Study-related health and behavior patterns of medical students: A longitudinal study
Open accessAbstract
BACKGROUND: Little is known about specific health risks and resources and their development influencing medical students' stress. AIM: To evaluate the development of quality of life and study-related behavior and experience patterns among medical students. METHODS: Data were collected in the first (n = 112 of 182 in 2006) and the fourth semesters (n = 164 of 176 in 2008). The instruments "Work-Related Behavior and Experience Patterns" (AVEM, including four main patterns: "Health", "Unambitious," "Overexertion," "Burnout") and "Short Form-12 Health Survey (SF-12)" were used at both points in time. RESULTS: The medical students scored significantly lower on mental health compared with reference samples of young adults. The proportion of students with a healthy pattern decreased from 47.3% (95% CI 38.1-56.5%) in the first semester to 36.9% (29.4-44.4%) in the fourth semester. This corresponded to an increase in the proportion of students at risk for burnout from 7.1% (2.3-11.9%) to 20% (13.8-26.2%). At both time points, female students had a higher risk for overexertion and a lower prevalence of a healthy pattern than male students. CONCLUSION: Our data provide evidence for a decrease in the healthy pattern and an increase in the burnout pattern. Intervention is needed, especially for students at risk for burnout.
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Individual-level interventions have the potential to buffer against burnout and other psychological ill health outcomes by training modifiable cognitive, emotional, and behavioral skills that facilitate adaptive responses to unmodifiable contextual stressors.
“Individual-level interventions have the potential to buffer against burnout and other psychological ill health outcomes by training modifiable cognitive, emotional, and behavioral skills that can facilitate adaptive responses to unmodifiable contextual stressors [8,34,36,37].”
From Evaluation of an App-Delivered Psychological Flexibility Skill Training Intervention for Medical Student Burnout and Well-being: Randomized Controlled Trial (2023) · cites this paper as [34]
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measuredMaladaptive coping patterns are unlikely to spontaneously improve over time without intervention.
“Maladaptive coping patterns are unlikely to spontaneously improve over time without intervention [34]”
From Evaluation of an App-Delivered Psychological Flexibility Skill Training Intervention for Medical Student Burnout and Well-being: Randomized Controlled Trial (2023) · cites this paper as [34]
The Discussion says spontaneous improvement appears limited for students with the burnout-related risk pattern. But it distinguishes overexertion: the Behavior and experience patterns section reports that 38.5% of students with that risk pattern shifted to the healthy pattern. The claim is therefore too broad for both maladaptive patterns. (LLM, conf=0.88)
Experimental — accuracy not yet measuredResearch suggests that female medical students may be at greater risk of burnout.
“research suggests that female medical students may be at greater risk of burnout [34,66]”
From Evaluation of an App-Delivered Psychological Flexibility Skill Training Intervention for Medical Student Burnout and Well-being: Randomized Controlled Trial (2023) · cites this paper as [34]
The Gender differences section reports that female students more often showed an overexertion-risk pattern and less often showed a healthy pattern, though neither difference was statistically significant. It does not establish that women had a greater risk of the distinct burnout pattern; the Behavior and experience patterns section says that pattern increased especially in men. Page numbers were not available in our copy. (LLM, conf=0.84)
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- Authors
- Voltmer, E., Rosta, J., Aasland, O. G., & Spahn, C.
- Affiliations
- Friedensau Adventist University (DE)
- Norwegian Medical Association (NO)
- University of Oslo (NO)
- University of Freiburg (DE)
- Corresponding author
- Voltmer, Edgar
- Venue
- Medical Teacher
- Publisher
- Informa UK Limited
- Published
- 2010-09-20
- Volume
- 32
- Issue
- 10
- Pages
- e422-e428
- ISSN
- 0142-159X (ISSN-L)
- 1466-187X
- OpenAlex
- W2163220487
- Cited by
- 74
- References
- 36
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 3 · 2023: 6 · 2022: 6 · 2021: 9 · 2020: 10 · 2019: 3 · 2018: 5 · 2017: 5 · 2016: 7 · 2015: 2 · 2014: 6 · 2013: 1 · 2012: 5
- FWCI
- 3.41
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Medical Teacher (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Keywords
- medical students, burnout, overexertion, mental health, quality of life, gender differences, longitudinal development
- MeSH terms
- Adult, Female, Germany, Health Status Indicators, Health Surveys, Humans, Longitudinal Studies, Male, Mental Health, Sex Factors, Students, Medical, Health Behavior, Young Adult
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