{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:29:55Z","timestamp":1787840995242,"version":"build-2784847793"},"reference-count":43,"publisher":"Ovid Technologies (Wolters Kluwer Health)","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>The ultimate goal of education at all levels is the ability to generate and foster students\u2019 creativity. This study aimed at determining and comparing creativity and its influencing factors among medical students.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>SUBJECTS AND METHODS:<\/jats:title>\n                    <jats:p>\n                      In this cross-sectional study conducted in 2019, 720 medical students in Shahroud public and private universities were selected and studied through stratified cluster random sampling. Data were collected using the Guilford Creativity Questionnaire. The data were analyzed using Chi-square, Pearson correlation coefficient,\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -test, and multiple logistic regression with a significance level of 0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      The mean creativity score of the students was 131.4 \u00b1 13.8. The mean creativity scores on the fluency, elaboration, originality, and flexibility dimensions were 49.2 \u00b1 5.3, 22.1 \u00b1 3.4, 34.8 \u00b1 4.7, and 25.4 \u00b1 3.5, respectively. In terms of creativity levels, 75.2% of the students (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 542) had moderate creativity and 23.8% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 171) had high creativity. A significant relationship was observed between creativity and educational level (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.006). Multiple logistic regression results showed that educational level with an odds ratio of 0.59 was associated with a decreased chance of creativity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Most of the students had moderate creativity. Moreover, among the factors examined in this study, variables other than the field of the study and educational level had no significant effect on students\u2019 creativity. Therefore, using collaborative and cooperative learning and problem-based learning strategies, teachers\u2019 critical thinking styles, establishing teamwork groups, concept mapping, and using innovative and creative teaching methods can help to enhance students\u2019 creativity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jehp.jehp_279_20","type":"journal-article","created":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T09:50:57Z","timestamp":1606816257000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":13,"title":["Creativity and its determinants among medical students"],"prefix":"10.4103","volume":"9","author":[{"given":"Mohammad","family":"Amiri","sequence":"first","affiliation":[{"name":"Department of Public Health, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Khosravi","sequence":"additional","affiliation":[{"name":"Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reza","family":"Chaman","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Shiraz University of Medical Sciences, Shiraz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zakieh","family":"Sadeghi","sequence":"additional","affiliation":[{"name":"Department of Analytical Chemistry, Damghan University, Damghan,Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehdi","family":"Raei","sequence":"additional","affiliation":[{"name":"Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,11,26]]},"reference":[{"key":"R1-20260528","first-page":"23","article-title":"Creativity: Developmental and cross-cultural issues Creativity: When east Meets West","author":"Lubart","year":"2004"},{"key":"R2-20260528","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.tsc.2009.06.003","article-title":"Desirability of personal characteristics associated with creativity: Through the eyes of Polish and Chinese University students","volume":"4","author":"Rudowicz","year":"2009","journal-title":"Thinking Skills Creativity"},{"key":"R3-20260528","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1146\/annurev-orgpsych-032414-111418","article-title":"Pay, intrinsic motivation, extrinsic motivation, performance, and creativity in the workplace: Revisiting long-held beliefs","volume":"2","author":"Gerhart","year":"2015","journal-title":"Annu Rev Organ Psychol Organ Behav"},{"key":"R4-20260528","first-page":"42","article-title":"Job satisfaction and its influential factors","volume":"10","author":"Amiri","year":"2010","journal-title":"J Res Health Sci"},{"key":"R5-20260528","first-page":"27","article-title":"The relationship between students\u2019 problem-solving skills and creativity mediated by self-efficacy: Modelling structural equations","volume":"6","author":"Mahzoonzadeh Bushehri","year":"2017","journal-title":"Innovation Creativity Human Sci"},{"key":"R6-20260528","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1016\/j.chb.2014.09.055","article-title":"Graduate students\u2019 creative professional virtual community behaviors and their creativity","volume":"41","author":"Tang","year":"2014","journal-title":"Comput Human Behav"},{"key":"R7-20260528","first-page":"1","article-title":"Developing scientific attitude, critical thinking and creative intelligence of higher secondary school biology students by applying synectics techniques","volume":"3","author":"Candrasekaran","year":"2014","journal-title":"Int J Human Soc Sci Invent"},{"key":"R9-20260528","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1002\/j.2162-6057.1973.tb01096.x","article-title":"The one-way relation between creative potential and IQ","volume":"7","author":"Guilford","year":"1973","journal-title":"J Creative Behav"},{"key":"R10-20260528","first-page":"1","article-title":"Normalization of the creativity test","volume":"6","author":"Daemi","year":"2005","journal-title":"Adv Cognitive Sci"},{"key":"R11-20260528","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.3758\/BF03196731","article-title":"The cognitive neuroscience of creativity","volume":"11","author":"Dietrich","year":"2004","journal-title":"Psychon Bull Rev"},{"key":"R12-20260528","first-page":"3","article-title":"The concept of creativity: Prospects and paradigms","volume":"1","author":"Sternberg","year":"1999","journal-title":"Handbook Creativity"},{"key":"R13-20260528","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/BF03341801","article-title":"Creative and reasoning skills are low among health sciences students who rely mostly on memorized templates: An Australian case","volume":"23","author":"Henneberg","year":"2013","journal-title":"Med Sci Educ"},{"key":"R15-20260528","first-page":"319","article-title":"A comparison of creativity in nursing undergraduate and and graduate students of Shahid Sadoughi University of Medical Sciences in 2014","volume":"11","author":"Khodayarian","year":"2017","journal-title":"J Med Educ Develop"},{"key":"R16-20260528","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1016\/j.sbspro.2015.01.241","article-title":"Relation between methods of struggling with Stress and the method of solving problem by self-regulated learning","volume":"171","author":"Ahmadi","year":"2015","journal-title":"Proced Soc Behav Sci"},{"key":"R17-20260528","doi-asserted-by":"crossref","first-page":"1382","DOI":"10.1016\/j.nedt.2012.09.005","article-title":"A systematic review of creative thinking\/creativity in nursing education","volume":"33","author":"Chan","year":"2013","journal-title":"Nurse Educ Today"},{"key":"R18-20260528","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/j.teln.2007.07.006","article-title":"Evaluation of critical thinking skills in an associate degree nursing program","volume":"2","author":"Jones","year":"2007","journal-title":"Teach Learn Nurs"},{"key":"R19-20260528","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1007\/s10912-016-9397-1","article-title":"Creativity in medical education: The value of having medical students make stuff","volume":"37","author":"Green","year":"2016","journal-title":"J Med Humanit"},{"key":"R20-20260528","doi-asserted-by":"crossref","first-page":"1243","DOI":"10.3389\/fpsyg.2016.01243","article-title":"Emotional creativity as predictor of intrinsic motivation and academic engagement in university students: The mediating role of positive emotions","volume":"7","author":"Oriol","year":"2016","journal-title":"Front Psychol"},{"key":"R21-20260528","first-page":"53","article-title":"Correlation between general health with emotional intelligence and creativity in medical college students at Islamic Azad University, Sari Branch, Sari, Iran","volume":"6","author":"Fakhri","year":"2012","journal-title":"Qom Univ Med Sci J"},{"key":"R22-20260528","first-page":"155","article-title":"Creativity and personality traits in college students","volume":"7","author":"Zare","year":"2011","journal-title":"Develop Psychol"},{"key":"R23-20260528","first-page":"51","article-title":"The effect of psychological capita Mediation by motivation on Students\u2019 Creativity","volume":"6","author":"Irajirad Arsalan","year":"2017","journal-title":"Sci Res Quarterly"},{"key":"R24-20260528","first-page":"20","article-title":"Investigating the creativity and its influencing factors among medical students","volume":"4","author":"Amiri","year":"2019","journal-title":"Int J Health Stud"},{"key":"R25-20260528","doi-asserted-by":"crossref","first-page":"11","DOI":"10.18869\/acadpub.rme.7.3.11","article-title":"Assessment the creative skills of nursing students and nurses in the intensive care units of hospitals covered by tehran university of medical sciences","volume":"7","author":"Sadeghi Gandomani","year":"2015","journal-title":"Res Med Educ"},{"key":"R26-20260528","article-title":"The Relationship Between Physiological Learning Styles, Creativity, and Academic Achievement among Students at Birjand University of Medical Sciences During the Academic Year 2013-2014","author":"Mohammadi","year":"2015"},{"key":"R27-20260528","article-title":"Comparison of Creativity Skill between the First Year and Fourth Year Undergraduate Nursing Students","author":"Moshirabadi","year":"2013"},{"key":"R28-20260528","first-page":"175","article-title":"Emotional intelligence and creativity in university students","volume":"7","author":"Noferesti","year":"2010","journal-title":"J Trans Psychol"},{"key":"R29-20260528","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1207\/s15326934crj0901_8","article-title":"Reliability and validity of a newly constructed multiple-choice creativity instrument","volume":"9","author":"Auzmendi","year":"1996","journal-title":"Creativity Res J"},{"key":"R30-20260528","first-page":"207","article-title":"Relationship between creativity and subjective well-being","volume":"4","author":"Peyvastegar","year":"2010","journal-title":"Int J Behav Sci"},{"key":"R31-20260528","article-title":"The Comparison of Critical Thinking, Hardiness, Achieve-Ment Motivation and Creativity Ofthe Male and Female Students of Islamic Azad University of Andimeshk","author":"Heidari","year":"2013"},{"key":"R32-20260528","article-title":"Examine the Relationship between Creativity and Efficacy of Computer Technology in Teaching Undergraduate Courses School Psychology and Educational Sciences Allameh Tabatabai University","author":"Qrabaghy","year":"2011"},{"key":"R33-20260528","doi-asserted-by":"crossref","first-page":"28","DOI":"10.3928\/00220124-20080101-08","article-title":"Exploring critical thinking in critical care nursing education: A pilot study","volume":"39","author":"Rogal","year":"2008","journal-title":"J Contin Educ Nurs"},{"key":"R34-20260528","first-page":"229","article-title":"The Relationship between Creativity with Mental Health and Academic Achievement in Students at Qom University of Medical Sciences","volume":"9","author":"Ghomi","year":"2019","journal-title":"Educ Develop Judishapur"},{"key":"R35-20260528","first-page":"709","article-title":"The link between creativity and mental health among the students of the universities in Tehran","volume":"8","author":"Noori","year":"2012","journal-title":"J Am Sci"},{"key":"R36-20260528","first-page":"89","article-title":"The effect of brainstorming on enhancing creativity in students","volume":"21","author":"Ganji","year":"2005","journal-title":"Educ Quarterly (in Persian)"},{"key":"R37-20260528","first-page":"89","article-title":"A Comparison of Attachment Styles and Creativity Among Male and Female University Students","volume":"1","author":"Hosseinikhah","year":"2011","journal-title":"Innovation &reativity In Human Science"},{"key":"R38-20260528","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1097\/00006199-197903000-00017","article-title":"Promoting creativity in nursing education","volume":"28","author":"Thomas","year":"1979","journal-title":"Nurs Res"},{"key":"R39-20260528","doi-asserted-by":"crossref","first-page":"102","DOI":"10.5032\/jae.2006.04102","article-title":"Creative thinking and learning styles in undergraduate agriculture students","volume":"47","author":"Friedel","year":"2006","journal-title":"J Agricultural Educ"},{"key":"R40-20260528","first-page":"131","article-title":"The Relationship between Iranian EFL learners\u2019 creativity and their lexical reception and production knowledge","volume":"5","author":"Hajilou","year":"2012","journal-title":"English Language Teach"},{"key":"R41-20260528","doi-asserted-by":"crossref","first-page":"4839","DOI":"10.1016\/j.sbspro.2014.01.1035","article-title":"Relationship between thinking styles and ability to pay attention of Malaysian male and female student teachers","volume":"116","author":"Piaw","year":"2014","journal-title":"Int J Procedia Social and Behavioral Sci"},{"key":"R42-20260528","first-page":"157","article-title":"Prediction of educational improvement based on self-efficacy, self-regulation and creativity of students in Islamic Azad university, Roudehen branch","volume":"4","author":"Sharifi","year":"2013","journal-title":"Educ Administ Res Quarterly"},{"key":"R43-20260528","doi-asserted-by":"crossref","first-page":"134","DOI":"10.4314\/afrrev.v4i3.60164","article-title":"Relationship between creativity and academic achievement of business administration students in south western polytechnics, Nigeria","volume":"4","author":"Olatoye","year":"2010","journal-title":"Afr Res Rev"},{"key":"R44-20260528","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1016\/j.sbspro.2014.01.321","article-title":"Creativity tasks and academic achievement. A study on Romanian politehnica undergraduate students","volume":"116","author":"Balgiu","year":"2014","journal-title":"Procedia Soc Behav Sci"},{"key":"R45-20260528","first-page":"101","article-title":"Relationship between meta component of creativity and mental health in student of university","volume":"1","author":"Pirkhaefi","year":"2013","journal-title":"Soc Cognition"}],"container-title":["Journal of Education and Health Promotion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jehp.jehp_279_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:39:01Z","timestamp":1787837941000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jehp.jehp_279_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":43,"URL":"https:\/\/doi.org\/10.4103\/jehp.jehp_279_20","relation":{},"ISSN":["2277-9531","2319-6440"],"issn-type":[{"value":"2277-9531","type":"print"},{"value":"2319-6440","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]},"assertion":[{"value":"2020-03-31","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-06-15","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}