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Mindfulness, professional calling, and academic engagement: a parallel mediation model of presence and search among medical students.

Aamer Aldbyani, Afnan Alhimaidi, Guiyun Wang, Zhang Chuanxia, Jie Leng

BMC Medical Education December 2, 2025 DOI: 10.1186/s12909-025-08381-3 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Cross-sectional survey with mediation analysis Peer reviewed
Sample size 503
Population Undergraduate students in clinical medicine and related disciplines
Measures Cognitive and Affective Mindfulness Scale (CAMS-R), Utrecht Work Engagement Scale for Students (UWES-S), Calling and Vocation Questionnaire (CVQ)
Topics Meditation
Keywords Humans Education, medical, undergraduate Students, medical Female Young adult Surveys and questionnaires Mediation analysis Medical education Medical students Academic engagement Undergraduate students Presence of calling Search for calling Professional calling
Key findings Mindfulness was positively correlated with academic engagement, presence of calling, and search for calling. The direct association between mindfulness and academic engagement was not significant, but both presence of calling and search for calling significantly mediated the relationship, with search for calling showing the stronger indirect effect. Only academic level, among control variables, was significantly associated with engagement.

Abstract

Background: Medical education requires students to sustain high levels of academic commitment under demanding conditions, which makes academic engagement a critical factor for their success and well-being. Mindfulness has been linked to improved academic outcomes through enhanced attention, emotional regulation, stress reduction, and performance improvement. However, the mechanisms underlying its association with academic engagement among medical students remain insufficiently understood, particularly regarding the mediating roles of the presence of calling and the search for calling, which have been rarely examined. This study investigated the relationship between mindfulness and academic engagement and tested a parallel mediation model in which the presence of calling and the search for calling mediated this association among medical students.

Methods: A total of 503 undergraduates from clinical medicine and related disciplines completed the Cognitive and Affective Mindfulness Scale (CAMS-R), the Utrecht Work Engagement Scale for Students (UWES-S), and the Calling and Vocation Questionnaire (CVQ). Correlation analysis examined associations among the variables. Mediation analysis tested the indirect effects of the presence of calling and the search for calling. Control variables, including gender, age, and academic level, were also examined.

Results: Pearson correlation analysis showed that mindfulness was positively associated with academic engagement, presence of calling, and search for calling. Mediation analysis indicated that the direct association between mindfulness and academic engagement was not significant; however, both mediators contributed significantly to the indirect associations, with search for calling demonstrating a stronger role. Among the control variables, only academic level showed a significant positive association with academic engagement, whereas gender and age did not show significant associations.

Conclusion: These findings indicate that mindfulness is related to academic engagement through its associations with the dual dimensions of professional calling. Prior research has suggested that mindfulness-based interventions may be considered potential approaches to supporting students' engagement by enhancing attentional and emotional regulation while fostering a stronger sense of vocational purpose.

Comparable studies

Other cross-sectional and survey studies on meditation, most cited first.

Study Year Design Participants
Construct Validity of the Five Facet Mindfulness Questionnaire in Meditating and Nonmeditating Samples Experienced meditators and nonmeditating comparison groups 2008 Cross-sectional study
Neural Correlates of Dispositional Mindfulness During Affect Labeling Adult participants 2007 Observational cross-sectional n = 27
Assessing mindfulness in children and adolescents: Development and validation of the Child and Adolescent Mindfulness Measure (CAMM). School-aged children and adolescents 2011 Cross-sectional validation study n = 1,413
Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators Experienced meditators and demographically matched nonmeditators 2012 Cross-sectional study n = 152
Mechanisms of Action in the Inverse Relationship Between Mindfulness and Psychological Distress Undergraduates 2008 Cross-sectional, correlational

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