The impostor phenomenon in general practice/family medicine residents in Central Portugal, in 2022
DOI:
https://doi.org/10.32385/rpmgf.v40i6.13786Palavras-chave:
Impostor Phenomenon, CIPS, General practice residents, PHG-4Resumo
Background: The impostor phenomenon (IP) characterizes individuals unable to recognize their success, attributing it to luck or assuming it was a mistake. Mental health problems can then occur. IP is most frequent in individuals with high academic and professional success, such as medical students and health professionals.
Aim: To determine the prevalence of IP among general practice residents in Central Portugal, from the 1st to the 4th year of residency, in 2022, and its association with gender, year of residency, distress, anxiety, depression, and satisfaction with the average mark of the residency.
Methods: A cross-sectional observational study was performed in a convenience sample. The Centre of Portugal Board of Residency in Family Medicine sent an invitation to respond to a Google questionnaire with the CIPS and PHQ-4 scales and questions about gender, year of residency, and satisfaction with the average mark of the residency. Descriptive and inferential statistics were performed.
Results: A sample of 62 (69.7%) of 89 participants was studied. 12.9% of respondents were experiencing few, 22.6% moderate, 43.5% frequent, and 21% intense impostor feelings, with females suffering significantly more from IP (p=0.036). The Spearman’s correlation between PHQ-4 and CIPS was very weak and not significant (ρ=0.085, p=0.511).
Discussion: With no other Portuguese data to compare with the present ones, possible explanations for a low response rate can have to do with fear of suffering IP, fear of showing the sufferance of IP, and answering the questionnaire and not sending it for fear.
Conclusion: IP with a score at or above moderate has been detected in 87.1% of the residents. Women are more affected. No correlations were discovered between IP, distress, year of residency, and satisfaction with the average of the residentship. There is a need to recognize and manage IP, at both individual and institutional levels.
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Referências
1. Clance PR, Imes SA. The impostor phenomenon in high achieving women: dynamics and therapeutic intervention. Physiother Theory Res Pract. 1978;15(3):241-7.
2. Henning K, Ey S, Shaw D. Perfectionism, the imposter phenomenon and psychological adjustment in medical, dental, nursing and pharmacy students. Med Educ. 1998;32(5):456-64.
3. Chandra S, Huebert CA, Crowley E, Das AM. Impostor syndrome: could it be holding you or your mentees back? Chest. 2019;156(1):26-32.
4. Clance PR, O’Toole MA. The imposter phenomenon: an internal barrier to empowerment and achievement. Women Theory. 1987;6(3):51-64.
5. Zanchetta M, Junker S, Wolf AM, Traut-Mattausch E. ‘Overcoming the fear that haunts your success’: the effectiveness of interventions for reducing the impostor phenomenon. Front Psychol. 2020;11:405.
6. Chakraverty D, Cavazos JE, Jeffe DB. Exploring reasons for MD-PhD trainees’ experiences of impostor phenomenon. BMC Med Educ. 2022;22(1):333.
7. Freeman J, Peisah C. Imposter syndrome in doctors beyond training: a narrative review. Australas Psychiatry. 2022;30(1):49-54.
8. Chrisman SM, Pieper WA, Clance PR, Holland CL, Glickauf-Hughes C. Validation of the Clance Impostor Phenomenon Scale. J Pers Assessm. 1995;65(3):456-67.
9. Oriel K, Plane MB, Mundt M. Family medicine residents and the impostor phenomenon. Fam Med. 2004;36(4):248-52.
10. Yaffe Y. Validation of the Clance Impostor Phenomenon Scale with female Hebrew-speaking students. J Exp Psychopathol. 2020;11(4):2043808720974341.
11. Thomas M, Bigatti S. Perfectionism, impostor phenomenon, and mental health in medicine: a literature review. Int J Med Educ. 2020;11:201-13.
12. Kroenke K, Spitzer RL, Williams JB, Löwe B. An ultra-brief screening scale for anxiety and depression: the PHQ-4. Psychosomatics. 2009;50(6):613-21.
13. Löwe B, Wahl I, Rose M, Spitzer C, Glaesmer H, Wingenfeld K, et al. 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.
14. Delahunty F, Johansson R, Arcan M. Passive diagnosis incorporating the PHQ-4 for depression and anxiety. In: Proceedings of the Fourth Social Media Mining for Health Applications (#SMM4H) Workshop & Shared Task, Florence (Italy), August 2019. p. 40-6.
15. Clance PR. Clance IP scale [Internet]. In: The impostor phenomenon: when success makes you feel like a fake. Toronto: Bantam Books; 1985. p. 20-2. Available from: https://paulineroseclance.com/pdf/IPTestandscoring.pdf
16. Legassie J, Zibrowski EM, Goldszmidt MA. Measuring resident well-being: impostorism and burnout syndrome in residency. J Gen Intern Med. 2008;23(7):1090-4.
17. Ruivo MS. Cross-cultural adaptation and validation for European Portuguese of the Clance Impostor Phenomenon Scale [dissertation]. Coimbra: Faculdade de Medicina da Universidade de Coimbra; 2022. Available from: https://hdl.handle.net/10316/102511
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Direitos de Autor (c) 2025 Revista Portuguesa de Medicina Geral e Familiar
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