The Prevalence of Imposter Syndrome and Its Association with Psychological Distress: A Cross-Sectional Study

This research aims to establish the prevalence of imposter syndrome among Sultan Qaboos University (SQU) undergraduate students while assessing its association with depression symptoms and anxiety symptoms. A cross-sectional design recruited 504 undergraduate students selected through stratified random sampling. Data collection employed the Clance Imposter Phenomenon Scale (CIPS), the Patient Health Questionnaire-9 (PHQ-9), and the Generalized Anxiety Disorder-7 (GAD-7). Data analysis included Pearson's correlation, chi-square tests, and logistic regression analyses. In total, 56% of participants had imposter syndrome. The CIPS scores showed a moderate relationship with depression (r = 0.486, <i>p</i> < 0.001) and anxiety (r = 0.472, <i>p</i> < 0.001). Students who experienced imposter syndrome showed a higher probability of developing depressive symptoms (χ² = 45.63, <i>p</i> < 0.001, OR = 3.49) and anxiety symptoms (χ² = 32.96, <i>p</i> < 0.001, OR = 2.86). The logistic regression analysis showed that depression (B = 0.096, <i>p</i> < 0.001) and anxiety (B = 0.075, <i>p</i> = 0.003) acted as significant predictors for imposter syndrome. This study reveals a strong link between imposterism, depression, and anxiety among students. This highlights the need for university counseling programs to address imposter feelings and the role of clinical psychology in managing this phenomenon in academic and clinical settings.