It is well established that burnout in medical students is associated with depression and anxiety at a syndromal level. Moreover, there is an ongoing debate about the extent to which burnout overlaps with depression and anxiety. The emerging network approach to psychopathology offers a new perspective on the interrelations between mental disorders focusing on symptom-level association. In this cross-sectional study, we exploratively investigated the associations among burnout, depression, and anxiety in 574 swiss medical students using a network analytic approach for the first time. Symptoms of depression and anxiety were assessed with the Patient Health Questionnaire and Generalized Anxiety Disorder respectively. Burnout was assessed with two single-item questions, one referring to emotional exhaustion and the other to depersonalization. We found a dense network in which at least one dimension of burnout was related to eleven of the sixteen included symptoms. This suggests that burnout is closely related to depression and anxiety but also has its own characteristics. Notably, suicidal ideation was not associated with either emotional exhaustion or depersonalization after adjusting for the influence of the remaining symptoms of anxiety and depression. Hence, the well-documented relationship between burnout and suicidal ideation in medical students may be entirely mediated by the experience of anxiety and depression. Hence, the well-documented relationship between burnout and suicidal ideation in medical students might be fully mediated by the experience of anxiety and depression. The collection of the sample after the first wave of infections during the SARS-CoV2 pandemic and the non-representativeness of the investigated sample limit the study's generalizability.

众所周知，医学生的倦怠与综合症水平的抑郁和焦虑有关。此外，关于倦怠与抑郁和焦虑的重叠程度一直存在争议。新兴的精神病理学网络方法为关注症状水平关联的精神障碍之间的相互关系提供了新的视角。在这项横断面研究中，我们首次使用网络分析方法探索性地调查了 574 名瑞士医学生的倦怠、抑郁和焦虑之间的关联。抑郁症和焦虑症的症状分别用患者健康问卷和广泛性焦虑症进行评估。倦怠通过两个单项问题进行评估，一个是指情绪衰竭，另一个是人格解体。我们发现了一个密集的网络，其中至少有一个维度的倦怠与 16 个包含的症状中的 11 个相关。这表明职业倦怠与抑郁和焦虑密切相关，但也有其自身的特点。值得注意的是，在调整了剩余的焦虑和抑郁症状的影响后，自杀意念与情绪衰竭或人格解体无关。因此，医学生的职业倦怠和自杀意念之间有据可查的关系可能完全是由焦虑和抑郁的经历所介导的。因此，医学生的职业倦怠和自杀意念之间有据可查的关系可能完全由焦虑和抑郁的经历介导。