Psychology

Motivated Medical Students Build Resilience and Boost Their Well-Being

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This study of 2,422 Chinese medical students examined how achievement motivation relates to subjective well-being, finding that success-oriented motivation had a small positive association while failure-avoidance motivation had a small negative association with well-being. The research identified that most of these associations were mediated through general self-efficacy and psychological resilience, with resilience showing the strongest direct relationship to well-being. Three indirect pathways were supported: through self-efficacy alone, resilience alone, and through both factors sequentially.


The findings suggest that medical education programs could enhance student well-being by focusing on cultivating success-oriented rather than failure-avoidant motivation, while also building self-efficacy and psychological resilience. This has practical implications for designing support interventions in medical training environments where students face prolonged stress and demanding assessments.


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IntroductionMedical students face prolonged training, rigorous assessment, and professional demands that may affect their subjective well-being. This study aimed to examine the associations between the two dimensions of achievement motivation and subjective well-being among medical students and to investigate the mediating roles of general self-efficacy and psychological resilience.MethodsA cross-sectional questionnaire survey was conducted among 2,422 medical students in Jining, Shandong Province, China. Structural equation modeling was used to estimate direct and specific indirect associations.ResultsSuccess motivation had a weak positive direct association with subjective well-being (β = 0.060), whereas failure-avoidance motivation had a weak negative direct association (β = −0.063). Three specific indirect pathways were supported: through self-efficacy alone, resilience alone, and self-efficacy followed by resilience. The total indirect associations were 0.293 and -0.056, accounting for 83.08% and 47.25% of the respective model-based total associations. Among the variables included in the model, resilience had the largest direct association with subjective well-being (β = 0.494).DiscussionAchievement motivation was associated with medical students’ subjective well-being through efficacy beliefs and psychological resilience. These findings highlight the importance of fostering success-oriented motivation, strengthening general self-efficacy, and cultivating psychological resilience in medical education.

Source: Associations between achievement motivation and subjective well-being among medical students: the chain mediating roles of general self-efficacy and psychological resilience