Dyrbye LN, Thomas MR, Shanafelt TD. Medical student distress: causes, consequences, and proposed solutions. Mayo Clinic Proceedings 2005; 80(12):1613–22. Available from: URL: https://www.sciencedirect.com/science/article/pii/s0025619611610574?casa_token=yidf1nd6lo8aaaaa:l1ro94skywsnli3sgk7izbvw1qptmc3i8b5du0i4lj_2fbqaj6_updhs3u0gqcosb-_ivp6opnc.

Heinen I, Bullinger M, Kocalevent R-D. Perceived stress in first year medical students - associations with personal resources and emotional distress. BMC Med Educ 2017; 17(1):4. Available from: URL: https://bmcmededuc.biomedcentral.com/articles/https://doi.org/10.1186/s12909-016-0841-8.

Moffat KJ, McConnachie A, Ross S, Morrison JM. First year medical student stress and coping in a problem-based learning medical curriculum. Med Educ. 2004;38(5):482–91.

Article  PubMed  Google Scholar 

Erschens R, Herrmann-Werner A, Keifenheim KE, Loda T, Bugaj TJ, Nikendei C, et al. Differential determination of perceived stress in medical students and high-school graduates due to private and training-related stressors. PLoS ONE. 2018;13(1):e0191831.

Article  PubMed  PubMed Central  Google Scholar 

Ludwig AB, Burton W, Weingarten J, Milan F, Myers DC, Kligler B. Depression and stress amongst undergraduate medical students. BMC Med Educ. 2015;15:141.

Article  PubMed  PubMed Central  Google Scholar 

Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of Depression, anxiety, and other indicators of psychological distress among U.S. and Canadian Medical Students. Acad Med. 2006;81(4):354–73.

Article  PubMed  Google Scholar 

Puthran R, Zhang MWB, Tam WW, Ho RC. Prevalence of depression amongst medical students: a meta-analysis. Med Educ. 2016;50(4):456–68.

Article  PubMed  Google Scholar 

Rotenstein LS, Ramos MA, Torre M, Segal JB, Peluso MJ, Guille C, et al. Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: a systematic review and meta-analysis. JAMA. 2016;316(21):2214–36.

Article  PubMed  PubMed Central  Google Scholar 

Russell E, Koren G, Rieder M, van Uum S. Hair cortisol as a biological marker of chronic stress: current status, future directions and unanswered questions. Psychoneuroendocrinology. 2012;37(5):589–601.

Article  CAS  PubMed  Google Scholar 

King SL, Hegadoren KM. Stress hormones: how do they measure up? Biol Res Nurs. 2002;4(2):92–103.

Article  PubMed  Google Scholar 

Schaafsma FG, Hulsegge G, de Jong MA, Overvliet J, van Rossum EFC, Nieuwenhuijsen K. The potential of using hair cortisol to measure chronic stress in occupational healthcare; a scoping review. Journal of Occupational Health 2021; 63(1):e12189. Available from: URL: https://www.jstage.jst.go.jp/article/joh/63/1/63_e12189/_article/-char/ja/.

Stalder T, Kirschbaum C. Analysis of cortisol in hair – State of the art and future directions., Brain. Behavior, and Immunity 2012; 26(7):1019–29. Available from: URL: https://www.sciencedirect.com/science/article/pii/S0889159112000256.

Wosu AC, Valdimarsdóttir U, Shields AE, Williams DR, Williams MA. Correlates of cortisol in human hair: implications for epidemiologic studies on health effects of chronic stress. Ann Epidemiol. 2013;23(12):797–811e2.

Article  PubMed  PubMed Central  Google Scholar 

Raul J-S, Cirimele V, Ludes B, Kintz P. Detection of physiological concentrations of cortisol and cortisone in human hair. Clinical Biochemistry 2004; 37(12):1105–11. Available from: URL: https://www.sciencedirect.com/science/article/pii/s0009912004002826.

Staufenbiel SM, Penninx BWJH, Spijker AT, Elzinga BM, van Rossum EFC. Hair cortisol, stress exposure, and mental health in humans: a systematic review. Psychoneuroendocrinology. 2013;38(8):1220–35.

Article  CAS  PubMed  Google Scholar 

Karlén J, Ludvigsson J, Frostell A, Theodorsson E, Faresjö T. Cortisol in hair measured in young adults - a biomarker of major life stressors? BMC Clin Pathol. 2011;11(1):12.

Article  PubMed  PubMed Central  Google Scholar 

van Uum SHM, Sauvé B, Fraser LA, Morley-Forster P, Paul TL, Koren G. Elevated content of cortisol in hair of patients with severe chronic pain: a novel biomarker for stress. Stress. 2008;11(6):483–8.

Article  PubMed  Google Scholar 

Skoluda N, Dettenborn L, Stalder T, Kirschbaum C. Elevated hair cortisol concentrations in endurance athletes. Psychoneuroendocrinology. 2012;37(5):611–7.

Article  CAS  PubMed  Google Scholar 

Stalder T, Steudte-Schmiedgen S, Alexander N, Klucken T, Vater A, Wichmann S et al. Stress-related and basic determinants of hair cortisol in humans: A meta-analysis. Psychoneuroendocrinology 2017; 77:261–74. Available from: URL: https://www.sciencedirect.com/science/article/pii/s0306453016306114.

Epel ES, Crosswell AD, Mayer SE, Prather AA, Slavich GM, Puterman E, et al. More than a feeling: a unified view of stress measurement for population science. Front Neuroendocrinol. 2018;49:146–69.

Article  PubMed  PubMed Central  Google Scholar 

Mayer SE, Lopez-Duran NL, Sen S, Abelson JL. Chronic stress, hair cortisol and depression: a prospective and longitudinal study of medical internship. Psychoneuroendocrinology. 2018;92:57–65.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Stetler CA, Guinn V. Cumulative cortisol exposure increases during the academic term: links to performance-related and social-evaluative stressors. Psychoneuroendocrinology. 2020;114:104584.

Article  CAS  PubMed  Google Scholar 

Stalder T, Steudte S, Alexander N, Miller R, Gao W, Dettenborn L, et al. Cortisol in hair, body mass index and stress-related measures. Biol Psychol. 2012;90(3):218–23.

Article  PubMed  Google Scholar 

Karasek RA. Job demands, job decision latitude, and Mental strain: implications for job redesign. Adm Sci Q. 1979;24(2):285.

Article  Google Scholar 

Karasek RA, Brisson C, Kawakami N, Houtman I, Bongers P, Amick B. The Job Content Questionnaire (JCQ): an instrument for internationally comparative assessments of psychosocial job characteristics. J Occup Health Psychol. 1998;3(4):322–55.

Article  CAS  PubMed  Google Scholar 

Siegrist J. Adverse health effects of high-effort/low-reward conditions. J Occup Health Psychol. 1996;1(1):27–41.

Article  CAS  PubMed  Google Scholar 

Janssens H, Clays E, Fiers T, Verstraete AG, de Bacquer D, Braeckman L. Hair cortisol in relation to job stress and depressive symptoms. Occup Med. 2017;67(2):114–20.

Article  CAS  Google Scholar 

Qi X, Liu Y, Zhang J, Ji S, Sluiter JK, Zhou R, et al. Relationship between work strain, need for recovery after work and cumulative cortisol among kindergarten teachers. Int Arch Occup Environ Health. 2015;88(8):1053–9.

Article  CAS  PubMed  Google Scholar 

van der Meij L, Gubbels N, Schaveling J, Almela M, van Vugt M. Hair cortisol and work stress: importance of workload and stress model (JDCS or ERI). Psychoneuroendocrinology. 2018;89:78–85.

Article  PubMed  Google Scholar 

Qi X, Zhang J, Liu Y, Ji S, Chen Z, Sluiter JK, et al. Relationship between effort-reward imbalance and hair cortisol concentration in female kindergarten teachers. J Psychosom Res. 2014;76(4):329–32.

Article  PubMed  Google Scholar 

Herr RM, Almer C, Loerbroks A, Barrech A, Elfantel I, Siegrist J et al. Associations of work stress with hair cortisol concentrations – initial findings from a prospective study. Psychoneuroendocrinology 2018; 89:134–7. Available from: URL: https://www.sciencedirect.com/science/article/pii/S0306453017314014.

Penz M, Siegrist J, Wekenborg MK, Rothe N, Walther A, Kirschbaum C. Effort-reward imbalance at work is associated with hair cortisol concentrations: Prospective evidence from the Dresden Burnout Study. Psychoneuroendocrinology 2019; 109.

Miller GE, Chen E, Zhou ES. If it goes up, must it come down? Chronic stress and the hypothalamic-pituitary-adrenocortical axis in humans. Psychol Bull. 2007;133(1):25–45.

Article  PubMed  Google Scholar 

Wege N, Li J, Muth T, Angerer P, Siegrist J, Student ERI. Psychometric properties of a new brief measure of effort-reward imbalance among university students. J Psychosom Res. 2017;94:64–7.

Article  PubMed  Google Scholar 

Schmidt LI, Scheiter F, Neubauer A, Sieverding M, [Demands D, Latitude, Stress Among University Students. Findings on reliability and validity of a questionnaire on structural conditions (StrukStud) based on the Job Content Questionnaire]. Diagnostica. 2019;65(2):63–74.

Article  Google Scholar 

Gusy B, Lohmann K, Drewes J. Burnout bei Studierenden, die einen bachelor-abschluss anstreben. Präv Gesundheitsf. 2010;5(3):271–5.

Article  Google Scholar 

Schmidt LI, Sieverding M, Scheiter F, Obergfell J. Predicting and explaining students’ stress with the demand–control model: does neuroticism also matter? Educational Psychol. 2015;35(4):449–65.

Article  Google Scholar 

Portoghese I, Galletta M, Porru F, Burdorf A, Sardo S, D’Aloja E, et al. Stress among university students: factorial structure and measurement invariance of the italian version of the effort-reward imbalance student questionnaire. BMC Psychol. 2019;7(1):68.

Article  PubMed  PubMed Central  Google Scholar 

Hilger-Kolb J, Diehl K, Herr R, Loerbroks A. Effort-reward imbalance among students at german universities: associations with self-rated health and mental health. Int Arch Occup Environ Health. 2018;91(8):1011–20.

Article  PubMed  Google Scholar 

Weber J, Skodda S, Muth T, Angerer P, Loerbroks A. Stressors and resources related to academic studies and improvements suggested by medical students: a qualitative study. BMC Med Educ. 2019;19(1):312.

Article  PubMed  PubMed Central  Google Scholar 

Porru F, Robroek SJW, Bültmann U, Portoghese I, Campagna M, Burdorf A. Mental health among university students: the associations of effort-reward imbalance and overcommitment with psychological distress. J Affect Disord. 2021;282:953–61.

Article  PubMed  Google Scholar 

Williams CJ, Dziurawiec S, Heritage B. More pain than gain: effort–reward imbalance, burnout, and withdrawal intentions within a university student population. J Educ Psychol. 2018;110(3):378–94.

Article  Google Scholar 

Hodge B, Wright B, Bennett P. Balancing effort and rewards at University: implications for Physical Health, Mental Health, and academic outcomes. Psychol Rep. 2020;123(4):1240–59.

Article  PubMed  Google Scholar 

Sieverding M, Schmidt LI, Obergfell J, Scheiter F. [Study-related stress and satisfaction in psychology students]. Psychologische Rundschau. 2013;64(2):94–100.

Article  Google Scholar 

Chambel MJ, Curral L. Stress in Academic Life: work characteristics as predictors of Student Well-being and performance. Appl Psychol. 2005;54(1):135–47.