Fatigue Severity and Psychological Well-Being of Junior Medical Interns as Mediated by Rumination
Kristyl Joyce V. Pascubillo | Geraldine F. Santos
Discipline: Psychology and Health
Abstract:
This study investigated the psychological well-being of junior medical interns in the Philippines
as they transitioned from medical school to hospital clerkships. The research aimed to understand the
mediating role of rumination in the relationship between fatigue severity and psychological well-being
among these interns. A cross-sectional study was conducted across 33 medical schools in the Philippines,
with 504 junior medical interns participating between May and September 2023. Participants completed
questionnaires with demographic information and standardized scales measuring fatigue severity,
rumination, and psychological well-being. The results showed that the interns experienced severe levels of
fatigue (M = 45.90), moderate levels of psychological well-being (M = 57.56), and above-normal levels of
rumination (M = 53.80). All three variables were significantly correlated with each other (p < 0.01). Mediation
analysis revealed that rumination significantly mediated the relationship between fatigue severity and
psychological well-being (B = 0.125, SE = 0.062, p = 0.045). These findings suggest that interventions targeting
rumination may be beneficial in improving the psychological well-being of junior medical interns during
their transition from medical school to hospital clerkships.
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