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      Learning Burnout: Evaluating the Role of Social Support in Medical Students

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          Abstract

          Background: Burnout is a stress-induced syndrome considered to be closely related to work. Although social support could relief burnout syndrome, its effect on learning burnout in medical students remains unclear. The objectives of the study are to evaluate the association between learning burnout and social support in Chinese medical students.

          Methods: A cross-sectional online survey was distributed to students who participated in online learning in a medical college in Wuhan during the COVID-19 epidemic. We used the Lian version of the Maslach Burnout Inventory (MBI) to assess learning burnout and the Social Support Rating Scale (SSRS) to assess social support. Chi-square tests were used to analyze factors associated with burnout. Independent t-test and multiple logistic regression were explored to analyze the relationship between social support and burnout.

          Results: A total of 684 students have completed the survey (response rate: 30.9%), of which 315 (46.12%) met standard criteria for learning burnout. Multiple logistic regression analysis has revealed that seniors, low family income and low social support were significant predictors of learning burnout (χ 2 = 41.983, p < 0.001). After adjusting for the grade and family income, there was a significant and relevant association between social support and learning burnout (OR = 0.937; 95% CI: 0.905–0.970; p < 0.001).

          Conclusions: Learning burnout was highly prevalent in medical students at our college. Senior students and low family income might be risk factors for learning burnout. Social support, especially subjective support and utilization of support might play a protective role in reducing the risk of learning burnout.

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          Most cited references40

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          Burnout and Engagement in University Students: A Cross-National Study

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            Prevalence and correlates of PTSD and depressive symptoms one month after the outbreak of the COVID-19 epidemic in a sample of home-quarantined Chinese university students

            Background : When COVID-19 emerged in China in late 2019, most citizens were home-quarantined to prevent the spread of the virus. This study explored the prevalence of post-traumatic stress disorder (PTSD) and depression in a sample of home-quarantined college students to identify the psychological distress risk factors. Method : The PTSD and depressive symptoms in the 2485 participants from 6 universities were investigated using online survey versions of the PTSD Checklist Civilian Version and the 9-question Patient Health Questionnaires (PHQ-9), and data on sleep durations, exposure, home-quarantine time and socio-demographic variables were also collected. Results : The PTSD and depression prevalence were found to be 2.7% and 9.0%. Subjectively, feeling extreme fear was the most significant risk factor for psychological distress, followed by short sleep durations, being in their graduating year (4th year) and living in severely afflicted areas. Sleep durations was a mediator between exposures and mental health problems. Conclusions : The results suggested that the psychological consequences of the COVID-19 could be serious. Psychological interventions that reduce fear and improve sleep durations need to be made available to the home-quarantined university students, and graduating students and those in the worst-hit areas should be given priority focus.
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              Sources of social support and burnout: a meta-analytic test of the conservation of resources model.

              The Conservation of Resources (COR) model of burnout (Hobfoll & Freedy, 1993) suggests that resources are differentially related to burnout dimensions. In this paper, I provide a meta-analysis of the social support and burnout literature, finding that social support, as a resource, did not yield different relationships across the 3 burnout dimensions (emotional exhaustion, depersonalization, and personal accomplishment), challenging the COR model. However, when considering the source of the social support (work vs. nonwork) as a moderator, I found that work-related sources of social support, because of their more direct relationship to work demands, were more closely associated with exhaustion than depersonalization or personal accomplishment; the opposite pattern was found with nonwork sources of support. I discuss the implications of this finding in relation to the COR model and suggest future research directions to clarify the relationship between resources and burnout dimensions. (c) 2006 APA, all rights reserved
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                Author and article information

                Contributors
                Journal
                Front Psychol
                Front Psychol
                Front. Psychol.
                Frontiers in Psychology
                Frontiers Media S.A.
                1664-1078
                22 February 2021
                2021
                : 12
                : 625506
                Affiliations
                [1] 1School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology , Wuhan, China
                [2] 2Medical Academic Affairs Office, Tongji Medical College, Huazhong University of Science and Technology , Wuhan, China
                Author notes

                Edited by: Hui Wu, China Medical University, China

                Reviewed by: Alberto Crescentini, University of Applied Sciences and Arts of Southern Switzerland (SUPSI), Switzerland; Bo Qu, China Medical University, China

                *Correspondence: Ming Xiang xiangming@ 123456mails.tjmu.edu.cn

                This article was submitted to Health Psychology, a section of the journal Frontiers in Psychology

                Article
                10.3389/fpsyg.2021.625506
                7937700
                33692725
                a72da9a8-dea0-43e7-93e4-9663d53dbdee
                Copyright © 2021 Zhang, Shu, Xiang and Feng.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 03 November 2020
                : 21 January 2021
                Page count
                Figures: 0, Tables: 4, Equations: 0, References: 40, Pages: 7, Words: 5548
                Funding
                Funded by: Tongji Medical College, Huazhong University of Science and Technology 10.13039/501100013291
                Categories
                Psychology
                Original Research

                Clinical Psychology & Psychiatry
                learning burnout,social support,medical students,china,survey
                Clinical Psychology & Psychiatry
                learning burnout, social support, medical students, china, survey

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