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Impostor phenomenon and psychological outcomes among family medicine residents: a cross-sectional study in Croatia Cover

Impostor phenomenon and psychological outcomes among family medicine residents: a cross-sectional study in Croatia

Open Access
|Jun 2025

Figures & Tables

Table 1

Selected characteristics of study participants (N=79)

VariableMale
N
Female
N
Partner
  Yes536
  No929
Children
  Yes121
  No1344
Mental illness
  Yes24
  No1261
School of medicine as first choice
  Yes1460
  No05
Family medicine residency as first choice
  Yes1359
  No16
Table 2

Prevalence of impostor feelings among Croatian family medicine residents (N=79)

CIPS (Impostor feelings)NMedian score (min–max)95 % CI
Few ≤402031.5 (21–40)28.1–33.3
Moderate 41–603348 (41–60)46.7–50.5
Frequent 61–801966 (62–80)66.0–72.0
Intense >80789 (81–99)81.9–93.8

[i] Clance Impostor Phenomenon Scale (CIPS) score categories: few impostor characteristics ≤40; moderate impostor experiences 41–60; frequent impostor feelings 61–80; intense impostor experiences >80. CI – confidence interval

Table 3

Prevalence of depression, anxiety, and stress by severity among Croatian family medicine residents (N=79)

DASS-21 scoresNormal (N)Mild (N)Moderate (N)Severe (N)Extremely severe (N)Median score (min–max)
Depression6259122 (0–34)
Anxiety56514224 (0–24)
Stress596121110 (0–38)

[i] DASS-21 cut-off scores for 1) depression: ≤9 normal; 10–13 mild; 14–20 moderate; 21–27 severe; 28–42 extremely severe; 2) anxiety: ≤7 normal; 8–9 mild; 10–14 moderate; 15–19 severe; 20–42 extremely severe; and 3) stress: ≤14 normal; 15–18 mild; 19–25 moderate; 26–33 severe; 34–42 extremely severe

Figure 1

Plots showing higher mean (95 % CI) and median values of DASS-21 depression, anxiety, and stress scores in participants with CIPS scores higher than 40. * p<0.001 (Mann-Whitney U test). CI – confidence interval; CIPS – Clance Impostor Phenomenon Scale; DASS-21 – Depression Anxiety Stress Scale 21

Table 4

Correlation between sociodemographic variables and CIPS and DASS-21 scores

ORuv95 % CIp-value*
CIPS
Gender
  Male/Female0.540.16–1.860.329
Partner
  Yes/No0.360.12–1.070.066
Children
  Yes/No0.340.12–1.010.053
Mental illness
  Yes/No1.760.19–16.030.616
DASS-21 Depression
Gender
  Male/Female0.990.24–4.050.993
Partner
  Yes/No0.420.14–1.280.128
Children
  Yes/No0.750.22–2.620.655
Mental illness
  Yes/No4.210.77–23.140.098
DASS-21 Anxiety
Gender
  Male/Female0.350.07–1.700.193
Partner
  Yes/No1.020.38–2.680.975
Children
  Yes/No0.880.29–2.640.823
Mental illness
  Yes/No1.240.21–7.280.813
DASS-21 Stress
Gender
  Male/Female1.220.34–4.450.758
Partner
  Yes/No0.890.25–1.910.476
Children
  Yes/No0.570.17–1.940.369
Mental illness
  Yes/No0.570.06–5.180.616

* – univariate logistic regression.

CI – confidence interval; CIPS – Clance Impostor Phenomenon Scale; DASS-21 – Depression Anxiety Stress Scale 21; ORuv – odds ratio obtained with univariate logistic regression

DOI: https://doi.org/10.2478/aiht-2025-76-3934 | Journal eISSN: 1848-6312 (formerly 0004-1254) | Journal ISSN: 0004-1254
Language: English, Croatian
Page range: 113 - 118
Submitted on: Dec 1, 2024
Accepted on: May 1, 2025
Published on: Jun 30, 2025
Published by: Institute for Medical Research and Occupational Health
In partnership with: Paradigm Publishing Services

© 2025 Sunčana Vlah Tomičević, Valerija Bralić Lang, published by Institute for Medical Research and Occupational Health
This work is licensed under the Creative Commons Attribution 4.0 License.