[
    {
        "id": "osp-11171",
        "type": "article-journal",
        "title": "Associations of Pass-Fail Outcomes with Psychological Health of First-Year Medical Students in a Malaysian Medical School",
        "author": [
            {
                "family": "Yusoff",
                "given": "Muhamad SB"
            }
        ],
        "URL": "https://omanscience.com/ar/articles/associations-of-pass-fail-outcomes-with-psychological-health-of-first-year-medical-students-in-a-malaysian-medical-school",
        "language": "en",
        "issued": {
            "date-parts": [
                [
                    2025
                ]
            ]
        },
        "container-title": "Sultan Qaboos University Medical Journal",
        "volume": "13",
        "issue": "1",
        "page": "107-114",
        "DOI": "10.18295/2075-0528.1437",
        "publisher": "Sultan Qaboos University",
        "ISSN": "2075-051X",
        "abstract": "Objectives: The demanding and intense environment of medical training can create excessive pressures on medical students that eventually lead to unfavorable consequences, either at a personal or professional level. These consequences can include poor academic performance and impaired cognitive ability. This study was designed to explore associations between pass-fail outcome and psychological health parameters (i.e. stress, anxiety, and depression symptoms). Methods: A cross-sectional study was conducted on a cohort of first-year medical students in a Malaysian medical school. The depression anxiety stress scale 21-item assessment (DASS-21) was administered to them right after the final paper of the first-year final examination. Their final examination outcomes (i.e. pass or fail) were traced by using their student identity code (ID) through the Universiti Sains Malaysia academic office. Results: A total of 194 (98.0%) of medical students responded to the DASS-21. An independent t-test showed that students who passed had significantly lower stress, anxiety, and depression symptoms than those who failed the first-year final examination (P"
    }
]