Cited by 15

Prosocial behavior associated with trait mindfulness, psychological capital and moral identity among medical students: a moderated mediation model

Liu, Nana, Cao, Yanjun, Xu, Haibo·2024·Frontiers in Psychology

Abstract

Purpose: As future doctors, medical students’ prosocial behaviors may affect the relationship between doctors and patients. This study aims to explore the effects of trait mindfulness on prosocial behaviors, as well as the mediating role of psychological capital and the moderating role of moral identity among medical students. Methods: A cross-sectional survey was conducted between July and October 2023 across four medical colleges in China, using cluster random sampling. The questionnaire included general demographic information, the Prosocial Tendencies Measurement Scale, the Five-Facet Mindfulness Questionnaire, the Psychological Capital Questionnaire, and the Moral Identity Scale. The SPSS 25.0 and PROCESS v3.4 macro were used for descriptive statistics, correlation analysis, and mediation and moderation analyses. Results: A total of 2,285 samples were included. The analyses showed that prosocial behavior was positively correlated with trait mindfulness, psychological capital, and moral identity ( r = 0.293, 0.444, and 0.528, p < 0.01); trait mindfulness predicts prosocial behavior ( β = 0.292, 95% CI [0.253, 0.332]); and psychological capital played a partial mediation role between trait mindfulness and prosocial behaviors ( β = 0.413, 95% CI [0.368, 0.459]). Furthermore, moral identity played the moderating roles between trait mindfulness and prosocial behavior ( β = 0.049, 95% CI [0.011, 0.087]) and between PsyCap and prosocial behavior ( β = 0.062, 95% CI [0.032, 0.092]). Conclusion: Trait mindfulness, psychological capital, and moral identity are conducive to the development of medical students’ prosocial behavior. These findings provide evidence for the cultivation of prosocial behaviors and for the development of mental health courses, which should be tailored to medical students.

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.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.3389/fpsyg.2024.1431861

Cites

11 of 11 references verified0 citation errors · 0 not checkable

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.

A few free checks a day · papers already verified open instantly · results are public

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?

  • Moral identity theory links D5 and D4 because acting prosaically may express core values rather than instrumental calculation.

    “Moral identity theory (45) links D5 and D4 because acting prosaically may express core values rather than instrumental calculation (46).”

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

Flagged first, then by citations

Research works printed but not linked: 61

  1. Aquino K. Reed Ii A. (2002). The self-importance of moral identity. J. Pers. Soc. Psychol. 83, 1423– 1440. doi: 10.1037/0022-3514.83.6.1423, PMID: 12500822 · DOI · Paper page
  2. Arbel R. Maciejewski D. F. Ben-Yehuda M. Shnaider S. Benari B. Benita M. (2022). Prosocial behavior and aggression in the daily school lives of early adolescents. J. Youth Adolesc. 51, 1636– 1652. doi: 10.1007/s10964-022-01616-2, PMID: 35478303 · DOI
  3. Aydin Sünbül Z. (2021). Indirect relations of mindful awareness with different forms of prosocial actions within college students: the mediating role of empathy. Curr. Psychol. 40, 126– 132. doi: 10.1007/s12144-019-00342-6 · DOI
  4. Baljinder S. Joseph C. Philip P. (2016). Nonattachment and mindfulness: related but distinct constructs. Psychol. Assess. 28, 819– 829. doi: 10.1037/pas0000264 27078180 · DOI · Paper page
  5. Bi Y. Ye X. (2021). The effect of trait mindfulness on teachers’ emotional exhaustion: the chain mediating role of psychological capital and job engagement. Healthcare 9: 1527. doi: 10.3390/healthcare9111527, PMID: 34828573 PMC8619463 · DOI
  6. Brown K. W. Ryan R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. J. Pers. Soc. Psychol. 84, 822– 848. doi: 10.1037/0022-3514.84.4.822 12703651 · DOI · Paper page
  7. Burks D. J. Kobus A. M. (2012). The legacy of altruism in health care: the promotion of empathy, prosociality and humanism. Med. Educ. 46, 317– 325. doi: 10.1111/j.1365-2923.2011.04159.x 22324531 · DOI
  8. Byrne M. H. V. James A. Wan J. C. M. Laith A. Anna H. Anmol A.. (2023). Examining medical student volunteering during the COVID-19 pandemic as a prosocial behaviour during an emergency. Postgrad. Med. J. 99, 883– 893. doi: 10.1093/postmj/qgad015 37002858 · DOI
  9. Carlo G. Padilla-Walker L. M. Nielson M. G. (2015). Longitudinal bidirectional relations between adolescents’ sympathy and prosocial behavior. Dev. Psychol. 51, 1771– 1777. doi: 10.1037/dev0000056, PMID: 26414096 · DOI
  10. Carlo G. Randall B. A. (2002). The development of a measure of prosocial behaviors for late adolescents. J. Youth Adolesc. 31, 31– 44. doi: 10.1023/A:1014033032440 · DOI · Paper page
  11. Chawowska E. Staszewski R. Lipiak A. Gierna B. Wysocki J. (2021). Student volunteering as a solution for undergraduate health professions education: lessons from the COVID-19 pandemic. Front. Public Health 8: 633888. doi: 10.3389/fpubh.2020.633888, PMID: 33575246 PMC7871007 · DOI
  12. Chermside-Scabbo C. J. Douglas K. Ghaznavi C. Pollard B. Lawrence S. J. (2021). Student response initiatives: a case study of covid-19 at Washington university. Med. Sci. Educ. 31, 365– 369. doi: 10.1007/s40670-021-01225-x, PMID: 33585072 PMC7872507 · DOI
  13. Clobert M. Saroglou V. Hwang K.-K. (2015). Buddhist concepts as implicitly reducing prejudice and increasing prosociality. Personal. Soc. Psychol. Bull. 41, 513– 525. doi: 10.1177/0146167215571094, PMID: 25676193 · DOI
  14. Davidov M. Vaish A. Knafo-Noam A. Hastings P. D. (2016). The motivational foundations of prosocial behavior from a developmental perspective-evolutionary roots and key psychological mechanisms: introduction to the special section. Child Dev. 87, 1655– 1667. doi: 10.1111/cdev.12639 28262938 · DOI
  15. Ding W. Shao Y. Sun B. Xie R. Li W. Wang X. (2018). How can prosocial behavior be motivated? The different roles of moral judgment, moral elevation, and moral identity among the young Chinese. Front. Psychol. 9: 814. doi: 10.3389/fpsyg.2018.00814, PMID: 29892249 PMC5985326 · DOI
  16. Fisher D. M. Kerr A. J. Cunningham S. (2019). Examining the moderating effect of mindfulness on the relationship between job stressors and strain outcomes. Int. J. Stress. Manag. 26, 78– 88. doi: 10.1037/str0000090 · DOI
  17. Fleeson W. (2004). Moving personality beyond the person-situation debate: the challenge and the opportunity of within-person variability. Curr. Dir. Psychol. Sci. 13, 83– 87. doi: 10.1111/j.0963-7214.2004.00280.x · DOI · Paper page
  18. Gotowiec S. van Mastrigt S. (2019). Having versus doing: the roles of moral identity internalization and symbolization for prosocial behaviors. J. Soc. Psychol. 159, 75– 91. doi: 10.1080/00224545.2018.1454394, PMID: 29565781 · DOI
  19. Greenbaum R. L. Quade M. J. Mawritz M. B. Kim J. Crosby D. (2014). When the customer is unethical: the explanatory role of employee emotional exhaustion onto work–family conflict, relationship conflict with coworkers, and job neglect. J. Appl. Psychol. 99, 1188– 1203. doi: 10.1037/a0037221, PMID: 24955868 · DOI
  20. Greenberg M. T. Mitra J. L. (2015). From mindfulness to right mindfulness: the intersection of awareness and ethics. Mindfulness 6, 74– 78. doi: 10.1007/s12671-014-0384-1 · DOI
  21. Guo Q. Ma B. Leng J. Wang Z. Lu J. (2021). The association of mindfulness and prosocial behavior is not stronger among highly ethical individuals. Curr. Psychol. 41, 7166– 7176. doi: 10.1007/s12144-020-01261-7 · DOI
  22. Hayes A. F. (2018). Partial, conditional, and moderated moderated mediation: quantification, inference, and interpretation. Commun. Monogr. 85, 4– 40. doi: 10.1080/03637751.2017.1352100 · DOI · Paper page
  23. He H. Harris L. (2014). Moral disengagement of hotel guest negative WOM: moral identity centrality, moral awareness, and anger. Ann. Tour. Res. 45, 132– 151. doi: 10.1016/j.annals.2013.10.002 · DOI
  24. Hobfoll S. E. (2011). Conservation of resource caravans and engaged settings: conservation of resource caravans. J. Occup. Organ. Psychol. 84, 116– 122. doi: 10.1111/j.2044-8325.2010.02016.x · DOI · Paper page
  25. Hobfoll S. E. Halbesleben J. Neveu J.-P. Westman M. (2018). Conservation of resources in the organizational context: the reality of resources and their consequences. Annu. Rev. Organ. Psych. Organ. Behav. 5, 103– 128. doi: 10.1146/annurev-orgpsych-032117-104640 · DOI · Paper page
  26. Inagaki T. K. MacCormack J. K. Muscatell K. A. (2022). Prosocial and positive health behaviors during a period of chronic stress protect socioemotional well-being. Affect. Sci. 3, 160– 167. doi: 10.1007/s42761-021-00095-1, PMID: 35072099 PMC8761962 · DOI
  27. Kang C. Whittingham K. (2010). Mindfulness: a dialogue between Buddhism and clinical psychology. Mindfulness 1, 161– 173. doi: 10.1007/s12671-010-0018-1 · DOI
  28. Karaoglu B. Yalcin I. (2020). The effect of mindful attention awareness on ruminative thought styles: physical education and sports teacher candidates. Cypriot J. Educ. Sci. 15, 511– 518. doi: 10.18844/cjes.v15i3.4928 · DOI
  29. Kaur S. (2020). Effect of religiosity and moral identity internalization on prosocial behaviour. J. Hum. Values 26, 186– 198. doi: 10.1177/0971685820901402 · DOI
  30. Kiken L. G. Garland E. L. Bluth K. Palsson O. S. Gaylord S. A. (2015). From a state to a trait: trajectories of state mindfulness in meditation during intervention predict changes in trait mindfulness. Personal. Individ. Differ. 81, 41– 46. doi: 10.1016/j.paid.2014.12.044, PMID: 25914434 PMC4404745 · DOI · Paper page
  31. Kroon B. Menting C. van Woerkom M. (2015). Why mindfulness sustains performance: the role of personal and job resources. Ind. Organ. Psychol. 8, 638– 642. doi: 10.1017/iop.2015.92 · DOI
  32. Kuang T. Y. Hu Y. Lu Y. (2022). The effect of employee mindfulness in the new media industry on innovative behavior: the chain mediating role of positive emotion and work engagement. Front. Psychol. 13: 976504. doi: 10.3389/fpsyg.2022.976504, PMID: 36452390 PMC9702532 · DOI
  33. Leffel G. M. Oakes Mueller R. A. Ham S. A. Karches K. E. Curlin F. A. Yoon J. D. (2018). Project on the good physician: further evidence for the validity of a moral intuitionist model of virtuous caring. Teach. Learn. Med. 30, 303– 316. doi: 10.1080/10401334.2017.1414608, PMID: 29351403 · DOI
  34. Li L. Mu L. (2020). Effects of mindfulness training on psychological capital, depression, and procrastination of the youth demographic. Iran. J. Public Health 49, 1692– 1700. doi: 10.18502/ijph.v49i9.4086 33643944 PMC7898108 · DOI · Paper page
  35. Liang X. Qin X. (2022). The influence mechanism of sports participation on prosocial behavior of college students. Adv. Educ. Technol. Psychol. 6, 126– 136. doi: 10.23977/aetp.2022.060820 · DOI
  36. Lin S.-Y. S. Park G. Zhou Q. Hirst G. (2023). Two birds, one stone: how altruism can facilitate both individual creativity and prosocial behavior in two different team contexts. Group Dyn. Theory Res. Pract. 27, 65– 79. doi: 10.1037/gdn0000188 · DOI
  37. Luthans F. Avolio B. J. Avey J. B. Norman S. M. (2007b). Positive psychological capital: measurement and relationship with performance and satisfaction. Pers. Psychol. 60, 541– 572. doi: 10.1111/j.1744-6570.2007.00083.x · DOI · Paper page
  38. Luthans F. Youssef C. Avolio B. (2007a). Psychological capital. New York: Oxford University Press.
  39. Lv Y. Qiao X. Leng J. Zheng Y. Guo Q. (2021). Mindfulness promotes online prosocial behavior via cognitive empathy. Int. J. Environ. Res. Public Health 18: 7017. doi: 10.3390/ijerph18137017 34209124 PMC8293796 · DOI
  40. Malinauskas R. K. Saulius T. (2019). Social self-efficacy and prosocial behaviour among students of high and youth schools. Eur. J. Contemp. Educ. 8, 542– 549. doi: 10.13187/ejced.2019.3.542 · DOI
  41. Moore C. Mayer D. M. Chiang F. F. T. Crossley C. Karlesky M. J. Birtch T. A. (2019). Leaders matter morally: the role of ethical leadership in shaping employee moral cognition and misconduct. J. Appl. Psychol. 104, 123– 145. doi: 10.1037/apl0000341, PMID: 30221953 · DOI
  42. Nagaoka D. Tomoshige N. Ando S. Morita M. Kiyono T. Kanata S.. (2022). Being praised for prosocial behaviors longitudinally reduces depressive symptoms in early adolescents: a population-based cohort study. Front. Psych. 13: 865907. doi: 10.3389/fpsyt.2022.865907, PMID: 35656347 PMC9152118 · DOI
  43. Nielson M. G. Xiao S. X. Padilla-Walker L. (2020). Gender similarity in growth patterns of support toward friends during young adulthood. Soc. Dev. 29, 635– 650. doi: 10.1111/sode.12419 · DOI
  44. Patrick R. B. Bodine A. J. Gibbs J. C. Basinger K. S. (2018). What accounts for prosocial behavior? Roles of moral identity, moral judgment, and self-efficacy beliefs. J. Genet. Psychol. 179, 231– 245. doi: 10.1080/00221325.2018.1491472, PMID: 30280983 · DOI
  45. Ramolale M. Malete L. Ju U. (2021). Mediational role of mental toughness on the relationship between self-efficacy and prosocial/antisocial behavior in elite youth sport. Front. Psychol. 12: 745323. doi: 10.3389/fpsyg.2021.745323, PMID: 34721225 PMC8554028 · DOI
  46. Rezapour-Mirsaleh Y. Aghabagheri M. Choobforoushzadeh A. Mohammadpanah Ardakan A. (2022). Mindfulness, empathy and moral sensitivity in nurses: a structural equation modeling analysis. BMC Nurs. 21, 132– 139. doi: 10.1186/s12912-022-00912-3, PMID: 35624445 PMC9137157 · DOI
  47. Rodríguez-Carvajal R. García-Rubio C. Paniagua D. García-Diex G. de Rivas S. (2016). Mindfulness integrative model (MIM): cultivating positive states of mind towards oneself and the others through mindfulness and self-compassion. Anales de Psicología 32, 749– 760. doi: 10.6018/analesps.32.3.261681 · DOI
  48. Rupley D. Grilo S. A. Kondragunta S. Amiel J. Matseoane-Peterssen D. Catallozzi M.. (2020). Mobilization of health professions students during the COVID-19 pandemic. Semin. Perinatol. 44: 151276. doi: 10.1016/j.semperi.2020.151276 32798093 PMC7373033 · DOI
  49. Schindler S. Pfattheicher S. (2023). When it really counts: investigating the relation between trait mindfulness and actual prosocial behavior. Curr. Psychol. 42, 5357– 5365. doi: 10.1007/s12144-021-01860-y, PMID: 34054263 PMC8148411 · DOI
  50. Wan X. Huang H. Zhang Y. Peng Q. Guo X. Wu S.. (2023). The effect of prosocial behaviours on Chinese undergraduate nursing students' subjective well-being: the mediating role of psychological resilience and coping styles. Int. J. Ment. Health Nurs. 32, 277– 289. doi: 10.1111/inm.13081, PMID: 36300668 · DOI
  51. Wang J. Wu K. (2019). The mediating effect of psychological capital between mindfulness and subjective well-being among psychiatric nurses. Psychol. Mag. 14, 1– 3. doi: 10.19738/j.cnki.psy.2019.10.001 (Article in Chinese) · DOI
  52. Williams J. M. Kabat-Zinn J. (2013). Mindfulness: diverse perspectives on its meaning, origins and applications. New York: Routledge.
  53. Winterich K. P. Aquino K. Mittal V. Swartz R. (2013). When moral identity symbolization motivates prosocial behavior: the role of recognition and moral identity internalization. J. Appl. Psychol. 98, 759– 770. doi: 10.1037/a0033177, PMID: 23751218 · DOI
  54. Xie J. Wen Z. Shen J. Tan Y. Liu X. Yang Y.. (2023). Longitudinal relationship between prosocial behavior and meaning in life of junior high school students: a three-wave cross-lagged study. J. Adolesc. 95, 1017– 1032. doi: 10.1002/jad.12172 37016571 · DOI
  55. Xu H. Peng L. Wang Z. Zeng P. Liu X. (2022). Interpersonal sensitivity on college freshmen’s depression: a moderated moderation model of psychological capital and family support. Front. Psych. 13: 921045. doi: 10.3389/fpsyt.2022.921045, PMID: 35966476 PMC9372261 · DOI
  56. Zhang S. Fu Y. Liu Q. Turel O. He Q. (2022). Psychological capital mediates the influence of meaning in life on prosocial behavior of university students: a longitudinal study. Child Youth Serv. Rev. 140: 106600. doi: 10.1016/j.childyouth.2022.106600 · DOI
  57. Zhang J. Ji X. Fan Y. Cui Y. (2022). Emotion management for college students: effectiveness of a mindfulness-based emotion management intervention on emotional regulation and resilience of college students. J. Nerv. Ment. Dis. 210, 716– 722. doi: 10.1097/NMD.0000000000001484, PMID: 36037324 · DOI
  58. Zhang X. Lv T. Gerard L. Zhu N. Li X. Li Y.. (2023). Does depression affect the association between prosocial behavior and anxiety? A cross-sectional study of students in China. Front. Public Health 11: 1274253. doi: 10.3389/fpubh.2023.1274253, PMID: 37886045 PMC10598463 · DOI
  59. Zhao M. Qu S. (2022). Research on the consequences of employees' unethical pro-organizational behavior: the moderating role of moral identity. Front. Psychol. 13, 1– 15. doi: 10.3389/fpsyg.2022.1068606 PMC9813445 36619072 · DOI
  60. Zhong M. Zhang Q. Bao J. Xu W. (2019). Relationships between meaning in life, dispositional mindfulness, perceived stress, and psychological symptoms among Chinese patients with gastrointestinal cancer. J. Nerv. Ment. Dis. 207, 34– 37. doi: 10.1097/NMD.0000000000000922, PMID: 30575706 · DOI
  61. Zhu C. Yin X. Li Z. Zhou L. (2021). Psychological capital differs among rural left-behind children and is associated with emotional and behavioral problems. Front. Psychol. 12, 1– 7. doi: 10.3389/fpsyg.2021.565385, PMID: 34290634 PMC8287032 · DOI

Cited by

Sorted by citations

Authors
Liu, N., Cao, Y., & Xu, H.
Venue
Frontiers in Psychology
Published
2024-11-20
Volume
15
ISSN
1664-1078
Cited by
15
References
11

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