The Mediating Role of Resilience and Life Satisfaction in the Relationship between Stress and Burnout in Medical Students during the COVID-19 Pandemic

Duarte, Ivone; Alves, Ana; Coelho, Ana Rita; Ferreira, Abigail; Cabral, Beatriz; Silva, Bebiana; Peralta, J.; Silva, Juliana; Domingues, Pedro; Nunes, Patrícia; Serrão, Carla; Costa-Santos, Cristina

doi:10.3390/ijerph19052822

Cited by 12 publications

(9 citation statements)

References 55 publications

(87 reference statements)

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“…The aim of this study was to explore the indirect effects of resilience on indices of psychological well-being via role stress. The majority of research on resilience during the pandemic has investigated its mediating role in the association between stress and burnout, stress and quality of life and social isolation and wellbeing [ 64 – 66 ]. Furthermore, these studies on resilience have largely focused on frontline medical care workers with few studies investigating resilience among other population groups differentially impacted by the pandemic.…”

Section: Discussionmentioning

confidence: 99%

The role of resilience in the relationship between role stress and psychological well-being during the COVID-19 pandemic: a cross-sectional study

2023

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Background Stress resistance resources, such as social support and resilience, have been found to be important in promoting psychological well-being during the COVID-19 pandemic. However, most prior research studies have conceptualized stress resistance resource variables as having a mediating or moderating role. Cooper (2018) proposed a model of the relationship between stress and health which posits that coping resources are always present and not only invoked in the face of adversity. Thus, we hypothesize that coping resources are causally antecedent to stressors and influence well-being indirectly via the stressor. We focused specifically on school teachers due to them being at the frontlines of service provision during the pandemic. Teaching was already identified as a highly stressful profession prior to COVID-19 and disease containment measures placed additional strain on teachers who had to adapt to emergency remote teaching. Aim The current study tests this hypothesis by examining the indirect effects of resilience on indices of psychological health via role stress. Methods Participants (N = 355) were teachers who completed the Connor-Davidson Resilience Scale-10, the Role Stress Scale, the Satisfaction with Life Scale, the State-Trait Anxiety Inventory-Trait Scale, and the Center for Epidemiological Studies Depression Scale. An electronic version of the questionnaires was distributed to teachers via Facebook and to officials from the Department of Education, who assisted with distribution of the electronic link to the survey. Participants were mostly women (76.6%) and mean number of years in the teaching profession was 15.7. Results Structural equation modelling results demonstrated significant direct effects of resilience on life satisfaction, anxiety, and depression, which indicates that resilience is beneficial for psychological health even in the absence of stress. Resilience also had a significant indirect effect on indices of psychological well-being via role ambiguity but not role conflict. Conclusion These findings have theoretical implications for the understanding of the role of resilience in promoting psychological health among educators. Practical implications include an empirical contribution to education policy and information that can inform interventions aimed to promote resilience among educators.

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Section: Discussionmentioning

confidence: 99%

The role of resilience in the relationship between role stress and psychological well-being during the COVID-19 pandemic: a cross-sectional study

2023

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“…In the literature on the stress of medical students, resilience training is also regarded as an effective factor to relieve the impact of stress (88). Duarte et al (89) concluded that resilience played a mediating role in perceived stress and burnout (exhaustion) among medical students during the COVID-19 lockdown. Resilience is considered necessary for medical students to overcome the stress from academic and future employment and to achieve academic success (90).…”

Section: The Partial Mediating Role Of Resilience In Stress and Acade...mentioning

confidence: 99%

The impact of social support and stress on academic burnout among medical students in online learning: The mediating role of resilience

Liu

Cao

2022

Front. Public Health

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BackgroundAs the COVID-19 pandemic continues, online learning and long-term isolation from social and clinical settings has exacerbated mental health problems and symptoms of academic burnout among medical students. However, few studies have discussed symptoms of academic burnout as a result of reduced social support, and increased stress among medical students during the process of online learning. To fill this gap, this study investigated the influencing factors and mechanism of academic burnout in medical students' online learning process. Both the positive inhibition effect of positive factors such as social support, and the negative aggravation effect of negative factors such as stress were explored, while the mediating and protecting role of resilience is also discussed.MethodWe collected survey data from a total of 817 medical students from a medical school in China who participated in online learning during the fall 2021 semester. An online questionnaire was sent to the students in January, 2022. Items adapted from the DASS Scale developed by Lovibond and Lovibond were used to measure medical students' stress levels. The perceived social support of medical students was assessed by the Gregory MSPSS. Resilience was evaluated by the 10-Item Connor–Davidson Resilience Scale (CD-RISC). Items from the Maslach Burnout Inventory–Student Survey (MBI-SS) were used to calculate students' academic burnout. Descriptive analysis, correlation analysis, hierarchical linear regression analysis and structural equation modeling were used to analyze the collected data.ResultsThe results identified that in the context of online learning there was a positive correlation between medical students' stress and academic burnout, and their resilience played a partial mediating role. However, social support did not directly affect academic burnout, but inhibited the prevalence of academic burnout through resilience. In addition, stress was negatively related to resilience, while social support was positively related to resilience. Resilience was found to be negatively related to medical students' academic burnout in online learning.ConclusionThe results of this study can provide a reference for the future development of appropriate educational strategies and coping measures to ameliorate the academic burnout of medical students.

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“…Perceived stress during the COVID-19 pandemic has been previously reported as high among medical students. Duarte et al, performed a transversal assessment of students attending a medical school in northern Portugal through an online survey, and PSS scored an average of 21, with a standard deviation of 7 [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Pandemic Psychological Impact and Volunteering Experience Perceptions of Medical Students after 2 Years

Gómez‐Durán

Martín-Fumadó

Gassó

et al. 2022

IJERPH

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Undergraduate healthcare students were mobilized to support healthcare systems during the COVID-19 pandemic, but we have scarce information regarding their experience and its impact on their wellbeing. An anonymous online survey was conducted among undergraduate students and recently graduated physicians of a medical university in Spain, regarding their symptoms and volunteering experience during the initial months of the Spanish COVID-19 pandemic. Respondents showed a high prevalence of perceived stress, anxiety, and depressive symptoms, measured by the PHQ-9 and GAD-7. 14.5% reported healthcare-related volunteering tasks. Volunteering was a satisfactory experience for most of the respondents and the majority felt ready to do volunteering tasks (66.6%). Yet, 16.6% acknowledged not getting appropriate specific-task education before starting, 20.8% reported not having appropriate supervision, and 33.3% feel they did not have proper protective equipment. More than half of volunteers feared getting infected, more than 70% feared infecting their relatives or friends, and 54.2% reported stigmatization. Volunteers showed significantly higher stress, anxiety, and depression scores than the rest of the respondents, and 32% reported a highly traumatic event during volunteering, with high scores on the IES-R in the 16% of volunteers. Our results should help guide future potential volunteering processes in emergencies, enhance academic programs at medical schools and provide valuable data for psychological support services.

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The Mediating Role of Resilience and Life Satisfaction in the Relationship between Stress and Burnout in Medical Students during the COVID-19 Pandemic

Cited by 12 publications

References 55 publications

The role of resilience in the relationship between role stress and psychological well-being during the COVID-19 pandemic: a cross-sectional study

The role of resilience in the relationship between role stress and psychological well-being during the COVID-19 pandemic: a cross-sectional study

The impact of social support and stress on academic burnout among medical students in online learning: The mediating role of resilience

COVID-19 Pandemic Psychological Impact and Volunteering Experience Perceptions of Medical Students after 2 Years

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