Am I A Fraud? Occurrence and Factors Associated with Impostor Phenomenon among Medical Students of Khartoum University, 2022.

Authors

Keywords:

Impost or, Imposter, Impostorism, Depression, anxiety, Burnout, Self-esteem, Perfectionism, family dynamics

Abstract

Background: The impostor phenomenon (IP) is the tendency to attribute success to external factors rather than to one’s abilities. It is frequent among students and has a negative impact on their wellbeing. This study aimed to assess the occurrence and mental health factors associated with IP in medical students.

Methods: Cross-sectional study of University of Khartoum Medical students (December 2021–January 2022), using convenience sampling. We collected the Clance Impostor Phenomenon Scale (CIPS), Patient Health Questionnaire-4 (PHQ-4: anxiety and depression), 2-item Maslach B burnout Inventory (MBI), and Single-Item Self-Esteem Scale (SISE). Data was analyzed using SPSS with correlation analyses, linear regression, and Chi-square tests.

Results: Among 409 medical students, the impostor phenomenon (IP) prevalence was 52.8% (216 students), with a mean CIPS score of 63.37 ± 17.02. IP was more common in females (71.8%) and students aged 19–21 years (40.7%). Anxiety (41.6%), depression (48.7%), and burnout (39.6% emotional exhaustion; 26.9% depersonalization) were prevalent, with higher rates in females. Regression analysis showed significant predictors of IP, including burnout (+1.32 points per unit, p < 0.001), perfectionism (+0.86 points per unit, p < 0.001), parental overprotection (+2.43 points per unit, p < 0.001), and depression (+2.90 points, p = 0.024), while self-esteem showed a negative association (−4.19 points per unit, p < 0.001). Gender differences were observed in three CIPS items, with stronger female endorsements.

Conclusions: IP is prevalent and linked to family dynamics, personality traits, and mental health issues. Efforts to increase awareness and facilitate IP management should be implemented.

Metrics

Metrics Loading ...

References

Clance PR, Imes SA. The imposter phenomenon in high achieving women: Dynamics and therapeutic intervention. Psychotherapy (Chic). 1978;15(3):241.

Clance PR. The impostor phenomenon: Overcoming the fear that haunts your success. Atlanta: Peachtree Publishers; 1985.

Bravata DM, Watts SA, Keefer AL, Madhusudhan DK, Taylor KT, Clark DM, et al. Prevalence, predictors, and treatment of impostor syndrome: a systematic review. J Gen Intern Med. 2020;35:1252-75.

Alrayyes S, Dar UF, Alrayes M, Alghutayghit A, Alrayyes N. Burnout and imposter syndrome among Saudi young adults: The strings in the puppet show of psychological morbidity. Saudi Med J. 2020;41(2):189.

Egwurugwu JN, Ugwuezumba PC, Ohamaeme MC, Dike EI, Eberendu I, Egwurugwu E, Ohamaeme R, Egwurugwu U. Relationship between self-esteem and impostor syndrome among undergraduate medical students in a Nigerian university. Int J Brain Cogn Sci. 2018;7(1):9-16.

Bruni F. Where you go is not who you'll be: An antidote to the college admissions mania. New York: Grand Central Publishing; 2015.

Rosenthal S, Schlussel Y, Yaden M, DeSantis J, Trayes K, Pohl C, et al. Persistent impostor phenomenon is associated with distress in medical students. Fam Med. 2021;53(2):118-22.

Pannhausen S, Klug K, Rohrmann S. Never good enough: The relation between the impostor phenomenon and multidimensional perfectionism. Curr Psychol. 2020;39(5):1412-7.

Thomas M, Bigatti S. Perfectionism, impostor phenomenon, and mental health in medicine: a literature review. Int J Med Educ. 2020;11:201-213.

Li S, Hughes JL, Thu SM. The links between parenting styles and impostor phenomenon. Psi Chi J Psychol Res. 2014;19(2):80-90.

Hu KS, Chibnall JT, Slavin SJ. Maladaptive perfectionism, impostorism, and cognitive distortions: Threats to the mental health of pre-clinical medical students. Acad Psychiatry. 2019;43(4):381-385.

Calculator.net. available from: https://www.calculator.net/. Last updated 2024. Cited November 7th,2024.

Clance PR. The Impostor Phenomenon: When Success Makes You Feel Like a Fake. Toronto: Bantam Books; 1985. p. 20-22.

Robins RW, Hendin HM, Trzesniewski KH. Measuring global self-esteem: Construct validation of a single-item measure and the Rosenberg Self-Esteem Scale. Pers Soc Psychol Bull. 2001;27(2):151-161.

Li-Sauerwine S, Rebillot K, Melamed M, Addo N, Lin M. A 2-question summative score correlates with the Maslach Burnout Inventory. West J Emerg Med. 2020;21(3):610-615.

Löwe B, Wahl I, Rose M, Spitzer C, Glaesmer H, Wingenfeld K, Schneider A, Brähler E. A 4-item measure of depression and anxiety: validation and standardization of the Patient Health Questionnaire-4 (PHQ-4) in the general population. J Affect Disord. 2010;122(1-2):86-95.

Kroenke K, Spitzer RL, Williams JB, Löwe B. An ultra-brief screening scale for anxiety and depression: the PHQ-4. Psychosomatics. 2009;50(6):613-621.

Woodfin V, Binder PE, Molde H. The psychometric properties of the frost multidimensional perfectionism scale–brief. Front Psychol. 2020;11:1860.

Levant B, Villwock JA, Manzardo AM. Impostorism in third-year medical students: an item analysis using the Clance impostor phenomenon scale. Perspect Med Educ. 2020;9:83-91.

Cokley K, Stone S, Krueger N, Bailey M, Garba R, Hurst A. Self-esteem as a mediator of the link between perfectionism and the impostor phenomenon. Pers Individ Dif. 2018;135:292-297.

Jeledan TM. Prevalence of impostor phenomenon among Saudi female faculty and its roots during their childhood: Qualitative approach. Int J Humanit Soc Sci. 2019;6(2):6-13.

Downloads

Published

2024-11-18

How to Cite

Hamad, H. (2024). Am I A Fraud? Occurrence and Factors Associated with Impostor Phenomenon among Medical Students of Khartoum University, 2022. International Journal of Medical Students. Retrieved from https://ijms.info/IJMS/article/view/2538

Issue

Section

Original Article

Categories