Adverse childhood experiences and academic burnout among Chinese traditional medicine students: the serial mediating role of rumination, self-control, and resilience - Summary - MDSpire

Adverse childhood experiences and academic burnout among Chinese traditional medicine students: the serial mediating role of rumination, self-control, and resilience

  • By

  • Youwen Wang

  • Shuailin Du

  • Ying Tan

  • Yuexuan Wu

  • Boying Yu

  • Xusheng Tian

  • July 9, 2026

  • 0 min

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Objective:

To examine the association between adverse childhood experiences (ACEs) and academic burnout among medical students, and to explore the mediating effects of rumination, self-control, and resilience.

Approach:
  • Study Design: A cross-sectional questionnaire survey was conducted among 1,889 medical students from Heilongjiang University of Chinese Medicine.
  • Measures: Measures included ACEs, academic burnout, rumination, self-control, and resilience.
  • Analyses: Pearson correlation analysis and serial mediation analyses were performed, along with sensitivity and supplementary analyses.
Key Findings:
  • ACEs were positively associated with academic burnout (β = 0.187, p < 0.001).
  • Rumination, self-control, and resilience were statistically linked to the ACEs-burnout association through significant indirect pathways.
  • After including the mediators, the direct association between ACEs and academic burnout was no longer significant.
Interpretation:

Causal relationships cannot be established due to the cross-sectional design.

Limitations:
  • The study's cross-sectional design limits the ability to establish causal ordering.
  • Further longitudinal studies are needed to clarify the temporal sequence of the psychological processes involved.
Conclusion:

Understanding the mediating effects of psychological factors in the relationship between ACEs and academic burnout among medical students is important.

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