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Observational Study
©Author(s) (or their employer(s)) 2026.
World J Psychiatry. Mar 19, 2026; 16(3): 114371
Published online Mar 19, 2026. doi: 10.5498/wjp.v16.i3.114371
Table 1 Sociodemographic characteristics of participants (n = 630)
Demographic characteristic
Frequency
Age (years)20.15 ± 1.85
    < 182 (0.3)
    18-19255 (40.5)
    20-22328 (52.1)
    23-2535 (5.6)
    26-308 (1.3)
    31-352 (0.3)
Gender
    Female414 (65.7)
    Male216 (34.3)
Marital status
    Single616 (97.8)
    Married14 (2.2)
Nationality
    Lebanese588 (93.3)
    Syrian9 (1.4)
    Palestinian23 (3.7)
    Others110 (1.6)
Governorate
    Beirut183 (29.0)
    Mount Lebanon198 (31.4)
    Bekaa64 (10.2)
    Baalbak-Hermel38 (6.0)
    Akkar4 (0.6)
    Nabatieh31 (4.9)
    South Lebanon82 (13.0)
    North Lebanon22 (3.5)
    Keserwan-Jbeil8 (1.3)
Living arrangement
    Living with a family508 (80.6)
    Living in a dormitory122 (19.4)
Current smoking status
    Non-smoker527 (83.7)
    Smoker103 (16.3)
Table 2 Educational characteristics of participants (n = 630)
Educational characteristic
Frequency
University
    American University of Beirut113 (17.9)
    Lebanese American University106 (16.8)
    Beirut Arab University134 (21.3)
    Lebanese University169 (26.8)
    Universitié Saint-Joseph de Beyrouth108 (17.1)
Do you major in a healthcare field?
    Yes300 (47.6)
    No330 (52.4)
Level of education in the academic year 2022-2023
    Year 1, undergraduate186 (29.5)
    Year 2, undergraduate211 (33.5)
    Year 3, undergraduate153 (24.3)
    Year 4, undergraduate34 (5.4)
    Year 5, undergraduate5 (8.0)
    Year 6, undergraduate5 (8.0)
    Year 7, undergraduate0 (0)
    Master 1, graduate23 (3.7)
    Master 2, graduate5 (8.0)
    PhD, graduate8 (1.3)
Do you work alongside your studies?
    Yes178 (28.3)
    No452 (71.7)
Table 3 Personal experiences of the participants (n = 630)
Question
Frequency
Have you ever failed an academic year in university?
    Yes70 (11.1)
    No560 (88.9)
Have you ever transferred majors?
    Yes122 (19.4)
    No508 (80.6)
Have you ever taken a gap year?
    Yes85 (13.5)
    No545 (86.5)
Have you ever felt overwhelmed with academic tasks?
    Yes526 (83.5)
    No104 (16.5)
Do you feel satisfied with your major?
    Yes508 (80.6)
    No122 (19.4)
On average, how many hours do you study per day?
    Less than 1 h70 (11.1)
    1-2 h162 (25.7)
    3-4 h206 (32.7)
    5-6 h101 (16.0)
    More than 6 h91 (14.4)
How did your grades change from school to university?
    Improved221 (35.1)
    Worsened221 (35.1)
    Did not change188 (29.8)
Do you frequently attend training courses, practical sessions, or workshops?
    Yes290 (46.0)
    No340 (54.0)
Have you ever felt unsupported by your family members, peers, friends, and/or professors?
    Yes241 (38.3)
    No389 (61.7)
Does your family place a high value on your achievements and successes?
    Yes553 (87.8)
    No77 (12.2)
Have you been clinically diagnosed with a mental health condition?
    Yes156 (24.8)
    No474 (75.2)
Do you practice any of these coping strategies?
    Meditation28 (4.4)
    Exercise167 (26.5)
    Hobbies129 (20.5)
    Talking to a counselor22 (3.5)
    Smoking37 (5.9)
    Alcohol4 (6.0)
    Other71 (11.3)
    I do not practice any coping strategies172 (27.3)
Table 4 Young Imposter Scale items (n = 630)
Item
Yes
No
Do you secretly worry that others will find out that you’re not as bright and capable as they think you are?361 (57.3)269 (42.7)
Do you sometimes shy away from challenges because of a nagging self-doubt?361 (57.3)269 (42.7)
Do you tend to chalk your accomplishments up to being a “fluke,” “no big deal,” or the fact that people just “like” you?291 (46.2)339 (53.8)
Do you hate making a mistake, being less than fully prepared, or not doing things perfectly?522 (82.9)108 (17.1)
Do you tend to feel crushed even by constructive criticism, seeing it as evidence of your “ineptness?”281 (44.6)349 (55.4)
When you do succeed, do you think “Phew, I fooled them this time, but I may not be so lucky next time?”201 (31.9)429 (68.1)
Do you believe that other people (students, colleagues, competitors) are smarter and more capable than you?319 (50.6)311 (49.4)
Do you live in fear of being found out, discovered, or unmasked?191 (30.3)439 (69.7)
Table 5 Correlation between imposter phenomenon and other characteristics (n = 630)
Characteristic
Imposter phenomenon
P value
Yes
No
Age (years)
    < 182 (100)0.648
    18-19112 (43.9)143 (56.1)
    20-22139 (42.4)189 (57.6)
    23-2514 (40.0)21 (60.0)
    26-303 (37.5)5 (62.5)
    31-352 (100)
Gender
    Female196 (47.3)218 (52.7)< 0.001b
    Male72 (33.3)144 (66.7)
Marital status
    Single266 (43.1)350 (56.8)0.031a
    Married2 (14.3)12 (85.7)
Nationality
    Lebanese248 (42.2)340 (57.8)0.827
    Syrian5 (55.6)4 (44.4)
    Palestinian10 (43.5)13 (56.5)
    Others15 (50.0)5 (50.0)
Governorate
    Beirut88 (48.1)95 (51.9)< 0.001b
    Mount Lebanon75 (37.9)123 (62.1)
    Bekaa24 (37.5)40 (62.5)
    Baalbak-Hermel7 (18.4)31 (81.6)
    Akkar4 (100)
    Nabatieh13 (42.0)18 (58.0)
    South Lebanon46 (56.1)36 (43.9)
    North Lebanon9 (40.9)13 (59.1)
    Keserwan-Jbeil6 (75.0)2 (25.0)
Living arrangement
    Living with a family207 (40.7)301 (59.3)0.063
    Living in a dormitory61 (50.0)61 (50.0)
Current smoking status
    Non-smoker227 (43.1)300 (56.9)0.539
    Smoker41 (39.8)62 (60.2)
University
    American University of Beirut55 (48.7)58 (51.3)0.106
    Lebanese American University49 (46.2)57 (53.8)
    Beirut Arab University63 (47.0)71 (53.0)
    Lebanese University 62 (36.7)107 (63.3)
    Universitié Saint-Joseph de Beyrouth39 (36.1)69 (63.9)
Do you major in a healthcare field?
    Yes129 (43.0)171 (57.0)0.824
    No129 (40.3)191 (59.7)
Level of education in the academic year 2022-2023
    Year 1, undergraduate82 (44.1)104 (55.9)0.633
    Year 2, undergraduate91 (43.1)120 (56.9)
    Year 3, undergraduate60 (39.2)93 (60.8)
    Year 4, undergraduate16 (47.1)18 (52.9)
    Year 5, undergraduate4 (80.0)1 (20.0)
    Year 6, undergraduate2 (40.0)3 (60.0)
    Year 7, undergraduate0 (0)0 (0)
    Master 1, graduate10 (43.5)13 (56.5)
    Master 2, graduate1 (20.0)4 (80.0)
    PhD, graduate2 (25.0)6 (75.0)
Do you work alongside your studies?
    Yes64 (36.0)114 (64.0)0.036a
    No204 (45.1)248 (54.9)
Have you ever failed an academic year in university?
    Yes32 (45.7)38 (54.3)0.569
    No236 (42.1)324 (57.9)
Have you ever transferred majors?
    Yes50 (41.0)72 (59.0)0.699
    No218 (42.9)290 (57.1)
Have you ever taken a gap year?
    Yes38 (44.7)47 (55.3)0.664
    No230 (42.2)315 (57.8)
Have you ever felt overwhelmed with academic tasks?
    Yes251 (47.7)275 (52.3)< 0.001b
    No17 (16.3)87 (83.7)
Do you feel satisfied with your major?
    Yes205 (40.4)303 (59.6)0.024a
    No63 (51.6)59 (48.4)
On average, how many hours do you study per day?
    Less than 1 h27 (38.6)43 (61.4)0.916
    1-2 h68 (42.0)94 (58.0)
    3-4 h88 (42.7)118 (57.3)
    5-6 h43 (42.6)58 (57.4)
    More than 6 h42 (46.2)49 (53.8)
How did your grades change from school to university?
    Improved79 (35.7)142 (64.3)< 0.001b
    Worsened119 (53.8)102 (46.2)
    Didn’t change70 (37.2)118 (62.8)
Do you frequently attend training courses, practical sessions, or workshops?
    Yes118 (40.7)172 (59.3)0.386
    No150 (44.1)190 (55.9)
Have you ever felt unsupported by your family members, peers, friends, and/or professors?
    Yes145 (60.2)96 (39.8)< 0.001b
    No123 (31.6)266 (68.4)
Does your family place a high value on your achievements and successes?
    Yes234 (42.3)319 (57.7)0.759
    No34 (44.2)43 (55.8)
Have you been clinically diagnosed with a mental health condition?
    Yes80 (51.3)76 (48.7)0.011a
    No188 (39.7)286 (60.3)
Do you practice any of these coping strategies?
    Meditation14 (50.0)14 (50.0)< 0.001b
    Exercise61 (36.5)106 (63.5)
    Hobbies49 (38.0)80 (62.0)
    Talking to a counselor19 (86.4)3 (13.6)
    Other35 (49.3)36 (50.7)
    I do not practice any coping strategies76 (44.2)96 (55.8)
    Smoking14 (37.8)23 (62.2)
    Alcohol4 (100)
Table 6 10 item-Connor Davidson Resilience Scale items
Item
Not true at all
Rarely true
Sometimes true
Often true
True nearly all the time
I am able to adapt when changes occur17 (2.7)49 (7.8)212 (33.7)218 (34.6)134 (21.3)
I can deal with whatever comes my way18 (2.9)46 (7.3)208 (33.0)235 (37.3)123 (19.5)
I try to see the humorous side of things when I am faced with problems47 (7.5)101 (16.0)206 (32.7)168 (26.7)108 (17.1)
Having to cope with stress can make me stronger52 (8.3)84 (13.3)192 (30.5)187 (29.7)115 (18.3)
I tend to bounce back after illness, injury, or other hardships27 (4.3)68 (10.8)200 (31.7)208 (33.0)127 (20.2)
I believe I can achieve my goals even if there are obstacles12 (1.9)24 (3.8)129 (20.5)219 (34.8)246 (39.0)
Under pressure I stay focused and think clearly50 (7.9)81 (12.9)192 (30.5)205 (32.5)102 (16.2)
I am not easily discouraged by failure36 (5.7)131 (20.8)178 (28.3)175 (27.8)110 (17.5)
I think of myself as a strong person when dealing with life’s challenges and difficulties18 (2.9)56 (8.9)157 (24.9)201 (31.9)198 (31.4)
I am able to handle unpleasant or painful feelings like sadness, fear, and anger38 (6.0)71 (11.3)195 (31.0)179 (28.4)147 (23.3)
Table 7 10 item-Connor Davidson Resilience Scale means
Item
Mean items/4 ± SD
Mean scale/40 ± SD
I am able to adapt when changes occur2.64 ± 0.98725.51 ± 6.79
I can deal with whatever comes my way2.63 ± 0.970
I try to see the humorous side of things when I am faced with problems2.30 ± 1.150
Having to cope with stress can make me stronger2.36 ± 1.166
I tend to bounce back after illness, injury, or other hardships2.54 ± 1.061
I believe I can achieve my goals even if there are obstacles3.05 ± 0.958
Under pressure I stay focused and think clearly2.36 ± 1.136
I am not easily discouraged by failure2.30 ± 1.150
I think of myself as a strong person when dealing with life's challenges and difficulties2.80 ± 1.067
I am able to handle unpleasant or painful feelings like sadness, fear, and anger2.52 ± 1.143
Table 8 Correlation between resilience and other characteristics (n = 630)
Characteristic
Resilience mean/40
P value
Age (years)
    < 1822.000.63
    18-1925.25
    20-2225.88
    23-2524.10
    26-3026.00
    31-3525.50
Gender
    Female24.81< 0.001c
    Male26.86
Marital status
    Single25.570.310
    Married23.14
Nationality
    Lebanese25.530.486
    Syrian22.67
    Palestinian25.48
    Others127.10
Governorate
    Beirut24.880.404
    Mount Lebanon26.25
    Bekaa25.94
    Baalbak-Hermel25.08
    Akkar28.75
    Nabatieh25.39
    South Lebanon24.50
    North Lebanon27.27
    Keserwan-Jbeil24.88
Living arrangement
    Living with a family25.530.838
    Living in a dormitory25.46
Current smoking status
    Non-smoker25.490.699
    Smoker25.66
University
    American University of Beirut25.790.931
    Lebanese American University25.75
    Beirut Arab University25.34
    Lebanese University25.50
    Universitié Saint-Joseph de Beyrouth25.22
Do you major in a healthcare field?
    Yes25.450.748
    No25.57
Level of education in the academic year 2022-2023
    Year 1, undergraduate25.030.21
    Year 2, undergraduate25.49
    Year 3, undergraduate26.14
    Year 4, undergraduate25.65
    Year 5, undergraduate20.60
    Year 6, undergraduate31.00
    Year 7, undergraduate0
    Master 1, graduate24.96
    Master 2, graduate29.00
    PhD, graduate24.13
Do you work alongside your studies?
    Yes26.510.01a
    No25.12
Have you ever failed an academic year in university?
    Yes22.71< 0.001c
    No25.86
Have you ever transferred majors?
    Yes24.320.110
    No25.8
Have you ever taken a gap year?
    Yes23.750.034a
    No25.79
Have you ever felt overwhelmed with academic tasks?
    Yes25.210.02a
    No27.08
Do you feel satisfied with your major?
    Yes26.10< 0.001c
    No23.07
On average, how many hours do you study per day?
    Less than 1 h25.500.419
    1-2 h25.79
    3-4 h24.84
    5-6 h25.64
    More than 6 h26.41
How did your grades change from school to university?
    Improved26.89< 0.001c
    Worsened23.82
    Did not change25.88
Do you frequently attend training courses, practical sessions, or workshops?
    Yes26.140.022a
    No24.98
Have you ever felt unsupported by your family members, peers, friends, and/or professors?
    Yes23.21< 0.001c
    No26.94
Does your family place a high value on your achievements and successes?
    Yes25.560.629
    No25.16
Have you been clinically diagnosed with a mental health condition?
    Yes23.04< 0.001c
    No26.33
Do you practice any of these coping strategies?
    Meditation27.320.002b
    Exercise26.33
    Hobbies26.64
    Talking to a counselor23.05
    Other24.14
    I don’t practice any coping strategies24.35
    Smoking26.62
    Alcohol20.50
Table 9 Correlation between imposter phenomenon and resilience (n = 630)

Resilience mean/40
P value
Imposter phenomenon
Yes22.27< 0.001a
No27.92