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Sreeramareddy (2007)
Psychological morbidity, sources of stress and coping strategies among undergraduate medical students of NepalBMC Med Educ, 7
G Brown, E Rafaeli (2007)
Components of self‐complexity as buffers for depressed moodJ Soc Clin Psychol, 21
A. Madill, G. Latchford (2005)
Identity change and the human dissection experience over the first year of medical training.Social science & medicine, 60 7
AR McConnell (2011)
The multiple self‐aspects framework: self‐concept representation and its implicationsPersonal Indiv Diff, 15
S Cohen, TA Wills (1985)
Stress, social support, and the buffering hypothesisPers Soc Psychol Bull, 98
AR McConnell, JM Renaud, KK Dean, SP Greena, MJ Lamoreauxa, CE Halla, RJ Rydella (2005)
Whose self is it anyway? Self‐aspect control moderates the relation between self‐complexity and well‐beingJ Pers Soc Psychol, 41
S. Haslam, S. Reicher, Lucy 'sullivan, J. Jetten, Andrew Livingstone, T. Postmes, J. Turner, A. Haslam (2006)
Stressing the group: social identity and the unfolding dynamics of responses to stress.The Journal of applied psychology, 91 5
M. Shah, Shahid Hasan, Samina Malik, C. Sreeramareddy (2010)
Perceived Stress, Sources and Severity of Stress among medical undergraduates in a Pakistani Medical SchoolBMC Medical Education, 10
KL Johnston, KM White (2003)
Binge‐drinking: a test of the role of group norms in the theory of planned behaviourMed Educ, 18
J. Prins, Stacey Gazendam-Donofrio, Ben Tubben, F. Heijden, H. Wiel, J. Hoekstra-Weebers (2007)
Burnout in medical residents: a reviewMedical Education, 41
Y. Akvardar, Y. Demi̇ral, G. Ergor, Alp Ergor (2004)
Substance use among medical students and physicians in a medical school in TurkeySocial Psychiatry and Psychiatric Epidemiology, 39
BY Fogleman, R Vander Zwagg (1981)
Demographic, situational, and scholastic factors in medical school attritionMed Educ, 74
J. Steinberg, S. Pineles, W. Gardner, S. Mineka (2003)
Self-Complexity as a Potential Cognitive Buffer Among Abused WomenJournal of Social and Clinical Psychology, 22
W. Louis, S. Davies, Joanne Smith, D. Terry (2007)
Pizza and Pop and the Student Identity: The Role of Referent Group Norms in Healthy and Unhealthy EatingThe Journal of Social Psychology, 147
SA Haslam, S Reicher (2006)
Stressing the group: social identity and the unfolding dynamics of responses to stressJ Pers Soc Psychol, 91
Eshkol Rafaeli-Mor, I. Gotlib, W. Revelle (1999)
The meaning and measurement of self-complexityPersonality and Individual Differences, 27
E. Helmich, T. Dornan (2012)
Do you really want to be a doctor? The highs and lows of identity developmentMedical Education, 46
Brendan Baird, Kimdy Le, Richard Lucas (2006)
On the nature of intraindividual personality variability: reliability, validity, and associations with well-being.Journal of personality and social psychology, 90 3
T. Stecker (2004)
Well‐being in an academic environmentMedical Education, 38
T. Cruwys, M. Platow, Sarah Angullia, J. Chang, Sema Diler, Joanne Kirchner, Charlotte Lentfer, Ying Lim, Aleisha Quarisa, Veronica Tor, Amanda Wadley (2012)
Modeling of food intake is moderated by salient psychological group membershipAppetite, 58
LN Dyrbye, MR Thomas, TD Shanafelt (2005)
Medical student distress: causes, consequences, and proposed solutionsMed Educ, 80
CM Brown, AR McConnell (2009)
Effort or escape: self‐concept structure determines self‐regulatory behaviorJ Cogn Psychother, 8
JA Steinberg, SL Pineles, WL Gardner, S Mineka (2003)
Self‐complexity as a potential cognitive buffer among abused womenJ Pers, 22
I. McManus, B. Winder, D. Gordon (2002)
The causal links between stress and burnout in a longitudinal study of UK doctorsThe Lancet, 359
Allen Mcconnell, Laura Strain, Christina Brown, Robert Rydell (2009)
The Simple Life: On the Benefits of Low Self-ComplexityPersonality and Social Psychology Bulletin, 35
S. Haslam, A. O’Brien, J. Jetten, Karine Vormedal, Sally Penna (2005)
Taking the strain: social identity, social support, and the experience of stress.The British journal of social psychology, 44 Pt 3
B. Davis, David Nelson, O. Sahler, F. McCurdy, R. Goldberg, L. Greenberg (2001)
Do Clerkship Experiences Affect Medical Students' Attitudes toward Chronically Ill Patients?Academic Medicine, 76
Linville (1987)
Self-complexity as a cognitive buffer against stress-related illness and depressionJ Pers Soc Psychol, 52
Tyssen (2001)
Factors in medical school that predict postgraduate mental health problems in need of treatment. A nationwide and longitudinal studyMed Educ, 35
C. Leach, Martijn Zomeren, Sven Zebel, Michael Vliek, S. Pennekamp, B. Doosje, Jaap Ouwerkerk, R. Spears (2008)
Group-level self-definition and self-investment: a hierarchical (multicomponent) model of in-group identification.Journal of personality and social psychology, 95 1
Patricia Linville (1985)
Self-complexity and affective extremity: Don't put all of your eggs in one cognitive basket.Social Cognition, 3
R. Tyssen, P. Vaglum, N. Grønvold, Ø. Ekeberg (2001)
Factors in medical school that predict postgraduate mental health problems in need of treatment. A nationwide and longitudinal studyMedical Education, 35
H Tajfel, JC Turner (1979)
An Integrative Theory of Intergroup Conflict. The Social Psychology of Intergroup RelationsJAMA
B Burford (2012)
Group processes in medical education: learning from social identity theoryMed Teach, 46
C. Chew‐Graham, A. Rogers, N. Yassin (2003)
‘I wouldn't want it on my CV or their records': medical students' experiences of help‐seeking for mental health problemsMedical Education, 37
L. Spring, Diane Robillard, Lorrie Gehlbach, T. Simas (2011)
Impact of pass/fail grading on medical students’ well‐being and academic outcomesMedical Education, 45
L. Monrouxe (2010)
Identity, identification and medical education: why should we care?Medical Education, 44
Cath Taylor, J. Graham, H. Potts, M. Richards, A. Ramirez (2005)
Changes in mental health of UK hospital consultants since the mid-1990sThe Lancet, 366
(2008)
BMC Medical Education BioMed Central
Katherine Chretien, S. Greysen, J. Chretien, T. Kind (2009)
Online posting of unprofessional content by medical students.JAMA, 302 12
E. Koch, J. Shepperd (2004)
Is self-complexity linked to better coping? A review of the literature.Journal of personality, 72 4
J Goldie (2012)
The formation of professional identity in medical students: considerations for educatorsMed Educ, 34
W Luo, D Watkins, RYH Lam (2009)
Validating a new measure of self‐complexityPers Soc Psychol Rev, 91
Jean Adams (2004)
Straining to describe and tackle stress in medical studentsMedical Education, 38
C. Radcliffe, H. Lester (2003)
Perceived stress during undergraduate medical training: a qualitative studyMedical Education, 37
K. Johnston, K. White (2003)
Binge-Drinking: A Test of the Role of Group Norms in the Theory of Planned BehaviourPsychology & Health, 18
F. Sani (2012)
Group identification, social relationships, and health.
L. Dyrbye, Matthew Thomas, T. Shanafelt (2006)
Systematic Review of Depression, Anxiety, and Other Indicators of Psychological Distress Among U.S. and Canadian Medical StudentsAcademic Medicine, 81
L. Dyrbye, William Harper, S. Durning, C. Moutier, Matthew Thomas, F. Massie, Anne Eacker, D. Power, D. Szydlo, D. Szydlo, J. Sloan, T. Shanafelt (2011)
Patterns of distress in US medical studentsMedical Teacher, 33
R. Kessler (1997)
The effects of stressful life events on depression.Annual review of psychology, 48
B. Burford (2012)
Group processes in medical education: learning from social identity theoryMedical Education, 46
C. Feudtner, D. Christakis, N. Christakis (1994)
Do clinical clerks suffer ethical erosion? Students' perceptions of their ethical environment and personal developmentAcademic Medicine, 69
LV Monrouxe (2010)
Identity, identification and medical education: why should we care?Self Ident, 44
S. Keller, J. Maddock, R. Laforge, W. Velicer, H. Basler (2007)
Binge drinking and health behavior in medical students.Addictive behaviors, 32 3
BM Baird, K Le, RE Lucas (2006)
On the nature of intraindividual personality variability: reliability, validity, and associations with well‐beingJ Pers Assess, 90
C. Rees (2010)
Identities as performances: encouraging visual methodologies in medical education researchMedical Education, 44
C. Maslach (1982)
Burnout: The Cost of Caring
W. Woloschuk, P. Harasym, W. Temple (2004)
Attitude change during medical school: a cohort studyMedical Education, 38
D Horne, J Tiller, N. Eizenberg, M. Tashevska, N. Biddle (1990)
Reactions of first‐year medical students to their initial encounter with a cadaver in the dissecting roomAcademic Medicine, 65
E. Voltmer, U. Kieschke, D. Schwappach, M. Wirsching, C. Spahn (2008)
Psychosocial health risk factors and resources of medical students and physicians: a cross-sectional studyBMC Medical Education, 8
Erin O’Reilly, Kathleen McNeill, Kenneth Mavor, Katrina Anderson (2014)
Looking Beyond Personal Stressors: An Examination of How Academic Stressors Contribute to Depression in Australian Graduate Medical StudentsTeaching and Learning in Medicine, 26
Christina Brown, Allen Mcconnell (2009)
Effort or Escape: Self-concept Structure Determines Self-regulatory BehaviorSelf and Identity, 8
S. Mccoy, B. Major (2003)
Group Identification Moderates Emotional Responses to Perceived PrejudicePersonality and Social Psychology Bulletin, 29
Gary Brown, Eshkol Rafaeli (2007)
Components of Self-Complexity as Buffers for Depressed MoodJournal of Cognitive Psychotherapy, 21
J. Goldie (2012)
The formation of professional identity in medical students: Considerations for educatorsMedical Teacher, 34
W Woloschuk, PH Harasym, W Temple (2004)
Attitude change during medical school: a cohort studyAcad Med, 38
AR McConnell, LM Strain, CM Brown, RJ Rydell (2009)
The simple life: on the benefits of low self‐complexityJ Exp Soc Psychol, 35
J. Jetten, C. Haslam, S. Haslam (2012)
The social cure : identity, health and well-being
Patricia Linville (1987)
Self-complexity as a cognitive buffer against stress-related illness and depression.Journal of personality and social psychology, 52 4
D. Newbury-Birch, M. White, F. Kamali (2000)
Factors influencing alcohol and illicit drug use amongst medical students.Drug and alcohol dependence, 59 2
Crystal Park, N. Adler (2003)
Coping style as a predictor of health and well-being across the first year of medical school.Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 22 6
A. Howe, A. Smajdor, A. Stöckl (2012)
Towards an understanding of resilience and its relevance to medical trainingMedical Education, 46
BE Davis, DB Nelson, OJ Sahler, FA McCurdy, R Goldberg, LW Greenberg (2001)
Do clerkship experiences affect medical students' attitudes toward chronically ill patients?Mayo Clin Proc, 76
R. Macleod, C. Parkin, Sue Pullon, G. Robertson (2003)
Early clinical exposure to people who are dying: learning to care at the end of lifeMedical Education, 37
S. Finlay, M. Fawzy (2001)
Becoming a doctorMedical Humanities, 27
Raymond Lee, Blake Ashforth (1996)
A meta-analytic examination of the correlates of the three dimensions of job burnout.The Journal of applied psychology, 81 2
(2008)
Psychosocial health risk factors and resources of medical students and physicians : a cross-sectional study
SE Finlay, M Fawzy (2001)
Becoming a doctorBr J Soc Psychol, 27
Sheldon Cohen, T. Wills (1985)
Stress, social support, and the buffering hypothesis.Psychological bulletin, 98 2
Allen Mcconnell, Jeanette Renaud, Kristy Dean, Sharin Green, Marika Lamoreaux, C. Hall, Robert Rydell (2005)
Whose self is it anyway? Self-aspect control moderates the relation between self-complexity and well-being.Journal of Experimental Social Psychology, 41
SA Haslam, A O'Brien, J Jetten, K Vormedal, S Penna (2005)
Taking the strain: social identity, social support, and the experience of stressJ Appl Psychol, 44
P. Dans (1996)
Self‐reported cheating by students at one medical schoolAcademic Medicine, 71
H. Tajfel, J. Turner (1979)
An integrative theory of intergroup conflict.
E Rafaeli‐Mor, IH Gotlib, W Revelle (1999)
The meaning and measurement of self‐complexityMed Educ, 27
Allen Mcconnell (2011)
The Multiple Self-Aspects Framework: Self-Concept Representation and Its ImplicationsPersonality and Social Psychology Review, 15
J. Richman, J. Flaherty, K. Rospenda, M. Christensen (1992)
Mental health consequences and correlates of reported medical student abuse.JAMA, 267 5
CW Leach, M Zomeren, S Zebel, ML Vliek, SF Pennekamp, B Doosje, JW Ouwerkerk, R Spears (2008)
Group‐level self‐definition and self‐investment: a hierarchical (multicomponent) model of in‐group identificationPsychol Health, 95
BILLYE Fogleman, R. Zwagg (1981)
Demographic, situational, and scholastic factors in medical school attrition.Southern medical journal, 74 5
H. Blakey, Eve Blanshard, Helen Cole, F. Leslie, Rosamund Sen (2008)
Are medical students socially exclusive? A comparison with economics studentsMedical Education, 42
H Blakey, E Blanshard, H Cole, F Leslie, R Sen (2008)
Are medical students socially exclusive? A comparison with economics studentsMed Humanities, 42
R. Weaver, K. Peters, J. Koch, I. Wilson (2011)
‘Part of the team’: professional identity and social exclusivity in medical studentsMedical Education, 45
Richard Caplan (1994)
Stress, anxiety, and depression in hospital consultants, general practitioners, and senior health service managersBMJ, 309
L. Dyrbye, Matthew Thomas, J. Huntington, K. Lawson, P. Novotny, J. Sloan, T. Shanafelt (2006)
Personal Life Events and Medical Student Burnout: A Multicenter StudyAcademic Medicine, 81
S. Stewart, T. Lam, C. Betson, C. Wong, A. Wong (1999)
A prospective analysis of stress and academic performance in the first two years of medical schoolMedical Education, 33
L. Dyrbye, Matthew Thomas, T. Shanafelt (2005)
Medical student distress: causes, consequences, and proposed solutions.Mayo Clinic proceedings, 80 12
M. Dahlin, N. Joneborg, B. Runeson (2005)
Stress and depression among medical students: a cross‐sectional studyMedical Education, 39
William Austin, S. Worchel (1979)
The Social psychology of intergroup relations
Wenshu Luo, D. Watkins, R. Lam (2009)
Validating a New Measure of Self-ComplexityJournal of Personality Assessment, 91
J. Heyworth (2004)
Stress: a badge of honour in the emergency department?Emergency medicine Australasia : EMA, 16 1
F Sani (2011)
The Social CureMed Educ
D. Terry, M. Hogg (1996)
Group Norms and the Attitude-Behavior Relationship: A Role for Group IdentificationPersonality and Social Psychology Bulletin, 22
J. Firth‐Cozens (1998)
Individual and organizational predictors of depression in general practitioners.The British journal of general practice : the journal of the Royal College of General Practitioners, 48 435
DSc MD, MSc MD, MSc MD, MSc MD (2006)
Prevalence of psychoactive drug use among medical students in Rio de JaneiroSocial Psychiatry and Psychiatric Epidemiology, 41
Context Problematic stress levels among medical students have been well established. This stress can lead to depression, suicidal ideation, substance abuse, burnout and cynicism, having a negative effect on students and their patients. Methods We propose to move towards examining the processes underlying well‐being in some medical students and vulnerability in others. We draw upon social psychological literature to propose that self‐complexity, medical student identity and associated norms all have the capacity to influence medical students' well‐being in both positive and negative ways. Results We identify two key dilemmas facing medical students with regard to the social psychological factors investigated. First, a diverse set of interests and a high level of self‐complexity is thought to buffer against the effects of stress and might also be beneficial for medical practitioners, but the intensive nature of medical education makes it difficult for students to pursue outside interests, leading to a strongly focused identity. Second, a strong group identity is associated with high levels of social support and improved well‐being, but unhealthy group norms may have a greater influence on individuals who have a strong group identity, encouraging them to engage in behaviours that place their well‐being at risk. A model is proposed outlining how these potentially contradictory social psychological processes may combine to impact upon medical students' well‐being. Conclusions There is great scope for investigating the role of self‐complexity, identity and norms in the medical education context, with room to investigate each of these factors alone and in combination. We highlight how our proposed model can inform medical educators as to the students who may be most vulnerable to the effects of stress and the potential interventions from which they may benefit. We conclude that social psychological factors make a valuable contribution to understanding the complex issue of well‐being in medical education.
Medical Education – Wiley
Published: Apr 1, 2014
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