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Psychiatry Investig > Volume 22(4); 2025 > Article
Psychiatry Investigation 2025;22(4):365-374.
DOI: https://doi.org/10.30773/pi.2024.0111    Published online April 11, 2025.
Exploring the Mediation of Stress and Emotional Exhaustion on Academic Ineffectiveness and Cynicism Among University Students
Cristian Ramos-Vera1  , Miguel Basauri-Delgado2  , Yaquelin E. Calizaya-Milla3  , Jacksaint Saintila4 
1Área de Investigación, Universidad César Vallejo, Lima, Peru
2Escuela de Posgrado, Universidad Femenina del Sagrado Corazón, Lima, Peru
3Facultad de Ciencias de la Salud, Universidad Peruana Unión, Lima, Peru
4Facultad de Ciencias de la Salud, Universidad Señor de Sipán, Chiclayo, Peru
Correspondence: Yaquelin E. Calizaya-Milla ,Tel: +51-1-6186300, Email: yaquelincalizaya@upeu.edu.pe
Correspondence: Jacksaint Saintila ,Tel: +51-1-5873369, Email: jacksaintsaintila@gmail.com
Received: April 3, 2024   Revised: July 19, 2024   Accepted: November 12, 2024   Published online: April 11, 2025
Abstract
Objective
This study explored the indirect effects of emotional exhaustion and academic ineffectiveness on the relationship between perceived stress and cynicism in university students, also examining the moderating role of preprofessional internship (PI).
Methods
A cross-sectional predictive study was conducted that explored the relationship of predictor variables with some criterion variable. Data were obtained through an anonymous survey to which 950 students from two private universities responded (Mage=23.2±2.2 years, 52.7% women). Structural equation modeling was used to test mediation and moderation.
Results
Emotional exhaustion and academic ineffectiveness mediated the relationship between perceived stress and cynicism. Likewise, the implementation of PI moderated both the relationship between perceived stress and emotional exhaustion and the relationship between emotional exhaustion and cynicism.
Conclusion
These findings provide evidence that perceived stress is associated with increased cynicism through symptoms of emotional exhaustion and academic ineffectiveness. Furthermore, this relationship is moderated by the completion of PI.
Key words   Residency; Internship; Emotional exhaustion; Universities; Students


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