Association between medical students’ psychological distress and intention to practice
Bibliographic Data
| ID | 22424033 |
|---|---|
| Authors | Chunqing Li (0000-0002-6265-6596), Hongbin Wu (0000-0002-4425-9845, Peking University, corresponding author) |
| Year | 2026 |
| Volume | 26 |
| Issue | 1 |
| Publication date | 2026-04-21 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | BMC Medical Education (JOURNAL) |
| Journal identifiers | ISSN: 1472-6920 • E-ISSN: 1472-6920 |
| Publisher | Springer Science and Business Media LLC (PUBLISHER) |
| DOI | 10.1186/s12909-026-09257-w |
| PMID | 42015127 |
| OpenAlex | W7155071373 |
| Language | EN |
| References cited | 47 |
BACKGROUND: Understanding the prevalence of psychological distress among medical students and its association with intention to practice is crucial for enhancing medical student well-being and mitigating healthcare workforce shortages. This study assessed psychological distress among medical students during medical school in China and its association with their intention to practice, based on a large-scale and multicenter national survey. METHODS: This multicenter, cross-sectional study evaluated 199,257 medical students from 123 schools across 30 provinces in China in 2021. Psychological distress was assessed using the Chinese version of the 12-item General Health Questionnaire. The primary outcome was: “I want to become a doctor after graduation.” Secondary outcomes included six items identifying students’ self-reported attitudes toward a range of statements related to their perceptions of the medical profession, like “Being a doctor is my ideal career choice.” Multivariate linear regression analyzed the relationship between psychological distress and the intention to practice. RESULTS: Among the 199,257 participants, 30,813 (15.5%) medical students reported experiencing psychological distress. Compared with students without psychological distress, those reporting psychological distress had lower intention-to-practice (β, -0.20; 95% CI: -0.21 to -0.19; p<.001). Psychological distress was negatively associated with secondary outcomes; these associations were more pronounced among female students and students in the clinical education phase of undergraduate medical education. CONCLUSIONS: Psychological distress is negatively associated with intention to practice. Medical schools should implement appropriate measures to alleviate psychological distress among medical students, thereby enhancing their intention to practice.
Distress · Medical practice · Medical psychology · MEDLINE · Psychological distress · Empathy and Medical Education · Healthcare professionals’ stress and burnout · Innovations in Medical Education
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| Highly cited | No |
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