Resilience in medical students: Mediating and moderating role in relationship between stress and life satisfaction

Journal of Affective Disorders Reports · Published 2026-05-29 · DOI 10.1016/j.jadr.2026.101082

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Authors (11)

Md. Asaduzzaman, Md. Sadequr Rahman, Md. Abdullah Sayed, Nasreen Akhter, Shishir Ranjan Chakraborty, Sumona Tanu, Raisul Karim Nishan, Mehedi Hasan, Abul Hasnat Khan, Maliha Ashrafi, Mohammad Romel Bhuia

Abstract

Background and objectives: Medical students are exposed to substantial psychological stress, potentially reducing their satisfaction with life. The study aimed to investigate how resilience mediated and moderated the interconnection between stress and life satisfaction among medical students in Bangladesh. Methods: This multicenter cross-sectional study was conducted among 782 medical students from different institutions in Sylhet, Bangladesh. The instruments used were validated and included: Depression Anxiety Stress Scale (DASS-21) in terms of stress and Satisfaction with Life Scale (SWLS) and Brief Resilience Scale (BRS). Hierarchical regression, bootstrapped mediation as well as moderation analysis (with interaction terms) were conducted with the adjustment of age, sex, and physical activity. Results: Stress had a negative association with resilience (r = -0.421, p < 0.001), and life satisfaction (r = -0.384, p < 0.001), and resilience had a positive correlation with life satisfaction, (r = 0.339, p < 0.001). The mediation analysis supported this affirmation; that is, resilience played a significant mediator role in the relationship between stress and life satisfaction (indirect effect = -0.118, 95% CI: -0.169 to -0.070). Moderation plot: the interaction plot demonstrated that there was the possibility of a buffering effect. Conclusion: Resilience was found to be a significant mediator in the association between stress and life satisfaction.

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Publication details

Year
2026

Citation

Asaduzzaman, M., Rahman, M., Sayed, M., et al. (2026). Resilience in medical students: Mediating and moderating role in relationship between stress and life satisfaction. Journal of Affective Disorders Reports. https://doi.org/10.1016/j.jadr.2026.101082

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