{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T23:26:53Z","timestamp":1786577213422,"version":"build-2736575974"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Acad Psychiatry"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Anxiety can affect student performance and well-being. This pilot study examined the relationships between anxiety and headache, sleep disturbance, and irritability in first-year medical students 2 months before the end-of-year summative assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Fifty-four first-year medical students (18.8% participation, 26 male, 28 female; mean age 20.47\u00a0years) completed an anonymous online survey comprising a custom symptom questionnaire and the Trait Anxiety Inventory (TAI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Headache was prevalent, with 66% reporting worsening headache since commencing medical studies; 72% reported reduced sleep and 44% reported increased anxiety. Mean TAI score was 45.98, with 27.7% scoring in the relatively severe\/severe range. Increased anxiety was significantly associated with feeling overworked (OR\u2009=\u20093.41,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.049), sleep disturbance (OR\u2009=\u20094.98,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.011), and irritability (OR\u2009=\u20097.71,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Trait anxiety correlated with headache frequency (\n                      <jats:italic>R<\/jats:italic>\n                      \u2009=\u20090.414,\n                      <jats:italic>p\u2009<\/jats:italic>\n                      =\u20090.002).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These findings highlight elevated anxiety and sleep disturbance during early medical training, underscoring the need for targeted well-being interventions. Medical schools should consider integrating routine mental health check-ins and accessible support pathways to facilitate earlier recognition and management of student anxiety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s40596-026-02418-5","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T22:31:48Z","timestamp":1786573908000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Anxiety in Medical Students: a Pilot Study on Associated Factors"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3594-5448","authenticated-orcid":false,"given":"Mitesh","family":"Patel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"issue":"1","key":"2418_CR1","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1186\/s12909-022-03158-4","volume":"22","author":"A Picton","year":"2022","unstructured":"Picton A, Greenfield S, Parry J. 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