Psychological flexibility as a mediator in the relationship between resilience and academic burnout among Doctor of Physical Therapy students: A structural equation modeling study

Abstract Background and Aims Although resilience has been identified as an important factor for mitigating burnout among health profession students, little is known regarding the modifiable factors that should be emphasized to improve resilience in this population. The purpose of this study was to e...

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Main Authors: Jason Cherry, Gurpreet Singh, Michael Buck
Format: Article
Language:English
Published: Wiley 2024-11-01
Series:Health Science Reports
Subjects:
Online Access:https://doi.org/10.1002/hsr2.2291
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author Jason Cherry
Gurpreet Singh
Michael Buck
author_facet Jason Cherry
Gurpreet Singh
Michael Buck
author_sort Jason Cherry
collection DOAJ
description Abstract Background and Aims Although resilience has been identified as an important factor for mitigating burnout among health profession students, little is known regarding the modifiable factors that should be emphasized to improve resilience in this population. The purpose of this study was to evaluate psychological flexibility as a modifiable mediator of the relationship between resilience and academic burnout among healthcare students. Methods This cross‐sectional study was conducted with 369 Doctor of Physical Therapy (DPT) students from universities across the United States. A two‐stage structural equation modeling approach, including confirmatory factor analysis and structural path analysis, was used to investigate psychological flexibility as a mediator of the relationship between resilience and academic burnout. Results The measurement and structural path models demonstrated a good fit to the data. Resilience had a statistically significant indirect association with less academic burnout through psychological flexibility as the mediator (β = −0.32, 95% confidence interval = [−0.43, −0.08], p < 0.001). The direct relationship between resilience and academic burnout was not statistically significant (β = −0.19, p = 0.10). Conclusion These results indicate that the positive effects of resilience on academic burnout occur through modifiable psychological flexibility processes only. These results suggest that psychological flexibility is a modifiable mechanism through which resilience impacts academic burnout. Developing interventions focusing on psychological flexibility may help students build resilience and limit academic burnout, positively impacting the students, their future institutions, and their future patients.
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spelling doaj-art-b68fe953649a41c29e1b0edd97b5fbe22025-08-20T02:05:31ZengWileyHealth Science Reports2398-88352024-11-01711n/an/a10.1002/hsr2.2291Psychological flexibility as a mediator in the relationship between resilience and academic burnout among Doctor of Physical Therapy students: A structural equation modeling studyJason Cherry0Gurpreet Singh1Michael Buck2Department of Physical Therapy, Decker College of Nursing and Health Sciences Binghamton University Johnson City New York USADepartment of Physical Therapy, Decker College of Nursing and Health Sciences Binghamton University Johnson City New York USADepartment of Physical Therapy, Decker College of Nursing and Health Sciences Binghamton University Johnson City New York USAAbstract Background and Aims Although resilience has been identified as an important factor for mitigating burnout among health profession students, little is known regarding the modifiable factors that should be emphasized to improve resilience in this population. The purpose of this study was to evaluate psychological flexibility as a modifiable mediator of the relationship between resilience and academic burnout among healthcare students. Methods This cross‐sectional study was conducted with 369 Doctor of Physical Therapy (DPT) students from universities across the United States. A two‐stage structural equation modeling approach, including confirmatory factor analysis and structural path analysis, was used to investigate psychological flexibility as a mediator of the relationship between resilience and academic burnout. Results The measurement and structural path models demonstrated a good fit to the data. Resilience had a statistically significant indirect association with less academic burnout through psychological flexibility as the mediator (β = −0.32, 95% confidence interval = [−0.43, −0.08], p < 0.001). The direct relationship between resilience and academic burnout was not statistically significant (β = −0.19, p = 0.10). Conclusion These results indicate that the positive effects of resilience on academic burnout occur through modifiable psychological flexibility processes only. These results suggest that psychological flexibility is a modifiable mechanism through which resilience impacts academic burnout. Developing interventions focusing on psychological flexibility may help students build resilience and limit academic burnout, positively impacting the students, their future institutions, and their future patients.https://doi.org/10.1002/hsr2.2291academic burnoutDoctor of Physical Therapy studentspsychological flexibilityresiliencestructural equation model
spellingShingle Jason Cherry
Gurpreet Singh
Michael Buck
Psychological flexibility as a mediator in the relationship between resilience and academic burnout among Doctor of Physical Therapy students: A structural equation modeling study
Health Science Reports
academic burnout
Doctor of Physical Therapy students
psychological flexibility
resilience
structural equation model
title Psychological flexibility as a mediator in the relationship between resilience and academic burnout among Doctor of Physical Therapy students: A structural equation modeling study
title_full Psychological flexibility as a mediator in the relationship between resilience and academic burnout among Doctor of Physical Therapy students: A structural equation modeling study
title_fullStr Psychological flexibility as a mediator in the relationship between resilience and academic burnout among Doctor of Physical Therapy students: A structural equation modeling study
title_full_unstemmed Psychological flexibility as a mediator in the relationship between resilience and academic burnout among Doctor of Physical Therapy students: A structural equation modeling study
title_short Psychological flexibility as a mediator in the relationship between resilience and academic burnout among Doctor of Physical Therapy students: A structural equation modeling study
title_sort psychological flexibility as a mediator in the relationship between resilience and academic burnout among doctor of physical therapy students a structural equation modeling study
topic academic burnout
Doctor of Physical Therapy students
psychological flexibility
resilience
structural equation model
url https://doi.org/10.1002/hsr2.2291
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