Psychological Distress, Student Engagement, Academic Burnout, and Dropout Risk: A Multidimensional Structural Equation Model

This study examined the cross-sectional associations among psychological distress, student engagement, academic burnout, and dropout risk, with particular attention to the indirect role of engagement. Questionnaire data were obtained from 3099 students across 31 departments at a single institution, the University of Patras, Greece. Competing measurement models were evaluated before structural estimation. Psychological distress was represented by a HADS bifactor model, engagement and burnout by higher-order structures, and dropout risk by an Academic-reference bifactor-(S−1) model retaining Personal, Institutional, Social, and Economic residual specific factors. The final model was estimated using robust maximum likelihood with full-information maximum likelihood and department-clustered robust inference, showing acceptable approximate fit. General psychological distress was negatively associated with engagement (β = −0.386), while engagement was negatively associated with burnout (β = −0.577) and Academic-referenced dropout risk (β = −0.664). Distress also retained positive direct associations with burnout (β = 0.375) and dropout risk (β = 0.244). Significant indirect associations through engagement were observed for burnout (β = 0.223) and dropout risk (β = 0.256). The findings indicate that engagement is strongly associated with both outcomes, while burnout and dropout risk retain distinct multidimensional measurement structures. Given the cross-sectional design, the indirect effects should be interpreted as statistical associations rather than evidence of causal mediation.

Authors

Institutions

Publication Details

Journal
Education Sciences
Published
2026-09-01
DOI
https://doi.org/10.3390/educsci16091411
Primary Topic
Healthcare professionals’ stress and burnout
Type
article
Field-Weighted Citation Impact
0.00
Controls
|||
ALL TIME
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
article

Psychological Distress, Student Engagement, Academic Burnout, and Dropout Risk: A Multidimensional Structural Equation Model

Stefanos Balaskas, George Androulakis, Christina Modiati
Education Sciences
Healthcare professionals’ stress and burnout
article

Psychological Distress, Student Engagement, Academic Burnout, and Dropout Risk: A Multidimensional Structural Equation Model

Stefanos Balaskas, George Androulakis, Christina Modiati
article en

Abstract

This study examined the cross-sectional associations among psychological distress, student engagement, academic burnout, and dropout risk, with particular attention to the indirect role of engagement. Questionnaire data were obtained from 3099 students across 31 departments at a single institution, the University of Patras, Greece. Competing measurement models were evaluated before structural estimation. Psychological distress was represented by a HADS bifactor model, engagement and burnout by higher-order structures, and dropout risk by an Academic-reference bifactor-(S−1) model retaining Personal, Institutional, Social, and Economic residual specific factors. The final model was estimated using robust maximum likelihood with full-information maximum likelihood and department-clustered robust inference, showing acceptable approximate fit. General psychological distress was negatively associated with engagement (β = −0.386), while engagement was negatively associated with burnout (β = −0.577) and Academic-referenced dropout risk (β = −0.664). Distress also retained positive direct associations with burnout (β = 0.375) and dropout risk (β = 0.244). Significant indirect associations through engagement were observed for burnout (β = 0.223) and dropout risk (β = 0.256). The findings indicate that engagement is strongly associated with both outcomes, while burnout and dropout risk retain distinct multidimensional measurement structures. Given the cross-sectional design, the indirect effects should be interpreted as statistical associations rather than evidence of causal mediation.

Education SciencesVol. 16(9)
University of Patras (GR)
Openalex Percentile: Top 6%
Healthcare professionals’ stress and burnout
AI Navigator

Ask Laika to Summarize, Analyze, and Connect papers live on the map.

Summarize Papers & Methodologies

Extract key findings, datasets, and comparative methods across publications.

Benchmark Rankings & Visual Analytics

Rank top research institutions, authors, funders, topics, and journals by Field-Weighted Citation Impact (FWCI) and paper volume with instant charts.

Connect Distant Disciplines

Bridge topological clusters on the map to find hidden collaborative intersections.