Internship experience and psychological symptoms among Chinese healthcare trainees: evidence from structural equation modeling - Report - MDSpire

Internship experience and psychological symptoms among Chinese healthcare trainees: evidence from structural equation modeling

  • By

  • Xiaomin Xu

  • Guanguan Qiu

  • Oushan Tang

  • Guoping Zheng

  • July 14, 2026

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Clinical Report: Exploring the Relationship Between Internship Experiences and Mental Health Symptoms

Overview

This study investigates the pathways linking internship experiences to psychological symptoms among Chinese healthcare trainees, highlighting the mediating role of burnout. Findings indicate that negative internship experiences are associated with increased burnout, which in turn correlates with higher levels of anxiety and depression.

Background

Mental health issues, including anxiety and depression, are prevalent among healthcare trainees, often exceeding rates in the general population. The internship phase, characterized by increased responsibility and stress, is particularly critical as it can exacerbate psychological symptoms. Understanding the relationship between internship experiences and mental health is essential.

Data Highlights

VariableAssociation
Internship ExperienceNegatively associated with Burnout
BurnoutPositively associated with Anxiety and Depression
Anxiety and DepressionHighly correlated

Key Findings

  • Internship experience negatively impacts burnout levels among healthcare trainees.
  • Burnout is positively associated with anxiety and depression symptoms.
  • Anxiety and depression symptoms are highly correlated with each other.
  • Burnout serves as a significant mediator between internship experience and psychological symptoms.

Clinical Implications

The findings suggest that addressing burnout through improved internship experiences may be crucial for reducing anxiety and depression among healthcare trainees. Educational institutions should consider implementing supportive measures to enhance the internship experience.

Conclusion

This study highlights the role of burnout in the mental health of healthcare trainees.

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