Factors associated with the mental health status of medical students during the COVID-19 pandemic: a cross-sectional study in Japan
Open accessAbstract
Objective: The COVID-19 pandemic had a substantial impact on university students, including those in medical schools, with disruption in routine education causing significant psychological distress. The objective of this study was to evaluate the factors associated with psychological distress among medical students during the period of enforced home quarantine from March through May 2020. Design: A cross-sectional study. Setting: One Japanese medical school. Participants: 571 medical students. Primary and secondary outcome measures: Self-administered electronic questionnaires including the K-6 scale for psychological distress, the Rosenberg Self-Esteem Scale (RSES) for self-esteem and the General Self-Efficacy Scale (GSES) for self-efficacy were distributed. To assess the determinant factor for psychological distress, variables such as sex, grade in school, living conditions, and RSES and GSES scores were evaluated in regression analysis. Results: 163 respondents (28.5%) scored ≥5 on the K-6 scale, indicating a significant degree of psychological distress. Logistic regression revealed that a higher score on RSES (p<0.001) and GSES (p<0.01) was an independent factor associated with lower levels of psychological distress. Multiple regression analysis focusing on students with a K-6 score ≥5 revealed that higher scores on RSES correlated with lower levels of psychological distress. By contrast, those with higher GSES scores also scored higher for indicators of psychological distress. Conclusions: This study identified that self-efficacy and self-esteem were both influential factors for predicting psychological distress during the current COVID-19 pandemic. Medical schools should provide support for mental health and educational initiatives directed at enhancing self-esteem and self-efficacy, with a focus on improving personal resilience. In emergency situations, such as that faced in response to the COVID-19 pandemic, initial programmes might target students with higher levels of self-efficacy. By contrast, under routine situations, these efforts should be directed towards students with lower self-esteem as primary means to prevent depression.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Covid-19 has had a drastic impact on the population's mental health, including medical students.
“Moreover, Covid-19 has had a drastic impact on the population’s mental health [40–43], including medical students [44–48].”
From Effectiveness of online mindfulness interventions on medical students’ mental health: a systematic review (2021) · cites this paper as [44]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Self-efficacy: The exercise of control
Bandura, A., Freeman, W. H., & Lightsey, R. (1999) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.13.2.158 · Cited by 46,835 · see citing works
Society and the Adolescent Self-Image
Rosenberg, M. (1965) · doi:10.1515/9781400876136 · Cited by 30,126 · see citing works
KESSLER, R. C., ANDREWS, G., COLPE, L. J., HIRIPI, E., MROCZEK, D. K., NORMAND, S.-L. T., WALTERS, E. E., & ZASLAVSKY, A. M. (2002) · Psychological Medicine · doi:10.1017/s0033291702006074 · Cited by 10,327 · see citing works
Bonanno, G. A. (2004) · American Psychologist · doi:10.1037/0003-066x.59.1.20 · Cited by 6,851 · see citing works
The Oxford Handbook of Positive Psychology
(2009) · doi:10.1093/oxfordhb/9780195187243.001.0001 · Cited by 2,696 · see citing works
On the Functional Properties of Perceived Self-Efficacy Revisited
Bandura, A. (2012) · Journal of Management · doi:10.1177/0149206311410606 · Cited by 2,586 · 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
Sahu, P. (2020) · Cureus · doi:10.7759/cureus.7541 · Cited by 2,353 · see citing works
Does low self-esteem predict depression and anxiety? A meta-analysis of longitudinal studies.
Sowislo, J. F., & Orth, U. (2013) · Psychological Bulletin · doi:10.1037/a0028931 · Cited by 2,123 · see citing works
Coronavirus disease (COVID-19) pandemic.
Rampal, L., & Liew, B. S. (2020) · PubMed · Cited by 2,116 · see citing works
Is General Self-Efficacy a Universal Construct?1
Scholz, U., Gutiérrez Doña, B., Sud, S., & Schwarzer, R. (2002) · European Journal of Psychological Assessment · doi:10.1027//1015-5759.18.3.242 · Cited by 1,637 · 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
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
Schwarzer, R. (2014) · Taylor & Francis eBooks · doi:10.4324/9781315800820 · Cited by 1,224 · see citing works
Rates of medication errors among depressed and burnt out residents: prospective cohort study
Fahrenkopf, A. M., Sectish, T. C., Barger, L. K., Sharek, P. J., Lewin, D., Chiang, V. W., Edwards, S., Wiedermann, B. L., & Landrigan, C. P. (2008) · BMJ · doi:10.1136/bmj.39469.763218.be · Cited by 1,175 · see citing works
Association of resident fatigue and distress with perceived medical errors
West, C. P. (2009) · JAMA · doi:10.1001/jama.2009.1389 · Cited by 999 · see citing works
Tull, M. T., Edmonds, K. A., Scamaldo, K. M., Richmond, J. R., Rose, J. P., & Gratz, K. L. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.113098 · Cited by 922 · see citing works
Self-efficacy pathways to childhood depression
Bandura, A., Pastorelli, C., Barbaranelli, C., & Caprara, G. V. (1999) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.76.2.258 · Cited by 856 · see citing works
Textbook, M. (2017) · Cited by 824 · see citing works
Low self-esteem prospectively predicts depression in adolescence and young adulthood.
Orth, U., Robins, R. W., & Roberts, B. W. (2008) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.95.3.695 · Cited by 784 · see citing works
Addressing collegiate mental health amid COVID-19 pandemic
Zhai, Y., & Du, X. Y. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.113003 · Cited by 655 · see citing works
Burnout During Residency Training: A Literature Review
IsHak, W. W., Lederer, S., Mandili, C., Nikravesh, R., Seligman, L., Vasa, M., Ogunyemi, D., & Bernstein, C. A. (2009) · Journal of Graduate Medical Education · doi:10.4300/jgme-d-09-00054.1 · Cited by 643 · see citing works
Marsh, H. W. (1990) · Journal of Educational Psychology · doi:10.1037//0022-0663.82.4.646 · Cited by 605 · see citing works
Alrabiaah, A. A., Temsah, M.-H. A., Al-Eyadhy, A. A., Hasan, G., Alzamil, F. A., Alsubaie, S., Alsohime, F., Jamal, A. A., Alhaboob, A. A. N., Alsaadi, B. M., et al. (2020) · Journal of Infection and Public Health · doi:10.1016/j.jiph.2020.01.005 · Cited by 531 · see citing works
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
Physician Resilience: What It Means, Why It Matters, and How to Promote It
Epstein, R. M., & Krasner, M. S. (2013) · Academic Medicine · doi:10.1097/acm.0b013e318280cff0 · Cited by 509 · see citing works
Ye, Z., Yang, X., Zeng, C., Wang, Y., Shen, Z., Li, X., & Lin, D. (2020) · Applied Psychology Health and Well-Being · doi:10.1111/aphw.12211 · Cited by 478 · see citing works
SELF-EFFICACY, SELF-ESTEEM AND THEIR IMPACT ON ACADEMIC PERFORMANCE
Lane, J., Lane, A. M., & Kyprianou, A. (2004) · Social Behavior and Personality: an international journal · doi:10.2224/sbp.2004.32.3.247 · Cited by 444 · see citing works
Impact Of Sars-Cov-2 And Its Reverberation In Global Higher Education And Mental Health
Araújo, F. J. D. O., de Lima, L. S. A., Cidade, P. I. M., Nobre, C. B., & Neto, M. L. R. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.112977 · Cited by 444 · see citing works
Chang, J., Yuan, Y., & Wang, D. (2020) · PubMed Central · doi:10.12122/j.issn.1673-4254.2020.02.06 · Cited by 349 · see citing works
A longitudinal study of stress and self-esteem in student nurses
Edwards, D. J., Burnard, P., Bennett, K., & Hebden, U. (2009) · Nurse Education Today · doi:10.1016/j.nedt.2009.06.008 · Cited by 336 · see citing works
A Bibliometric Analysis of COVID-19 Research Activity: A Call for Increased Output
Chahrour, M. A., Assi, S., Bejjani, M., Nasrallah, A. A., Salhab, H. A., Fares, M. Y., & Khachfe, H. H. (2020) · Cureus · doi:10.7759/cureus.7357 · Cited by 325 · see citing works
Smith, E. R., & Mackie, D. M. (2007) · Cited by 302 · see citing works
Self-efficacy beliefs of medical students: a critical review
Klassen, R. M., & Klassen, J. R. L. (2018) · Perspectives on Medical Education · doi:10.1007/s40037-018-0411-3 · Cited by 248 · see citing works
A Japanese version of the Rosenberg Self-Esteem Scale: Translation and equivalence assessment
Mimura, C., & Griffiths, P. (2007) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2006.11.004 · Cited by 205 · see citing works
Tahmassian, K., & Jalali‐Moghadam, N. (2011) · Europe PMC (PubMed Central) · Cited by 195 · see citing works
Self-efficacy thought control of action
Schwarzer, R. 1. (1992) · Cited by 182 · see citing works
Relationship between Self-Esteem and Depression
Battle, J. (1978) · Psychological Reports · doi:10.2466/pr0.1978.42.3.745 · Cited by 175 · see citing works
Xiong, H., Yi, S., & Lin, Y. (2020) · INQUIRY The Journal of Health Care Organization Provision and Financing · doi:10.1177/0046958020957114 · Cited by 173 · see citing works
Mental health issues amongst medical students in Asia: a systematic review [2000-2015].
(2016) · Europe PMC (PubMed Central) · doi:10.3978/j.issn.2305-5839.2016.02.07 · Cited by 139 · see citing works
The relationship among self-efficacy, perfectionism and academic burnout in medical school students
Yu, J., Chae, S. J., & Chang, K. H. (2016) · Korean journal of medical education · doi:10.3946/kjme.2016.9 · Cited by 126 · see citing works
Post-traumatic stress disorder, resilience and vulnerability
Ahmed, A. S. (2007) · Advances in Psychiatric Treatment · doi:10.1192/apt.bp.106.003236 · Cited by 81 · see citing works
Nurturing resiliency in medical trainees
Dyrbye, L. N., & Shanafelt, T. D. (2012) · Medical Education · doi:10.1111/j.1365-2923.2011.04206.x · Cited by 77 · see citing works
Benbassat, J., Baumal, R., Chan, S., & Nirel, N. (2011) · Medical Teacher · doi:10.3109/0142159x.2010.531156 · Cited by 57 · see citing works
Mata, D. A., Ramos, M. A., Kim, M. M., Guille, C., & Sen, S. (2016) · Academic Medicine · doi:10.1097/acm.0000000000001227 · Cited by 56 · see citing works
Fukushima, K., Fukushima, N., Sato, H., Yokota, J., & Uchida, K. (2020) · PLoS ONE · doi:10.1371/journal.pone.0235909 · Cited by 38 · see citing works
Baste, V. S., & Gadkari, J. V. (2014) · PubMed · Cited by 33 · see citing works
[Depression and self-efficacy in medical residents].
Ding, Y., Huang, L., Feng, C., Yang, M. H., & Zhang, Y. (2017) · PubMed · doi:10.11817/j.issn.1672-7347.2017.01.014 · Cited by 9 · see citing works
Flagged first, then by citations
4 of the 52 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- 30 Smith ER, Mackie DM. Social psychology . 3rd edn. Hove: Psychology Press, 2007.
Cited by
Sorted by citations
Baticulon, R. E., Sy, J. J., Alberto, N. R. I., Baron, M. B. C., Mabulay, R. E. C., Rizada, L. G. T., Tiu, C. J. S., Clarion, C. A., & Reyes, J. C. B. (2021) · Medical Science Educator · doi:10.1007/s40670-021-01231-z · Cited by 760 · see citing works
Impacts of the Covid‐19 pandemic on the health of university students
Ihm, L., Zhang, H., van Vijfeijken, A., & Waugh, M. G. (2021) · The International Journal of Health Planning and Management · doi:10.1002/hpm.3145 · Cited by 98 · see citing works
Chu, T., Liu, X., Takayanagi, S., Matsushita, T., & Kishimoto, H. (2023) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.1938 · Cited by 93 · see citing works
Karing, C. (2021) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2021.100174 · Cited by 85 · see citing works
Yogeswaran, V., & El Morr, C. (2021) · BMC Public Health · doi:10.1186/s12889-021-12341-z · Cited by 54 · see citing works
Shek, D. T. L., Dou, D., & Zhu, X. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.857147 · Cited by 57 · see citing works
COVID-19 and mental health: A systematic review of international medical student surveys
Paz, D. C., Bains, M. S., Zueger, M. L., Bandi, V. R., Kuo, V. Y., Cook, K., & Ryznar, R. J. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.1028559 · Cited by 56 · see citing works
Qin, L., Peng, J., Shu, M., Liao, X.-Y., Gong, H.-J., Luo, B.-A., & Chen, Y.-W. (2023) · Healthcare · doi:10.3390/healthcare11030420 · Cited by 65 · see citing works
Sakai, M., Nakanishi, M., Yu, Z., Takagi, G., Toshi, K., Wakashima, K., & Yoshii, H. (2022) · Japan Journal of Nursing Science · doi:10.1111/jjns.12483 · Cited by 50 · see citing works
Esteban, R. F. C., Mamani-Benito, O. J., Morales-García, W. C., Caycho‐Rodríguez, T., & Mamani, P. G. R. (2022) · Heliyon · doi:10.1016/j.heliyon.2022.e11085 · Cited by 56 · see citing works
Dai, Z., Jing, S., Wang, H., Xiao, W., Huang, Y., Chen, X., Fu, J., Pan, C., Tang, Q., Wang, H., et al. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.949477 · Cited by 44 · see citing works
Aftab, M., Alsaleem, M. A., Nahar, S., Ahmed, R. A., Mahmood, S. E., Madaan, M., & Ahmad, A. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18115792 · Cited by 42 · see citing works
Akhter, H., Rahman, A. A. A., Jafrin, N., Saif, A. N. M., Esha, B. H., & Mostafa, R. (2022) · Cogent Education · doi:10.1080/2331186x.2022.2028342 · Cited by 40 · see citing works
Zhang, T., Liu, M., Min, F., Wei, W., Liu, Y., Tong, J., Meng, Q., Sun, L., & Chen, X. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-05070-7 · Cited by 39 · see citing works
Lingering effects of COVID-19 on the mental health of first-year university students in Japan
Horita, R., Nishio, A., & Yamamoto, M. (2022) · PLoS ONE · doi:10.1371/journal.pone.0262550 · Cited by 39 · see citing works
Huarcaya-Victoria, J., Elera-Fitzcarrald, C., Crisol-Deza, D. A., Villanueva-Zúñiga, L., Pacherres-López, A., Torres, A., Huertas, G., Calderón, D., Noriega-Baella, C., Astonitas, E., et al. (2021) · Revista Colombiana de Psiquiatría · doi:10.1016/j.rcp.2021.06.002 · Cited by 44 · see citing works
Franzoi, I. G., Carnevale, G., Sauta, M. D., & Granieri, A. (2022) · Journal of Further and Higher Education · doi:10.1080/0309877x.2022.2102416 · Cited by 32 · see citing works
Perissotto, T., da Silva, T. C. R. P., Miskulin, F. P. C., Pereira, M. B., Neves, B. A., Almeida, B. C., Casagrande, A. V., Ribeiz, S. R. I., & Nunes, P. V. (2021) · Clinics · doi:10.6061/clinics/2021/e3007 · Cited by 33 · see citing works
Kaur, W., Balakrishnan, V., Chen, Y. Y., & Periasamy, J. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19158894 · Cited by 29 · see citing works
Schröpfer, K., Schmidt, N. C., Kus, S., Koob, C., & Coenen, M. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18126611 · Cited by 28 · see citing works
Yun, J., Kim, J. W., Myung, S. J., Yoon, H. B., Moon, S. H., Ryu, H., & Yim, J. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.702092 · Cited by 27 · see citing works
Zhang, J., Yin, Y., Dean, J. A., Zhang, X., Zhang, Y., Wang, J., & Zhang, Y. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.742314 · Cited by 28 · see citing works
Shafiee, A., Athar, M. M. T., Seighali, N., Amini, M. J., Hajishah, H., Bahri, R. A., Akhoundi, A., Beiky, M., Sarvipour, N., Maleki, S., et al. (2024) · PLoS ONE · doi:10.1371/journal.pone.0307117 · Cited by 33 · see citing works
Celbis, O., van de Laar, M., & Volante, L. (2024) · International Journal of Educational Research Open · doi:10.1016/j.ijedro.2024.100392 · Cited by 26 · see citing works
Pélissier, C., Viale, M., Berthelot, P., Poizat, B., Massoubre, C., Tiffet, T., & Fontana, L. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182412951 · Cited by 26 · see citing works
Cross-Country Student Perceptions about Online Medical Education during the COVID-19 Pandemic
Suzuki, T., Murayama, A., Kotera, Y., Bhandari, D., Senoo, Y., Tani, Y., Harada, K. S., Kawamoto, A., Sato, S., Sawano, T., et al. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19052840 · Cited by 27 · see citing works
Riepenhausen, A., Veer, I. M., Wackerhagen, C., Reppmann, Z. C., Köber, G., Ayuso‐Mateos, J. L., Bögemann, S. A., Corrao, G., Félez-Nóbrega, M., Haro, J. M., et al. (2022) · Psychological Medicine · doi:10.1017/s0033291722000563 · Cited by 27 · see citing works
Tayem, Y. I., Almarabheh, A. J., Hamza, E. A., & Deifalla, A. (2022) · Advances in Medical Education and Practice · doi:10.2147/amep.s357335 · Cited by 24 · see citing works
Sekine, M., Watanabe, M., Nojiri, S., Suzuki, T., Nishizaki, Y., Tomiki, Y., & Okada, T. (2022) · PLoS ONE · doi:10.1371/journal.pone.0265356 · Cited by 23 · see citing works
Teh, B. L. S., Ang, J. K., Koh, E. B. Y., & Pang, N. T. P. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20031894 · Cited by 23 · see citing works
Hu, B., Yang, X., & Tuo, X. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1129782 · Cited by 22 · see citing works
Hisato, T., Nandy, S., Monga, E. M., Sytek, P., Abouzid, M., & Ahmed, A. A. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1186442 · Cited by 21 · see citing works
Tanji, F., & Kodama, Y. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph181910358 · Cited by 21 · see citing works
Impact of COVID-19 on the Mental Health of Medical Students in Portugal
Campos, R., Pinto, V., Alves, D. M., Rosa, C. P., & Pereira, H. (2021) · Journal of Personalized Medicine · doi:10.3390/jpm11100986 · Cited by 20 · see citing works
Leroy, A., Wathelet, M., Fovet, T., Habran, E., Granon, B., Martignène, N., Amad, A., Notredame, C.-É., Vaïva, G., & D’Hondt, F. (2021) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2021.100260 · Cited by 18 · see citing works
Meyer, D., Sumner, P. J., Tan, E. J., Neill, E., Hielscher, E., Blake, J. A., Scott, J. G., Phillipou, A., Toh, W. L., Rheenen, T. E. V., et al. (2023) · Psychiatry Research · doi:10.1016/j.psychres.2023.115121 · Cited by 18 · see citing works
Jones, D., McCalla, M., & Beverly, E. A. (2023) · BMC Medical Education · doi:10.1186/s12909-023-04181-9 · Cited by 22 · see citing works
Deterioration of Mental Health in Children and Adolescents During the COVID-19 Pandemic
Jo, E., Seo, K., Nam, B., Shin, D., Kim, S., Jeong, Y., Kim, A., & Kim, Y. (2023) · Journal of korean Academy of Child and Adolescent Psychiatry · doi:10.5765/jkacap.220041 · Cited by 19 · see citing works
Mental health of medical students during the COVID19: Impact of studies years
Essadek, A., Gressier, F., Robin, M., Shadili, G., Bastien, L., Peronnet, J.-C., Falissard, B., & Rabeyron, T. (2022) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2022.100318 · Cited by 16 · see citing works
Social Determinants, Risk Factors, and Needs: A New Paradigm for Medical Education
Muller, D., Hurtado, A., Cunningham, T., Soriano, R. P., Palermo, A.-G. S., Hess, L., Willis, M. S., Linkowski, L., Forsyth, B., & Parkas, V. (2021) · Academic Medicine · doi:10.1097/acm.0000000000004539 · Cited by 17 · see citing works
Vythilingam, D. I., Prakash, A., Nourianpour, M., & Atiomo, W. (2022) · BMC Medical Education · doi:10.1186/s12909-022-03803-y · Cited by 14 · see citing works
Sanseverino, D., Molinaro, D., Spagnoli, P., & Ghislieri, C. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20156462 · Cited by 13 · see citing works
Mudenda, S., Daka, V., Mufwambi, W., Matafwali, S. K., Chabalenge, B., Skosana, P., Mfune, R. L., Kasanga, M., Okonji, O. C., Mayoka, G. W., et al. (2023) · SAGE Open Medicine · doi:10.1177/20503121231218904 · Cited by 13 · see citing works
Wu, L., & Liu, Y. (2024) · Medicine · doi:10.1097/md.0000000000039519 · Cited by 18 · see citing works
Ahmad, W. N. W., Idrus, A. A., Azman, M. N. A., & Kassymova, G. K. (2022) · International Journal of Public Health Science (IJPHS) · doi:10.11591/ijphs.v11i1.21105 · Cited by 13 · see citing works
Namekata, D., & Yamamoto, M. (2021) · Animals · doi:10.3390/ani11102887 · Cited by 13 · see citing works
Ewid, M., Haikal, A., Billah, S. M. B., Kalou, Y., Zitoun, O. A., Alnaser, A. R., Nashawi, M. O., & Almazrou, A. (2023) · Medicine · doi:10.1097/md.0000000000033487 · Cited by 15 · see citing works
Clark, S. M., Loe, E., Merlo, L. J., & Estores, I. M. (2023) · Global Advances in Integrative Medicine and Health · doi:10.1177/27536130231185072 · Cited by 11 · see citing works
Courtesy stigma among primary caregivers of children with autism spectrum disorder in eastern China
Chen, X., Tong, J., Jiang, B., Ma, S., Wang, X., Sun, X., Liu, Y., Yan, D.-M., & Wang, L.-L. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1236025 · Cited by 11 · see citing works
Korn, L., Zigdon, A., & Davidovitch, N. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1181009 · Cited by 10 · see citing works
Serial Mediation Model of Social Capital Effects over Academic Stress in University Students
Torres, M. E. C., Vargas-Piérola, P. M., Pinto, C. F., & Alvarado, R. (2022) · European Journal of Investigation in Health Psychology and Education · doi:10.3390/ejihpe12110115 · Cited by 10 · see citing works
Han, C., Ding, J., He, H., Peiyao, Z., Zhang, X., Xiaowen, Y., & Zheng, A. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1496248 · Cited by 9 · see citing works
Ozone, S., Haruta, J., Takayashiki, A., Maeno, T., & Maeno, T. (2023) · BMC Medical Education · doi:10.1186/s12909-023-04320-2 · Cited by 9 · see citing works
Watanabe, K., Adachi, H., Yamamoto, R., Fujino, R., Ishimaru, D., Kanayama, D., Sakagami, Y., Akamine, S., Marutani, N., Mamiya, Y., et al. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.946265 · Cited by 11 · see citing works
Huarcaya-Victoria, J., Elera‐Fitzcarrald, C., Crisol-Deza, D. A., Villanueva-Zúñiga, L., Pacherres-López, A., Torres, A., Huertas, G., Calderón-Solano, D., Noriega-Baella, C., Astonitas, E., et al. (2023) · Revista Colombiana de Psiquiatría (English ed ) · doi:10.1016/j.rcpeng.2021.06.014 · Cited by 10 · see citing works
Karing, C., & Oeltjen, L. (2024) · Current Psychology · doi:10.1007/s12144-024-06770-3 · Cited by 8 · see citing works
Yamazaki, J., Kizuki, M., & Fujiwara, T. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19116385 · Cited by 8 · see citing works
Kim, H. W., Hong, J. W., Nam, E. J., Kim, K. Y., Kim, J. H., & Kang, J. I. (2022) · PLoS ONE · doi:10.1371/journal.pone.0277059 · Cited by 8 · see citing works
Psychopathology, Protective Factors, and COVID-19 among Adolescents: A Structural Equation Model
Scheiner, C., Seis, C., Kleindienst, N., & Buerger, A. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20032493 · Cited by 7 · see citing works
Sargazi, M., Hamzehpour, R., Shirafkan, H., & Moudi, S. (2025) · Shiraz E-Medical Journal · doi:10.5812/semj-159484 · Cited by 6 · see citing works
Sankova, M. V., Nikolenko, V. N., Litvinova, T. M., Volel, B. A., Oganesyan, M. V., Rizaeva, N. A., Vovkogon, A. D., Sankov, S. V., Bulygin, K. V., Zharikova, T. S., et al. (2025) · BMC Medical Education · doi:10.1186/s12909-024-06407-w · Cited by 6 · see citing works
Kim, S., & Kim, S. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182312273 · Cited by 6 · see citing works
Tanifuji, T., Aoyama, S., Shinko, Y., Mouri, K., Kim, S., Satomi‐Kobayashi, S., Shinohara, M., Kawano, S., & Sora, I. (2022) · Psychiatry and Clinical Neurosciences Reports · doi:10.1002/pcn5.5 · Cited by 6 · see citing works
Almarri, F. K., Alaseem, A. M., Alanazi, M., Alyahya, S., Alsanad, N. H., Alswayed, K. E., Alanazi, J., Alharby, T. N., & Alghamdi, S. A. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-04372-6 · Cited by 9 · see citing works
Ayubi, E., Bashirian, S., Jenabi, E., Barati, M., & Khazaei, S. (2023) · Personalized Medicine in Psychiatry · doi:10.1016/j.pmip.2023.100108 · Cited by 6 · see citing works
Lee, J., Lee, S. J., Chang, S. M., Won, S., Woo, J., & Kim, B. (2022) · Psychiatry Investigation · doi:10.30773/pi.2022.0080 · Cited by 5 · see citing works
Esguerra, S., Chiu, F. T., Espinoza, A., Williams, D. B., & Clithero-Eridon, A. R. (2023) · BMC Medical Education · doi:10.1186/s12909-023-04203-6 · Cited by 6 · see citing works
Mental Health of Medical Students during the Coronavirus 2019 Epidemic (COVID-19)
Sheykhangafshe, F. B. (2021) · مجله علمی دانشگاه علوم پزشکی رفسنجان · doi:10.52547/jrums.20.2.251 · Cited by 6 · see citing works
Mayers, T., Okamura, Y., Kanaji, M., Shimoda, T. M., Maki, N., & Maeno, T. (2024) · COVID · doi:10.3390/covid4090105 · Cited by 5 · see citing works
de Diego‐Cordero, R., Martínez-del-Carmen, C., Sierra, P. B., & Vargas‐Martínez, A. M. (2021) · Healthcare · doi:10.3390/healthcare9121661 · Cited by 5 · see citing works
Multiple sequential mediation model of the effect of Social Capital Investment on Academic Stress
Torres, M. E. C., Vargas-Piérola, P. M., Pinto, C. F., & Alvarado, R. (2023) · International Journal of Educational Research Open · doi:10.1016/j.ijedro.2023.100259 · Cited by 5 · see citing works
Zhang, Y., Zhao, Y., Ni, T., Chen, J., & Tang, W. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.1040935 · Cited by 4 · see citing works
Sato, Y., Yatsuya, H., Saijo, Y., Yoshioka, E., & Tabuchi, T. (2022) · Disaster Medicine and Public Health Preparedness · doi:10.1017/dmp.2022.245 · Cited by 4 · see citing works
No man is an island: Men living alone during COVID ‐19 report lower need satisfaction and well‐being
Jauch, M., Lalot, F., & Greifeneder, R. (2023) · Journal of Community & Applied Social Psychology · doi:10.1002/casp.2686 · Cited by 4 · see citing works
Tokumasu, K., Nishimura, Y., Sakamoto, Y., Obika, M., Kataoka, H. U., & Otsuka, F. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20021579 · Cited by 4 · see citing works
The mental health of medical students in Daegu during the 2020 COVID-19 pandemic
Yeo, S., Choi, E. K., Kim, J., & Won, S. (2023) · Korean journal of medical education · doi:10.3946/kjme.2023.254 · Cited by 4 · see citing works
Riepenhausen, A., Veer, I. M., Wackerhagen, C., Reppmann, Z. C., Köber, G., Ayuso‐Mateos, J. L., Bögemann, S. A., Corrao, G., Félez-Nóbrega, M., Haro, J. M., et al. (2021) · doi:10.31234/osf.io/fjqpb · Cited by 4 · see citing works
Building resilience: the long-term psychological impact of COVID-19 on college students
Zhang, Q., Xiao, M., Liu, L., & Yang, K. (2025) · Current Psychology · doi:10.1007/s12144-025-08460-0 · Cited by 3 · see citing works
Utama, M. R., Saputri, A. T., Anas, M., & Prasetya, E. C. (2022) · Gaceta Médica de Caracas · doi:10.47307/gmc.2022.130.s2.12 · Cited by 3 · see citing works
Ghaedi‐Heidari, F., Lohrasbi, F., Chaharsoughi, N. T., Samsamshariat, S., & Nasab, F. R. S. (2022) · Iranian Journal of Psychiatry and Behavioral Sciences · doi:10.5812/ijpbs-115333 · Cited by 3 · see citing works
Gabryś, A. (2023) · Lubelski Rocznik Pedagogiczny · doi:10.17951/lrp.2023.42.1.141-160 · Cited by 3 · see citing works
Mirzaeian, S., Dehkordi, S. M., Karimiankakolaki, Z., & Mohammadi, P. M. (2023) · Complementary Medicine Journal · doi:10.61186/cmja.12.4.40 · Cited by 3 · see citing works
Goodman, C. D., Correa, R. J. M., Arifin, A. J., Dinniwell, R. E., Laba, J. M., & Nguyen, T. K. (2021) · Advances in Radiation Oncology · doi:10.1016/j.adro.2021.100754 · Cited by 3 · see citing works
Cui, Y., Guo, Z., Yang, T., Zhang, M., Mu, H., Li, J., Fang, J., Du, T., & Yang, X. (2025) · Advances in Medical Education and Practice · doi:10.2147/amep.s495472 · Cited by 2 · see citing works
Responses to the COVID-19 pandemic
Park, Y., Baldry, T. A., & Amarilla, J. (2025) · Journal of International Students · doi:10.32674/v3gtvt08 · Cited by 2 · see citing works
Șimon, M. Ș., Grecu, A. G., Colceriu-Șimon, I.-M., Chisnoiu, A. M., Gáspárik, C., & Dudea, D. (2026) · Dentistry Journal · doi:10.3390/dj14030165 · Cited by 2 · see citing works
Cipro, M., Pitre, L., Fotsing, S., & Pomerleau, M. (2023) · Journal of Medical Education and Curricular Development · doi:10.1177/23821205231217897 · Cited by 2 · see citing works
Undergraduate students’ mental health in the first year of the COVID-19 pandemic: a scoping review
Dias, F. A., Pereira, E. R., Silva, R. M. C. R. A., de Medeiros, A. Y. B. B. V., & Fabri, J. M. G. (2025) · Revista Brasileira de Enfermagem · doi:10.1590/0034-7167-2024-0032 · Cited by 2 · see citing works
The relationship between mental distress and perception of COVID-19 stress in healthcare students
Koohestani, H. R., & Baghcheghi, N. (2021) · AFMN Biomedicine · doi:10.5937/afmnai39-34388 · Cited by 2 · see citing works
Iio, Y., Mori, Y., Aoyama, Y., Kozai, H., Tanaka, M., Aoike, M., Kawamura, H., Seguchi, M., Tsurudome, M., & Ito, M. (2022) · Healthcare · doi:10.3390/healthcare11010094 · Cited by 2 · see citing works
Prado, S. M. M., & Ulloa, A. F. (2022) · Sustainability · doi:10.3390/su142013123 · Cited by 2 · see citing works
Krüger-Malpartida, H., Arévalo-Flores, M., Anculle-Arauco, V., Dancuart-Mendoza, M., & Pedraz‐Petrozzi, B. (2022) · Revista de Neuro-Psiquiatría · doi:10.20453/rnp.v85i3.4327 · Cited by 1 · see citing works
Psychological correlates of COVID safety protocol adherence among university students
Owusu‐Ansah, F. E., Amoah, C., Addae, A. A., Adjei, V. D.-G., Addo, F.-M., & Appiah‐Poku, J. (2023) · Ghana Medical Journal · doi:10.4314/gmj.v57i1.8 · Cited by 1 · see citing works
Peran Mindset Terhadap Ketangguhan Mental Mahasiswa
Adelina, I., Analya, P., & Anggelia, Y. (2023) · Syntax Literate Jurnal Ilmiah Indonesia · doi:10.36418/syntax-literate.v7i9.13794 · Cited by 1 · see citing works
Anwar, M. (2024) · Sinergi International Journal of Psychology · doi:10.61194/psychology.v2i2.496 · Cited by 1 · see citing works
Leão, T. M., Goto, C. S., & Ianni, Á. M. Z. (2021) · REVISTA DE PSICOLOGIA DA UNESP · doi:10.5935/1984-9044.20210001 · Cited by 2 · see citing works
Kim, H. W., Yeo, S., & An, S. (2022) · Korean Medical Education Review · doi:10.17496/kmer.2022.24.3.231 · Cited by 1 · see citing works
Marquez, L. V., Faria, B. M., Rodrigues, I. M., Raimondi, G. A., & Paulino, D. B. (2023) · Revista Brasileira de Educação Médica · doi:10.1590/1981-5271v47.2-20220247 · Cited by 1 · see citing works
Nahian, A., Huber, V. C., & McFadden, L. M. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20186748 · Cited by 1 · see citing works
Cognitive causes of the mental state of terror and their link to mental health outcomes
Gutoreva, A., & Olin, S. L. (2024) · Journal of Health Psychology · doi:10.1177/13591053241279396 · Cited by 1 · see citing works
- Authors
- Arima, M., Takamiya, Y., Furuta, A., Siriratsivawong, K., Tsuchiya, S., & Izumi, M.
- Affiliations
- SHOWA Medical University (JP)
- Corresponding author
- Arima, Makiko
- Venue
- BMJ Open
- Publisher
- BMJ
- Published
- 2020-12
- Volume
- 10
- Issue
- 12
- Pages
- e043728
- ISSN
- 2044-6055 (ISSN-L)
- PMC
- PMC7733210
- OpenAlex
- W3111932542
- Cited by
- 138
- References
- 52
- Citations by year
- 2026: 7 · 2025: 11 · 2024: 12 · 2023: 45 · 2022: 37 · 2021: 26
- FWCI
- 10.79
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMJ Open (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Institutional Repositories DataBase (IRDB) (submittedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
- Keywords
- medical students, psychological distress, COVID-19 pandemic, self-esteem, self-efficacy, mental health, home quarantine, resilience, depression prevention, student mental health support
- MeSH terms
- COVID-19, Adolescent, Adult, Cross-Sectional Studies, Depression, Female, Humans, Japan, Male, Mental Health, Psychiatric Status Rating Scales, Surveys and Questionnaires, Stress, Psychological, Students, Medical, Logistic Models, Self Efficacy, Resilience, Psychological, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
