{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T16:19:26Z","timestamp":1792685966477,"version":"4.5.0"},"reference-count":85,"publisher":"Public Library of Science (PLoS)","issue":"2","license":[{"start":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T00:00:00Z","timestamp":1738800000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec034\">\n<jats:title>Background and aims<\/jats:title>\n<jats:p>In recent years, increased awareness of the psychological wellbeing of healthcare professionals and students has become a pressing public health issue affecting care delivery. Medical students undergo rigorous training programs that can affect their psychological wellbeing. Despite increased awareness of mental health issues among medical students, research often focuses on negative aspects, overlooking potential positive contributors to wellbeing. This study aims to explore both negative and positive factors influencing medical students\u2019 psychological wellbeing, considering coping strategies and personality traits to inform targeted support measures for diverse student needs.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec035\">\n<jats:title>Methods<\/jats:title>\n<jats:p>A mixed-methods approach was employed to investigate medical students\u2019 psychological wellbeing, coping strategies, and personality traits. Quantitative data was gathered via self-report questionnaires and analysed using regression models. Additionally, qualitative insights were obtained from semi-structured interviews and analysed thematically to capture students\u2019 perceptions and experiences.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec036\">\n<jats:title>Results<\/jats:title>\n<jats:p>The analysis revealed moderate to high levels of stress, anxiety, and depression among medical students, along with decreased life satisfaction. Regression analysis showed that problem-focused coping positively impacted medical students\u2019 psychological wellbeing, whereas emotion-focused and avoidance coping showed less favourable effects. Notably, problem-focused coping partially mediated the relationship between stress and depression. Furthermore, personality traits, particularly agreeableness and conscientiousness, played a pivotal role in shaping medical students\u2019 coping strategies and mental health outcomes. Based on thematic analysis, codes gave rise to three overarching themes and corresponding subthemes.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec037\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>The study underscores the significance of addressing both positive and negative factors impacting medical students\u2019 wellbeing and highlights the need for tailored support considering individual personality traits that influence coping strategies and mental health. It also identifies challenges within medical education, emphasising the necessity for stress management programs, mental health support, and curricula promoting problem-solving skills. Prioritising medical students\u2019 wellbeing may not only foster good mental health among future professionals but may also enhance future healthcare quality.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0318399","type":"journal-article","created":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T19:02:17Z","timestamp":1738868537000},"page":"e0318399","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":19,"title":["Navigating the medical journey: Insights into medical students\u2019 psychological wellbeing, coping, and personality"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9198-2702","authenticated-orcid":true,"given":"Aisha Ali","family":"Hawsawi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil","family":"Nixon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4750-7522","authenticated-orcid":true,"given":"Elena","family":"Nixon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2025,2,6]]},"reference":[{"issue":"4","key":"pone.0318399.ref001","article-title":"Mental health issues amongst medical students in Asia: a systematic review (2000\u20132015)","volume":"4","author":"A Cuttilan","year":"2016","journal-title":"Ann Transl Med"},{"key":"pone.0318399.ref002","volume-title":"Caring for doctors caring for patients","author":"M West","year":"2019"},{"issue":"1","key":"pone.0318399.ref003","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1176\/appi.ap.32.1.44","article-title":"A conceptual model of medical student well-being: promoting resilience and preventing burnout","volume":"32","author":"LB Dunn","year":"2008","journal-title":"Acad Psychiatry"},{"issue":"21","key":"pone.0318399.ref004","doi-asserted-by":"crossref","first-page":"2195","DOI":"10.1001\/jama.2016.16396","article-title":"Medical student mental health: culture, environment, and the need for change","volume":"316","author":"SJ Slavin","year":"2016","journal-title":"JAMA"},{"issue":"2","key":"pone.0318399.ref005","doi-asserted-by":"crossref","first-page":"45","DOI":"10.5549\/IJSR.1.2.45-50","article-title":"A study on stress, stressors and coping strategies among Malaysian medical students","volume":"1","author":"MSB Yusoff","year":"2011","journal-title":"Int J Stu Res"},{"issue":"1","key":"pone.0318399.ref006","doi-asserted-by":"crossref","first-page":"1530558","DOI":"10.1080\/10872981.2018.1530558","article-title":"In their own words: stressors facing medical students in the millennial generation","volume":"23","author":"MR Hill","year":"2018","journal-title":"Med Educ Online"},{"issue":"2","key":"pone.0318399.ref007","first-page":"e110","article-title":"Impact of COVID 19 pandemic on the academics and psychology of final year medical students","volume":"12","author":"S Joshi","year":"2021","journal-title":"Can Med Educ J"},{"issue":"7\u20138","key":"pone.0318399.ref008","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1080\/09540261.2019.1681204","article-title":"Psychological wellbeing, burnout and substance use amongst medical students in New Zealand","volume":"31","author":"SM Farrell","year":"2019","journal-title":"Int Rev Psychiatry"},{"issue":"4","key":"pone.0318399.ref009","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1097\/00001888-200604000-00009","article-title":"Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students","volume":"81","author":"LN Dyrbye","year":"2006","journal-title":"Acad Med"},{"issue":"21","key":"pone.0318399.ref010","doi-asserted-by":"crossref","first-page":"2214","DOI":"10.1001\/jama.2016.17324","article-title":"Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: a systematic review and meta-analysis","volume":"316","author":"LS Rotenstein","year":"2016","journal-title":"JAMA"},{"key":"pone.0318399.ref011","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1186\/1472-6920-12-106","article-title":"What do medical students think about their quality of life? 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