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ABSTRACT: Background
International medical students experience diverse stressors that extend beyond academic demands to include challenges of cultural adaptation, institutional management, and experiences of discrimination. Understanding the structure of these interrelated stress domains is essential for developing effective educational and support strategies. This study examined the multidimensional structure of stress among international medical students using a construct-based analytical approach grounded in the Transactional Model of Stress and Coping.Methods
A cross-sectional survey was conducted with 322 international students enrolled in the English-language medical program at the Medical University of Varna, Bulgaria. Participants completed a self-report questionnaire informe
SUBMITTER: Nikolova SP
PROVIDER: S-EPMC12930575 | biostudies-literature | 2026 Jan
REPOSITORIES: biostudies-literature