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Factors associated with burnout among the Belgrade University medical students Cover

Factors associated with burnout among the Belgrade University medical students

Open Access
|Dec 2025

Figures & Tables

Associations between student variables and burnout* as outcome variable obtained with multivariate logistic regression analysis**

CharacteristicOverall burnout OR (95 % CI)Personal burnout OR (95 % CI)Study-related burnout OR (95 % CI)Faculty-related burnout OR (95 % CI)
GenderMale/1.0//
Female/2.12 (1.13–3.96)//
GPA (mean±SD) 4.02 (2.12–7.64)///
Alcohol useYes in the past year, but not in the past 30 days/8.15 (2.16–30.78)//
Yes, in the past 30 days/5.20 (1.40–19.24)//
No/1.0//
Binge drinkingYes in the past year, but not in the past 30 days/0.48 (0.24–0.98)//
Yes, in the past 30 days/0.39 (0.19–0.82)//
No/1.0//
Cannabis useYes//1.54 (0.74–3.19)/
No//1.0/
Time spent playing video games per day (mean±SD)////
Time spent using mobile phone per day (mean±SD)0.99 (0.98–1.01)1.00 (0.99–1.01)/0.99 (0.99–1.01)
Family relationsPoor1.79 (0.31–10.50)1.97 (0.53–7.33)//
Average1.05 (0.33–3.28)1.06 (0.31–1.56)//
Good1.01.0//
Self-rated health statusPoor1.41 (0.20–10.05)0.23 (0.03–1.56)//
Average2.37 (0.84–6.65)0.15 (0.02–0.91)//
Good1.01.0//
Relationship statusSingle///1.0
With partner///1.58 (0.98–2.56)
Anxiety medicine use in the past 12 monthsYes1.35 (0.57–3.18)2.25 (1.26–3.99)2.03 (1.22–3.36)
No1.01.01.0
Strength on the dominant hand<25th percentile 1.0
25thto 75th percentile/1.41 (0.72–2.75)//
>75th percentile/2.28 (1.06–4.89)//
PHQ-9 score (mean±SD)1.01 (0.92–1.10)1.01 (0.95–1.07)1.04 (0.99–1.09)0.98 (0.93–1.04)
Zung SAS score (mean±SD)1.14 (1.06–1.22)1.13 (1.07–1.20)1.05 (1.01–1.10)1.04 (0.99–1.09)
Study engagement score (mean±SD)0.86 (0.81–0.92)0.92 (0.87–0.96)0.89 (0.86–0.93)0.91 (0.88–0.94)
MSPSS score (mean±SD)0.68 (0.43–1.10)0.71 (0.50–0.99)0.83 (0.65–1.05)0.96 (0.75–1.22)
Physical activity (MET minutes/week; mean±SD)1.00 (1.00–1.00)///

Differences between participants with and without overall burnout*

CharacteristicWith burnoutWithout burnoutp-value**
  • Provenance

  • N (%)

Urban132 (88.6)243 (91.4)
Rural17 (11.4)23 (8.6)0.360
  • Gender

  • N (%)

Male42 (27.6)83 (31.2)
Female110 (72.4)183 (68.8)0.443
Age (in years) (mean±SD) 23.45±1.4522.22±16.820.086
BMI (in kg/m2) (mean±SD) 23.07±3.8222.77±3.390.873
  • Current residence

  • N (%)

Own apartment34 (22.4)66 (24.7)
Rented apartment28 (18.4)63 (23.6)
Student dorm21 (13.8)48 (18.0)
Parental home65 (42.8)85 (31.8)
Other4 (2.6)5 (1.9)0.205
GPA (mean±SD) 8.87±0.688.57±0.720.015
  • Smoking tobacco

  • N (%)

Yes40 (26.8)54 (21.2)
No109 (73.2)201 (78.8)0.193
  • Smoking e-cigarettes

  • N (%)

Yes18 (11.8)36 (13.6)
No134 (88.2)229 (86.4)0.610
  • Heated tobacco products

  • N (%)

Yes15 (9.9)32 (12.1)
No137 (90.1)233 (87.9)0.493
  • Alcohol use

  • N (%)

Yes in the past year, but not in the past 30 days36 (23.7)57 (21.3)
Yes, in the past 30 days107 (70.4)185 (69.3)
No9 (5.9)25 (9.4)0.434
  • Binge drinking

  • N (%)

Yes in the past year, but not in the past 30 days50 (33.1)65 (24.4)
Yes, in the past 30 days52 (34.4)104 (39.1)
No49 (32.5)97 (36.5)0.163
  • Cannabis use

  • N (%)

Yes25 (16.4)30 (11.2)
No127 (83.6)237 (88.8)0.129
Time spent on social media per day (mean±SD) 2.75±1.642.97±1.640.954
Time spent playing video-games per day (mean±SD) 0.51±1.490.32±0.780.874
Time spent using mobile phone per day (mean±SD) 34.59±41.6536.66±43.690.027
  • Subjective financial status

  • N (%)

Poor4 (2.6)4 (1.5)
Average51 (33.6)89 (33.3)
Good97 (63.8)174 (65.2)0.712
  • Family relations

  • N (%)

Poor11 (7.2)10 (3.7)
Average32 (21.1)31 (11.6)
Good109 (71.7)226 (84.6)0.006
  • Health

  • N (%)

Poor7 (4.7)4 (1.5)
Average31 (20.7)28 (10.5)
Good112 (74.7)235 (88.0)0.002
  • Relationship status

  • N (%)

Single94 (61.8)140 (52.4)
With partner58 (38.2)127 (47.6)0.062
  • Anxiety medicines in the past 12 months

  • N (%)

Yes60 (39.5)64 (24.0)
No92 (60.5)203 (76.0)0.001
  • Strength on the dominant hand

  • N (%)

<25th percentile35 (23.0)71 (26.7)
25th to 75th percentile73 (48.0)137 (51.5)
>75th percentile44 (28.9)58 (21.8)0.251
  • Strength on the non-dominant hand

  • N (%)

<25th percentile37 (24.3)74 (27.8)
25th to 75th percentile76 (50.0)126 (47.4)
>75th percentile39 (25.7)66 (24.8)0.738
PHQ-9 score (mean±SD) 9.72±5.276.46±5.280.001
Zung SAS score (mean±SD) 39.98±8.4132.85±7.130.001
Study engagement score (mean±SD) 30.63±8.0236.43±5.920.001
MSPSS score (mean±SD) 5.60±1.076.37±0.790.001
Physical activity (MET minutes/week; mean±SD) 2629.48±1927.842851.56±1860.090.001
DOI: https://doi.org/10.2478/aiht-2025-76-3986 | Journal eISSN: 1848-6312 | Journal ISSN: 0004-1254
Language: English, Croatian, Slovenian
Page range: 274 - 281
Submitted on: Apr 1, 2025
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Accepted on: Oct 1, 2025
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Published on: Dec 30, 2025
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Jovana Todorović, Kontstantinos Stratakis, Dejan Nešić, Ratko Tomašević, Zorica Terzić-Šupić, published by Institute for Medical Research and Occupational Health
This work is licensed under the Creative Commons Attribution 4.0 License.