{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T15:24:49Z","timestamp":1788967489059,"version":"build-2803163510"},"reference-count":31,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T00:00:00Z","timestamp":1767830400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:p>\n                    Burnout is a state of chronic exhaustion caused by excessive stress. Medical trainees are highly vulnerable to burnout, which can negatively affect their well-being. Empirical evidence from Bethell et al. demonstrates that positive childhood experiences reduce adult depression and anxiety, while Gross\u2019s process model suggests that adaptive emotion regulation strategies buffer against stress-related outcomes. Building upon these frameworks, positive childhood experiences (PCE) and adaptive (positive) emotion regulation (ER) are thought to be protective against burnout, but the mechanisms which mediate these effects are poorly understood. This study aimed to explore whether adaptive ER mediates the relationship between PCE and burnout among medical students. Participants completed well-established and validated measurements of PCEs (Benevolent Childhood Experiences scale), adaptive ER (Cognitive Emotion Regulation Questionnaire short version), and burnout (Maslach Burnout Inventory). Our results indicate that adaptive ER mediates the relationship between PCEs and burnout, with a moderate indirect effect of PCEs on burnout (\n                    <jats:italic>\u03b2<\/jats:italic>\n                    \u202f=\u202f\u22120.31, accounting for approximately 67% of the total effect). These findings suggest that targeted intervention programs aiming to strengthen adaptive ER could help protect medical students against burnout. However, limitations include the cross-sectional design precluding casual inference, reliance on self-reported data, and recruitment from a single institution with predominantly female participants, which may limit generalizability to other medical schools.\n                  <\/jats:p>","DOI":"10.3389\/fpsyg.2025.1707795","type":"journal-article","created":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T05:11:47Z","timestamp":1767849107000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Positive childhood experiences and burnout among medical students: the role of adaptive emotion regulation as a mediator"],"prefix":"10.3389","volume":"16","author":[{"given":"Rachel","family":"Lloyd","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tina","family":"Izad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Nazmifar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Walkon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Changiz","family":"Mohiyeddini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,8]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1016\/j.cpr.2009.11.004","article-title":"Emotion-regulation strategies across psychopathology: a meta-analytic review","volume":"30","author":"Aldao","year":"2010","journal-title":"Clin. Psychol. Rev."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"094","DOI":"10.23937\/2469-5793\/1510094","article-title":"Medical student and resident burnout: a review of causes, effects, and prevention","volume":"4","author":"Amir","year":"2018","journal-title":"J. Fam. Med. Dis. Prev."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"e193007","DOI":"10.1001\/jamapediatrics.2019.3007","article-title":"Positive childhood experiences and adult mental and relational health in a statewide sample: associations across adverse childhood experiences levels","volume":"173","author":"Bethell","year":"2019","journal-title":"JAMA Pediatr."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1186\/s41687-020-00204-x","article-title":"Describing the emotional exhaustion, depersonalization, and low personal accomplishment symptoms associated with Maslach burnout inventory subscale scores in US physicians: an item response theory analysis","volume":"4","author":"Brady","year":"2020","journal-title":"J. Patient Rep. Outcomes"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"49","DOI":"10.15241\/emb.12.1.49","article-title":"Adverse and positive childhood experiences of clinical mental health counselors as predictors of compassion satisfaction, burnout, and secondary traumatic stress","volume":"12","author":"Brown","year":"2022","journal-title":"TPC"},{"key":"ref6","doi-asserted-by":"crossref","DOI":"10.1002\/9780470880166.hlsd002014","article-title":"Developmental psychopathology","volume-title":"The handbook of life-span development","author":"Cicchetti","year":"2010"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"499","DOI":"10.1037\/0021-9010.86.3.499","article-title":"The job demands-resources model of burnout","volume":"86","author":"Demerouti","year":"2001","journal-title":"J. Appl. Psychol."},{"key":"ref8","doi-asserted-by":"publisher","first-page":"1367","DOI":"10.1098\/rstb.2004.1512","article-title":"The broaden-and-build theory of positive emotions","volume":"359","author":"Fredrickson","year":"2004","journal-title":"Philos. Trans. R. Soc. Lond. Ser. B Biol. Sci."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1045","DOI":"10.1016\/j.paid.2006.04.010","article-title":"Cognitive emotion regulation questionnaire \u2013 development of a short 18-item version (CERQ-short)","volume":"41","author":"Garnefski","year":"2006","journal-title":"Pers. Individ. Differ."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1401","DOI":"10.1080\/02699931.2016.1232698","article-title":"Specificity of relations between adolescents\u2019 cognitive emotion regulation strategies and symptoms of depression and anxiety","volume":"32","author":"Garnefski","year":"2018","journal-title":"Cognit. Emot."},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1311","DOI":"10.1016\/S0191-8869(00)00113-6","article-title":"Negative life events, cognitive emotion regulation and emotional problems","volume":"30","author":"Garnefski","year":"2001","journal-title":"Pers. Individ. Differ."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"2865","DOI":"10.1002\/sim.3107","article-title":"Scaling regression inputs by dividing by two standard deviations","volume":"27","author":"Gelman","year":"2008","journal-title":"Stat. Med."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"260","DOI":"10.1007\/s10900-022-01155-8","article-title":"Associations between positive childhood experiences and adult smoking and alcohol use behaviors in a large statewide sample","volume":"48","author":"Graupensperger","year":"2023","journal-title":"J. Community Health"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"281","DOI":"10.1017\/S0048577201393198","article-title":"Emotion regulation: affective, cognitive, and social consequences","volume":"39","author":"Gross","year":"2002","journal-title":"Psychophysiology"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"242","DOI":"10.1111\/tct.12014","article-title":"Burnout in medical students: a systematic review","volume":"10","author":"IsHak","year":"2013","journal-title":"Clin. Teach."},{"key":"ref16","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1016\/j.puhe.2021.07.025","article-title":"Academic burnout among medical students: respective importance of risk and protective factors","volume":"198","author":"Kilic","year":"2021","journal-title":"Public Health"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1017\/jgc.2021.16","article-title":"Relationship between positive childhood experiences and psychological resilience in university students: the mediating role of self-esteem","volume":"33","author":"Kocat\u00fcrk","year":"2023","journal-title":"J. Psychol. Couns. Sch."},{"key":"ref18","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1007\/s10648-020-09533-1","article-title":"Does burnout affect academic achievement? A meta-analysis of over 100,000 students","volume":"33","author":"Madigan","year":"2021","journal-title":"Educ. Psychol. Rev."},{"key":"ref19","doi-asserted-by":"publisher","first-page":"7816","DOI":"10.3390\/ijerph17217816","article-title":"Emotion regulation strategies, workload conditions, and burnout in healthcare residents","volume":"17","author":"Mart\u00edn-Brufau","year":"2020","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1037\/0003-066X.56.3.227","article-title":"Ordinary magic: resilience processes in development","volume":"56","author":"Masten","year":"2001","journal-title":"Am. Psychol."},{"key":"ref21","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1037\/fam0000521","article-title":"Benevolent childhood experiences (BCEs) in homeless parents: a validation and replication study","volume":"33","author":"Merrick","year":"2019","journal-title":"J. Fam. Psychol."},{"key":"ref22","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1016\/j.chiabu.2017.09.022","article-title":"Positive childhood experiences predict less psychopathology and stress in pregnant women with childhood adversity: a pilot study of the benevolent childhood experiences (BCEs) scale","volume":"78","author":"Narayan","year":"2018","journal-title":"Child Abuse Negl."},{"key":"ref23","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1111\/j.1467-8721.2008.00566.x","article-title":"Cognitive emotion regulation: insights from social cognitive and affective neuroscience","volume":"17","author":"Ochsner","year":"2008","journal-title":"Curr. Dir. Psychol. Sci."},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.jad.2012.11.026","article-title":"Interventions to reduce stress in university students: a review and meta-analysis","volume":"148","author":"Regehr","year":"2013","journal-title":"J. Affect. Disord."},{"key":"ref25","doi-asserted-by":"publisher","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":"Rotenstein","year":"2016","journal-title":"JAMA"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1177\/14034948231225616","article-title":"Validation of the short version of cognitive emotion regulation questionnaire for adolescents in Norway","volume":"53","author":"S\u00e6tren","year":"2025","journal-title":"Scand. J. Public Health"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"399","DOI":"10.15585\/mmwr.mm7317a3","article-title":"Prevalence of positive childhood experiences among adults \u2014 behavioral risk factor surveillance system, four states, 2015\u20132021","volume":"73","author":"Sege","year":"2024","journal-title":"MMWR Morb. Mortal Wkly. Rep."},{"key":"ref28","doi-asserted-by":"publisher","first-page":"164","DOI":"10.1037\/1072-5245.12.2.164","article-title":"Mindfulness-based stress reduction for health care professionals: results from a randomized trial","volume":"12","author":"Shapiro","year":"2005","journal-title":"Int. J. Stress Manage."},{"key":"ref29","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1111\/j.1540-5834.1994.tb01276.x","article-title":"Emotion regulation: a theme in search of definition","volume":"59","author":"Thompson","year":"1994","journal-title":"Monogr. Soc. Res. Child Dev."},{"key":"ref30","doi-asserted-by":"publisher","first-page":"124","DOI":"10.5114\/hpr\/156259","article-title":"Emotion regulation and mental health among professionals of long-term care institutions for older adults: the mediating role of work engagement","volume":"11","author":"Wobeto","year":"2023","journal-title":"Health Psychol. 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