# Dual Pathways From Self-Compassion and Self-Criticism to Academic Achievement: The Roles of Engagement and Exhaustion

**Authors:** Piermarco Consiglio, Marjon Fokkens-Bruinsma, Marie-Christine Opdenakker, Ellen P. W. A. Jansen, Joke Fleer

PMC · DOI: 10.5334/pme.1821 · Perspectives on Medical Education · 2026-02-17

## TL;DR

The study explores how self-compassion and self-criticism affect medical students' academic success through engagement and exhaustion.

## Contribution

The study introduces two distinct pathways linking self-compassion and self-criticism to academic achievement via engagement and exhaustion.

## Key findings

- Engagement and exhaustion levels declined over the Bachelor’s program.
- Neither engagement nor exhaustion mediated the relationships in the proposed pathways.
- Contextual factors may influence medical students' well-being and academic outcomes.

## Abstract

Engagement and burnout symptoms among medical students are key factors influencing their academic performance, risk of dropout, and overall well-being. While research has primarily focused on negative constructs such as burnout symptoms, less attention has been given to how positive constructs, such as engagement, evolve over time. This study examines the temporal changes in medical students’ engagement and exhaustion while exploring two distinct pathways: the ‘bright path’, which investigates engagement as a mediator between self-compassion and academic achievement, and the ‘dark path’, which examines exhaustion as a mediator between self-criticism and academic achievement.

Self-report measures were used to assess self-compassion, self-criticism, engagement, and exhaustion, while academic achievement was measured objectively. The data were drawn from a longitudinal research project that followed 117 medical students throughout their entire Bachelor’s program. Analyses included linear growth models and parallel process latent growth curve models to examine changes over time and potential mediation effects.

The findings show a decline in engagement and exhaustion throughout the Bachelor’s program. Furthermore, neither engagement nor exhaustion mediated the relationships within the bright and dark pathways.

Findings underscore the importance of fostering environments that promote well-being and engagement while addressing negative factors like exhaustion that can hinder student success. They also highlight the potential influence of contextual factors in shaping medical students’ experiences, suggesting that interactions between personal resources and environmental demands may play a key role in shaping students’ engagement, exhaustion and academic achievement.

## Full-text entities

- **Genes:** GYPA (glycophorin A (MNS blood group)) [NCBI Gene 2993] {aka CD235a, GPA, GPErik, GPSAT, HGpMiV, HGpMiXI}
- **Diseases:** anxiety (MESH:D001007), health impairment (OMIM:603663), psychological (MESH:D000067073), R (MESH:C580424), Burnout (MESH:D002055), self-criticism (MESH:D016638), JD-R (MESH:D007589), eating disorders (MESH:D001068), diminished academic achievement (MESH:D007859), depression (MESH:D003866)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12922675/full.md

## References

90 references — full list in the complete paper: https://tomesphere.com/paper/PMC12922675/full.md

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Source: https://tomesphere.com/paper/PMC12922675