Comparative Cross-Sectional Study on the Prevalence of Impostor Phenomenon in Medical and Non-Medical Students of Lahore City
Keywords:
Mental health, Impostor Phenomenon/Syndrome, medical students, non-medical students, Prevalence, Gender DifferencesAbstract
Background:The Impostor Phenomenon (IP) is a psychological pattern characterized by feelings of inadequacy and self-doubt despite evident competence. This study aims to compare the prevalence of Impostor Phenomenon among medical and non-medical students in Lahore, Pakistan and to compare the distribution between genders.
Methods:A cross-sectional study involving a total of 242 medical and non-medical students was conducted using the validated Clance Impostor Phenomenon (CIP) scale that ranges between 20 to 100 and includes scores categorised as ≤40 (mild), 41-60 (Moderate), 61-80 (Frequent), ≥81 (Severe). The data was collected between February 2023 to April 2023. It was analyzed using descriptive statistics and unpaired t-tests as well as multivariate linear regression model in SPSS version-26.
Results:IP was prevalent among both medical and non-medical students, with significantly higher scores among non-medical students (mean CIP score: of 67.08 ±13.704) compared to medical students (mean CIP score: 58.36 ±11.413. It was noted that although IP is prevalent in both genders, it is much more significant in females as females exhibited higher IP scores than males (p-value <0.05). The multivariate linear regression model showed significant dependency of the total CIP scores on the variables, university and gender, with the p-value being less than 0.05
Conclusion:In conclusion, this study underscores the high prevalence of IP among medical and non-medical students and highlights the need for targeted interventions. It also explores the effect of both genders on having feelings of impostor-ism.
Metrics
References
Clance, P. R. The impostor phenomenon: overcoming the fear that taunts your success. Atlanta: Peachtree Publishers; 1985.
Vergauwe J, Wille B, Feys M, De Fruyt F, Anseel F. Fear of being exposed: The trait-relatedness of the impostor phenomenon and its relevance in the work context. J Behav Psychol. 2015;30(3): 565-581
Clance PR, Imes S. The imposter phenomenon in high achieving women: dynamics and therapeutic intervention. Psychother Theory Res Pract. 1978;15(3): 241-7.
Sakulku J, Alexander J. The impostor phenomenon. J Behav Sci, 2011;6(1): 75–97.
Cokley, K. A critical review of the literature on imposter syndrome. J Couns Psychol. 2017;64(4): 369-386.
Gorsi H, Ali SA, Tariq S. A conceptual model of impostor phenomenon and job performance: role of vicarious learning, impression management, and self-reflection. J Prof Appl Psychol. 2023;4(3):460–77
Hutchins, H. M. Outing the imposter: A study exploring imposter phenomenon among higher education faculty. New Horiz Adult Educ Hum Resour Dev.2015; 27(2):3- 12
Mak KKL, Kleitman S, Abbott MJ. Impostor phenomenon measurement scales: a systematic review. Front Psychol. 2019 Apr 5;10.
Rosenthal S, Schlussel Y, Yaden MB, DeSantis J, Trayes K, Pohl C, et al. Persistent impostor phenomenon is associated with distress in medical students. Fam Med. 2021 Feb 3;53(2):118–22.
Levant B, Villwock JA, Manzardo AM. Impostorism in third-year medical students: an item analysis using the Clance impostor phenomenon scale. Perspect Med Educ. 2020;9(2):83-91.
Ikbaal MY, Salim Musa N ’Aqilah. Prevalence of impostor phenomenon among medical students in a malaysian private medical school. Int J Med Stud. 2018;6(2):66–70.
Rosenstein A, Raghu A, Porter L. Identifying the prevalence of the impostor phenomenon among computer science students. In: Proceedings of the 51st ACM Technical Symposium on Computer Science Education. New York, NY, USA: ACM; 2020.
Smith OG. Exploration of the impostor phenomenon in law school students [dissertation]. San Diego (CA): University of San Diego; 2011. Available from: https://digital.sandiego.edu/cgi/viewcontent.cgi?article=1834&context=dissertations
Peteet B.J, Montgomery L. Predictors of imposter phenomenon among talented ethnic minority undergraduate students. J Negro Educ. 2015 ;84(2): 175-186.
Trefts S. The imposter phenomenon in female, first-generation STEM majors [dissertation]. Thousand Oaks (CA): California Lutheran University; 2019.
Bhatti MUD, Ahmed I. Impostor phenomenon: a cross-sectional study of students and house officers from dental teaching institutes of Lahore. PODJ 2019; 39(3):262-6.
Şahin, E. E., & Uslu Gülşen, F. Clance impostor phenomenon scale (CIPS): adaptation and validation in turkish university students. Psychoeduc Res Rev, 2022;11(1): 270-282.
Neureiter, M., & Traut-Mattausch, E. Inspecting the mechanism: A longitudinal study of the relationships between impostor feelings, self-esteem and inauthenticity. J Vocat Behav. 2016;95-96:80-90.
Felder, R. Imposters everywhere. Chem Eng Educ, 1988; 22(4), 168-169.
Barnshaw J, Dunietz S. Busting the myths: The annual report on the economic status of the profession, 2014–15. Academe. 2015 Mar 1;101(2):4-19.
Coklar, A. N., Yuksel, E. G., & Calik, U. S Impostor phenomenon among medical students in a developing country: A multicenter study. Med Sci Monit. 2019;25:4546-53.
McGregor, L. N., Gee, D. E., & Posey, K. E. I feel like a fraud and it depresses me: The relation between the imposter phenomenon and depression. Social Behavior and Personality,2008; 36(1), 43-48.
Clance, P. R., & O'Toole, M. A. The imposter phenomenon: An internal barrier to empowerment and achievement. Wom Ther. 1987;6(3):51-64.
Albert PR. Why is depression more prevalent in women? J Psychiatry Neurosci. 2015 Jul; 40(4):219-21. doi: 10.1503/jpn.150205.
On pay gap, millennial women near parity-for now despite gains, many see roadblocks ahead [Internet: last updated. 2013;47-56.
Stamarski CS, Son Hing LS. Gender inequalities in the workplace: the effects of organizational structures, processes, practices, and decision makers' sexism. Front Psychol. 2015 Sep 16; 6:1400.
Franchi T, Russell-Sewell N. Medical students and the impostor phenomenon: a coexistence precipitated and perpetuated by the educational environment? Med Sci Educ. 2022 Dec 9;33(1):27-38.
Parkman A. The imposter phenomenon in higher education: Incidence and impact. J High Educ Theory Pract. 2016;16(1):1-9.
Cromwell B, Brown N, Adair FL. The impostor phenomenon and personality characteristics of high school honor students. J Soc Behav Pers. 1990 Nov 1;5(6):563.
Thomas M, Bigatti S. Perfectionism, impostor phenomenon, and mental health in medicine: a literature review. Int J Med Educ. 2020 Sep 28; 11:201-213.
Downloads
Published
How to Cite
License
Copyright (c) 2025 Lareib Raashed , Afia Liaqat, Maheen Nasir, Maheen Tariq , Zainab Omer

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site; with the understanding that the above condition can be waived with permission from the Author and that where the Work or any of its elements is in the public domain under applicable law, that status is in no way affected by the license.
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from the Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Enforcement of copyright
The IJMS takes the protection of copyright very seriously.
If the IJMS discovers that you have used its copyright materials in contravention of the license above, the IJMS may bring legal proceedings against you seeking reparation and an injunction to stop you using those materials. You could also be ordered to pay legal costs.
If you become aware of any use of the IJMS' copyright materials that contravenes or may contravene the license above, please report this by email to contact@ijms.org
Infringing material
If you become aware of any material on the website that you believe infringes your or any other person's copyright, please report this by email to contact@ijms.org