Clinical Practice and Epidemiology in Mental Health最新文献

{"title":"Subjective Monitoring in Under-20 Soccer Athletes: Affective, Load, Monotony, and Sleep Variations throughout a Competitive Cycle.","authors":"Alessandro O F Junior, Ismael Viana Caldeira, Alberto Souza Sá Filho, Dailson P Silva, Igor B de Souza, Lorhenna P Souza, Pedro Augusto Inacio, Gustavo de Conti Teixeira Costa, Vicente Aprigliano, Gaspar R Chiappa, Sergio Machado, Marcelo Magalhães Sales, Eduardo M M Portugal","doi":"10.2174/0117450179415875251006053421","DOIUrl":"10.2174/0117450179415875251006053421","url":null,"abstract":"<p><strong>Introduction: </strong>The physical and mental demands of competitive soccer, combined with a high density of matches and training sessions, impose substantial psychophysiological stress on athletes. In this context, subjective variables, such as affective responses, perceived exertion, and sleep, emerge as important indicators, offering additional insights into players' readiness and recovery. However, few studies have examined these variables in an integrated manner over extended periods of preparation and competition.</p><p><strong>Objective: </strong>This study aimed to investigate the effects of soccer training sessions and matches on affective responses (valence and arousal), perceived exertion, and sleep duration in under-20 soccer athletes. Additionally, the objective of this study was to assess correlations between affective responses and traditional internal load variables (RPE), monotony, strain, and self-reported sleep duration.</p><p><strong>Methods: </strong>This observational study was conducted with 21 under-20 athletes from a Brazilian elite soccer team over 11 weeks encompassing training sessions, friendly matches, and official competition. Affective responses were assessed before and 30 minutes after each session using the Feeling Scale (FS) and the Felt Arousal Scale (FAS). Perceived exertion (RPE), sleep duration, monotony, and strain were recorded daily. Two-way ANOVA was applied for FS and FAS, while one-way ANOVA was used for weekly training load, sleep, monotony, and strain. Mann-Whitney tests (match vs. training) were also performed. Pearson's correlation coefficients were calculated between variables. The significance level was set at p < 0.05.</p><p><strong>Results: </strong>There were significant main effects of week and moment (pre/post) for both FS and FAS, with a notable decrease in affective responses after sessions (p < 0.0001). Sleep duration progressively increased from the seventh week onward (p < 0.05), whereas training load, monotony, and strain fluctuated across the weeks, with significant declines toward the end of the cycle. Significant differences between matches and training sessions were found for training load (p = 0.0333) and sleep duration (p < 0.0001), but not for affective scales. On an individual level, 71% of athletes showed a reduction in affective responses post-session. Correlations between affective and the other variables were trivial to small (ranging from r = 0.11 to r = 0.24), with slightly more consistent associations for sleep and RPE.</p><p><strong>Conclusion: </strong>There was a significant reduction in FS over the weeks. Fluctuations in FS were observed across weeks in line with accumulated load and competition demands. Seventy-one percent of athletes showed a decrease in FS post-activity. The monotony and strain showed a declining trend over the competitive cycle, particularly in the latter weeks, indicating a reduction in training variability and cumulative load. These","PeriodicalId":35447,"journal":{"name":"Clinical Practice and Epidemiology in Mental Health","volume":"21 ","pages":"e17450179415875"},"PeriodicalIF":0.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12895431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146202928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emotional Disturbances and Crohn's Disease.","authors":"Mara Lastretti, Ettore D'Aleo, Roberta Pica, Daniela De Nitto, Mauro Giovanni Carta, Gavino Faa","doi":"10.2174/0117450179410096250926135151","DOIUrl":"10.2174/0117450179410096250926135151","url":null,"abstract":"<p><strong>Introduction: </strong>This review aims to explore the psychological, psychiatric, and neurocognitive dimensions of Crohn's disease. We examine the bidirectional interactions between the gut and brain, analyze the most widely used psychological assessment tools, and discuss current intervention models.</p><p><strong>Methods: </strong>A comprehensive narrative review was conducted, integrating the literature research findings of , psychosomatic medicine, neuropsychology, psychoneuroimmunology, and gut-brain axis. Attention was given to validated psychometric tools and emerging therapeutic approaches.</p><p><strong>Results: </strong>The evidence reveals a consistent link between CD and emotional disturbances, cognitive deficits, and altered gut-brain communication. Common neuropsychological impairments include deficits in attention, memory, and executive functioning. Anxiety, depression, and alexithymia are prevalent in CD patients and are associated with worse disease outcomes. Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and mindfulness-based interventions have demonstrated efficacy in enhancing both psychological well-being and disease management.</p><p><strong>Discussion: </strong>Findings confirm the link between Crohn's disease, emotional disturbances, and cognitive deficits, highlighting the need to distinguish between primary impairments of inflammatory/neurobiological origin and those secondary to psychological distress or low illness insight. Key gaps remain regarding how these mechanisms interact over time and the long-term effects of psychological interventions. Integrating psychological assessment and support into clinical care is crucial for enhancing adherence, resilience, and overall quality of life.</p><p><strong>Conclusion: </strong>Understanding CD through a biopsychosocial lens highlights the necessity of integrating psychological assessment and intervention into standard IBD care. Early identification and tailored treatment of emotional and cognitive disturbances can significantly improve patients' quality of life and overall clinical outcomes.</p>","PeriodicalId":35447,"journal":{"name":"Clinical Practice and Epidemiology in Mental Health","volume":"21 ","pages":"e17450179410096"},"PeriodicalIF":0.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12741974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between Depressive Symptoms and Preference for Exercise Intensity: A Cross-sectional Study.","authors":"Eduardo Lattari, Bruno Ribeiro Ramalho de Oliveira, Felipe Faria Silva de Oliveira, Aldair José de Oliveira","doi":"10.2174/0117450179404629250913050647","DOIUrl":"10.2174/0117450179404629250913050647","url":null,"abstract":"<p><strong>Introduction: </strong>Exercise intensity preference-the tendency to favor a specific effort level during self-paced activity-may influence adherence and affective responses to exercise. However, the relationship between depressive symptoms and exercise intensity preference remains unclear, particularly among physically active adults. This study investigated the association between depressive symptoms and exercise intensity preference in physically active adults.</p><p><strong>Methods: </strong>A cross-sectional analysis was conducted using baseline data from the ELDAF study, which included non-faculty civil servants from a public university in Brazil. Depressive symptoms and exercise intensity preference were assessed using the Patient Health Questionnaire-9 (PHQ-9) and the Preference for and Tolerance of the Intensity of Exercise Questionnaire (PRETIE-Q), respectively.</p><p><strong>Results: </strong>A total of 1,160 individuals participated in the study, with 639 (55%) classified as active or very active. Among them, 6.6% exhibited depressive symptoms. No overall association was found between depressive symptoms and exercise intensity preference in either crude (p = 0.19) or adjusted (p = 0.40) models. Regarding sex distribution, 275 females (43%) and 364 males (57%) were included. Stratified analysis by sex revealed no association in females (crude: p = 0.77; adjusted: p = 0.60), but a significant association was observed in males (crude: p = 0.026; adjusted: p = 0.024).</p><p><strong>Discussion: </strong>Males may favor higher-intensity exercise as a form of behavioral activation or to elicit stronger physiological responses that help regulate mood.</p><p><strong>Conclusion: </strong>Males with depressive symptoms were more likely to prefer high-intensity exercise compared to those without, whereas no such association was identified among females.</p>","PeriodicalId":35447,"journal":{"name":"Clinical Practice and Epidemiology in Mental Health","volume":"21 ","pages":"e17450179404629"},"PeriodicalIF":0.0,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12741967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145850978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Withdrawn: The Association of Gender Based Violence (GBV) with Familial and Social Determinants and Mental Health Status of Bengali Married Working Women: A Cross-sectional Study.","authors":"Tasnim Akter, Md Imdadul Haque, Md Zobaer Hasan, Faisal Muhammad, Sharmin Sultana, Md Golam Dostogir Harun, Md Shahinuzzaman, Syeda Humayra, Md Monirul Islam, Sabina Sharmin, Alauddin Chowdhury Abm","doi":"10.2174/0117450179400081250812509051","DOIUrl":"https://doi.org/10.2174/0117450179400081250812509051","url":null,"abstract":"","PeriodicalId":35447,"journal":{"name":"Clinical Practice and Epidemiology in Mental Health","volume":"21 ","pages":"e17450172509051"},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12741976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stigma and Help-Seeking Attitudes in Relation to Psychological Distress Among Medical Students in Saudi Arabia.","authors":"Wejdan M Al-Johani, Abdulelah H Almansour, Dalal M AlBakr, Duaa Alghirash, Abdulmohsen N Alfadhli, Raseel B Almutairi, Osama A Mobarki, Sultan A Alqasim, Malak A Al-Shammari, Moataza M Abdelwahab","doi":"10.2174/0117450179414477250905100917","DOIUrl":"10.2174/0117450179414477250905100917","url":null,"abstract":"<p><strong>Introduction: </strong>Psychological distress is common among medical students worldwide. However, psychological stigma remains a significant barrier to seeking help. This study explores the association between psychological distress, stigma, and attitudes toward help-seeking among medical students in the unique cultural context of Saudi Arabia.</p><p><strong>Methods: </strong>A cross-sectional study was conducted using an online survey distributed to medical students across Saudi Arabia, yielding 1,077 completed responses. Sociodemographic data were collected, along with responses to the Kessler Psychological Distress Scale (K6), the Stigma Scale for Receiving Psychological Help (SSRPH-A), and the Attitudes Toward Seeking Professional Psychological Help Scale (ATSPPH-SF-A). Data were analyzed using descriptive statistics, Spearman's correlation, and factor analysis.</p><p><strong>Results: </strong>Overall, 32.2% of students reported low distress, 34.5% moderate distress, and 33.4% high distress. Female students exhibited higher distress but greater openness to seeking help, while males reported higher stigma. Lower GPA and income were associated with increased distress and reduced help-seeking attitudes. Regional variations were observed, with Najran reporting the highest distress, and Madinah and Qassim showing higher openness to help-seeking.</p><p><strong>Discussion: </strong>Findings are consistent with the international studies, indicating that stigma significantly hinders service utilization despite need. Cultural norms, socioeconomic status, and educational systems further shape attitudes. Digital healthcare transformation in Saudi Arabia offers opportunities to reduce stigma and expand access.</p><p><strong>Conclusion: </strong>Psychological distress and stigma remain prevalent among Saudi medical students, influenced by gender, socioeconomic, and regional factors. Targeted, culturally informed interventions are essential to reduce psychological stigma, promote awareness, and encourage positive help-seeking behaviors within academic environments.</p>","PeriodicalId":35447,"journal":{"name":"Clinical Practice and Epidemiology in Mental Health","volume":"21 ","pages":"e17450179414477"},"PeriodicalIF":0.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12741977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burnout in Dentists and the COVID-19 Pandemic: A Systematic Review.","authors":"Juliane Kely Fagundes Silva, Liliane Lins-Kusterer, Marcela Beatriz Aguiar Moreira, Fernando Martins Carvalho","doi":"10.2174/0117450179400081250815115140","DOIUrl":"10.2174/0117450179400081250815115140","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to identify and analyze research on burnout in dentists, measured both prior to and during the COVID-19 pandemic, using the Maslach Burnout Inventory (MBI).</p><p><strong>Methods: </strong>A systematic literature review was conducted across five databases using the search terms \"Dentists\" and \"Burnout, Psychological.\" Articles published between 1981 and December 2024 that utilized the MBI were included. Studies were classified based on the time of data collection: either prior to or during the COVID-19 pandemic (defined as January 30, 2020, to May 5, 2023).</p><p><strong>Results: </strong>We selected 15 of the 1,486 articles identified. Eleven of these reported means and standard deviations for the burnout scales. Among them, eight calculated scale means and standard deviations according to the guidelines recommended in the MBI manual; six studies were conducted prior to the pandemic, and two during it. An initial analysis suggests that mean levels of Emotional Exhaustion and Depersonalization increased during the pandemic, while mean levels of Personal Accomplishment remained comparable to pre-pandemic levels. However, five studies used different cutoff points to define low, moderate, or high burnout levels for each scale, limiting comparability across studies.</p><p><strong>Discussion: </strong>Few articles have adequately utilized the MBI to assess burnout in dental surgeons either before or during the COVID-19 pandemic.</p><p><strong>Conclusion: </strong>Theoretical arguments suggest that the COVID-19 pandemic may have adversely affected burnout levels in dentists. However, the studies we analyzed offer only limited evidence supporting an increase in the burnout dimensions of Emotional Exhaustion and Depersonalization during the pandemic.</p>","PeriodicalId":35447,"journal":{"name":"Clinical Practice and Epidemiology in Mental Health","volume":"21 ","pages":"e17450179400081"},"PeriodicalIF":0.0,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12741975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145850928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Kill the Enemy\": Can Violence be Learned in Children by Activating Mirror Neurons Through Video Games?","authors":"Mauro G Carta, Elisa Cantone, Fatma Charfi","doi":"10.2174/0117450179408826250807093502","DOIUrl":"10.2174/0117450179408826250807093502","url":null,"abstract":"<p><p>The impact of Violent Video Games (VVGs) on childhood development remains a subject of debate. While virtual reality has shown promise in enhancing social cognition through mirror neuron activation, concerns persist regarding the potential for video games to foster learned aggression, particularly in the absence of empathic or punitive feedback. Evidence regarding short-term desensitization effects is mixed, and long-term studies are scarce. Importantly, most existing research focuses on individuals exposed to video games after the age of eight, overlooking critical developmental periods marked by heightened neural plasticity. Early childhood exposure to violent content may be influenced by insecure attachment patterns, and this interaction may have consequences in socio-emotional learning. Factors, such as hyperactivity and parental absence, may further correlate with these effects. Despite these concerns, the presence of engaged caregivers has been shown to mitigate potential harm. There is an urgent need for longitudinal research and policies that promote responsible, adult-mediated video game use in early childhood.</p>","PeriodicalId":35447,"journal":{"name":"Clinical Practice and Epidemiology in Mental Health","volume":"21 ","pages":"e17450179408826"},"PeriodicalIF":0.0,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12741966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145850954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiology of Suicide and Associated Factors in Bam: A Historical Cohort Study.","authors":"Samane Nematolahi, Elham Isaei, Mohammad Baniasadi, Navid Reza GHasemi, Maryam Jalali, Zeinab Sarhadi, Fateme Amozegar","doi":"10.2174/0117450179398446250721063050","DOIUrl":"10.2174/0117450179398446250721063050","url":null,"abstract":"<p><strong>Introduction: </strong>Suicide attempts, recognized as a significant public health concern, have been categorized among antisocial behaviors. This study aims to examine the epidemiology of suicide and its associated individual, familial, and social factors in Bam City, Iran.</p><p><strong>Methods: </strong>A historical cohort study was conducted on all recorded cases (N=3276) of suicide attempts registered in the hospital reporting system and healthcare center at Bam University of Medical Sciences from 2016 to 2022. Data were systematically extracted using a standardized checklist. Suicide attempt rates and mortality rates were calculated and presented in this study. Temporal trends in suicide mortality and attempts were analyzed using joinpoint regression.</p><p><strong>Results: </strong>The findings indicate that men reported a significantly higher suicide completion rate compared to women, with hanging being identified as the most lethal method. While overall suicide rates declined by 1.3% during the study period, a concerning 14.2% increase was observed from 2020 to 2022. Suicide rates among individuals under 35 showed a slighty increasing trend, whereas those aged 35 and older experienced a decline. Additionally, poisoning emerged as the most prevalent method across both genders.</p><p><strong>Discussion: </strong>The study underscores age-specific differences in suicide risk, highlighting the need for targeted prevention strategies. While the death rates increased among younger individuals during the pandemic, they declined for older adults, suggesting variations in vulnerability and coping mechanisms.</p><p><strong>Conclusion: </strong>Suicide prevention should be tailored to different age groups, incorporating mental health support for youth facing economic and social pressures, as well as resources for older adults. Strengthening community programs, economic assistance, and access to mental health services remain essential in reducing suicide rates across diverse demographics.</p>","PeriodicalId":35447,"journal":{"name":"Clinical Practice and Epidemiology in Mental Health","volume":"21 ","pages":"e17450179398446"},"PeriodicalIF":0.0,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12741982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of eHealth Literacy in Healthcare Service Users: Construction and Validation of a Measurement Instrument.","authors":"Juan Morales, César Augusto Eguia","doi":"10.2174/0117450179393541250722062947","DOIUrl":"10.2174/0117450179393541250722062947","url":null,"abstract":"<p><strong>Introduction: </strong>eHealth literacy is influenced by Internet access and is associated with health status. The aim of this study was to develop and validate an instrument called eHealth-Much to measure eHealth literacy in users of healthcare services.</p><p><strong>Methods: </strong>An instrumental research design was used. Content validity was assessed by expert judgment and quantified using Aiken's V coefficient. A polychoric correlation matrix was used for the items. Sample adequacy was assessed through the Kaiser-Meyer-Olkin (KMO) index and Bartlett's test of sphericity before conducting exploratory factor analysis (EFA). The EFA was conducted using the Weighted Least Squares (WLS) extraction method with Oblimin rotation. Reliability was assessed using Cronbach's Alpha (α) and McDonald's Omega (ω) coefficients.</p><p><strong>Results: </strong>Twelve experts from five different countries participated in the content validation process, obtaining a V coefficient of 0.93 (95% CI: 0.79-0.97). A total of 1,068 health service users of both sexes participated in the construct validity testing. The median age was 32 years (IQR: 13, Q1: 26, Q3: 39; Min: 17, Max: 78). The KMO index was 0.92 (Bartlett's test, p < 0.001). The EFA suggested four factors labeled \"Digital Literacy\" (WLS1), \"Digital Self-Management\" (WLS4), \"Digital Skill\" (WLS3), and \"Scientific Empowerment\" (WLS2), which together explained 59.3% of the total variance. The reliability coefficients obtained were 0.86 for Cronbach's alpha and 0.90 for McDonald's omega. Percentile ranks and normative scores were also established for the sample.</p><p><strong>Discussion: </strong>The factorial structure obtained theoretically supports the multidimensionality of the construct, aligning with previous models of digital health literacy.</p><p><strong>Conclusion: </strong>The scale demonstrates adequate levels of validity and reliability. It may be considered a viable option for use in both primary care settings and hospital environments. Further studies are recommended to expand the psychometric analysis.</p>","PeriodicalId":35447,"journal":{"name":"Clinical Practice and Epidemiology in Mental Health","volume":"21 ","pages":"e17450179393541"},"PeriodicalIF":0.0,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Struggling with Self-Doubt: Impostor Phenomenon and Mental Health among Medical Students at Universitas Sumatera Utara Medan, Indonesia.","authors":"Ruhut Sion Simanjuntak, Rina Amelia, Elmeida Effendy, Yuki Yunanda","doi":"10.2174/0117450179397570250706100944","DOIUrl":"10.2174/0117450179397570250706100944","url":null,"abstract":"<p><strong>Introduction: </strong>Impostor Phenomenon (IP) is a common condition experienced by medical students and professionals who face high academic pressures and competitive environments, and is thought to be associated with other psychological conditions, such as anxiety, depression, and low self-esteem. Factors, such as gender and academic year, are also suspected to influence the development of IP experienced by individuals. This study aimed to analyze factors associated with IP among students at the Faculty of Medicine, Universitas Sumatera Utara.</p><p><strong>Methods: </strong>This analytical study employed a cross-sectional design. Variables assessed included gender, academic year, depression, anxiety, and self-esteem. Several questionnaires were used for data collection, such as CIPS, PHQ-9, GAD-7, and RSES questionnaires. Data analysis utilized Chi-square tests to investigate the relationship between each independent variable and Poisson regression tests to evaluate the correlation between all independent variables using the Statistical Package for the Social Sciences (SPSS Inc.).</p><p><strong>Results: </strong>A total of 347 students participated, revealing that 58.8% of medical students experienced IP, with a greater prevalence among females and the highest prevalence among second-year students. Data analysis revealed a significant association between IP and symptoms of depression (PR = 1.530; 95% CI = 1.229-1.904; P < 0.001), anxiety (PR = 1.317; 95% CI = 1.095-1.583, P = 0.003), and low self-esteem (PR = 1.237; 95% CI = 1.066-1.449; P = 0.008).</p><p><strong>Discussion: </strong>This study reinforces that psychological factors, including depression, anxiety, and low self-esteem, are strongly associated with the impostor phenomenon (IP) among medical students, while gender and academic year are not. The findings highlight the need for early mental health support to help students manage self-doubt and academic stress.</p><p><strong>Conclusion: </strong>The study highlights a high prevalence of IP among medical students, with a significant relationship between IP, depression, anxiety, and self-esteem.</p>","PeriodicalId":35447,"journal":{"name":"Clinical Practice and Epidemiology in Mental Health","volume":"21 ","pages":"e17450179397570"},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}