Roots of Resilience: Positive Childhood Experiences, Sense of Belonging, and Burnout Among Medical Students

Document Type

Article

Publication Date

1-1-2026

Publication Title

Front Public Health

Abstract

BACKGROUND: Burnout affects many medical students, yet the role of positive childhood experiences (PCEs) remains largely unexplored. Sense of belonging protects against burnout, but whether it mediates the link between PCEs and burnout is unknown.

OBJECTIVE: To test whether sense of belonging mediates the association between PCEs and burnout in medical students.

METHOD: This cross-sectional survey study examined medical students (N = 132) at a U. S. medical school using validated measures of PCEs, sense of belonging, and burnout. Mediation was tested using PROCESS Model 4 with 5,000 bias-corrected bootstrap confidence intervals. Year of training, age, and gender were covariates.

RESULTS: All primary bivariate correlations were significant (

CONCLUSION: Findings are consistent with a partial mediation model in which belonging explains a substantial portion of the PCE - burnout association. Since belonging is institutionally modifiable, fostering belonging-oriented environments offers an evidence-informed burnout prevention strategy, especially for students with fewer nurturing childhood experiences.

Volume

14

First Page

1857198

Last Page

1857198

DOI

10.3389/fpubh.2026.1857198

ISSN

2296-2565

PubMed ID

42428929

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