{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T04:46:20Z","timestamp":1785818780770,"version":"3.56.0"},"reference-count":60,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"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. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background\/objectives<\/jats:title>\n                    <jats:p>Suppression of negative emotions is one of the response-focused strategies within the broader field of emotion regulation. It refers to the inhibition or restriction of emotional expression, particularly in relation to anger, anxiety, and depressed mood. Among medical students, this issue may be especially relevant because professional socialization often promotes emotional restraint and functioning under psychological pressure. The aim of this study was to assess the association between self-esteem and suppression of negative emotions among medical students in Poland. Selected self-reported psychosocial characteristics were also analyzed as contextual variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted among 611 students of medical and health sciences universities in Poland. Data were collected online using the Computer Assisted Web Interview procedure. The Rosenberg Self-Esteem Scale (SES), the Courtauld Emotional Control Scale (CECS), and an original sociodemographic questionnaire were used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean SES score was 28.22\u202f\u00b1\u202f5.42, indicating an average level of self-esteem, while the mean CECS score was 53.59\u202f\u00b1\u202f12.49. Self-esteem was negatively correlated with the total CECS score and with all CECS subscales: anger, depression, and anxiety. Differences in self-esteem and suppression of negative emotions were also observed according to selected self-reported psychosocial characteristics. A sense of belonging to a social group was associated with higher self-esteem and lower CECS scores. Secondary exploratory indirect-association analyses showed that CECS anger, depression, and anxiety subscales were strongly interrelated. These findings were interpreted as hypothesis-generating and not as evidence of causal mediation or temporal mechanisms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Lower self-esteem was associated with greater suppression of negative emotions among medical students. Selected self-reported psychosocial characteristics were associated with differences in SES and CECS scores, but these findings should be interpreted descriptively and with caution. Due to the cross-sectional design, the findings should be interpreted as associations and not as evidence of causal relationships.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1846894","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T04:26:52Z","timestamp":1785817612000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Self-esteem and suppression of negative emotions among medical students: a cross-sectional study"],"prefix":"10.3389","volume":"14","author":[{"given":"Anna","family":"Knyszy\u0144ska","sequence":"first","affiliation":[{"name":"Department of Humanities and Occupational Therapy, Pomeranian Medical University in Szczecin","place":["Szczecin, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcin","family":"Grajek","sequence":"additional","affiliation":[{"name":"Subdepartment of Social Medicine and Public Health, Department of Social Medicine, Pomeranian Medical University in Szczecin","place":["Szczecin, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulina","family":"Zabielska","sequence":"additional","affiliation":[{"name":"Subdepartment of Social Medicine and Public Health, Department of Social Medicine, Pomeranian Medical University in Szczecin","place":["Szczecin, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marek","family":"Landowski","sequence":"additional","affiliation":[{"name":"Independent Research and Biostatistics Laboratory, Department of Social Medicine, Pomeranian Medical University in Szczecin","place":["Szczecin, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krzysztof","family":"Zdziarski","sequence":"additional","affiliation":[{"name":"Subdepartment of Social Medicine and Public Health, Department of Social Medicine, Pomeranian Medical University in Szczecin","place":["Szczecin, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beata","family":"Karakiewicz","sequence":"additional","affiliation":[{"name":"Subdepartment of Social Medicine and Public Health, Department of Social Medicine, Pomeranian Medical University in Szczecin","place":["Szczecin, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"7206","DOI":"10.1038\/s41598-023-34148-1","article-title":"Neurophysiological markers of emotion regulation predict efficacy of entrepreneurship education","volume":"13","author":"Egana-delSol","year":"2023","journal-title":"Sci Rep"},{"key":"ref2","first-page":"123","article-title":"Czym s\u0105 emocje? Prezentacja wielosk\u0142adnikowej teorii emocji","volume":"27","author":"D\u0105browski","year":"2014","journal-title":"Anal Egzyst"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1111\/add.16001","article-title":"Emotion regulation in substance use disorders: a systematic review and meta-analysis","volume":"118","author":"Stellern","year":"2023","journal-title":"Addiction"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1037\/emo0000703","article-title":"Emotion regulation","volume":"20","author":"McRae","year":"2020","journal-title":"Emotion (Washington, DC)"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"807","DOI":"10.1007\/s11126-017-9499-6","article-title":"Reconsidering emotion dysregulation","volume":"88","author":"D'Agostino","year":"2017","journal-title":"Psychiatry Q"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1037\/1089-2680.2.3.271","article-title":"The emerging field of emotion regulation: an integrative review","volume":"2","author":"Gross","year":"1998","journal-title":"Rev Gen Psychol"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"348","DOI":"10.1037\/0022-3514.85.2.348","article-title":"Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being","volume":"85","author":"Gross","year":"2003","journal-title":"J Pers Soc Psychol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"1604954","DOI":"10.3389\/ijph.2022.1604954","article-title":"International comparison of self-concept, self-perception and lifestyle in adolescents: a systematic review","volume":"67","author":"Palenzuela-Luis","year":"2022","journal-title":"Int J Public Health"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1111\/papt.12361","article-title":"A cognitive behavioural intervention for low self-esteem in young people who have experienced stigma, prejudice, or discrimination: an uncontrolled acceptability and feasibility study","volume":"95","author":"Langford","year":"2022","journal-title":"Psychol Psychother"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"405","DOI":"10.1007\/s40037-014-0148-6","article-title":"The relationship between academic assessment and psychological distress among medical students: a systematic review","volume":"3","author":"Lyndon","year":"2014","journal-title":"Perspect Med Educ"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"312","DOI":"10.1186\/s12909-016-0832-9","article-title":"(How) do medical students regulate their emotions?","volume":"16","author":"Doulougeri","year":"2016","journal-title":"BMC Med Educ"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"474","DOI":"10.1186\/s12909-024-05413-2","article-title":"From corners to community: exploring medical students\u2019 sense of belonging through co-creation in clinical 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Approach","author":"Hayes","year":"2022"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"879","DOI":"10.3758\/BRM.40.3.879","article-title":"Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models","volume":"40","author":"Preacher","year":"2008","journal-title":"Behav Res Methods"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1259","DOI":"10.3945\/ajcn.117.152546","article-title":"Best but oft-forgotten practices: mediation analysis","volume":"105","author":"Fairchild","year":"2017","journal-title":"Am J Clin Nutr"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"e296","DOI":"10.1371\/journal.pmed.0040296","article-title":"The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"4","author":"Elm","year":"2007","journal-title":"PLoS 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Psychol","author":"Greene","year":"2006"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"1621","DOI":"10.1176\/appi.ps.52.12.1621","article-title":"Stigma as a barrier to recovery: the consequences of stigma for the self-esteem of people with mental illnesses","volume":"52","author":"Link","year":"2001","journal-title":"Psychiatr Serv"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1177\/0020764019894618","article-title":"Does child abuse have an impact on self-esteem, depression, anxiety and stress conditions of individuals?","volume":"66","author":"Berber Celik","year":"2020","journal-title":"Int J Soc Psychiatry"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"122","DOI":"10.1016\/j.chiabu.2017.06.012","article-title":"Childhood maltreatment, psychopathology and well-being: the mediator role of global self-esteem, attachment difficulties and substance use","volume":"70","author":"Greger","year":"2017","journal-title":"Child Abuse 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8\/21","author":"Bakken","year":"2021"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1177\/1088868318756532","article-title":"Does self-esteem have an interpersonal imprint beyond self-reports? A meta-analysis of self-esteem and objective interpersonal indicators","volume":"23","author":"Cameron","year":"2019","journal-title":"Personal Soc Psychol Rev"},{"key":"ref48","first-page":"320","article-title":"Resources to cope with stigma related to HIV status, gender identity, and sexual orientation in gay men and transgender women","volume-title":"J Health Psychol","author":"Aristegui","year":"2018"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"908","DOI":"10.1007\/s10964-018-0958-7","article-title":"Profiles of coping with ethnic-racial discrimination and Latina\/o adolescents' adjustment","volume":"48","author":"McDermott","year":"2019","journal-title":"J Youth Adolesc"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"517","DOI":"10.1037\/a0020655","article-title":"Anger suppression, interdependent self-construal, and depression among Asian American and European American college students","volume":"16","author":"Cheung","year":"2010","journal-title":"Cultur Divers Ethnic Minor Psychol"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"2981","DOI":"10.1093\/cercor\/bht154","article-title":"Cognitive reappraisal of emotion: a meta-analysis of human neuroimaging studies","volume":"24","author":"Buhle","year":"2014","journal-title":"Cereb Cortex"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1016\/j.jad.2017.02.009","article-title":"The relationship between childhood trauma and the severity of adulthood depression and anxiety symptoms in a clinical sample: the mediating role of cognitive emotion regulation strategies","volume":"213","author":"Huh","year":"2017","journal-title":"J Affect Disord"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"101911","DOI":"10.1016\/j.ajp.2019.101911","article-title":"The relationship between childhood trauma and adult depression: the mediating role of adaptive and maladaptive emotion regulation strategies","volume":"48","author":"Zhang","year":"2020","journal-title":"Asian J Psychiatr"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"296","DOI":"10.1016\/j.chiabu.2013.09.009","article-title":"Cumulative childhood trauma and psychological maladjustment of sexually abused children in Korea: mediating effects of emotion regulation","volume":"38","author":"Choi","year":"2014","journal-title":"Child Abuse Negl"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"706","DOI":"10.1111\/j.1469-7610.2009.02202.x","article-title":"Longitudinal pathways linking child maltreatment, emotion regulation, peer relations, and psychopathology","volume":"51","author":"Kim","year":"2010","journal-title":"J Child Psychol Psychiatry"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"801","DOI":"10.1080\/10926771.2010.522947","article-title":"Child maltreatment, emotion regulation, and posttraumatic stress: the impact of emotional abuse","volume":"19","author":"Burns","year":"2010","journal-title":"J Aggress Maltreat Trauma"},{"key":"ref57","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":"ref58","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1080\/00223980.2016.1248809","article-title":"Faces of shame: implications for self-esteem, emotion regulation, aggression and well-being","volume":"151","author":"Velotti","year":"2017","journal-title":"J Psychol"},{"key":"ref59","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1037\/0022-3514.84.1.205","article-title":"Stability of self-esteem across the life span","volume":"84","author":"Trzesniewski","year":"2003","journal-title":"J Pers Soc Psychol"},{"key":"ref60","doi-asserted-by":"publisher","first-page":"321","DOI":"10.1207\/s15327957pspr0504_3","article-title":"Age and birth cohort differences in self-esteem: a cross-temporal meta-analysis","volume":"5","author":"Twenge","year":"2001","journal-title":"Personal Soc Psychol Rev"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1846894\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T04:26:54Z","timestamp":1785817614000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1846894\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,4]]},"references-count":60,"alternative-id":["10.3389\/fpubh.2026.1846894"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1846894","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,4]]},"article-number":"1846894"}}