. (2003) · Addictive Behaviors · doi:10.1016/j.addbeh.2003.08.031 · Cited by 25 · see citing works

Graduate Medical Education Research in the 21st Century and JAMA On Call

Lim, J. K. (2004) · JAMA · doi:10.1001/jama.292.23.2913 · Cited by 25 · see citing works

The relationship between academic performance and severity of depressed mood during medical school

Clark, D. C., Daugherty, S. R., Zeldow, P. B., Gotterer, G. S., & Hedeker, D. (1988) · Comprehensive Psychiatry · doi:10.1016/0010-440x(88)90022-3 · Cited by 24 · see citing works

Effects of a stress-management training program on first- and second-year medical students

Holtzworth‐Munroe, A., Munroe, M. S., & Smith, R. (1985) · Academic Medicine · doi:10.1097/00001888-198505000-00014 · Cited by 24 · see citing works

Demographic, Situational, and Scholastic Factors in Medical School Attrition

Fogleman, B. S., & Zwagg, R. V. (1981) · Southern Medical Journal · doi:10.1097/00007611-198105000-00025 · Cited by 24 · see citing works

PREDICTING PERFORMANCE AND SATISFACTION

Johnson, M. M. S., Elam, C. L., EDWARDS, J., et al. (1998) · Academic Medicine · doi:10.1097/00001888-199810000-00040 · Cited by 23 · see citing works

Development of Scales to Screen for Eight Common Psychiatric Disorders

Hunter, E. E., Penick, E. C., Powell, B. J., Othmer, E., Nickel, E. J., & DeSouza, C. (2005) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000152786.61048.a1 · Cited by 20 · see citing works

Exercise and alcohol consumption among medical students

GUTGESELL, M. E., Reeve, R., Parsons, B., & Morse, R. M. (1999) · Academic Medicine · doi:10.1097/00001888-199907000-00005 · Cited by 19 · see citing works

Correlation between Scores on the Beck Depression Inventory and the Zung Self-Rating Depression Scale

Kerner, S. A., & Jacobs, K. W. (1983) · Psychological Reports · doi:10.2466/pr0.1983.53.3.969 · Cited by 18 · see citing works

Helping medical students develop lifelong strategies to cope with stress

Rathbun, J. (1995) · Academic Medicine · doi:10.1097/00001888-199511000-00007 · Cited by 17 · see citing works

A thematic review of the literature of underrepresented minorities and medical training, 1981-1995

Tekian, A. S. (1997) · Academic Medicine · doi:10.1097/00001888-199710001-00047 · Cited by 16 · see citing works

Effect of a major curriculum revision on studentsʼ perceptions of well-being

Strayhorn, G. (1989) · Academic Medicine · doi:10.1097/00001888-198901000-00012 · Cited by 16 · see citing works

Dimensionality of the Short Form of the Beck Depression Inventory: A Study with Iranian College Students

Hojat, M., Shapurian, R., & Mehryar, A. H. (1986) · Psychological Reports · doi:10.2466/pr0.1986.59.3.1069 · Cited by 15 · see citing works

The University of Louisville Medical Schoolʼs comprehensive programs to increase its percentage of underrepresented-minority students

Crump, R. L., Byrne, M. M., & Joshua, M. (1999) · Academic Medicine · doi:10.1097/00001888-199904000-00011 · Cited by 15 · see citing works

Undergraduate Medical Education

Jonas, H. S. (1988) · JAMA · doi:10.1001/jama.1988.03410080033005 · Cited by 15 · see citing works

PREDICTING PERFORMANCE AND SATISFACTION

Tekian, A. S. (1998) · Academic Medicine · doi:10.1097/00001888-199810000-00039 · Cited by 14 · see citing works

Letter from the editor: Tobacco and alcohol

Miller, W. T. (1995) · Seminars in Roentgenology · doi:10.1016/s0037-198x(05)80001-x · Cited by 14 · see citing works

Coping and Depression. The Relative Contribution of Internal and External Resources during a Life Cycle Transition

Richman, J. A., & FIAHERTY, J. (1985) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198510000-00003 · Cited by 14 · see citing works

Small-group Teaching Emphasizing Reflection Can Positively Influence Medical Studentsʼ Values

Pololi, L. H., & Frankel, R. M. (2001) · Academic Medicine · doi:10.1097/00001888-200112000-00002 · Cited by 13 · see citing works

Correlations among Scales of the Beck Depression Inventory and the Profile of Mood States

Jacobs, K. W., & Boze, M. M. (1993) · Psychological Reports · doi:10.2466/pr0.1993.73.2.431 · Cited by 12 · see citing works

Premedical enrichment program at East Carolina University School of Medicine

Hardy, V. D. (1999) · Academic Medicine · doi:10.1097/00001888-199904000-00028 · Cited by 12 · see citing works

Relationship of State-Trait Anxiety to Academic Performance in Dutch Medical Students

van der Ploeg, H. M. (1979) · Psychological Reports · doi:10.2466/pr0.1979.45.1.223 · Cited by 11 · see citing works

The Urban Health Program to encourage minority enrollment at the University of Illinois at Chicago College of Medicine

Girotti, J. A. (1999) · Academic Medicine · doi:10.1097/00001888-199904000-00027 · Cited by 10 · see citing works

Increasing the graduation rates of minority medical students

Payne, J. L., Nowacki, C. M., Girotti, J. A., et al. (1986) · Academic Medicine · doi:10.1097/00001888-198605000-00001 · Cited by 10 · see citing works

Characteristics of medical students completing an honors program in pathology

Fenderson, B. A., Hojat, M., Damjanov, I., et al. (1999) · Human Pathology · doi:10.1016/s0046-8177(99)90059-x · Cited by 9 · see citing works

Undergraduate Medical Education

Crowley, A. E. (1987) · JAMA · doi:10.1001/jama.1987.03400080023005 · Cited by 9 · see citing works

Influence of personality on achievement of medical students

Lipton, A., Huxham, G. J., & HAMILTON, D. (1975) · Medical Education · doi:10.1111/j.1365-2923.1975.tb01929.x · Cited by 8 · see citing works

Project 3000 by 2000: toward a unified solution to the problem of minority underrepresentation in the health professions

Ready, T. (1995) · Journal of Dental Education · doi:10.1002/j.0022-0337.1995.59.6.tb02957.x · Cited by 7 · see citing works

Coping and Depression

Stone, A. A. (1983) · Archives of General Psychiatry · doi:10.1001/archpsyc.1983.01790080113016 · Cited by 6 · see citing works

A thematic review of the literature of underrepresented minorities and medical training, 1981-1995

Tekian, A. S. (1997) · Academic Medicine · doi:10.1097/00001888-199710000-00070 · Cited by 6 · see citing works

Starting a family in medical school

Law, J. (1997) · JAMA · doi:10.1001/jama.277.9.767 · Cited by 5 · see citing works

Family matters

Lazo, R. L. (1991) · JAMA · doi:10.1001/jama.265.1.119 · Cited by 4 · see citing works

Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students: A Systematic Review and Meta-Analysis

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

A systematic review of studies of depression prevalence in university students

Ibrahim, A. K., Kelly, S. J., Adams, C. E., & Glazebrook, C. (2013) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2012.11.015 · Cited by 1,988 · see citing works

Physician wellness: a missing quality indicator

Wallace, J. E., Lemaire, J. B., & Ghali, W. A. (2009) · The Lancet · doi:10.1016/s0140-6736(09)61424-0 · Cited by 1,608 · 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

The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students

Bayram, N., & Bilgel, N. (2008) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-008-0345-x · Cited by 1,391 · see citing works

Prevalence of Depression and Depressive Symptoms Among Resident Physicians: A Systematic Review and Meta-analysis

Mata, D. A., Ramos, M. A., Bansal, N., Khan, R., Guille, C., Di Angelantonio, E., & Sen, S. (2015) · JAMA · doi:10.1001/jama.2015.15845 · Cited by 1,255 · see citing works

A narrative review on burnout experienced by medical students and residents

Dyrbye, L., & Shanafelt, T. (2016) · Medical Education · doi:10.1111/medu.12927 · Cited by 1,134 · see citing works

The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis

Tian-Ci Quek, T., Wai-San Tam, W., X. Tran, B., Zhang, M., Zhang, Z., Su-Hui Ho, C., & Chun-Man Ho, R. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16152735 · Cited by 990 · 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

Prevalence of depression amongst medical students: A meta-analysis

Puthran, R., Zhang, M. W. B., Tam, W. W., & Ho, R. C. (2016) · Medical Education · doi:10.1111/medu.12962 · Cited by 855 · see citing works

Burnout in medical students before residency: A systematic review and meta-analysis

Frajerman, A., Morvan, Y., Krebs, M.-O., Gorwood, P., & Chaumette, B. (2019) · European Psychiatry · doi:10.1016/j.eurpsy.2018.08.006 · Cited by 568 · see citing works

Depressive Symptoms in Medical Students and Residents: A Multischool Study

Goebert, D., Thompson, D., Takeshita, J., Beach, C., Bryson, P., Ephgrave, K., Kent, A., Kunkel, M., Schechter, J., & Tate, J. (2009) · Academic Medicine · doi:10.1097/acm.0b013e31819391bb · Cited by 537 · 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

Medical student depression, anxiety and distress outside <scp>N</scp> orth <scp>A</scp> merica: a systematic review

Hope, V., & Henderson, M. (2014) · Medical Education · doi:10.1111/medu.12512 · Cited by 477 · see citing works

Prevalence of psychological stress, depression and anxiety among medical students in Egypt

Fawzy, M., & Hamed, S. A. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.05.027 · Cited by 455 · see citing works

Cultural meaning of perceived control: A meta-analysis of locus of control and psychological symptoms across 18 cultural regions.

Cheng, C., Cheung, S. F., Chio, J. H.-M., & Chan, M.-P. S. (2013) · Psychological Bulletin · doi:10.1037/a0028596 · Cited by 407 · see citing works

Mindfulness training for stress management: a randomised controlled study of medical and psychology students

de Vibe, M., Solhaug, I., Tyssen, R., Friborg, O., Rosenvinge, J. H., Sørlie, T., & Bjørndal, A. (2013) · BMC Medical Education · doi:10.1186/1472-6920-13-107 · Cited by 398 · see citing works

Factors associated to depression and anxiety in medical students: a multicenter study

Brenneisen Mayer, F., Souza Santos, I., Silveira, P. S. P., Itaqui Lopes, M. H., de Souza, A. R. N. D., Campos, E. P., de Abreu, B. A. L., Hoffman II, I., Magalhães, C. R., Lima, M. C. P., et al. (2016) · BMC Medical Education · doi:10.1186/s12909-016-0791-1 · Cited by 364 · see citing works

Mindfulness Training for Health Profession Students—The Effect of Mindfulness Training on Psychological Well-Being, Learning and Clinical Performance of Health Professional Students: A Systematic Review of Randomized and Non-randomized Controlled Trials

McConville, J., McAleer, R., & Hahne, A. (2017) · EXPLORE · doi:10.1016/j.explore.2016.10.002 · Cited by 336 · see citing works

Resilience Among Medical Students: The Role of Coping Style and Social Support

Thompson, G., McBride, R. B., Hosford, C. C., & Halaas, G. (2016) · Teaching and Learning in Medicine · doi:10.1080/10401334.2016.1146611 · Cited by 308 · see citing works

A randomised controlled trial of the effects of mindfulness practice on medical student stress levels

Warnecke, E., Quinn, S., Ogden, K., Towle, N., & Nelson, M. R. (2011) · Medical Education · doi:10.1111/j.1365-2923.2010.03877.x · Cited by 307 · see citing works

Effects of the COVID-19 pandemic on medical students: a multicenter quantitative study

Harries, A. J., Lee, C., Jones, L., Rodriguez, R. M., Davis, J. A., Boysen-Osborn, M., Kashima, K. J., Krane, N. K., Rae, G., Kman, N., et al. (2021) · BMC Medical Education · doi:10.1186/s12909-020-02462-1 · Cited by 286 · see citing works

Prevalence of mental health problems among medical students in China: A meta-analysis

Zeng, W., Chen, R., Wang, X., Zhang, Q., & Deng, W. (2019) · Medicine · doi:10.1097/md.0000000000015337 · Cited by 286 · see citing works

Sleep quantity, quality, and insomnia symptoms of medical students during clinical years: Relationship with stress and academic performance

Alsaggaf, M. A., Wali, S. O., Merdad, R. A., & Merdad, L. A. (2016) · Saudi Medical Journal · doi:10.15537/smj.2016.2.14288 · Cited by 255 · see citing works

Depression and stress amongst undergraduate medical students

Ludwig, A. B., Burton, W., Weingarten, J., Milan, F., Myers, D. C., & Kligler, B. (2015) · BMC Medical Education · doi:10.1186/s12909-015-0425-z · Cited by 243 · see citing works

Relationship of Pass/Fail Grading and Curriculum Structure With Well-Being Among Preclinical Medical Students: A Multi-Institutional Study

Reed, D. A., Shanafelt, T. D., Satele, D. W., Power, D. V., Eacker, A., Harper, W., Moutier, C., Durning, S., Massie, F. S., Thomas, M. R., et al. (2011) · Academic Medicine · doi:10.1097/acm.0b013e3182305d81 · Cited by 252 · see citing works

Psychological distress in first year university students: socioeconomic and academic stressors, mastery and social support in young men and women

Verger, P., Combes, J.-B., Kovess-Masfety, V., Choquet, M., Guagliardo, V., Rouillon, F., & Peretti-Wattel, P. (2009) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-008-0486-y · Cited by 235 · see citing works

The relationship between resilience and personality traits in doctors: implications for enhancing well being

Eley, D. S., Cloninger, C. R., Walters, L., Laurence, C., Synnott, R., & Wilkinson, D. (2013) · PeerJ · doi:10.7717/peerj.216 · Cited by 230 · see citing works

Mindfulness interventions in medical education: A systematic review of their impact on medical student stress, depression, fatigue and burnout

Daya, Z., & Hearn, J. H. (2018) · Medical Teacher · doi:10.1080/0142159x.2017.1394999 · Cited by 224 · see citing works

The Role for Virtual Patients in the Future of Medical Education

Berman, N. B., Durning, S. J., Fischer, M. R., Huwendiek, S., & Triola, M. M. (2016) · Academic Medicine · doi:10.1097/acm.0000000000001146 · Cited by 211 · see citing works

Toward the integration of meditation into higher education: a review of research evidence

Shapiro, S. L., Brown, K. W., & Astin, J. (2011) · Teachers College Record The Voice of Scholarship in Education · doi:10.1177/016146811111300306 · Cited by 215 · see citing works

The suicide prevention and depression awareness program at the University of California, San Diego School of Medicine

Moutier, C., Norcross, W., Jong, P., Norman, M., Kirby, B., McGuire, T., & Zisook, S. (2012) · Academic Medicine · doi:10.1097/acm.0b013e31824451ad · Cited by 194 · see citing works

Six-year positive effects of a mindfulness-based intervention on mindfulness, coping and well-being in medical and psychology students; Results from a randomized controlled trial

de Vibe, M., Solhaug, I., Rosenvinge, J. H., Tyssen, R., Hanley, A., & Garland, E. (2018) · PLOS ONE · doi:10.1371/journal.pone.0196053 · Cited by 192 · see citing works

Prevalence and factors associated with depression among medical students in Cameroon: a cross-sectional study

Ngasa, S. N., Sama, C.-B., Dzekem, B. S., Nforchu, K. N., Tindong, M., Aroke, D., & Dimala, C. A. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1382-3 · Cited by 192 · see citing works

Psychological well-being status among medical and dental students in Makkah, Saudi Arabia: A cross-sectional study

Aboalshamat, K., Hou, X.-Y., & Strodl, E. (2015) · Medical Teacher · doi:10.3109/0142159x.2015.1006612 · Cited by 180 · see citing works

Impact of pass/fail grading on medical students’ well‐being and academic outcomes

Spring, L., Robillard, D., Gehlbach, L., & Moore Simas, T. A. (2011) · Medical Education · doi:10.1111/j.1365-2923.2011.03989.x · Cited by 184 · see citing works

A Multi-institutional Study Exploring the Impact of Positive Mental Health on Medical Students’ Professionalism in an Era of High Burnout

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

Sentinel Emotional Events: The Nature, Triggers, and Effects of Shame Experiences in Medical Residents

Bynum, W. E., Artino, A. R., Uijtdehaage, S., Webb, A. M. B., & Varpio, L. (2019) · Academic Medicine · doi:10.1097/acm.0000000000002479 · Cited by 151 · see citing works

Emotional Intelligence and Perceived Stress in Dental Undergraduates: A Multinational Survey

Pau, A., Rowland, M. L., Naidoo, S., AbdulKadir, R., Makrynika, E., Moraru, R., Huang, B., & Croucher, R. (2007) · Journal of Dental Education · doi:10.1002/j.0022-0337.2007.71.2.tb04266.x · Cited by 148 · see citing works

Gender differences in utilization of duty-hour regulations, aspects of burnout, and psychological well-being among general surgery residents in the United States

Dahlke, A. R., Johnson, J. K., Greenberg, C. C., Love, R., Kreutzer, L., Hewitt, D. B., Quinn, C. M., Engelhardt, K. E., & Bilimoria, K. Y. (2018) · Annals of Surgery · doi:10.1097/sla.0000000000002700 · Cited by 137 · see citing works

The prevalence of probable mental health disorders among hospital healthcare workers during COVID-19: A systematic review and meta-analysis

Lee, B. E. C., Ling, M., Boyd, L., Olsson, C., & Sheen, J. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.03.012 · Cited by 120 · see citing works

Evaluating an online stress management intervention for college students.

Hintz, S., Frazier, P. A., & Meredith, L. (2015) · Journal of Counseling Psychology · doi:10.1037/cou0000014 · Cited by 128 · see citing works

Resilience, stress, and coping among Canadian medical students

Rahimi, B., Baetz, M., Bowen, R., & Balbuena, L. (2014) · Canadian Medical Education Journal · doi:10.36834/cmej.36689 · Cited by 123 · see citing works

A Peer-Support and Mindfulness Program to Improve the Mental Health of Medical Students

Moir, F., Henning, M., Hassed, C., Moyes, S. A., & Elley, C. R. (2016) · Teaching and Learning in Medicine · doi:10.1080/10401334.2016.1153475 · Cited by 115 · see citing works

Cross-cultural differences in mental health, quality of life, empathy, and burnout between US and Brazilian medical students

Lucchetti, G., Damiano, R. F., DiLalla, L. F., Lucchetti, A. L. G., Moutinho, I. L. D., da Silva Ezequiel, O., & Kevin Dorsey, J. (2018) · Academic Psychiatry · doi:10.1007/s40596-017-0777-2 · Cited by 110 · see citing works

Barriers and facilitators to help-seeking for common mental disorders among university students: a systematic review.

Lui, J. C., Sagar-Ouriaghli, I., & Brown, J. S. L. (2024) · Journal of American College Health · doi:10.1080/07448481.2022.2119859 · Cited by 102 · see citing works

Prevalence and relationship between burnout and depression in our future doctors: a cross-sectional study in a cohort of preclinical and clinical medical students in Ireland

Fitzpatrick, O., Biesma, R., Conroy, R. M., & McGarvey, A. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-023297 · Cited by 94 · see citing works

Identifying the Dominant Personality Profiles in Medical Students: Implications for Their Well-Being and Resilience

Eley, D. S., Leung, J., Hong, B. A., Cloninger, K. M., & Cloninger, C. R. (2016) · PLOS ONE · doi:10.1371/journal.pone.0160028 · Cited by 87 · see citing works

A culturally adapted cognitive behavioral Internet-delivered intervention for depressive symptoms: randomized controlled trial

Salamanca-Sanabria, A., Richards, D., Timulak, L., Connell, S., Mojica Perilla, M., Parra-Villa, Y., & Castro-Camacho, L. (2020) · JMIR Mental Health · doi:10.2196/13392 · Cited by 83 · see citing works

Prevalence of anxiety, depression, and suicidal ideation symptoms among university students: a systematic review

Paula, W. D., Breguez, G. S., Machado, E. L., & Meireles, A. L. (2020) · Brazilian Journal of Health Review · doi:10.34119/bjhrv3n4-119 · Cited by 85 · see citing works

Mindfulness-based interventions reducing and preventing stress and burnout in medical students: A systematic review and meta-analysis

Hathaisaard, C., Wannarit, K., & Pattanaseri, K. (2022) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2021.102997 · Cited by 82 · see citing works

Study-related health and behavior patterns of medical students: A longitudinal study

Voltmer, E., Rosta, J., Aasland, O. G., & Spahn, C. (2010) · Medical Teacher · doi:10.3109/0142159x.2010.496008 · Cited by 74 · see citing works

Determining the feasibility and effectiveness of brief online mindfulness training for rural medical students: a pilot study

Moore, S., Barbour, R., Ngo, H., Sinclair, C., Chambers, R., Auret, K., Hassed, C., & Playford, D. (2020) · BMC Medical Education · doi:10.1186/s12909-020-02015-6 · Cited by 65 · see citing works

Depression, anxiety, and guilt in mothers with burnout of preschool and school-aged children: Insight from a cluster analysis

Sánchez-Rodríguez, R., Orsini, É., Laflaquière, E., Callahan, S., & Séjourné, N. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.08.031 · Cited by 63 · see citing works

ES[S]PRIT – an Internet-based programme for the prevention and early intervention of eating disorders in college students

Bauer, S., Moessner, M., Wolf, M., Haug, S., & Kordy, H. (2009) · British Journal of Guidance &amp; Counselling · doi:10.1080/03069880902957049 · Cited by 56 · see citing works

Mental health during COVID-19 pandemic: the role of optimism and emotional regulation

Krifa, I., van Zyl, L. E., Braham, A., Ben Nasr, S., & Shankland, R. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19031413 · Cited by 55 · see citing works

Does ragging play a role in medical student depression — Cause or effect?

Castaldelli-Maia, J. M., Martins, S. S., Bhugra, D., Machado, M. P., Andrade, A. G. D., Alexandrino-Silva, C., Baldassin, S., & de Toledo Ferraz Alves, T. C. (2012) · Journal of Affective Disorders · doi:10.1016/j.jad.2012.02.003 · Cited by 55 · see citing works

Obsessive-Compulsive Symptoms in Medical Students: Prevalence, Severity, and Correlates

Torres, A. R., Cruz, B. L., Vicentini, H. C., Lima, M. C. P., & Ramos-Cerqueira, A. T. A. (2016) · Academic Psychiatry · doi:10.1007/s40596-015-0357-2 · Cited by 51 · see citing works

Feasibility and effectiveness of an online mindfulness meditation program for medical students

Danilewitz, M., Koszycki, D., Maclean, H., Sanchez-Campos, M., Gonsalves, C., Archibald, D., & Bradwejn, J. (2018) · Canadian Medical Education Journal · doi:10.36834/cmej.43041 · Cited by 50 · see citing works

Effects of qigong exercise on the physical and mental health of college students: a systematic review and Meta-analysis

Lin, J., Gao, Y. F., Guo, Y., Li, M., Zhu, Y., You, R., Chen, S., & Wang, S. (2022) · BMC Complementary Medicine and Therapies · doi:10.1186/s12906-022-03760-5 · Cited by 50 · see citing works

Specific mindfulness traits protect against negative effects of trait anxiety on medical student wellbeing during high-pressure periods

Fino, E., Martoni, M., & Russo, P. M. (2021) · Advances in Health Sciences Education · doi:10.1007/s10459-021-10039-w · Cited by 46 · see citing works

Psychosocial burden in medical students and specific prevention strategies

Bugaj, T., Cranz, A., Junne, F., Erschens, R., Herzog, W., & Nikendei, C. (2016) · Mental Health &amp; Prevention · doi:10.1016/j.mhp.2015.12.003 · Cited by 47 · see citing works

Students perceived stress in academic programs: Consequences for its management

Neveu, D., Doron, J., Visier, L., Boiché, J., Trouillet, R., Dujols, P., & Ninot, G. (2012) · Revue d'Épidémiologie et de Santé Publique · doi:10.1016/j.respe.2012.01.008 · Cited by 47 · see citing works

A 12-year Trend of Psychological Distress: National Study of Finnish University Students

Oksanen, A., Laimi, K., Björklund, K., Löyttyniemi, E., & Kunttu, K. (2017) · Central European Journal of Public Health · doi:10.21101/cejph.a4438 · Cited by 39 · see citing works

Burnout and depression in medical students: Relations with avoidance and disengagement

Kroska, E. B., Calarge, C., O’Hara, M. W., Deumic, E., & Dindo, L. (2017) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2017.08.003 · Cited by 41 · see citing works

MAP train my brain: meditation combined with aerobic exercise reduces stress and rumination while enhancing quality of life in medical students.

Lavadera, P., Millon, E. M., & Shors, T. J. (2020) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2019.0281 · Cited by 41 · see citing works

Resource-oriented coaching for reduction of examination-related stress in medical students: an exploratory randomized controlled trial

Kötter, T., & Niebuhr, F. (2016) · Advances in Medical Education and Practice · doi:10.2147/amep.s110424 · Cited by 40 · see citing works

Prevalence of depression among Chinese medical students: A systematic review and meta-analysis

Jin, T., Sun, Y., Wang, H., Qiu, F., & Wang, X. (2022) · Psychology, Health &amp; Medicine · doi:10.1080/13548506.2021.1950785 · Cited by 34 · see citing works

Psychische Belastungen und Probleme Studierender: Entwicklungen, Beratungs- und Behandlungsmöglichkeiten

Hofmann, F.-H., Sperth, M., & Holm-Hadulla, R. M. (2017) · Psychotherapeut · doi:10.1007/s00278-017-0224-6 · Cited by 32 · see citing works

Acculturative stress is associated with trajectory of anxiety symptoms during pregnancy in Mexican-American women

Preciado, A., & D’Anna-Hernandez, K. (2017) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2016.10.005 · Cited by 33 · see citing works

Improved quality of life and reduced depressive symptoms in medical students after a single-session intervention

Bermudez, M. B., Costanzi, M., Macedo, M. J. A., Tatton-Ramos, T., Xavier, A. C. M., Ferrão, Y. A., Bentley, K. H., Manfro, G. G., & Dreher, C. B. (2020) · Brazilian Journal of Psychiatry · doi:10.1590/1516-4446-2019-0526 · Cited by 25 · see citing works

Prevalence and Associated Factors of Psychological Distress and Burnout among Medical Students: Findings from Two Campuses

Arif, N. M. N. A., Roslan, N. S., Ismail, S. B., Nayak, R. D., Jamian, M. R., Mohamad Ali Roshidi, A. S., Edward, T. C., Kamal, M. A., Mohd Amin, M. M., Shaari, S., et al. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18168446 · Cited by 24 · see citing works

Effect of cognitive behavioral therapy program on mental health status among medical student in Palestine during COVID pandemic

Hanani, A., Badrasawi, M., Zidan, S., & Hunjul, M. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-03915-1 · Cited by 21 · see citing works

The mediating role of psychological flexibility in the association of autistic-like traits with burnout and depression in medical students during clinical clerkships in Japan: a university-based cross-sectional study

Watanabe, T., & Akechi, T. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-04811-y · Cited by 21 · see citing works

Hybrid delivery of mindfulness meditation and perceived stress in pediatric resident physicians: A randomized clinical trial of in-person and digital mindfulness meditation

Purdie, D. R., Federman, M., Chin, A., Winston, D., Bursch, B., Olmstead, R., Bulut, Y., & Irwin, M. R. (2023) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-022-09896-3 · Cited by 19 · see citing works

StudiCare mindfulness-study protocol of a randomized controlled trial evaluating an internet- and mobile-based intervention for college students with no and "on demand" guidance.

Küchler, A.-M., Schultchen, D., Pollatos, O., Moshagen, M., Ebert, D. D., & Baumeister, H. (2020) · Trials · doi:10.1186/s13063-020-04868-0 · Cited by 12 · see citing works

Effectiveness of an Internet-Based Self-Help Acceptance and Commitment Therapy Program on Medical Students’ Mental Well-Being: Follow-Up Randomized Controlled Trial

Wang, D., Lin, B., Zhang, S., Xu, W., & Liu, X. (2024) · Journal of Medical Internet Research · doi:10.2196/50664 · Cited by 8 · see citing works

Mindfulness-Based Interventions for Psychiatry

Ivkovic, A., Evans, S., Mirsky, P., Ashar, Y. K., & Muskin, P. R. (2024) · Tasman’s Psychiatry · doi:10.1007/978-3-030-51366-5_159 · Cited by 1 · see citing works

Judgment and reactivity are associated with mental distress among university students.

Gonçalves Gallo, G., Fernandez Curado, D., Pires Alves Machado, M., Villar Scattone, V., & Noto, A. R. (2022) · The Journal of Mental Health Training Education and Practice · doi:10.1108/jmhtep-08-2021-0094

Burnout development among dentists: a longitudinal study

Te Brake, H., Smits, N., Wicherts, J. M., Gorter, R. C., & Hoogstraten, J. (2008) · European Journal of Oral Sciences · doi:10.1111/j.1600-0722.2008.00584.x · Cited by 53 · see citing works

A Conceptual and Empirical Investigation of Workplace Burnout in Foodservice Management

Krone, C., Tabacchi, M., & Farber, B. M. (1989) · Journal of Hospitality & Tourism Research · doi:10.1177/109634808901300308 · Cited by 12 · see citing works

Different Measures and Ways to Categorize Pediatrician Burnout and the Association with Satisfaction

Byrne, B. J., Frintner, M. P., Starmer, A. J., Gottschlich, E. A., & Freed, G. L. (2022) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2022.05.046 · Cited by 7 · see citing works

A Literature Review About Burnout Syndrome and How it Can Be Prevented

Inţă, R.-F. (2021) · Acta Medica Transilvanica · doi:10.2478/amtsb-2021-0061 · Cited by 4 · see citing works

Single Item Measures of Emotional Exhaustion and Depersonalization Are Useful for Assessing Burnout in Medical Professionals

West, C. P., Dyrbye, L. N., Sloan, J. A., & Shanafelt, T. D. (2009) · Journal of General Internal Medicine · doi:10.1007/s11606-009-1129-z · Cited by 725 · see citing works