Dual Pathways From Self-Compassion and Self-Criticism to Academic Achievement: The Roles of Engagement and Exhaustion.

IF 3.5 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES
Perspectives on Medical Education Pub Date : 2026-02-17 eCollection Date: 2026-01-01 DOI:10.5334/pme.1821
Piermarco Consiglio, Marjon Fokkens-Bruinsma, Marie-Christine Opdenakker, Ellen P W A Jansen, Joke Fleer
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引用次数: 0

Abstract

Background: Engagement and burnout symptoms among medical students are key factors influencing their academic performance, risk of dropout, and overall well-being. While research has primarily focused on negative constructs such as burnout symptoms, less attention has been given to how positive constructs, such as engagement, evolve over time. This study examines the temporal changes in medical students' engagement and exhaustion while exploring two distinct pathways: the 'bright path', which investigates engagement as a mediator between self-compassion and academic achievement, and the 'dark path', which examines exhaustion as a mediator between self-criticism and academic achievement.

Methods: Self-report measures were used to assess self-compassion, self-criticism, engagement, and exhaustion, while academic achievement was measured objectively. The data were drawn from a longitudinal research project that followed 117 medical students throughout their entire Bachelor's program. Analyses included linear growth models and parallel process latent growth curve models to examine changes over time and potential mediation effects.

Results: The findings show a decline in engagement and exhaustion throughout the Bachelor's program. Furthermore, neither engagement nor exhaustion mediated the relationships within the bright and dark pathways.

Conclusions: Findings underscore the importance of fostering environments that promote well-being and engagement while addressing negative factors like exhaustion that can hinder student success. They also highlight the potential influence of contextual factors in shaping medical students' experiences, suggesting that interactions between personal resources and environmental demands may play a key role in shaping students' engagement, exhaustion and academic achievement.

从自我同情和自我批评到学业成就的双重途径:投入和疲惫的作用。
背景:医学生的敬业度和倦怠症状是影响其学业成绩、辍学风险和整体幸福感的关键因素。虽然研究主要集中在消极构念上,如倦怠症状,但很少有人关注积极构念,如敬业度,是如何随着时间的推移而演变的。本研究考察了医学生敬业度和倦怠度的时间变化,同时探索了两条不同的路径:“光明路径”,研究敬业度作为自我同情和学业成就之间的中介;“黑暗路径”,研究倦怠作为自我批评和学业成就之间的中介。方法:采用自我报告法评估自我同情、自我批评、敬业度和疲劳度,客观测量学业成绩。这些数据来自一项纵向研究项目,该项目跟踪了117名医学生的整个学士学位课程。分析包括线性增长模型和平行过程潜在增长曲线模型,以检验随时间的变化和潜在的中介效应。结果:研究结果显示,在整个学士课程中,学生的参与度和疲劳度都有所下降。此外,参与和疲惫都不能调解光明和黑暗路径之间的关系。结论:研究结果强调了培养促进幸福和参与的环境的重要性,同时解决了疲惫等可能阻碍学生成功的负面因素。他们还强调了环境因素在塑造医学生体验方面的潜在影响,表明个人资源和环境需求之间的相互作用可能在塑造学生的投入、疲惫和学业成就方面发挥关键作用。
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来源期刊
CiteScore
5.70
自引率
8.30%
发文量
31
审稿时长
28 weeks
期刊介绍: Perspectives on Medical Education mission is support and enrich collaborative scholarship between education researchers and clinical educators, and to advance new knowledge regarding clinical education practices. Official journal of the The Netherlands Association of Medical Education (NVMO). Perspectives on Medical Education is a non-profit Open Access journal with no charges for authors to submit or publish an article, and the full text of all articles is freely available immediately upon publication, thanks to the sponsorship of The Netherlands Association for Medical Education. Perspectives on Medical Education is highly visible thanks to its unrestricted online access policy. Perspectives on Medical Education positions itself at the dynamic intersection of educational research and clinical education. While other journals in the health professional education domain orient predominantly to education researchers or to clinical educators, Perspectives positions itself at the collaborative interface between these perspectives. This unique positioning reflects the journal’s mission to support and enrich collaborative scholarship between education researchers and clinical educators, and to advance new knowledge regarding clinical education practices. Reflecting this mission, the journal both welcomes original research papers arising from scholarly collaborations among clinicians, teachers and researchers and papers providing resources to develop the community’s ability to conduct such collaborative research. The journal’s audience includes researchers and practitioners: researchers who wish to explore challenging questions of health professions education and clinical teachers who wish to both advance their practice and envision for themselves a collaborative role in scholarly educational innovation. This audience of researchers, clinicians and educators is both international and interdisciplinary. The journal has a long history. In 1982, the journal was founded by the Dutch Association for Medical Education, as a Dutch language journal (Netherlands Journal of Medical Education). As a Dutch journal it fuelled educational research and innovation in the Netherlands. It is one of the factors for the Dutch success in medical education. In 2012, it widened its scope, transforming into an international English language journal. The journal swiftly became international in all aspects: the readers, authors, reviewers and editorial board members. The editorial board members represent the different parental disciplines in the field of medical education, e.g. clinicians, social scientists, biomedical scientists, statisticians and linguists. Several of them are leading scholars. Three of the editors are in the top ten of most cited authors in the medical education field. Two editors were awarded the Karolinska Institute Prize for Research. Presently, Erik Driessen leads the journal as Editor in Chief. Perspectives on Medical Education is highly visible thanks to its unrestricted online access policy. It is sponsored by theThe Netherlands Association of Medical Education and offers free manuscript submission. Perspectives on Medical Education positions itself at the dynamic intersection of educational research and clinical education. While other journals in the health professional education domain orient predominantly to education researchers or to clinical educators, Perspectives positions itself at the collaborative interface between these perspectives. This unique positioning reflects the journal’s mission to support and enrich collaborative scholarship between education researchers and clinical educators, and to advance new knowledge regarding clinical education practices. Reflecting this mission, the journal both welcomes original research papers arising from scholarly collaborations among clinicians, teachers and researchers and papers providing resources to develop the community’s ability to conduct such collaborative research. The journal’s audience includes researchers and practitioners: researchers who wish to explore challenging questions of health professions education and clinical teachers who wish to both advance their practice and envision for themselves a collaborative role in scholarly educational innovation. This audience of researchers, clinicians and educators is both international and interdisciplinary. The journal has a long history. In 1982, the journal was founded by the Dutch Association for Medical Education, as a Dutch language journal (Netherlands Journal of Medical Education). As a Dutch journal it fuelled educational research and innovation in the Netherlands. It is one of the factors for the Dutch success in medical education. In 2012, it widened its scope, transforming into an international English language journal. The journal swiftly became international in all aspects: the readers, authors, reviewers and editorial board members. The editorial board members represent the different parental disciplines in the field of medical education, e.g. clinicians, social scientists, biomedical scientists, statisticians and linguists. Several of them are leading scholars. Three of the editors are in the top ten of most cited authors in the medical education field. Two editors were awarded the Karolinska Institute Prize for Research. Presently, Erik Driessen leads the journal as Editor in Chief. Perspectives on Medical Education is highly visible thanks to its unrestricted online access policy. It is sponsored by theThe Netherlands Association of Medical Education and offers free manuscript submission.
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