Strides in Development of Medical Education

Document Type : Original Article


1 PhD of Educational Management, Associate Professor, Department of Educational Sciences, Sari Branch, Islamic Azad University, Sari, Mazandaran, IR Iran

2 M.A. of Educational Management, Department of Educational Sciences, Sari Branch, Islamic Azad University, Sari, Mazandaran, IR Iran


Background and Objectives Thoughts and behaviors of university students are influenced by their expectations from the university and their perception of the university environment. If these expectations are not met, they may even consider quitting the university. The current study evaluated the relationship between students’ attitude toward the university and academic burnout, and examined the mediating role of academic procrastination. Methods The current cross sectional study was conducted on 384 students of Mazandaran University of Medical Sciences and Islamic Azad University, Sari Branch, who were selected using stratified random sampling based on the location of the university. The sample size was determined based on the specific population of the community. Data were collected using a standardized questionnaire on students’ attitude toward the university developed by Weinstein et al., which assessed their perception, expectations, emotions, and knowledge (PEEK). Additionally, the academic procrastination scale developed by Sevari, and the academic burnout questionnaire by Breso et al. were used. Data were analyzed using the independent t test, correlation coefficient test, and the path analysis method using repeated-measure regression models. Results A significant correlation was observed between the students’ attitudes toward the university and their academic procrastination (r = 0.298) and academic burnout (r = 0.491). There was significant relationship between the students’ attitudes toward the university and their academic burnout mediated by two dimensions of procrastination: intentional and mental and physical fatigue (P value < 0.05). Further, a comparison of the studied variables between the students of Mazandaran University of Medical Sciences and Islamic Azad University, Sari Branch, indicated significant differences in the students’ academic and personal aspects, in their attitude toward the university, and in their academic failure component as a factor of academic burnout; but no significant difference was observed regarding the other studied variables. Conclusions To promote the academic performance and psychological well-being of students, more attention should be paid to improving their attitudes toward the university in order to reduce and avoid academic procrastination and burnout.


  1. Farahbakhsh S, Gholamrezaei S, Nikpay I. The survey of students’mental health in relation to academic factors. J Fundament Ment Health. 2007;9:33–4.
  2. Shih SS. An investigation into academic burnout among Taiwanese adolescents from the self-determination theory perspective. Soc Psychol Educ. 2015;18(1):201–19. doi: 10.1007/s11218-013-9214-x.
  3. Gan Y, Shang J, Zhang Y. Coping Flexibility and Locus of Control as Predictors of Burnout among Chinese College Students. Soc Behav Pers int j. 2007;35(8):1087–98. doi: 10.2224/sbp.2007.35.8.1087.
  4. Zhang Y, Gan Y, Cham H. Perfectionism, academic burnout and engagement among Chinese college students: A structural equation modeling analysis. Pers Individ Differ. 2007;43(6):1529–40. doi:


  1. Magnusson AE, Nias DK, White PD. Is perfectionism associated with fatigue? J Psychosom Res. 1996;41(4):377–83. [PubMed: 8971668].
  2. Behroozi N, Shahni Yelaq M, Pourseyed SM. Relationship between perfectionism, perceived stress and social support with academic burnout. Strateg Culture. 2013;5(20):83–102.
  3. Rostamogli Z, Khoshnoodnia CB. Comparing academic conscience and academic burnout in students with and without learning disabilities. J Learn Disabil. 2013;3(6):18–37.
  4. Duran A, Extremera N, Rey L, Fernandez-Berrocal P, Montalban FM. Predicting academic burnout and engagement in educational settings: assessing the incremental validity of perceived emotional

intelligence beyond perceived stress and general self-efficacy. Psicothema. 2006;18 Suppl:158–64. [PubMed: 17295974].

  1. Heidari S, Maktabi GHH. The comparison of cultural intelligence, angeles loneliness, academic burnout and mental health in master of art ahwaz female native and non-native students. Woman Culture.


  1. Hayati D, Ogbahi A, Hoseini AA, Azizi AM. Investigating the relationships between quality of learning experience’s components and self-efficacy on academic burnout among students of Allamme Tabatabaei University of Tehran. Educ Dev Jundishapur. 2012;3(4):18–29.
  2. Naami AAZ. Relationship between quality of Learning Experiences and Academic Burnout in graduate students of Shahid Chamran university. Psychol Stud. 2009;5(3):117–34.
  3. Arefnia S, Sarandi P, Yousefi R. The comparison of early maladaptive schemas in secondary school students with and without school anxiety. J School Psychol. 2013;1(4):124–30.
  4. Sepehrian F. Academic Procrastination and its predictive factors. J Psychol Stud. 2012;7(4):9–26.
  5. Golestani Bakht T, Shokri M. Relationship between academic procrastination with meta cognitive beliefs. Soc Cogn. 2013;2(3):89–100.
  6. Steel P. The nature of procrastination: a meta-analytic and theoretical review of quintessential self-regulatory failure. Psychol Bull. 2007;133(1):65–94. doi: 10.1037/0033-2909.133.1.65. [PubMed: 17201571].
  7. Shokri M. Relationship between procrastination with anxiety and metacognition beliefs of high school students of Amol city. Mazandaran: Islamic Azad University Sari Branch; 2014.
  8. Karami D. Prevalence of procrastination among university students and its relationship with anxiety and depression. Appl Psychology. 2009;4(13):25–34.
  9. O’Brien WK. Applying the transtheoretical model to academic procrastination. ProQuest Information & Learning; 2002.
  10. Day V, Mensink D, O’Sullivan M. Patterns of academic procrastination. J College Read Learn. 2000;30(2):120–34.
  11. Tamadoni M, Hatami M, Hashemi R. General self efficacy, academic procrastination and academic achievement in university students. Educ Psychol. 2010;6(17):65–86.
  12. Weinstein CE, Palmer DR. LASSI-HS user’s manual. H & H Pub.; 1990.
  13. Nolen-Hoeksema S, Loftus G, Wagenaar W. Atkinson & Hilgard’s introduction to psychology. Massachusetts: Cengage Learning; 2009.
  14. Sevari K. Construction and standardization of Academic procrastination test. Train Measure. 2011;2(5):97–110.
  15. Breso E, Salanova M, Schaufeli WB. In Search of the "Third Dimension" of Burnout: Efficacy or Inefficacy? Appl Psychol. 2007;56(3):460–78. doi: 10.1111/j.1464-0597.2007.00290.x.
  16. Smith JS, Wertlieb EC. Do First-Year College Students’ Expectations Align with their First-Year Experiences? NASPA J. 2005;42(2) doi:10.2202/0027-6014.1470.
  17. Holmstrom LL, Karp DA, Gray PS. Why Laundry, Not Hegel? Social Class, Transition to College, and Pathways to Adulthood. Symbol Interact. 2002;25(4):437–62. doi: 10.1525/si.2002.25.4.437.
  18. Balkıs M, Duru E. Prevalence of academic procrastination behavior among preservice teachers, and its relationships with demographics and individual preferences. J Theory Pract Educ. 2009;5(1):18–32.
  19. Schaufeli WB, Martínez IM, Pinto AM, Salanova M, Bakker AB. Burnout and Engagement in University Students. J Cross Cultur Psychol. 2016;33(5):464–81. doi: 10.1177/0022022102033005003.
  20. Steel P, Brothen T, Wambach C. Procrastination and personality, performance, and mood. Pers Individ Differ. 2001;30(1):95–106. doi:10.1016/s0191-8869(00)00013-1.