Influence of Emotional Intelligence and Authenticity on Undergraduate Medical Student Wellbeing

Authors

  • Paulina Mazurek

DOI:

https://doi.org/10.54155/jdx5jy74

Keywords:

medical education, medical student, medical students, emotional intelligence, authenticity, life satisfaction

Abstract

Undergraduate medical students are at risk of experiencing burnout throughout their training. The literature has demonstrated that strengthening emotional intelligence and understanding the authentic self has implications for well-being. This non-experimental, cross-sectional study tested the relationship between emotional intelligence, authenticity, and subjective well-being   of undergraduate medical students at an academic health center in the South. A convenience sample of participants varied in gender, race, age, and year of training. Using a correlational research design, findings from the aggregated data supported a significant relationship between emotional intelligence and authenticity for well-being, while controlling for demographic variables. Additionally, the interaction effect of emotional intelligence and authenticity also had significant, and marginally higher, well-being results. Findings from this study offer implications for practice and recommended interventions.

References

Abdali, N., Nobahar, M., & Ghorbani, R. (2019). Evaluation of emotional intelligence, sleep quality, and fatigue among Iranian medical, nursing, and paramedical students: A cross-sectional study, Qatar Medical Journal, 3(15), 1–11. doi:10.5339/qmj.2019.15

Abdulghani, H. M., Al-Drees, A. A., Khalil, M. S., Ahmad, F., Pnnamperuma, G. G., & Amin, Z. (2014). What factors determine academic achievement in high achieving undergraduate medical students? A qualitative study. Medical Teacher, 36(Sup1), S43–S48. doi:10 .3109/0142159X.014.886011

Bacchi, S., & Licinio, J (2017). Resilience and psychological distress in psychology and medical students. Academic Psychiatry, 41(2), 185–188. doi:10.1007/s40596-016-0488-0

Baker, Z. G., Tou, R. Y. W., Bryan, J. L., & Knee, C. R. (2017). Authenticity and well-being: Exploring positivity and negativity in interactions as a mediator. Personality and Individual Differences, 113, 235–239. doi:10.1016/j.paid.2017.03.018

Bano, Z., & Pervaiz, S. (2020). The relationship between resilience, emotional Intelligence and their influence on psychological well-being: A study with medical students. Pakistan Armed Forces Medical Journal, 70(2), 390–394. Retrieved from https://www.pafmj.org/index .php/PAFMJ

Bar-On, R. (1997). The Emotional Quotient Inventory (EQ-i): A Test of Emotional Intelligence. Toronto, Canada: Multi-Health Systems, Inc.

Barrett-Lennard, G. T. (1998). Carl Rogers’ helping system: Journey and substance. London, United Kingdom: Sag. doi:10.4135 /9781446217894

Bayır-Toper, A., Sellman, E., & Joseph, S. (2020). Being yourself for the ‘greater good’: An empirical investigation of the moderation effect of authenticity between self-compassion and compassion for others. Current Psychology. doi:10.1007/s12144-020-00989-6

Bergmann, C., Muth, T., & Loerbroks, A. (2019) Medical students’ perceptions of stress due to academic studies and its interrelationships with other domains of life: A qualitative study, Medical Education Online, 24(1), 1603526–1603536. doi:10.1080/10872981.2019.1603526

Bertram, K., Randazzo, J., Alabi, N., Levenson, J., Doucette, J. T., & Barbosa, P. (2016). Strong correlations between empathy, emotional Intelligence, and personality traits among podiatric medical students: A cross-sectional study. Education for Health: Change in Learning & Practice, 29(3), 186–194. doi:10.4103/1357-6283.204224

Bin Dahmash, A., Alhadlaq, A. S., Alhujayri, A. K., Alkholaiwi, F., & Alosaimi, N. A. (2019). Emotional Intelligence and burnout in plastic surgery residents: Is there a relationship? Plastic and reconstructive surgery. Global open, 7(5), e2057. doi:10.1097/GOX .0000000000002057

Bianchi, R., Schonfeld, I. S., & Laurent, E. (2015). Burnout–depression overlap: A review. Clinical Psychology Review, 36, 28–41. doi:10.1016 /j.cpr.2015.01.004

Boden, A. L., Staley, C. A., Boissonneault, A. R., Bradbury, T. L., Boden, S.D., & Schenker, M. L. (2018). Emotional Intelligence in medical students is inversely correlated with USMLE step 1 score: Is there a better way to screen applicants? Journal of Medical Education, 16(4). doi:10.22037/jme.v16i4.19528

Boni R. A., Paiva, C. E., De Oliveira, M.A., Lucchetti, G., Fregnani, J. H., Paiva, B. (2018). Burnout among medical students during the first years of undergraduate school: Prevalence and associated factors. PloS One, 13(3), e0191746. doi:10.1371 /journal.pone.0191746

Boyraz, G., & Kuhl, M. L. (2015). Self-focused attention, authenticity, and well-being. Personality and Individual Differences, 87, 70–75. doi:10.1016/j.paid.2015.07.029

Bryan, J. L., Baker, Z. G., & Tou, R. Y. (2017). Prevent the blue, be true to you: Authenticity buffers the negative impact of loneliness on alcohol-related problems, physical symptoms, and depressive and anxiety symptoms. Journal of Health Psychology, 22(5), 605–616. doi:10.1177/1359105315609090

Carr, S., & Carmody, D. (2006). Experiential learning in women’s health: Medical student reflections. Medical Education, 40(8), 768–774. doi:10.111/j.1365-2929.2006.02536.x

Chin, R. A., Yuan, C. Y., Ning, C. M., Mahadi, N. F., Yusoff, M. B., Seong, W. M., & Yeh, L. Y. (2016). Prevalence of burnout among Universiti Sains Malaysia medical students. Education in Medicine Journal, 8(3), 61–74. doi:10.5959/eimj.v8i3.454

Dada, O. A., & Fagbemi, O. O. (2018). Influence of emotional Intelligence and locus of control on academic achievement of underachieving high ability students. Journal for the Education of Gifted Young Scientists, 6(2), 14–22. doi:10.17478/JEGYS.2018.74

Daya, Z., & Hearn, J. H. (2018). Mindfulness interventions in medical education: A systematic review of their impact on medical student stress, depression, fatigue and burnout. Medical Teacher, 40(2), 146–153. doi:10.1080/0142159X.2017.1394999

Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The Satisfaction with Life Scale. Journal of Personality Assessment, 49(1), 71–75. doi:10.1207/s15327752jpa4901_13

Dolev, N., Goldental, N., Reuven-Lelong, A., & Tadmor, T. (2019). The evaluation of emotional Intelligence among medical students and its links with non-cognitive acceptance measures to medical school. Rambam Maimonides Medical Journal, 10(2), 1–12. doi:10.5041 /RMMJ.10365

Drummond, D. (2015). Physician burnout: Its origin, symptoms, and five main causes. Family Practice Management, 22(5), 42–47. Retrieved from https://www.aafp.org/journals /fpm.html

Dyrbye, L. N., Power, D. V., Massie, F. S., Eacker, A., Harper, W., Thomas, M. R.,…Shanafelt, T. D. (2010). Factors associated with resilience to and recovery from burnout: A prospective, multi-institutional study of U.S. medical students. Medical Education, 44(10), 1016–1026. doi:10.1111/j.1365-2923.2010.03754.x

Dyrbye, L., & Shanafelt, T. (2016). A narrative review on burnout experienced by medical students and residents. Medical Education, 50(1), 132–149. doi:10.1111/medu.12927

Dyrbye, L. N., West, C. P., Satele, D., Boone, S., Tan, L., Sloan, J., & Shanafelt, T. D. (2014). Burnout among U.S. medical students, residents, and early career physicians relative to the general U.S. population. Academic Medicine, 89(3), 443–451. doi:10.1097/acm .0000000000000134

Emmerich, A. I., & Rigotti, T. (2017). Reciprocal relations between work-related authenticity and intrinsic motivation, work ability and depressivity: A two-wave study. Frontiers in Psychology, 8(Article 307). doi:10.3389/fpsyg.2017.00307

Fawzy, M., & Hamed, S. A. (2017). Prevalence of psychological stress, depression, and anxiety among medical students in Egypt. Psychiatry Research, 255, 186–194. doi:10.1016 /j.psychres.2017.05.027

Fredholm, A., Savin-Baden, M., Henningsohn, L., & Silén, C. (2015). Autonomy as both challenge and development in clinical education. Learning, Culture and Social Interaction, 5, 20–27. doi:10.1016/j.lcsi.2014.08.003

Freudenberger, H. J. (1975). The staff burnout syndrome in alternative institutions. Psychotherapy: Theory, Research & Practice, 12(1), 73–82. doi:10.1037/h0086411

Ghahramani, S., Jahromi, A. T., Khoshsoroor, D., Seifooripour, R., & Sepehrpoor, M. (2019). The relationship between emotional Intelligence and happiness in medical students. Korean Journal of Medical Education, 31(1), 29–38. doi:10.3946/kjme.2019.116

Goleman, D. (1995). Emotional Intelligence: Why it can matter more than I.Q. New York: Bantam Books.

Gupta, R., Singh, N., & Kumar, R. (2017). Longitudinal predictive validity of emotional intelligence on first year medical students perceived stress. BMC Medical Education, 17(1), 139–144. doi:10.1186/s12909-017-0979-z

Han, S., Shanafelt, T. D., Sinsky, C. A., Awad, K. M., Dyrbye, L. N., Fiscus, L. C.,… Goh, J. (2019). Estimating the attributable cost of physician burnout in the United States. Annals of Internal Medicine, 170(11), 784–790. doi:10.7326/M18-1422

Heinen, I., Bullinger, M., & Kocalevent, R. (2017). Perceived stress in first year medical students - associations with personal resources and emotional distress. BMC Medical Education, 17(4), 1–14. doi:10.1186/s12909-016-0841-8

Johar, N., Ehsan, N., & Khan, M. A. (2019). Association of emotional Intelligence with academic performance of medical students. Pakistan Armed Forces Medical Journal, 69(3), 455–459. Retrieved from https://www.pafmj.org/index.php/PAFMJ

Johnson, J., Bass, J., Ramsey, L., Panagioti, M., & Harrisons, R. (2017). Resilience to emotional distress in response to failure, error or mistakes: A systematic review. Clinical Psychology Review, 52, 19–42. doi:10.1016/j.cpr.2016.11.007

Kadadi, S., & Bharamanaikar, S. R. (2020). Role of emotional intelligence on in healthcare industry. Drishtikon: A Management Journal, 11(1), 1–37. Retrieved from http://www.publishingindia.com/drishtikon/

Kernis, M. H., & Goldman, B. M. (2006). A multicomponent conceptualization of authenticity: Theory and research. Advances in Experimental Social Psychology, 38, 283–357. doi:10.1016/s0065-2601(06)38006-9

Kim, J., Christy, A. G., Schlegel, R. J., Donnellan, M. B., & Hicks, J. A (2017). Existential ennui: Examining the reciprocal relationship between self-alienation and academic amotivation. Social Psychological and Personality Science, 9(7), 856–862. doi:10.1177/1948550617727587

Kirch, D. G. (February 27, 2018). When physicians become patients. AAMC News. Retrieved from https://news.aamc.org/patient-care /article/when-physicians-become-patients/

Knoll, M., Meyer, B., Kroemer, N. B., & Schröder-Abé, M. (2015). It takes two to be yourself: An integrated model of authenticity, its measurement, and its relationship to work-related variables. Journal of Individual Differences, 36(1), 38–53. doi:10.1027/1614-0001 /a000153

Kumar, S. (2020). The role of a physician in the present society [Editorial]. Narayana Medical Journal, 9(1). doi:10.5455/nmj/00000175

Kurovska, V., & Ohdanskyi, I. (2019). Investigation of medical students’ emotional Intelligence. Psychological Journal, 5(7), 9–21. doi:10 .31108/1.2019.5.7

Kuyumcu, B., & Kabasakaloglu, A. (2018). The predictive power of authenticity on emotional well-being (positive-negative affect): Authenticity and positive-negative affect among Turkish and English University students. Journal of Higher Education and Science, 8(1), 184–193. doi:10.5961/jhes.2018.260

Laughey, W., Sangvik Grandal, N., Stockbridge, C., & Finn, G. M. (2019). Twelve tips for teaching empathy using simulated patients. Medical Teacher, 41(8), 883–887. doi:10.1080/0142159X.2018.1481283

Malik, D., Chaudhary, S., & Kumari, N. (2017). Emotional intelligence and its association with stress level: A study among medical students. International Journal for Innovative Research in Multidisciplinary Field, 3(4), 176–180. Retrieved from https://www.ijirmf.com/

Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Occupational Behavior, 2(2), 99–113. doi:10 .1002/job.4030020205

Mazurkiewicz, R., Korenstein, D., Fallar, R., & Ripp, J. (2012). The prevalence and correlations of medical student burnout in the pre-clinical years: A cross-sectional study. Psychology, Health and Medicine, 17(2), 188–195. doi:10.1080/13548506.2011.597770

McKerrow, I., Carney, P. A., Caretta-Weyer, H., Furnari, M., & Juve, A. M. (2020). Trends in medical students’ stress, physical, and emotional health throughout training. Medical Education Online, 25(1), 1709278–1709286. doi:10.1080/10872981.2019.1709278

Medscape. (2022). Physician burnout and depression report 2022. Retrieved from https://www.medscape.com/sites/public/lifestyle/2022

Naurzalina, D., Tolegenova, A., Karabalina, A., Almurzayeva, B., Bakiyeva, S., & Sadykova, N. (2015). Impact of emotional Intelligence on formation of meaning-existential strategy among students. Procedia–Social and Behavioral Sciences, 171, 390–395. doi:10.1016/j .sbspro.2015.01.137

Nowacki, A. S., Barss, C., Spencer, S. M., Christensen, T., Fralicx, R., & Stoller, J. K. (2016) Emotional Intelligence and physician leadership potential: A longitudinal study supporting a link. The Journal of Health Administration Education, 23–41. Retrieved from https://www.aupha.org/publications /journalofhealthadministrationeducation

Patel, R. S., Bachu, R., Adikey, A., Malik, M., & Shah, M. (2018). Factors related to physician burnout and its consequences: A review. Behavioral Sciences, 8(11), 98–105. doi:10.3390/bs8110098

Peng, L., Zhang, J., Li, M., Li, P., Zhang, Y., Zuo, X….Xu, Y. (2012). Negative life events and mental health of Chinese medical students: The effect of resilience, personality, and social support. Psychiatry Research, 196(1), 138–141. doi:10.1016/j.psychres.2011.12.006

Radchuk, H., Adamska Z., & Oliynyk M. (2019). Features of authenticity development in future psychologists. Revista Romaneasca pentru Educatie Multidimensionala, 11(3), 213–223. doi:10.18662/rrem/146

Ranasinghe, P., Wathurapatha, W. S., Mathangasinghe, Y., & Ponnamperuma, G. (2017). Emotional Intelligence, perceived stress and academic performance of Sri Lankan medical undergraduates. BMC Medical Education, 17(1), 1–7. doi:10.1186/s12909-017-0884-5

Rivera, G. N., Christy, A. G., Kim, J., Vess, M., Hicks, J. A., & Schlegel, R. J. (2019). Understanding the relationship between perceived authenticity and well-being. Review of General Psychology, 23(1), 113–126. doi:10.1037/gpr0000161

Roper, L., Foster, K., Garlan, K., & Jorm, C. (2015). The challenge of authenticity for medical students. The Clinical Teacher, 13(2), 130–133. doi:10.1111/tct.12440

Sa, B., Ojeh, N., Majumder, M. A. A., Nunes, P., Williams, S., Rao, S. R., & Youssef, F. F. (2019). The Relationship between self-esteem, emotional Intelligence, and empathy among students from six health professional programs. Teaching & Learning in Medicine, 31(5), 536–543. doi:10.1080/10401334.2019.1607741

Sandars, J. (2009). The use of reflection in medical education: AMEE Guide No. 44. Medical Teacher, 31(8), 685–695. doi:10.1080 /01421590903050374.

Shahid, R., Stirling, J., & Adams, W. (2018). Promoting wellness and stress management in residents through emotional intelligence training. Advances in Medical Education Practice, ume 9, 681–686. doi:10.2147/amep.s175299

Shapiro, S. S., & Wilk, M. B. (1965). An analysis of variance test for normality (complete samples). Biometrika, 52(3-4), 591–611. doi:10 .2307/2333709

Sharma, B., Kumar, A., & Sarin, J. (2016). Academic stress, anxiety, remedial measures adopted and its satisfaction among medical students: A systematic review. International Journal of Health Sciences and Research, 6(7), 368–376. Retrieved from https://www.ijhsr.org/

Shi, M., & Du, T. (2020). Associations of emotional Intelligence and gratitude with empathy in medical students. BMC Medical Education, 20(1), 1–8. doi:10.1186/s12909-020-02041-4

Schutte, N. S., Malouff, J. M., Hall, L. E., Haggerty, D. J., Cooper, J. T., Golden, C. J., & Dornheim, L. (1998). Development and validation of a measure of emotional Intelligence. Personality and Individual Differences, 25(2), 167–177. doi:10.1016/s0191-8869(98)00001-4

Sutton, A. (2020). Living the good life: A meta-analysis of authenticity, well-being and engagement. Personality and Individual Differences, 153, 109645–109659. doi:10.1016/j.paid.2019.109645

Turnipseed, D. L. (2016). Emotional Intelligence and OCB: The moderating role of locus of control. Journal of Social Psychology, 158(3), 322–336. doi:10.1080/00224545.2017

Uchino, R., Yanagawa, F., Weigand, B., Orlando, J. P., Tachovsky, T. J., Dave, K. A., Stawicki, S. P. (2015). Focus on emotional intelligence in medical education: From problem awareness to system-based solutions. Leadership in Academic Medicine, 1(1), 9–20. doi:10.4103/2455-5568.172703

Van den Bosch, R., & Taris, T. W. (2018) Authenticity at work: Its relations with worker motivation and well-being. Frontiers in Communication, 3(Article 21), 1–11. doi:10.3389/fcomm.2018.00021

Wenzel, A. & Lucas-Thompson, R. (2012). Authenticity in college-aged males and females, how close others are perceived, and mental health outcomes. Sex Roles, 67(5-6), 334–350. doi:10.1007/s11199-012-0182-y

West, C. P. Dyrbye, L. N., & Shanafelt, T. D. (2018). Physician burnout: Contributors, consequences, and solutions. Journal of Internal Medicine, 283(6), 516–530. doi:10.1111/joim.12752

Wolf, M. R., & Rosenstock, J. B. (2017). Inadequate sleep and exercise associated with burnout and depression among medical students. Academic Psychiatry, 41(2), 174–179. doi:10.1007/s40596-016-0526-y

Wood, A. M., Linley, P. A., Maltby, J., Baliousis, M., & Joseph, S. (2008). The authentic personality: A theoretical and empirical conceptualization and the development of the Authenticity Scale. Journal of Counseling Psychology, 55(3), 385–399. doi:10.1037/0022-0167.55.3.385

Worly, B., Verbeck, N., Walker, C., & Clinchot, D. M. (2019). Burnout, perceived stress, and empathic concern: Differences in female and male millennial medical students. Psychology, Health & Medicine, 24(4), 429–438. doi:10.1080/13548506.2018.1529329

Zhoc, K. C. H., Chung, T. S. H., & King, R. B. (2018). Emotional Intelligence and self‐directed learning: Examining their relation and contribution to better student learning outcomes in higher education. British Educational Research Journal, 44(6), 982–1004. doi:10.1002 /berj.3472

Published

04/25/2024

Issue

Section

Research Articles