Download the full-sized PDF of An Evolutionary Model of Depression and Anxiety in Medical StudentsDownload the full-sized PDF



Permanent link (DOI):


Export to: EndNote  |  Zotero  |  Mendeley


This file is in the following communities:

Graduate Studies and Research, Faculty of


This file is in the following collections:

Theses and Dissertations

An Evolutionary Model of Depression and Anxiety in Medical Students Open Access


Other title
Evolutionary model
medical student mental health
Medical Learner distress
Type of item
Degree grantor
University of Alberta
Author or creator
Shahin, Jaleh
Supervisor and department
Whelton, William (Educational Psychology)
Examining committee member and department
Greenshaw, Andrew (Psychiatry)
Truscott, Derek (Educational Psychology)
Frank, Erica (University of British Columbia)
Maier, Dianne (University of Calgary)
Lewis, Melanie (Pediatrics)
Department of Educational Psychology
Counselling Psychology
Date accepted
Graduation date
Doctor of Philosophy
Degree level
The quality of the healthcare system partly depends on the health and wellness of its individual members. Physicians play a critical role in any healthcare system and make up one of its largest memberships. Physician wellness has been linked to a high quality of patient care, empathy, and lower rates of medical errors. Therefore, physician wellness and mental health should be considered an important public health issue with significant implications for patients and healthcare systems. Psychological distress in physicians typically begins early on during medical school. Several studies have explored various contributing factors to medical student distress. These include a culture of mistreatment and cynicism, taxing workload, viewing self as inferior in skills and abilities compared to peers (also known as imposter syndrome), and personality traits such as perfectionism, competitiveness, workaholism, and Type A personality. Despite the recent literature emphasizing the importance of addressing medical student distress, a cohesive, empirically supported, and comprehensive model of medical student distress has been lacking. In order to adequately and effectively address medical student distress, an empirically supported model of medical student distress is needed that will enhance our understanding of the specific causes of distress in the culture of medical training. This model can then lead to testable hypotheses and it can form the theoretical foundation for evidence-based intervention and prevention recommendations. This dissertation is divided into three papers. Initially, it aims to introduce a new model of medical student distress based on empirically supported evolutionary theories of psychopathology. The second paper will test the hypotheses arising from the new proposed model. Finally, the third paper will offer practical and empirically supported prevention and intervention strategies based on the result of the second paper.
This thesis is made available by the University of Alberta Libraries with permission of the copyright owner solely for the purpose of private, scholarly or scientific research. This thesis, or any portion thereof, may not otherwise be copied or reproduced without the written consent of the copyright owner, except to the extent permitted by Canadian copyright law.
Citation for previous publication

File Details

Date Uploaded
Date Modified
Audit Status
Audits have not yet been run on this file.
File format: pdf (PDF/A)
Mime type: application/pdf
File size: 1525064
Last modified: 2016:06:16 16:51:21-06:00
Filename: Shahin_Jaleh_201511_PhD.pdf
Original checksum: 27ddd23697c665b661ed0fac5d020b1a
Activity of users you follow
User Activity Date