{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T21:17:54Z","timestamp":1789161474769,"version":"build-2803163510"},"reference-count":40,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100017672","name":"Chengdu Philosophy and Social Science Planning Office","doi-asserted-by":"publisher","award":["2025CZ119"],"award-info":[{"award-number":["2025CZ119"]}],"id":[{"id":"10.13039\/501100017672","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004912","name":"Sichuan University","doi-asserted-by":"publisher","award":["sksz202520"],"award-info":[{"award-number":["sksz202520"]}],"id":[{"id":"10.13039\/501100004912","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Affective Disorders"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.jad.2026.122081","type":"journal-article","created":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T06:36:00Z","timestamp":1780641360000},"page":"122081","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Risk configurations for anxiety symptoms among medical postgraduate students: A fuzzy-set qualitative comparative analysis"],"prefix":"10.1016","volume":"412","author":[{"given":"Lei","family":"Huang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiahui","family":"Kou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiwen","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nian","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaomin","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jad.2026.122081_bb0005","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1186\/s40359-025-02788-9","article-title":"The journey of medical field students: uncovering medical student syndrome, personality traits, and their interactions","volume":"13","author":"Abdellatif","year":"2025","journal-title":"BMC Psychol."},{"key":"10.1016\/j.jad.2026.122081_bb0010","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1186\/s13643-021-01809-z","article-title":"Factors that impact burnout and psychological wellbeing in Australian postgraduate medical trainees: a systematic review protocol","volume":"10","author":"Balhatchet","year":"2021","journal-title":"Syst. Rev."},{"key":"10.1016\/j.jad.2026.122081_bb0015","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/j.jad.2024.08.095","article-title":"The path of depression in rural children: a fuzzy-set qualitative comparative analysis across multiple provinces in China","volume":"365","author":"Chen","year":"2024","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2026.122081_bb0020","first-page":"1","article-title":"The trauma fellow\u2019s perspective on grit and resilience and its role in wellness","author":"Coleman","year":"2023","journal-title":"Curr. Trauma Rep."},{"key":"10.1016\/j.jad.2026.122081_bb0025","doi-asserted-by":"crossref","DOI":"10.1016\/j.jbusres.2025.115296","article-title":"Job demands-resources and conservation of resources theories: how do they help to explain employee well-being and future job design?","volume":"192","author":"Demerouti","year":"2025","journal-title":"J. Bus. Res."},{"key":"10.1016\/j.jad.2026.122081_bb0030","doi-asserted-by":"crossref","first-page":"834","DOI":"10.3109\/0142159X.2010.531158","article-title":"Patterns of distress in US medical students","volume":"33","author":"Dyrbye","year":"2011","journal-title":"Med. Teach."},{"key":"10.1016\/j.jad.2026.122081_bb0035","series-title":"Epidemic and Pandemic Preparedness and Management","article-title":"COR-MORE and pandemic resilience: A multisystemic approach to resource loss and recovery","author":"Egozi Farkash","year":"2025"},{"key":"10.1016\/j.jad.2026.122081_bb0040","first-page":"588","article-title":"Determinants of mental health and construction of a risk prediction model a-mong clinical professional master\u2019s students","volume":"59","author":"Gao","year":"2025","journal-title":"J. Harbin Med. Univ."},{"key":"10.1016\/j.jad.2026.122081_bb0045","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0318399","article-title":"Navigating the medical journey: insights into medical students\u2019 psychological wellbeing, coping, and personality","volume":"20","author":"Hawsawi","year":"2025","journal-title":"PLoS One"},{"key":"10.1016\/j.jad.2026.122081_bb0050","article-title":"Conservation of resources in the organizational context: the reality of resources and their consequences","volume":"5","author":"Hobfoll","year":"2018","journal-title":"Annu. Rev. Organ. Psych. Organ. Behav."},{"key":"10.1016\/j.jad.2026.122081_bb0055","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1037\/0003-066X.44.3.513","article-title":"Conservation of resources. A new attempt at conceptualizing stress","volume":"44","author":"Hobfoll","year":"1989","journal-title":"Am. Psychol."},{"key":"10.1016\/j.jad.2026.122081_bb0060","article-title":"Impact of COVID-19-induced academic stress on insomnia and suicidal ideation among Taiwanese health trainees and junior doctors","volume":"30","author":"Huang","year":"2024","journal-title":"Med. Sci. Monit. Int. Med. J. Exp. Clin. Res."},{"key":"10.1016\/j.jad.2026.122081_bb0065","article-title":"Psychological resilience and mood disorders: a systematic review and meta-analysis","volume":"46","author":"Imran","year":"2024","journal-title":"Trends Psychiatry Psychother."},{"key":"10.1016\/j.jad.2026.122081_bb0070","doi-asserted-by":"crossref","first-page":"1196","DOI":"10.1056\/NEJMp1803970","article-title":"Mental health services for medical students - time to act","volume":"379","author":"Karp","year":"2018","journal-title":"N. Engl. J. Med."},{"key":"10.1016\/j.jad.2026.122081_bb0075","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1016\/j.jss.2020.07.084","article-title":"Over worked and under paid: how resident finances impact perceived stress, career choices, and family life","volume":"258","author":"Kovar","year":"2021","journal-title":"J. Surg. Res."},{"key":"10.1016\/j.jad.2026.122081_bb0080","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2025.1532502","article-title":"Analyzing latent categories of stress, anxiety, and depression in medical students: insights into their psychological resilience","volume":"16","author":"Lei","year":"2025","journal-title":"Front. Psychol."},{"key":"10.1016\/j.jad.2026.122081_bb0085","doi-asserted-by":"crossref","DOI":"10.1080\/07853890.2024.2433030","article-title":"Interrelationships of stress, burnout, anxiety, depression, quality of life and suicidality among Chinese residents under standardized residency training: a network analysis","volume":"56","author":"Li","year":"2024","journal-title":"Ann. Med."},{"key":"10.1016\/j.jad.2026.122081_bb0090","doi-asserted-by":"crossref","DOI":"10.1016\/j.jad.2025.119845","article-title":"The sequential association between depression, anxiety, and functional constipation among Chinese children and adolescents: a mediation by resilience","volume":"390","author":"Liu","year":"2025","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2026.122081_bb0095","first-page":"1209","article-title":"Reliability and validity of the Chinese version of the Connor-Davidson resilience scale in medical students","volume":"24","author":"Lu","year":"2016","journal-title":"Chin. J. Health Psychol."},{"key":"10.1016\/j.jad.2026.122081_bb0100","first-page":"255","article-title":"Embracing causal complexity: the emergence of a neo-configurational perspective","volume":"43","author":"Misangyi","year":"2017","journal-title":"JOM"},{"key":"10.1016\/j.jad.2026.122081_bb0105","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1093\/postmj\/qgae179","article-title":"Burnout among medical residents: key drivers and practical mitigating strategies","volume":"101","author":"Ng","year":"2025","journal-title":"Postgrad. Med. J."},{"key":"10.1016\/j.jad.2026.122081_bb0110","doi-asserted-by":"crossref","first-page":"2219","DOI":"10.2147\/AMEP.S564964","article-title":"Strategies to safeguard mental health among medical and allied health trainees: a narrative review","volume":"16","author":"Obeagu","year":"2025","journal-title":"Adv. Med. Educ. Pract."},{"key":"10.1016\/j.jad.2026.122081_bb0115","doi-asserted-by":"crossref","DOI":"10.3389\/fpubh.2025.1537108","article-title":"Prevalence and correlates of depression, anxiety, and burnout among physicians and postgraduate medical trainees: a scoping review of recent literature","volume":"13","author":"Obeng Nkrumah","year":"2025","journal-title":"Front. Public Health"},{"key":"10.1016\/j.jad.2026.122081_bb0120","first-page":"531","article-title":"Self-reports in organizational research: problems and prospects","volume":"12","author":"Podsakoff","year":"1986","journal-title":"J. Manag."},{"key":"10.1016\/j.jad.2026.122081_bb0125","doi-asserted-by":"crossref","DOI":"10.3389\/fpubh.2022.929683","article-title":"Influence of workload, personality, and psychological flexibility on occupational stress among medical staff: a fuzzy-set qualitative comparative analysis","volume":"10","author":"Quan","year":"2022","journal-title":"Front. Public Health"},{"key":"10.1016\/j.jad.2026.122081_bb0130","series-title":"Fuzzy-set social science","author":"Ragin","year":"2000"},{"key":"10.1016\/j.jad.2026.122081_bb0135","series-title":"Redesigning Social Inquiry: Fuzzy Sets and Beyond","author":"Ragin","year":"2008"},{"key":"10.1016\/j.jad.2026.122081_bb0140","series-title":"The Comparative Method: Moving Beyond Qualitative and Quantitative Methods","author":"Ragin","year":"1987"},{"key":"10.1016\/j.jad.2026.122081_bb0145","first-page":"59","article-title":"Influence of financial worries on generalized anxiety disorder among undergraduate medical students in Kenya: a case of Kenya Methodist University, Main Campus, Meru","volume":"13","author":"Remezo","year":"2025","journal-title":"Int. J. Prof. Pract."},{"key":"10.1016\/j.jad.2026.122081_bb0150","doi-asserted-by":"crossref","DOI":"10.1097\/01.GOX.0000921620.24046.0c","article-title":"Global resilience in plastic surgery study (GRIPS): resilience is associated with lower burnout rates","volume":"11","author":"Rodriguez-Unda","year":"2023","journal-title":"Plast. Reconstr. Surg. Glob. Open"},{"key":"10.1016\/j.jad.2026.122081_bb0155","doi-asserted-by":"crossref","DOI":"10.3402\/ejpt.v5.25338","article-title":"Resilience definitions, theory, and challenges: interdisciplinary perspectives","volume":"5","author":"Southwick","year":"2014","journal-title":"Eur. J. Psychotraumatol."},{"key":"10.1016\/j.jad.2026.122081_bb0160","doi-asserted-by":"crossref","DOI":"10.3389\/fspor.2025.1606002","article-title":"Dose-response relationship between physical activity and anxiety symptoms in medical students from Serbia","volume":"7","author":"Stratakis","year":"2025","journal-title":"Front. Sports Active Living."},{"key":"10.1016\/j.jad.2026.122081_bb0165","doi-asserted-by":"crossref","first-page":"96","DOI":"10.12809\/eaap2565","article-title":"Validation of the Chinese version of the Connor-Davidson Resilience Scale-10 among young people in Hong Kong","volume":"35","author":"Suen","year":"2025","journal-title":"East Asian Arch. Psychiatr."},{"key":"10.1016\/j.jad.2026.122081_bb0170","first-page":"1114","article-title":"Mental health status and associated contributing factors among the medical students pursuing a professional master's degree under the \"dual-track integration\" training systems","volume":"39","author":"Wang","year":"2024","journal-title":"West China Med. J."},{"key":"10.1016\/j.jad.2026.122081_bb0175","article-title":"Factors affecting psychological health and career choice among medical students in eastern and western region of China after COVID-19 pandemic","volume":"11","author":"Wang","year":"2023","journal-title":"Front. Public Health"},{"key":"10.1016\/j.jad.2026.122081_bb0180","first-page":"360","article-title":"Current situation and causes of psychological stress in medical postgraduates","volume":"11","author":"Yu","year":"2025","journal-title":"Med. Ed. Manag."},{"key":"10.1016\/j.jad.2026.122081_bb0185","article-title":"Reliability, validity, and measurement invariance of the general anxiety disorder scale among Chinese medical university students","volume":"12","author":"Zhang","year":"2021","journal-title":"Front. Psych."},{"key":"10.1016\/j.jad.2026.122081_bb0190","first-page":"811","article-title":"Potential categories of academic stress and its relationship with positive academic emotions and social adaptation in medical postgraduates","volume":"38","author":"Zhang","year":"2022","journal-title":"Occup. Health"},{"key":"10.1016\/j.jad.2026.122081_bb0195","first-page":"655","article-title":"From mistreatment to burnout: the mediating role of emotional regulation in graduate medical trainees","volume":"14","author":"Zheng","year":"2025","journal-title":"Pers. Med. Ed."},{"key":"10.1016\/j.jad.2026.122081_bb0200","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1186\/s12888-024-06138-8","article-title":"Network analysis of resilience, anxiety and depression in clinical nurses","volume":"24","author":"Zhou","year":"2024","journal-title":"BMC Psychiatry"}],"container-title":["Journal of Affective Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S016503272600933X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S016503272600933X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T20:00:01Z","timestamp":1784577601000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S016503272600933X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":40,"alternative-id":["S016503272600933X"],"URL":"https:\/\/doi.org\/10.1016\/j.jad.2026.122081","relation":{},"ISSN":["0165-0327"],"issn-type":[{"value":"0165-0327","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Risk configurations for anxiety symptoms among medical postgraduate students: A fuzzy-set qualitative comparative analysis","name":"articletitle","label":"Article Title"},{"value":"Journal of Affective Disorders","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jad.2026.122081","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"122081"}}