The Impact of Adverse Childhood Experiences and Resilience on Medical Student Well-Being.

IF 2.8 4区医学 Q1 EDUCATION & EDUCATIONAL RESEARCH

Academic Psychiatry Pub Date : 2025-09-18 DOI:10.1007/s40596-025-02230-7

Adam Zbib, Ana-Sophia Chung, April Hartman

{"title":"The Impact of Adverse Childhood Experiences and Resilience on Medical Student Well-Being.","authors":"Adam Zbib, Ana-Sophia Chung, April Hartman","doi":"10.1007/s40596-025-02230-7","DOIUrl":null,"url":null,"abstract":"Objective: The primary objective of this study was to assess the relationship between Adverse Childhood Experiences (ACEs) and well-being in medical students and determine if resilience plays a moderating role in this dynamic. A secondary objective was to provide more descriptive data on ACEs as they relate to medical student demographics.Methods: The authors administered an anonymous survey to Southeastern US medical students (N = 794) from March to May 2024. The survey included demographics, a 10-item ACE questionnaire, the Brief Resilience Scale, and the Mayo Medical School Well-Being Index.Results: Fifty-three medical students (65%) reported at least 1 ACE while 21 students (25%) reported at least 4 ACEs. Females, minorities, and students from low-income families (Pearson correlation coefficient = - .288, P < 0.001) tended to report higher ACE scores. Students with an ACE score of 4 or more were significantly more likely to report a state of distress (chi-square test, P = 0.002) compared to individuals with less than 4 ACEs. While 79% of students endorsed either moderate or high resilience levels, the students with low resilience reported poor well-being significantly more (chi-square test, P < 0.001). A logistic regression test found resilience (P = 0.008) and ACE score (P = 0.011) to be associated with well-being status, but resilience did not significantly moderate the relationship between ACEs and well-being (b = 0.069, P = 0.115).Conclusions: A history of ACEs or low resilience in medical students may contribute to poor mental health outcomes in future physicians and, as a result, should be considered a potential risk factor.","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.8000,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Academic Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s40596-025-02230-7","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"EDUCATION & EDUCATIONAL RESEARCH","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: The primary objective of this study was to assess the relationship between Adverse Childhood Experiences (ACEs) and well-being in medical students and determine if resilience plays a moderating role in this dynamic. A secondary objective was to provide more descriptive data on ACEs as they relate to medical student demographics.

Methods: The authors administered an anonymous survey to Southeastern US medical students (N = 794) from March to May 2024. The survey included demographics, a 10-item ACE questionnaire, the Brief Resilience Scale, and the Mayo Medical School Well-Being Index.

Results: Fifty-three medical students (65%) reported at least 1 ACE while 21 students (25%) reported at least 4 ACEs. Females, minorities, and students from low-income families (Pearson correlation coefficient = - .288, P < 0.001) tended to report higher ACE scores. Students with an ACE score of 4 or more were significantly more likely to report a state of distress (chi-square test, P = 0.002) compared to individuals with less than 4 ACEs. While 79% of students endorsed either moderate or high resilience levels, the students with low resilience reported poor well-being significantly more (chi-square test, P < 0.001). A logistic regression test found resilience (P = 0.008) and ACE score (P = 0.011) to be associated with well-being status, but resilience did not significantly moderate the relationship between ACEs and well-being (b = 0.069, P = 0.115).

Conclusions: A history of ACEs or low resilience in medical students may contribute to poor mental health outcomes in future physicians and, as a result, should be considered a potential risk factor.

查看原文本刊更多论文

不良童年经历和心理弹性对医学生幸福感的影响。

目的：本研究的主要目的是评估医学生不良童年经历（ace）与幸福感之间的关系，并确定心理弹性是否在这一动态中起调节作用。第二个目标是提供更多关于ace的描述性数据，因为这些数据与医学生的人口统计学有关。方法：作者于2024年3月至5月对美国东南部医科学生（N = 794）进行了匿名调查。这项调查包括人口统计数据、一份包含10个项目的ACE问卷、简短恢复力量表和梅奥医学院幸福指数。结果：53名（65%）医学生至少经历过1次ACE， 21名（25%）医学生至少经历过4次ACE。女性、少数民族和低收入家庭的学生（Pearson相关系数= - 0.288，P）结论：医学生的ace病史或低恢复力可能导致未来医生的心理健康状况不佳，因此，应将其视为潜在的危险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Academic Psychiatry Multiple-

CiteScore

3.60

自引率

20.00%

发文量

157

期刊介绍： Academic Psychiatry is the international journal of the American Association of Chairs of Departments of Psychiatry, American Association of Directors of Psychiatric Residency Training, Association for Academic Psychiatry, and Association of Directors of Medical Student Education in Psychiatry. Academic Psychiatry publishes original, scholarly work in psychiatry and the behavioral sciences that focuses on innovative education, academic leadership, and advocacy. The scope of the journal includes work that furthers knowledge and stimulates evidence-based advances in academic psychiatry in the following domains: education and training, leadership and administration, career and professional development, ethics and professionalism, and health and well-being.