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The study included 431 Belgrade University students in social medicine during the last week of November 2024. Using the Copenhagen Burnout Inventory, overall burnout prevalence was 35.3%, with anxiety and study engagement showing significant associations via multivariate logistic regression (OR 1.14 and 0.86). Findings support implementing mental health support programmes.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/factors-associated-with-burnout-among-the-belgrade-university-medical-students-original-article/444671/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/factors-associated-with-burnout-among-the-belgrade-university-medical-students-original-article/444671.png","ImageObject",300,407,{"name":92,"@type":93},"Ben ","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":8},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What was the aim of the cross-sectional study?","Question",{"text":112,"@type":113},"To determine burnout prevalence among fifth-year medical students in Serbia and identify social, lifestyle, and health status factors associated with burnout.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How many students participated, and when was the study conducted?",{"text":117,"@type":113},"The study included 431 Belgrade University students attending social medicine classes during the last week of November 2024.",{"name":119,"@type":110,"acceptedAnswer":120},"Which variables were significantly associated with overall burnout?",{"text":121,"@type":113},"Overall burnout was positively associated with grade point average and Zung Self-Rating Anxiety Scale score, and negatively associated with study engagement.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},444671,1790754165,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":8,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":39,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":46},2336478951081,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Todorović J, et al. Factors associated with burnout among the Belgrade University medical students Arh Hig Rada Toksikol 2025;76:274–281  \n274  \nOriginal article  \nDOI: 10.2478/aiht-2025-76-3986  \nFactors associated with burnout among the Belgrade University medical students  \nJovana Todorović1, Kontstantinos Stratakis2, Dejan Nešić3, Ratko Tomašević2,4, and Zorica Terzić-Šupić1  \n1 University of Belgrade Faculty of Medicine, Department of Social Medicine, Belgrade, Serbia  \n2 University of Belgrade Faculty of Medicine, Belgrade, Serbia  \n3 University of Belgrade Faculty of Medicine, Department of Medical Physiology, Belgrade, Serbia  \n4 Zemun Clinical Hospital Centre, Zemun, Serbia  \n[Received in April 2025; Similarity Check in April 2025; Accepted in October 2025]  \nAlthough the 11th Revision of the International Classification of Diseases defines burnout as an occupational syndrome, research has investigated it extensively in medical students. The aim of this cross-sectional study was to determine the prevalence of burnout among fifth-year medical students in Serbia along with the social, lifestyle, and health status characteristics associated with it. The study included 431 Belgrade University students attending classes in social medicine and took place in the last week of November 2024. According to the Copenhagen Burnout Inventory (CBI), the mean score was 43.67±15.81 and overall burnout prevalence 35.3 % . The prevalence of personal burnout was 35 %, of study-related burnout 36.9 %, and of faculty-related burnout 29 % . The multivariate logistic regression analysis of overall burnout showed positive association with the grade point average (OR: 4.02; 95 % CI: 2.12–7.64) and Zung Self-Rating Anxiety Scale score (OR: 1.14; 95 % CI: 1.06–1.22) and a negative association with the study engagement score (OR: 0.86; 95 % CI: 0.81–0.92). Our findings identify variables that need addressing to lower burnout prevalence among students. One is anxiety, which was significantly associated with burnout, and the other is study engagement, which was inversely associated with burnout. We believe that medical schools should provide mental health support programmes to address these and other potential issues.  \nKEY WORDS: anxiety; Copenhagen Burnout Inventory; grade point average; Zung Self-Rating Anxiety Scale  \nAccording to the 11th Revision of the International Classification of Diseases (ICD-11), burnout is “a syndrome conceptualized as resulting from chronic workplace stress that has not been successfully managed. It is characterized by three dimensions: feelings of energy depletion and exhaustion, increased mental distance from one’s job or feelings of negativism or cynicism related to one’s job, and reduced professional efficacy”(1) . Although this limits the phenomenon to a combination of feelings associated with one’s job and the workplace, there are a number of studies reporting burnout among university students, medical and healthcare in particular (2–5) . The main contributors to the burnout among students include academic and family pressure, and the reported prevalence in this population varies from 7 % to 70 %, which makes it a significant public health issue (5) . Such great differences in reported prevalence between the studies reflect differences in the instruments used, in burnout criteria, cut-off scores, and, importantly, differences in measured dimensions of burnout (5) .  \nAll university students are considered sensitive to the development of burnout, but the risk seems to be much more prominent in medical students, as the reported prevalence ranges from 17.6 % to 82 %(2, 3, 6, 7). A risk this high may be associated with the study year, pressure to complete all study obligations,  \nCorresponding author: Jovana Todorović, University of Belgrade Faculty of Medicine, Department of Social Medicine, dr. Subotića 15, 11000 Belgrade, Serbia, [E-mail: jovana.todorovic@med.bg.ac.rs](E-mail: jovana.todorovic@med.bg.ac.rs), ORC","cbCaibVjDKFMjXZN","https://ap.wps.com/l/cbCaibVjDKFMjXZN","pdf",525326,"English","# Background\n## Burnout definition and relevance to medical students\n# Aim and study design\n## Study objective\n## Participants and methods\n# Results\n## Burnout prevalence\n## Factors associated with burnout\n# Implications\n## Mental health support programmes","[{\"question\":\"What was the aim of the cross-sectional study?\",\"answer\":\"To determine burnout prevalence among fifth-year medical students in Serbia and identify social, lifestyle, and health status factors associated with burnout.\"},{\"question\":\"How many students participated, and when was the study conducted?\",\"answer\":\"The study included 431 Belgrade University students attending social medicine classes during the last week of November 2024.\"},{\"question\":\"Which variables were significantly associated with overall burnout?\",\"answer\":\"Overall burnout was positively associated with grade point average and Zung Self-Rating Anxiety Scale score, and negatively associated with study engagement.\"}]","Factors associated with burnout among the Belgrade University medical students - Original article | PDF",1790708846]