Parental support as a moderating variable in the relationship of academic resilience and academic stress to academic burnout in medical clerkship students
Abstract
Academic burnout, manifested through psychological exhaustion, cynical attitudes, and perceptions of helplessness, is a common phenomenon among medical education students. This quantitative study aims to examine the relationship between academic resilience and academic stress with academic burnout, as well as to investigate the moderating role of parental support. Data were collected using the Maslach Burnout Inventory-Student Survey, the Academic Resilience Scale (ARS-30), the Student Life Stress Inventory, and The Social Provisions Scale. Data analysis techniques employed moderated regression analysis and interaction effects, utilizing data transformation (centering) and the PROCESS macro-Hayes Model (Model 1). Based on findings from 112 participants selected through purposive sampling, moderation regression analysis (PROCESS Model 1 Hayes) revealed that academic resilience had a significant negative effect (β = -0.245; p < 0.001), while academic stress had a significant positive effect (β = 0.346; p < 0.001) on academic burnout. Parental support was found to significantly moderate both relationships. Parental support acted as an effective buffer by weakening the positive relationship between academic stress and academic burnout (interaction β = -0.0111; p < 0.001; ΔR² = 6.70%). However, parental support weakened the negative relationship between academic resilience and academic burnout (interaction β = 0.0354; p < 0.001; ΔR² = 9.65%), and at high levels of support, academic resilience was no longer a significant predictor. This indicates that excessive support has the potential to hinder the development of students' internal capacities. The research model explained 68.8% of the variance in academic burnout, implying the need for a balanced approach that simultaneously strengthens external support and develops internal resilience.
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Aditama, S. N. (2022). Hubungan Dukungan Orang Tua dan Harga Diri dengan Academic Burnout Mahasiswa Kedokteran Universitas Muhammadiyah Surakarta [Unpublished Thesis]. Universitas Muhammadiyah Surakarta.
Adni, A., Susani, Y. P., Sari, D. P., & Elizar, L. J. A. (2024). Kajian Literatur: Resiliensi sebagai Variabel Psikologis yang Berperan Penting dalam Proses Pendidikan Mahasiswa Kedokteran. Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara, 23(2), 145–154. https://doi.org/10.30743/ibnusina.v23i2.640
Alverina, C. (2022). Hubungan Dukungan Sosial dan Resiliensi terhadap Academic Burnout Pada Mahasiswa Pendidikan Dokter Angkatan 2019–2021 Fakultas Kedokteran Universitas Sriwijaya [Unpublished Thesis]. Fakultas Kedokteran Universitas Sriwijaya.
Arnett, J. J. (2000). Emerging Adulthood: A Theory of Development from The Late Teens Through the Twenties. American Psychologist, 55(5), 469–480, https://doi.org/10.1037/0003-066X.55.5.469
Azwar, S. (2012). Penyusunan Skala Psikologi Jilid 2. Pustaka Belajar.
Barber, B. K., Stolz, H. E., & Olsen, J. A. (2005). Parental Support, Psychological Control, and Behavioral Control: Assessing Relevance Across Time, Culture, and Method. Monographs of the Society for Research in Child Development, 70(4), 1-147. https://psycnet.apa.org/doi/10.1111/j.1540-5834.2005.00365.x.
Bronfenbrenner, U. (1994). Ecological Models of Human Development. In International Encyclopedia of Education, 3, 2nd ed. Elsevier.
Cassidy, S. (2016). The Academic Resilience Scale (ARS-30): A New Multidimensional Construct Measure. Frontiers In Psychology, 7, 1787. https://doi.org/10.3389/fpsyg.2016.01787
Cecilia, C., & Suryadi, D. (2024). Hubungan Dukungan Sosial Orang Tua dengan Resiliensi Akademik Mahasiswa Tingkat Akhir di Universitas X. Provitae Jurnal Psikologi Pendidikan, 17(1), 1–9. https://doi.org/10.24912/provitae.v17i1.29991.
Cote, J. E. (2014). The Dangerous Myth of Emerging Adulthood: An Evidence-Based Critique of a Flawed Developmental Theory. Applied Developmental Science, 18(4), 177–188. https://doi.org/10.1080/10888691.2014.954451.
Cohen, S., & Wills, T. A. (1985). Stress, Social Support, and The Buffering Hypothesis. Psychological Bulletin, 98(2), 310-357. https://doi.org/10.1037/0033-2909.98.2.310.
Dayanti, I. (2019). Pengaruh Hardiness, Dukungan Sosial, dan Faktor Demografi terhadap Academic Burnout pada Mahasiswa Fakultas Kedokteran UIN Syarif Hidayatullah Jakarta [Unpublished Thesis]. UIN Syarif Hidayatullah Jakarta.
Dwiastuti, I. (2024). Pengembangan Model Resiliensi Akademik pada Mahasiswa dengan Keterbatasan Sosial Ekonomi [Unpublished Dissertation]. Universitas Airlangga.
Erikson, E. H. (1968). Identity: Youth and Crisis. W. W. Norton & Company.
Fitriyani, F., Fathurrahman, A., Mandala, Z., & Anggorotomo, W. (2024). Gambaran Kualitas Tidur pada Mahasiswa Pendidikan Profesi Dokter di Rumah Sakit Pertamina Bintang Amin. Jurnal Ilmu Kedokteran dan Kesehatan, 11(6),1244-1251. https://ejurnalmalahayati.ac.id/index.php/kesehatan.
Frajerman, A., Morvan, Y., Krebs, M. O., Gorwood, P., & Chaumette, B. (2019). Burnout in Medical Students Before Residency: A Systematic Review and Meta-Analysis. European Psychiatry, 55, 36–42. https://doi.org/10.1016/j.eurpsy.2018.08.006.
Furstenberg, F. F., Jr., Kennedy, S., McLoyd, V. C., Rumbaut, R. G., & Settersten, R. A., Jr. (2004). Growing Up is Harder to Do. Contexts, 3(3), 33–41. https://doi.org/10.1525/ctx.2004.3.3.33.
Gadzella, B. M. (1991). Student-Life Stress Inventory. Commerce.
Gadzella, B. M., & Masten, W. G. (2005). An Analysis of The Categories in The Student-Life Stress Inventory. American Journal of Psychological Research, 1(1), 1–10,
Gao, X. (2023). Academic Stress and Academic Burnout in Adolescents: A Moderated Mediating Model. Frontiers in Psychology, 14, 1–11. https://doi.org/10.3389/fpsyg.2023.1133706.
Halbesleben, J. R. B. (2006). Sources of Social Support and Burnout: A Meta-Analytic Test of The Conservation of Resources Model. Journal of Applied Psychology, 91(5), 1134–1145. https://doi.org/10.1037/0021-9010.91.5.1134.
Halim, S. N., Sandri, R., & Supraba, D. (2022). Pengaruh Dukungan Sosial Orang Tua terhadap Burnout Akademik pada Mahasiswa Fakultas Kedokteran Universitas Pendidikan Ganesha yang Menghadapi Kuliah Online di Masa Pandemi Covid-19. Presented in Seminar Nasional Sistem Informasi, Malang, Indonesia.
Hendri, S. A., Handayani, R., & Wardi, J. (2024). Pengaruh Dukungan Sosial dan Stres Akademik terhadap Academic Burnout pada Mahasiswa Kepaniteraan Klinik dengan Self-Efficacy sebagai Mediasi. BASELINE: Jurnal Mahasiswa Magister Manajemen, 1(3), 8-20, https://journal.unilak.ac.id/index.php/BASELINE/article/view/22608.
Hobfoll, S. E. (1989). Conservation Of Resources: A New Attempt at Conceptualizing Stress. American Psychologist, 44(3), 513-524. https://doi.org/10.1037/0003-066X.44.3.513
Hobfoll, S. E. (2001). The Influence of Culture, Community, and the Nested-Self in the Stress Process: Advancing Conservation of Resources Theory. Applied Psychology: An International Review, 50(3), 337–421. https://doi.org/10.1111/1464-0597.00062
Hobfoll, S. E. (2002). Social and Psychological Resources and Adaptation. Review of General Psychology, 6(4), 307–324. https://doi.org/10.1037/1089-2680.6.4.307.
Hudan, N. M. (2022). Perbandingan Quality of Life antara Mahasiswa Program Studi Kedokteran dan Pendidikan Profesi Dokter Fakultas Kedokteran Universitas Airlangga Tahun Ajaran 2020/2021 [Unpublished Thesis]. Universitas Airlangga.
Kloping, N. A., Citraningtyas, T., Lili, R., Farrell, S. M., & Molodynski, A. (2021). Mental Health and Wellbeing of Indonesian Medical Students: A Regional Comparison Study. International Journal of Social Psychiatry, 68(6), 1295-1299. https://doi.org/10.1177/00207640211057732
Konsil Kedokteran Indonesia. (2012). Standar Kompetensi Dokter Indonesia (SKDI). https://pd.fk.ub.ac.id/wp-content/uploads/2013/08/KKI-SKDI-2012.pdf
Kushidayanti, A., Fauziah, A. N., Endrialisa, M., Diyanah, D., Fathin, S., Nurlatifah, S. N., & Pranata, S. (2025). Hubungan Tingkat Stres Akademik dengan Kecenderungan Burnout pada Mahasiswa: Literatur Review. Medic Nutricia: Jurnal Ilmu Kesehatan, 21(3), 221-230, https://doi.org/10.5455/mnj.v1i2.644xa.
Kusumawati, I., & Prastiti, W. D. (2023). Korelasi antara Stres Akademik, Dukungan Sosial Orangtua, dan Rasa Syukur dengan Psychological Well-Being Pada Mahasiswa di Masa Pandemi Covid-19 [Unpublished Thesis]. Universitas Muhammadiyah Surakarta.
Lazarus, R. S., & Folkman, S. (1984). Stress, Appraisal, and Coping. Springer Publishing Company.
Lin, Y. M., & Chen, F. S. (2009). Academic Stress Inventory of Students at Universities and Colleges of Technology. World Transactions on Engineering and Technology Education, 7(2), 157–162.
Lin, S. H., & Huang, Y. C. (2014). Life Stress and Academic Burnout. Active Learning in Higher Education, 15(1), 77-90. https://doi.org/10.1177/1469787413514651
Lu, L. (1997). Social Support, Reciprocity, and Well-Being. The Journal of Social Psychology, 137(5), 618–628. https://doi.org/10.1080/00224549709595483.
Makki, M. N. (2022). Hubungan antara Academic Burnout dengan Kualitas Tidur pada Mahasiswa di Program Studi Pendidikan Dokter UIN Maulana Malik Ibrahim Malang [Unpublished Thesis]. Universitas Islam Negeri Maulana Malik Ibrahim Malang.
Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001). Job Burnout. 397-422.
Muntomimah, S., & Mubarok, S. (2025). Analisis Faktor-Faktor yang Mempengaruhi Kualitas Tidur pada Remaja Berskala Biner. Efektor, 12(1), 63–74. https://doi.org/10.29407/e.v12i1.24850.
Pragholapati, A., Suparto, T. A., Puspita, A. P. W., & Sulastri, A. (2021). Indonesian adaptation of The Student-Life Stress Inventory: Psychometric Properties and Factor Structure. NURSING UPDATE: Jurnal Ilmuah Ilmu Keperawatan, 12(3), 36-47. https://doi.org/10.36089/nu.v12i3.380.
Putra, M. D. K. (2015). Uji Validitas Konstruk the Social Provisions Scale. Jurnal Pengukuran Psikologi dan Pendidikan Indonesia, 4(4), 365-379. https://doi.org/10.15408/jp3i.v4i4.9310.
Rabuka, M. C., Latuheru, G., & Taihuttu, Y. (2023). Hubungan Stres Akademik dengan Academic Burnout pada Mahasiswa Semester Pertama Tahun 2022 Di Fakultas Kedokteran Universitas Pattimura Ambon. Jurnal Psikologi Tabularasa, 18(2), 150–158. https://doi.org/10.26905/jpt.v18i2.11115.
Rahmawati, E. (2024). Peran Dukungan Sosial dan Self-Esteem terhadap Academic Burnout pada Mahasiswa Kedokteran Preklinik [Unpublished Thesis]. Universitas Airlangga.
Ramadhan, P. V. (2022, Juli). Pola Tidur dan Kesehatan Jantung. Kementerian Kesehatan Republik Indonesia - Direktorat Jenderal Kesehatan Masyarakat. Accessed on 30 December 2025 from https://keslan.kemkes.go.id/view_artikel/489/pola-tidur-dan-kesehatan-jantung.
Redityani, N. L. P. A., & Susilawati, L. K. P. A. (2021). Peran Resiliensi dan Dukungan Sosial terhadap Burnout pada Mahasiswa Fakultas Kedokteran Universitas Udayana. Jurnal Psikologi Udayana, 8(1), 86-94. https://doi.org/10.24843/JPU.2021.v08.i01.p09
Richardson, G. E. (2002). The Metatheory of Resilience and Resiliency. Journal of Clinical Psychology, 8(3), 307–321. https://doi.org/10.1002/jclp.10020.
Rusli, R. (2021). Model Grit pada Mahasiswa Pendidikan Profesi Dokter (Medical Internship) di Indonesia [Unpublished Thesis]. Universitas Airlangga.
Ryan, R. M., & Deci, E. L. (2000). Self-Determination Theory and The Facilitation of Intrinsic Motivation, Social Development, and Well-Being. American Psychologist, 55(1), 68–78. https://doi.org/10.1037/0003-066X.55.1.68.
Santrock, J. W. (2019). Life-span Development (17th ed.). McGraw-Hill Education.
Schaefer, E. S. (1965). A Configurational Analysis of Children's Reports of Parent Behavior. Journal of Consulting Psychology, 29(6), 552–557. https://psycnet.apa.org/doi/10.1037/h0022702.
Schaufeli, W. B., Martinez, I. M., Pinto, A. M., Salanova, M., & Barker, A. B. (2002). Burnout and Engagement in University Students a Cross-National Study. Journal of Cross-Cultural Psychology, 33(5), 464-481. https://doi.org/10.1177/0022022102033005003.
Siebert, A. (2005). The Resiliency Advantage: Master Change, Thrive Under Pressure and Bounce Back from Setback. Berret-Koehler Publisher Inc.
Simatupang, D. C. M., & Simarmata, N. I. P. (2024). Pengaruh Resiliensi terhadap Academic Burnout pada Mahasiswa Fakultas Kedokteran Universitas Sumatera Utara. Jurnal Psikologi Terapan dan Pendidikan, 6(1), 56–66. https://journal.uad.ac.id/index.php/Psikologi/index.
Swartz, T. T., Kim, M., Uno, M., Mortimer, J., & O’Brien, K. B. (2011). Safety Nets and Scaffolds: Parental Support in The Transition to Adulthood. Journal of Marriage and Family, 73(2), 414–429. https://doi.org/10.1111/j.1741-3737.2010.00815.x.
Syavana, M. C., Handayani, N., & Rohmah, A. N. (2024). Hubungan Dukungan Sosial Orang Tua terhadap Stres Akademik pada Mahasiswa Keperawatan Anestesiologi Semester Akhir Universitas ‘Aisyiyah Yogyakarta. Prosiding Seminar Nasional Penelitian dan Pengabdian kepada Masyarakat LPPM Universitas ‘Aisyiyah Yogyakarta, 2, 1236–1242. https://proceeding.unisayogya.ac.id/index.php/prosemnaslppm/article/view/280.
Teng, C., Shi, L., Xu, C., & Zhu, J. (2025). Parenting Styles and Academic Burnout in Medical Students: A Moderated Mediation Model of Resilience and Stress. Frontiers in Medicine, 12, 1703534. https://doi.org/10.3389/fmed.2025.1703534.
Tjhin, P., Wahab, R., & Istriana, E. (2025). Resiliensi dan Burnout Akademik pada Mahasiswa Kedokteran di Masa Pandemi: Penelitian Cross-Sectional. Jurnal Akta Trimedika, 2(1), 546-559. https://doi.org/10.25105/aktatrimedika.v2i1.21723.
Undang-Undang No. 20 Tahun 2013 tentang Pendidikan Kedokteran. BPK RI.
Vygotsky, L.S. (1978). Mind in society: The development of higher psychological processes. Harvard University Press.
Watson, N. F., Badr, M. S., Belenky, G., Bliwise, D. L., Buxton, O. M., Buysse, D., Dinges, D. F., Gangwisch, J., Grandner, M. A., Kushida, C., Malhotra, R. K., Martin, J. L., Patel, S. R., Quan, S. F., & Tasali, E. (2015). Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society on The Recommended Amount of Sleep for a Healthy Adult: Methodology and Discussion. Sleep, 38(8), 1161–1183. https://doi.org/10.5665/sleep.4886.
Winarni, I. S., Susanti, M., & Pratama, R. R. (2025). Hubungan Burnout dengan Kualitas Tidur Mahasiswa Tingkat Akhir Fakultas Kedokteran Universitas Baiturrahmah. Nusantara Hasana Journal, 5(3), 132–138. https://doi.org/10.59003/nhj.v5i3.1632.
Zhang, Y., Gan, Y., & Cham, H. (2007). Perfectionism, Academic Burnout and Engagement among Chinese College Students: A Structural Equation Modeling Analysis. Personality and Individual Differences, 43(6), 1529–1540, https://doi.org/10.1016/j.paid.2007.04.010.
Zhang, Y., Qu, B., Lun, S., Wang, D., Guo, Y., & Liu, J. (2012). Quality of Life of Medical Students in China: A Study Using the WHOQOL-BREF. PLoS One, 7(11), e49714. https://doi.org/10.1371/journal.pone.0049714.
DOI: http://dx.doi.org/10.30659/jp.21.1.118-139
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