Moderating role of family functioning and resource support in the relationship between career calling and academic burnout among Chinese medical students during the controlled COVID-19 pandemic: a cross-sectional study

References

• Zheng Q, Lin X, He L, et al. Impact of the perceived mental stress during the COVID-19 pandemic on medical students’ loneliness feelings and future career choice: a preliminary survey study. Front Psychiatry. 2021;12:1. doi: 10.3389/fpsyt.2021.666588.
   Web of Science ®Google Scholar
• Basri S, Hawaldar IT, Nayak R, et al. Do academic stress, burnout and problematic internet use affect perceived learning? Evidence from India during the COVID-19 pandemic. Sustainability. 2022;14(3):1409. doi: 10.3390/su14031409.
   Web of Science ®Google Scholar
• Liu Y, Cao Z. The impact of social support and stress on academic burnout among medical students in online learning: the mediating role of resilience. Front Public Health. 2022;10:938132. doi: 10.3389/fpubh.2022.938132.
   PubMed Web of Science ®Google Scholar
• Althwanay A, Ahsan F, Oliveri F, et al. Medical education, pre- and post-pandemic era: a review article. Cureus. 2020;12(10):e10775. doi: 10.7759/cureus.10775.
   PubMed Web of Science ®Google Scholar
• Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol. 2001;52(1):397–13. doi: 10.1146/annurev.psych.52.1.397.
   PubMed Web of Science ®Google Scholar
• Rahmati Z. The study of academic burnout in students with high and low level of self-efficacy. Procedia Soc Behav Sci. 2015;171:49–55. doi: 10.1016/j.sbspro.2015.01.087.
   Google Scholar
• Yang H-J. Factors affecting student burnout and academic achievement in multiple enrollment programs in taiwan’s technical–vocational colleges. Int J Educ Dev. 2004;24(3):283–301. doi: 10.1016/j.ijedudev.2003.12.001.
   Web of Science ®Google Scholar
• Lin S-H, Huang Y-C. Life stress and academic burnout. Active Learning in Higher Education. 2014;15(1):77–90. doi: 10.1177/1469787413514651.
   Web of Science ®Google Scholar
• Balogun JA, Hoeberlein-Miller TM, Schneider E, et al. Academic performance is not a viable determinant of physical therapy students’ burnout. Percept Mot Skills. 1996;83(1):21–22. doi: 10.2466/pms.1996.83.1.21.
   PubMed Web of Science ®Google Scholar
• Chang EC, Rand KL, Strunk DR. Optimism and risk for job burnout among working college students: stress as a mediator. PersIndivid Diff. 2000;29(2):255–263. doi: 10.1016/S0191-8869(99)00191-9.
   Web of Science ®Google Scholar
• Reis D, Xanthopoulou D, Tsaousis I. Measuring job and academic burnout with the oldenburg burnout inventory (OLBI): factorial invariance across samples and countries. Burnout Res. 2015;2(1):8–18. doi: 10.1016/j.burn.2014.11.001.
   Google Scholar
• Rahmatpour P, Chehrzad M, Ghanbari A, et al. Academic burnout as an educational complication and promotion barrier among undergraduate students: a cross-sectional study. J Educ Health Promot. 2019;8:201.
   Google Scholar
• Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Acad Med. 2006;81(4):354–373. doi: 10.1097/00001888-200604000-00009.
   PubMed Web of Science ®Google Scholar
• Dyrbye LN, West CP, Satele D, et al. Burnout among U.S. Medical students, residents, and early career physicians relative to the general U.S. Population. Acad Med. 2014;89(3):443–451. doi: 10.1097/ACM.0000000000000134.
   PubMed Web of Science ®Google Scholar
• Cecil J, McHale C, Hart J, et al. Behaviour and burnout in medical students. Med Educ Online. 2014;19(1):25209. doi: 10.3402/meo.v19.25209.
   PubMed Web of Science ®Google Scholar
• Chunming WM, Harrison R, MacIntyre R, et al. Burnout in medical students: a systematic review of experiences in Chinese medical schools. BMC Med Educ. 2017;17(1):217. doi: 10.1186/s12909-017-1064-3.
   PubMed Web of Science ®Google Scholar
• Mazurkiewicz R, Korenstein D, Fallar R, et al. The prevalence and correlations of medical student burnout in the pre-clinical years: a cross-sectional study. Psychol Health Med. 2012;17(2):188–195. doi: 10.1080/13548506.2011.597770.
   PubMed Web of Science ®Google Scholar
• Salmela-Aro K, Upadyaya K. School burnout and engagement in the context of demands–resources model. Br J Educ Psychol. 2014;84(Pt 1):137–151. doi: 10.1111/bjep.12018.
   PubMed Web of Science ®Google Scholar
• Wang Q, Sun W, Wu H. Associations between academic burnout, resilience and life satisfaction among medical students: a three-wave longitudinal study. BMC Med Educ. 2022;22(1):248. doi: 10.1186/s12909-022-03326-6.
   PubMed Web of Science ®Google Scholar
• Charkhabi M, Azizi Abarghuei M, Hayati D. The association of academic burnout with self-efficacy and quality of learning experience among iranian students. Springerplus. 2013;2(1):677. doi: 10.1186/2193-1801-2-677.
   PubMedGoogle Scholar
• Herrmann J, Koeppen K, Kessels U. Do girls take school too seriously? Investigating gender differences in school burnout from a self-worth perspective. Learn Individ Diff. 2019;69:150–161. doi: 10.1016/j.lindif.2018.11.011.
   Web of Science ®Google Scholar
• May RW, Bauer KN, Fincham FD. School burnout: diminished academic and cognitive performance. Learn Individ Diff. 2015;42:126–131. doi: 10.1016/j.lindif.2015.07.015.
   Web of Science ®Google Scholar
• Salmela-Aro K, Kiuru N, Leskinen E, et al. School burnout inventory (SBI). Eur J Psychol Assess. 2009;25(1):48–57. doi: 10.1027/1015-5759.25.1.48.
   Web of Science ®Google Scholar
• Prentice S, Dorstyn D, Benson J, et al. Burnout levels and patterns in postgraduate medical trainees: a systematic review and meta-analysis. Acad Med. 2020;95(9):1444–1454. doi: 10.1097/ACM.0000000000003379.
   PubMed Web of Science ®Google Scholar
• Grobelna A, Tokarz-Kocik A. Potential consequences of working and studying tourism and hospitality: the case of students’ burnout. In 36th International Scientific Conference on Economic and Social Development (ESD) - Building Resilient Society: Dec 14-15 2018 ; Zagreb, CROATIA; 2018: 674–685.
   Google Scholar
• Tong J, Zhang Z, Chen W, et al. How physical fitness influences academic burnout in elementary students: an interpersonal perspective. Curr Psychol. 2021;42(7):5977–5985. doi: 10.1007/s12144-021-01948-5.
   Web of Science ®Google Scholar
• Howie EK, Cannady N, Messias EL, et al. Associations between physical activity, sleep, and self-reported health with burnout of medical students, faculty and staff in an academic health center. Sport Sci Health. 2022;18(4):1311–1319. doi: 10.1007/s11332-022-00902-7.
   PubMedGoogle Scholar
• Dik BJ, Duffy RD, Eldridge BM. Calling and vocation in career counseling: recommendations for promoting meaningful work. Prof Psychol: Res and Pr. 2009;40(6):625–632. doi: 10.1037/a0015547.
   Web of Science ®Google Scholar
• Bott EM, Duffy RD, Borges NJ, et al. Called to medicine: physicians’ experiences of career calling. Career Dev Quart. 2017;65(2):113–130. doi: 10.1002/cdq.12086.
   Web of Science ®Google Scholar
• Duffy RD, Sedlacek WE. The presence of and search for a calling: connections to career development. J Vocat Behav. 2007;70(3):590–601. doi: 10.1016/j.jvb.2007.03.007.
   Web of Science ®Google Scholar
• Shen X, Gu X, Chen H, et al. For the future sustainable career development of college students: exploring the impact of core self-evaluation and career calling on career decision-making difficulty. Sustainability. 2021;13(12):6817. doi: 10.3390/su13126817.
   Web of Science ®Google Scholar
• Dik BJ, Sargent AM, Steger MF. Career development strivings: assessing goals and motivation in career decision-making and planning. J Career Dev. 2008;35(1):23–41. doi: 10.1177/0894845308317934.
   Web of Science ®Google Scholar
• Duffy RD, Allan BA, Dik BJ. The presence of a calling and academic satisfaction: examining potential mediators. J Voc Behav. 2011;79(1):74–80. doi: 10.1016/j.jvb.2010.11.001.
   Web of Science ®Google Scholar
• Zhang S, Wang J, Xie F, et al. A cross-sectional study of job burnout, psychological attachment, and the career calling of chinese doctors. BMC Health Serv Res. 2020;20(1):193. doi: 10.1186/s12913-020-4996-y.
   PubMed Web of Science ®Google Scholar
• Zhang LG, Li L, Sun YL. [A study of the relationships between occupational stress career calling and occupational burnout among primary teachers]. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2020;38(2):107–110.
   PubMedGoogle Scholar
• Lewandowski AS, Palermo TM, Stinson J, et al. Systematic review of family functioning in families of children and adolescents with chronic pain. J Pain. 2010;11(11):1027–1038. doi: 10.1016/j.jpain.2010.04.005.
   PubMed Web of Science ®Google Scholar
• Pereira-Morales AJ, Camargo A. Psychological distress among undergraduate medical students: the influence of excessive daytime sleepiness and family functioning. Psychol Health Med. 2019;24(8):936–950. doi: 10.1080/13548506.2019.1612078.
   PubMed Web of Science ®Google Scholar
• Shao R, He P, Ling B, et al. Prevalence of depression and anxiety and correlations between depression, anxiety, family functioning, social support and coping styles among Chinese medical students. BMC Psychol. 2020;8(1):38. doi: 10.1186/s40359-020-00402-8.
   PubMed Web of Science ®Google Scholar
• Kim S-y, Ahn T, Fouad N. Family influence on Korean students’ career decisions. A social cognitive perspective. J Career Assess. 2016;24(3):513–526. doi: 10.1177/1069072715599403.
   Web of Science ®Google Scholar
• Aypay A. A positive model for reducing and preventing school burnout in high school students. Educ Sci-Theory Pract. 2017;17(4):1345–1359.
   Google Scholar
• Carrard V, Bourquin C, Berney S, et al. The relationship between medical students’ empathy, mental health, and burnout: a cross-sectional study. Med Teach. 2022;44(12):1392–1399. doi: 10.1080/0142159X.2022.2098708.
   PubMed Web of Science ®Google Scholar
• Mikolajczak M, Raes M-E, Avalosse H, et al. Exhausted parents: sociodemographic, child-related, parent-related, parenting and family-functioning correlates of parental burnout. J Child Fam Stud. 2018;27(2):602–614. doi: 10.1007/s10826-017-0892-4.
   Web of Science ®Google Scholar
• Wu K, Wang F, Wang W, et al. Parents’ education anxiety and children’s academic burnout: the role of parental burnout and family function. Front Psychol. 2021;12:764824. doi: 10.3389/fpsyg.2021.764824.
   PubMed Web of Science ®Google Scholar
• Penick NI, Jepsen DA. Family functioning and adolescent career development. Career Dev Quart. 1992;40(3):208–222. doi: 10.1002/j.2161-0045.1992.tb00327.x.
   Web of Science ®Google Scholar
• Mokgele KRF, Rothmann S. A structural model of student well-being. South Afr J Psychol. 2014;44(4):514–527. doi: 10.1177/0081246314541589.
   Web of Science ®Google Scholar
• Barkhuizen N, Rothmann S, van de Vijver FJR. Burnout and work engagement of academics in higher education institutions: effects of dispositional optimism. Stress Health. 2014;30(4):322–332. doi: 10.1002/smi.2520.
   PubMed Web of Science ®Google Scholar
• Jeon H-J, Diamond L, McCartney C, et al. Early childhood special education teachers’ job burnout and psychological stress. Early Educ Dev. 2022;33(8):1364–1382. doi: 10.1080/10409289.2021.1965395.
   PubMed Web of Science ®Google Scholar
• Otto MCB, Van Ruysseveldt J, Hoefsmit N, et al. Examining the mediating role of resources in the temporal relationship between proactive burnout prevention and burnout. BMC Public Health. 2021;21(1):599. doi: 10.1186/s12889-021-10670-7.
   PubMed Web of Science ®Google Scholar
• Liao Z, Weng C, Long S, et al. Do social ties foster firms’ environmental innovation? The moderating effect of resource bricolage. Technol Anal Strateg Manag. 2021;33(5):476–490. doi: 10.1080/09537325.2020.1821876.
   Web of Science ®Google Scholar
• Sharma D, Ghosh K, Mishra M, et al. You stay home, but we can’t: invisible ‘dirty’ work as calling amid COVID-19 pandemic. J Vocat Behav. 2022;132:103667. doi: 10.1016/j.jvb.2021.103667.
   PubMed Web of Science ®Google Scholar
• Zhou X, Liao X, Spiegelman D. ‘Cross-sectional’ stepped wedge designs always reduce the required sample size when there is no time effect. J Clin Epidemiol. 2017;83:108–109. doi: 10.1016/j.jclinepi.2016.12.011.
   PubMed Web of Science ®Google Scholar
• Taris TW, Schreurs PJG, Schaufeli WB. Construct validity of the maslach burnout inventory-general survey: a two-sample examination of its factor structure and correlates. Work Stress. 1999;13(3):223–237. doi: 10.1080/026783799296039.
   Web of Science ®Google Scholar
• Fiabane E, Gabanelli P, La Rovere MT, et al. Psychological and work-related factors associated with emotional exhaustion among healthcare professionals during the COVID-19 outbreak in Italian hospitals. Nurs Health Sci. 2021;23(3):670–675. doi: 10.1111/nhs.12871.
   PubMed Web of Science ®Google Scholar
• Shokrpour N, Bazrafcan L, Ardani AR, et al. The factors affecting academic burnout in medical students of mashahd university of medical sciences in 2013-2015. J Educ Health Promot. 2020;9:232. doi: 10.4103/jehp.jehp_83_20.
   PubMedGoogle Scholar
• Li D. An analysis of burnout among grassroots female cadres based on maslach burnout theory: a case study of qingzhou city, Shandong province. J Shandong Univ 2014;28(03):91–93.
   Google Scholar
• Dik BJ, Eldridge BM, Steger MF, et al. Development and validation of the calling and vocation questionnaire (CVQ) and brief calling scale (BCS). JCareer Assess. 2012;20(3):242–263. doi: 10.1177/1069072711434410.
   Web of Science ®Google Scholar
• Qi Y, Liu T, Chen YW. Relationships among personality, calling, career engagement, and self-defeating job search behavior in Chinese undergraduate students: the mediating effects of career adaptability In 2017 IEEE International Conference on Industrial Engineering and Engineering Management (IEEM): 10-13 Dec. 2017 2017; 2017: p. 2215–2220.
   Google Scholar
• Zifei LL, Xu Dongbin L, Baojuan Y, et al. Effect of social support on turnover intention in special-post teachers: chain mediating model. Chin J Clin Psychol. 2021;29(5):1010–1013.
   Google Scholar
• Smilkstein G. The family APGAR: a proposal for a family function test and its use by physicians. J Fam Pract. 1978;6(6):1231–1239.
   PubMed Web of Science ®Google Scholar
• Zhang Z. Manual of behavioral medicine scales. Beijing: Chinese Medical Multimedia Press; 2005.
   Google Scholar
• Wang L, Wang P, Song M, et al. Survey of family function in rehabilitative breast cancer patients. Chinese J Rehabil Theory Pract. 2015;21(06):723–726.
   Google Scholar
• Yanru CW, Zhang Tian X, Conghui Y, et al. A study on the correlation between emotional social loneliness and family function in rural disabled elderly. Modern Prev Med. 2021;48(18):3332–3336.
   Google Scholar
• Xuewen H. Compilation and measurement of college students’ consumer value questionnaire. postgraduate. Guangxi University; 2013.
   Google Scholar
• Cohen P, Cohen P, West SG, et al. Applied multiple regression/correlation analysis for the behavioral sciences. (2nd ed.). Psychology press. 1983:545. https://doi.org/10.4324/9781410606266.
   Google Scholar
• Wang M, Guan H, Li Y, et al. Academic burnout and professional self-concept of nursing students: a cross-sectional study. Nurse Educ Today. 2019;77:27–31. doi: 10.1016/j.nedt.2019.03.004.
   PubMed Web of Science ®Google Scholar
• Shrestha DB, Katuwal N, Tamang A, et al. Burnout among medical students of a medical college in Kathmandu; a cross-sectional study. PLOS One. 2021;16(6):e0253808. doi: 10.1371/journal.pone.0253808.
   PubMed Web of Science ®Google Scholar
• El Mouedden I, Hellemans C, Anthierens S, et al. Experiences of academic and professional burn-out in medical students and residents during first COVID-19 lockdown in Belgium: a mixed-method survey. BMC Med Educ. 2022;22(1):631. doi: 10.1186/s12909-022-03694-z.
   PubMed Web of Science ®Google Scholar
• Mosleh SM, Shudifat RM, Dalky HF, et al. Mental health, learning behaviour and perceived fatigue among university students during the COVID-19 outbreak: a cross-sectional multicentric study in the UAE. BMC Psychol. 2022;10(1):47. doi: 10.1186/s40359-022-00758-z.
   PubMedGoogle Scholar
• Salmela-Aro K, Kiuru N, Pietikäinen M, et al. Does school matter? Eur Psychol. 2008;13(1):12–23. doi: 10.1027/1016-9040.13.1.12.
   Web of Science ®Google Scholar
• Alvarez JAG, Cruz DC. Academic burnout and engagement in fifth-year stomatology students. Edumecentro. 2018;10(4):37–53.
   Google Scholar
• Kong L-N, Yang L, Pan Y-N, et al. Proactive personality, professional self-efficacy and academic burnout in undergraduate nursing students in China. J Prof Nurs. 2021;37(4):690–695. doi: 10.1016/j.profnurs.2021.04.003.
   PubMed Web of Science ®Google Scholar
• Paloș R, Maricuţoiu LP, Costea I. Relations between academic performance, student engagement and student burnout: a cross-lagged analysis of a two-wave study. Stud Educ Eval. 2019;60:199–204. doi: 10.1016/j.stueduc.2019.01.005.
   Web of Science ®Google Scholar
• Schaufeli WB, Martínez IM, Pinto AM, et al. Burnout and engagement in university students: a cross-national study. J Cross-CultPsychol. 2002;33(5):464–481. doi: 10.1177/0022022102033005003.
   Web of Science ®Google Scholar
• Sfahhmhms M. Motivation, self-efficacy, stress, and academic performance correlation with academic burnout among nursing students. J Nurs Midwifery Sci. 2020;7(2):88–93.
   Google Scholar
• Ye Y, Huang X, Liu Y. Social support and academic burnout among university students: a moderated mediation model. Psychol Res Behav Manag. 2021;14:335–344. doi: 10.2147/PRBM.S300797.
   PubMed Web of Science ®Google Scholar
• Arbabisarjou A, Hashemi SM, Sharif MR, et al. The relationship between sleep quality and social intimacy, and academic burn-out in students of medical sciences. Glob J Health Sci. 2015;8(5):231–238. doi: 10.5539/gjhs.v8n5p231.
   PubMedGoogle Scholar
• Jager AJ, Tutty MA, Kao AC. Association between physician burnout and identification with medicine as a calling. Mayo Clin Proc. 2017;92(3):415–422. doi: 10.1016/j.mayocp.2016.11.012.
   PubMed Web of Science ®Google Scholar
• Jung I, Kim J, Ma Y, et al. Mediating effect of academic self-efficacy on the relationship between academic stress and academic burnout in chinese adolescents. Int J Hum Ecol. 2015;16(2):63–77. December 30. doi: 10.6115/ijhe.2015.16.2.63.
   Google Scholar
• Nikdel F, Hadi J, Ali T. Students’ academic stress, stress response and academic burnout: mediating role of self-efficacy. Pertanika J Soc Sci Humanit. 2019. https://api.semanticscholar.org/CorpusID:210176398.
   Google Scholar
• Duffy RD, Dik BJ. Research on calling: what have we learned and where are we going? JVocat Behav. 2013;83(3):428–436. doi: 10.1016/j.jvb.2013.06.006.
   Web of Science ®Google Scholar
• Lian L, Guo S, Wang Q, et al. Calling, character strengths, career identity, and job burnout in young Chinese university teachers: a chain-mediating model. Child Youth Serv Rev. 2021;120:105776. doi: 10.1016/j.childyouth.2020.105776.
   Web of Science ®Google Scholar
• Jianwei Cheng RY, Guo K, Yan J, et al. The promotion of family function to the hope of higher vocational college students: the mediating role between the existence of life meaning and search for meaning. Chinese J Clin Psychol. 2019;27:577–581.
   Google Scholar
• Li R, Tang R, Li Z, et al. The influence of family function on occupational attitude of chinese nursing students in the probation period: the moderation effect of social support. J Korean Acad Nurs. 2021;51(6):746–757. doi: 10.4040/jkan.21103.
   PubMed Web of Science ®Google Scholar
• McKillip MEM, Godfrey KE, Rawls A. Rules of engagement: building a college-Going culture in an urban school. Urban Educ. 2013;48(4):529–556. doi: 10.1177/0042085912457163.
   Web of Science ®Google Scholar
• Lavy S, Naama-Ghanayim E. Why care about caring? Linking teachers’ caring and sense of meaning at work with students’ self-esteem, well-being, and school engagement. Teach Teach Educ. 2020;91:103046. doi: 10.1016/j.tate.2020.103046.
   Web of Science ®Google Scholar
• Poulou MS. Students’ adjustment at school: the role of teachers’ need satisfaction, teacher–student relationships and student well-being. Sch Psychol Int. 2020;41(6):499–521. doi: 10.1177/0143034320951911.
   Web of Science ®Google Scholar
• Borova T, Chekhratova O, Marchuk A, et al. Fostering students’ responsibility and learner autonomy by using google educational tools. RREM. 2021;13(3):73–94. doi: 10.18662/rrem/13.3/441.
   Google Scholar
• Song W, Wang Z, Zhang R. Classroom digital teaching and college students’ academic burnout in the post COVID-19 era: a cross-sectional study. Int J Environ Res Public Health. 2022;19(20):13403. doi: 10.3390/ijerph192013403.
   PubMed Web of Science ®Google Scholar