Burnout among medical students in Cyprus: A cross-sectional study
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Objectives: The primary aim was to estimate the burnout prevalence among all medical students at the Medical School of the University of Cyprus. Secondary aims were to ascertain the predictors of burnout and its relationship with lifestyle habits, sleep quality and mental health. Background: Burnout in the healthcare sector has drawn significant scientific attention over the last few years. Recent research underscored the large burden of profession-related burnout among medical students. Materials and methods: An anonymous questionnaire was administered to all 189 eligible candidates. This included demographic and lifestyle characteristics. Sleep quality was assessed via the Pittsburg Sleep Quality Index, mental health was assessed via the mental health (MH) domain of the 36-item Short Form Health Survey (SF-36) and burnout with the Maslach Burnout Inventory–Student Survey (MBI-SS). Results: Overall response rate was 96.3%. The burnout prevalence was 18.1%. There was a significant linear effect of between the year of studies and the burnout frequency [F(1) = 5.09, p = 0.024], implying that with increasing academic year there were more students with burnout, especially after the 4th year of education which signifies the beginning of clinical education. Students with burnout were more likely to have poor sleep quality (90.9% vs. 60.8%, odds ratio 4.33, p = 0.023) and worse mental health (MH score 40.2 ± 17.7 vs 62.9 ± 20.3, p<0.001). Alcohol consumers had more symptoms of cynicism and less feelings of efficacy than non-alcohol consumers. Moreover, less feelings of efficacy were significantly associated with more alcohol consumption among alcohol consumers. Conclusions: Burnout is prevalent in medical students and increases significantly during the clinical years. Students with burnout have worse sleep and mental health and might use alcohol as a coping mechanism. Implementing prevention strategies of burnout may be beneficial.
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Burnout worsens around the clinical year of medical school, with higher rates of burnout in the clinical year than in preclinical years.
“Burnout worsens around the clinical year of medical school, with multiple reports that indicate higher rates of burnout in the clinical year than in preclinical years [7, 8].”
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RELATIONSHIP BETWEEN GENDER, STUDY DURATION AND BURNOUT AMONG MEDICAL STUDENTS
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- Authors
- Nteveros, A., Kyprianou, M., Artemiadis, A., Charalampous, A., Christoforaki, K., Cheilidis, S., Germanos, O., Bargiotas, P., Chatzittofis, A., & Zis, P.
- Affiliations
- University of Cyprus (CY)
- Corresponding author
- Zis, Panagiotis
- ORCID
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2020-11-18
- Volume
- 15
- Issue
- 11
- Pages
- e0241335
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC7673498
- OpenAlex
- W3103768833
- Cited by
- 62
- References
- 44
- Citations by year
- 2026: 6 · 2025: 11 · 2024: 14 · 2023: 14 · 2022: 10 · 2021: 7
- FWCI
- 8.09
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Keywords
- burnout, medical students, burnout prevalence, sleep quality, mental health, alcohol consumption, coping strategies, cynicism, clinical teaching, predictors of burnout, Cyprus
- MeSH terms
- Burnout, Professional, Cross-Sectional Studies, Cyprus, Female, Humans, Male, Surveys and Questionnaires, Students, Medical, Prevalence, Principal Component Analysis, Young Adult
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