literature review that cites the study

Purdue Online Writing Lab Purdue OWL® College of Liberal Arts

Writing a Literature Review

Welcome to the Purdue OWL

This page is brought to you by the OWL at Purdue University. When printing this page, you must include the entire legal notice.

Copyright ©1995-2018 by The Writing Lab & The OWL at Purdue and Purdue University. All rights reserved. This material may not be published, reproduced, broadcast, rewritten, or redistributed without permission. Use of this site constitutes acceptance of our terms and conditions of fair use.

A literature review is a document or section of a document that collects key sources on a topic and discusses those sources in conversation with each other (also called synthesis ). The lit review is an important genre in many disciplines, not just literature (i.e., the study of works of literature such as novels and plays). When we say “literature review” or refer to “the literature,” we are talking about the research ( scholarship ) in a given field. You will often see the terms “the research,” “the scholarship,” and “the literature” used mostly interchangeably.

Where, when, and why would I write a lit review?

There are a number of different situations where you might write a literature review, each with slightly different expectations; different disciplines, too, have field-specific expectations for what a literature review is and does. For instance, in the humanities, authors might include more overt argumentation and interpretation of source material in their literature reviews, whereas in the sciences, authors are more likely to report study designs and results in their literature reviews; these differences reflect these disciplines’ purposes and conventions in scholarship. You should always look at examples from your own discipline and talk to professors or mentors in your field to be sure you understand your discipline’s conventions, for literature reviews as well as for any other genre.

A literature review can be a part of a research paper or scholarly article, usually falling after the introduction and before the research methods sections. In these cases, the lit review just needs to cover scholarship that is important to the issue you are writing about; sometimes it will also cover key sources that informed your research methodology.

Lit reviews can also be standalone pieces, either as assignments in a class or as publications. In a class, a lit review may be assigned to help students familiarize themselves with a topic and with scholarship in their field, get an idea of the other researchers working on the topic they’re interested in, find gaps in existing research in order to propose new projects, and/or develop a theoretical framework and methodology for later research. As a publication, a lit review usually is meant to help make other scholars’ lives easier by collecting and summarizing, synthesizing, and analyzing existing research on a topic. This can be especially helpful for students or scholars getting into a new research area, or for directing an entire community of scholars toward questions that have not yet been answered.

What are the parts of a lit review?

Most lit reviews use a basic introduction-body-conclusion structure; if your lit review is part of a larger paper, the introduction and conclusion pieces may be just a few sentences while you focus most of your attention on the body. If your lit review is a standalone piece, the introduction and conclusion take up more space and give you a place to discuss your goals, research methods, and conclusions separately from where you discuss the literature itself.

Introduction:

• An introductory paragraph that explains what your working topic and thesis is
• A forecast of key topics or texts that will appear in the review
• Potentially, a description of how you found sources and how you analyzed them for inclusion and discussion in the review (more often found in published, standalone literature reviews than in lit review sections in an article or research paper)
• Summarize and synthesize: Give an overview of the main points of each source and combine them into a coherent whole
• Analyze and interpret: Don’t just paraphrase other researchers – add your own interpretations where possible, discussing the significance of findings in relation to the literature as a whole
• Critically Evaluate: Mention the strengths and weaknesses of your sources
• Write in well-structured paragraphs: Use transition words and topic sentence to draw connections, comparisons, and contrasts.

Conclusion:

• Summarize the key findings you have taken from the literature and emphasize their significance
• Connect it back to your primary research question

How should I organize my lit review?

Lit reviews can take many different organizational patterns depending on what you are trying to accomplish with the review. Here are some examples:

• Chronological : The simplest approach is to trace the development of the topic over time, which helps familiarize the audience with the topic (for instance if you are introducing something that is not commonly known in your field). If you choose this strategy, be careful to avoid simply listing and summarizing sources in order. Try to analyze the patterns, turning points, and key debates that have shaped the direction of the field. Give your interpretation of how and why certain developments occurred (as mentioned previously, this may not be appropriate in your discipline — check with a teacher or mentor if you’re unsure).
• Thematic : If you have found some recurring central themes that you will continue working with throughout your piece, you can organize your literature review into subsections that address different aspects of the topic. For example, if you are reviewing literature about women and religion, key themes can include the role of women in churches and the religious attitude towards women.
• Qualitative versus quantitative research
• Empirical versus theoretical scholarship
• Divide the research by sociological, historical, or cultural sources
• Theoretical : In many humanities articles, the literature review is the foundation for the theoretical framework. You can use it to discuss various theories, models, and definitions of key concepts. You can argue for the relevance of a specific theoretical approach or combine various theorical concepts to create a framework for your research.

What are some strategies or tips I can use while writing my lit review?

Any lit review is only as good as the research it discusses; make sure your sources are well-chosen and your research is thorough. Don’t be afraid to do more research if you discover a new thread as you’re writing. More info on the research process is available in our "Conducting Research" resources .

As you’re doing your research, create an annotated bibliography ( see our page on the this type of document ). Much of the information used in an annotated bibliography can be used also in a literature review, so you’ll be not only partially drafting your lit review as you research, but also developing your sense of the larger conversation going on among scholars, professionals, and any other stakeholders in your topic.

Usually you will need to synthesize research rather than just summarizing it. This means drawing connections between sources to create a picture of the scholarly conversation on a topic over time. Many student writers struggle to synthesize because they feel they don’t have anything to add to the scholars they are citing; here are some strategies to help you:

• It often helps to remember that the point of these kinds of syntheses is to show your readers how you understand your research, to help them read the rest of your paper.
• Writing teachers often say synthesis is like hosting a dinner party: imagine all your sources are together in a room, discussing your topic. What are they saying to each other?
• Look at the in-text citations in each paragraph. Are you citing just one source for each paragraph? This usually indicates summary only. When you have multiple sources cited in a paragraph, you are more likely to be synthesizing them (not always, but often
• Read more about synthesis here.

The most interesting literature reviews are often written as arguments (again, as mentioned at the beginning of the page, this is discipline-specific and doesn’t work for all situations). Often, the literature review is where you can establish your research as filling a particular gap or as relevant in a particular way. You have some chance to do this in your introduction in an article, but the literature review section gives a more extended opportunity to establish the conversation in the way you would like your readers to see it. You can choose the intellectual lineage you would like to be part of and whose definitions matter most to your thinking (mostly humanities-specific, but this goes for sciences as well). In addressing these points, you argue for your place in the conversation, which tends to make the lit review more compelling than a simple reporting of other sources.

Have a language expert improve your writing

Run a free plagiarism check in 10 minutes, generate accurate citations for free.

• Knowledge Base

Methodology

• How to Write a Literature Review | Guide, Examples, & Templates

How to Write a Literature Review | Guide, Examples, & Templates

Published on January 2, 2023 by Shona McCombes . Revised on September 11, 2023.

What is a literature review? A literature review is a survey of scholarly sources on a specific topic. It provides an overview of current knowledge, allowing you to identify relevant theories, methods, and gaps in the existing research that you can later apply to your paper, thesis, or dissertation topic .

There are five key steps to writing a literature review:

• Search for relevant literature
• Evaluate sources
• Identify themes, debates, and gaps
• Outline the structure
• Write your literature review

A good literature review doesn’t just summarize sources—it analyzes, synthesizes , and critically evaluates to give a clear picture of the state of knowledge on the subject.

Instantly correct all language mistakes in your text

Upload your document to correct all your mistakes in minutes

Table of contents

What is the purpose of a literature review, examples of literature reviews, step 1 – search for relevant literature, step 2 – evaluate and select sources, step 3 – identify themes, debates, and gaps, step 4 – outline your literature review’s structure, step 5 – write your literature review, free lecture slides, other interesting articles, frequently asked questions, introduction.

• Quick Run-through
• Step 1 & 2

When you write a thesis , dissertation , or research paper , you will likely have to conduct a literature review to situate your research within existing knowledge. The literature review gives you a chance to:

• Demonstrate your familiarity with the topic and its scholarly context
• Develop a theoretical framework and methodology for your research
• Position your work in relation to other researchers and theorists
• Show how your research addresses a gap or contributes to a debate
• Evaluate the current state of research and demonstrate your knowledge of the scholarly debates around your topic.

Writing literature reviews is a particularly important skill if you want to apply for graduate school or pursue a career in research. We’ve written a step-by-step guide that you can follow below.

Don't submit your assignments before you do this

The academic proofreading tool has been trained on 1000s of academic texts. Making it the most accurate and reliable proofreading tool for students. Free citation check included.

Try for free

Writing literature reviews can be quite challenging! A good starting point could be to look at some examples, depending on what kind of literature review you’d like to write.

• Example literature review #1: “Why Do People Migrate? A Review of the Theoretical Literature” ( Theoretical literature review about the development of economic migration theory from the 1950s to today.)
• Example literature review #2: “Literature review as a research methodology: An overview and guidelines” ( Methodological literature review about interdisciplinary knowledge acquisition and production.)
• Example literature review #3: “The Use of Technology in English Language Learning: A Literature Review” ( Thematic literature review about the effects of technology on language acquisition.)
• Example literature review #4: “Learners’ Listening Comprehension Difficulties in English Language Learning: A Literature Review” ( Chronological literature review about how the concept of listening skills has changed over time.)

You can also check out our templates with literature review examples and sample outlines at the links below.

Download Word doc Download Google doc

Before you begin searching for literature, you need a clearly defined topic .

If you are writing the literature review section of a dissertation or research paper, you will search for literature related to your research problem and questions .

Make a list of keywords

Start by creating a list of keywords related to your research question. Include each of the key concepts or variables you’re interested in, and list any synonyms and related terms. You can add to this list as you discover new keywords in the process of your literature search.

• Social media, Facebook, Instagram, Twitter, Snapchat, TikTok
• Body image, self-perception, self-esteem, mental health
• Generation Z, teenagers, adolescents, youth

Search for relevant sources

Use your keywords to begin searching for sources. Some useful databases to search for journals and articles include:

• Your university’s library catalogue
• Google Scholar
• Project Muse (humanities and social sciences)
• Medline (life sciences and biomedicine)
• EconLit (economics)
• Inspec (physics, engineering and computer science)

You can also use boolean operators to help narrow down your search.

Make sure to read the abstract to find out whether an article is relevant to your question. When you find a useful book or article, you can check the bibliography to find other relevant sources.

You likely won’t be able to read absolutely everything that has been written on your topic, so it will be necessary to evaluate which sources are most relevant to your research question.

For each publication, ask yourself:

• What question or problem is the author addressing?
• What are the key concepts and how are they defined?
• What are the key theories, models, and methods?
• Does the research use established frameworks or take an innovative approach?
• What are the results and conclusions of the study?
• How does the publication relate to other literature in the field? Does it confirm, add to, or challenge established knowledge?
• What are the strengths and weaknesses of the research?

Make sure the sources you use are credible , and make sure you read any landmark studies and major theories in your field of research.

You can use our template to summarize and evaluate sources you’re thinking about using. Click on either button below to download.

Take notes and cite your sources

As you read, you should also begin the writing process. Take notes that you can later incorporate into the text of your literature review.

It is important to keep track of your sources with citations to avoid plagiarism . It can be helpful to make an annotated bibliography , where you compile full citation information and write a paragraph of summary and analysis for each source. This helps you remember what you read and saves time later in the process.

Receive feedback on language, structure, and formatting

Professional editors proofread and edit your paper by focusing on:

• Academic style
• Vague sentences
• Style consistency

See an example

To begin organizing your literature review’s argument and structure, be sure you understand the connections and relationships between the sources you’ve read. Based on your reading and notes, you can look for:

• Trends and patterns (in theory, method or results): do certain approaches become more or less popular over time?
• Themes: what questions or concepts recur across the literature?
• Debates, conflicts and contradictions: where do sources disagree?
• Pivotal publications: are there any influential theories or studies that changed the direction of the field?
• Gaps: what is missing from the literature? Are there weaknesses that need to be addressed?

This step will help you work out the structure of your literature review and (if applicable) show how your own research will contribute to existing knowledge.

• Most research has focused on young women.
• There is an increasing interest in the visual aspects of social media.
• But there is still a lack of robust research on highly visual platforms like Instagram and Snapchat—this is a gap that you could address in your own research.

There are various approaches to organizing the body of a literature review. Depending on the length of your literature review, you can combine several of these strategies (for example, your overall structure might be thematic, but each theme is discussed chronologically).

Chronological

The simplest approach is to trace the development of the topic over time. However, if you choose this strategy, be careful to avoid simply listing and summarizing sources in order.

Try to analyze patterns, turning points and key debates that have shaped the direction of the field. Give your interpretation of how and why certain developments occurred.

If you have found some recurring central themes, you can organize your literature review into subsections that address different aspects of the topic.

For example, if you are reviewing literature about inequalities in migrant health outcomes, key themes might include healthcare policy, language barriers, cultural attitudes, legal status, and economic access.

Methodological

If you draw your sources from different disciplines or fields that use a variety of research methods , you might want to compare the results and conclusions that emerge from different approaches. For example:

• Look at what results have emerged in qualitative versus quantitative research
• Discuss how the topic has been approached by empirical versus theoretical scholarship
• Divide the literature into sociological, historical, and cultural sources

Theoretical

A literature review is often the foundation for a theoretical framework . You can use it to discuss various theories, models, and definitions of key concepts.

You might argue for the relevance of a specific theoretical approach, or combine various theoretical concepts to create a framework for your research.

Like any other academic text , your literature review should have an introduction , a main body, and a conclusion . What you include in each depends on the objective of your literature review.

The introduction should clearly establish the focus and purpose of the literature review.

Depending on the length of your literature review, you might want to divide the body into subsections. You can use a subheading for each theme, time period, or methodological approach.

As you write, you can follow these tips:

• Summarize and synthesize: give an overview of the main points of each source and combine them into a coherent whole
• Analyze and interpret: don’t just paraphrase other researchers — add your own interpretations where possible, discussing the significance of findings in relation to the literature as a whole
• Critically evaluate: mention the strengths and weaknesses of your sources
• Write in well-structured paragraphs: use transition words and topic sentences to draw connections, comparisons and contrasts

In the conclusion, you should summarize the key findings you have taken from the literature and emphasize their significance.

When you’ve finished writing and revising your literature review, don’t forget to proofread thoroughly before submitting. Not a language expert? Check out Scribbr’s professional proofreading services !

This article has been adapted into lecture slides that you can use to teach your students about writing a literature review.

Scribbr slides are free to use, customize, and distribute for educational purposes.

Open Google Slides Download PowerPoint

If you want to know more about the research process , methodology , research bias , or statistics , make sure to check out some of our other articles with explanations and examples.

• Sampling methods
• Simple random sampling
• Stratified sampling
• Cluster sampling
• Likert scales
• Reproducibility

 Statistics

• Null hypothesis
• Statistical power
• Probability distribution
• Effect size
• Poisson distribution

Research bias

• Optimism bias
• Cognitive bias
• Implicit bias
• Hawthorne effect
• Anchoring bias
• Explicit bias

A literature review is a survey of scholarly sources (such as books, journal articles, and theses) related to a specific topic or research question .

It is often written as part of a thesis, dissertation , or research paper , in order to situate your work in relation to existing knowledge.

There are several reasons to conduct a literature review at the beginning of a research project:

• To familiarize yourself with the current state of knowledge on your topic
• To ensure that you’re not just repeating what others have already done
• To identify gaps in knowledge and unresolved problems that your research can address
• To develop your theoretical framework and methodology
• To provide an overview of the key findings and debates on the topic

Writing the literature review shows your reader how your work relates to existing research and what new insights it will contribute.

The literature review usually comes near the beginning of your thesis or dissertation . After the introduction , it grounds your research in a scholarly field and leads directly to your theoretical framework or methodology .

A literature review is a survey of credible sources on a topic, often used in dissertations , theses, and research papers . Literature reviews give an overview of knowledge on a subject, helping you identify relevant theories and methods, as well as gaps in existing research. Literature reviews are set up similarly to other  academic texts , with an introduction , a main body, and a conclusion .

An  annotated bibliography is a list of  source references that has a short description (called an annotation ) for each of the sources. It is often assigned as part of the research process for a  paper .  

Cite this Scribbr article

If you want to cite this source, you can copy and paste the citation or click the “Cite this Scribbr article” button to automatically add the citation to our free Citation Generator.

McCombes, S. (2023, September 11). How to Write a Literature Review | Guide, Examples, & Templates. Scribbr. Retrieved August 29, 2024, from https://www.scribbr.com/dissertation/literature-review/

Is this article helpful?

Shona McCombes

Other students also liked, what is a theoretical framework | guide to organizing, what is a research methodology | steps & tips, how to write a research proposal | examples & templates, "i thought ai proofreading was useless but..".

I've been using Scribbr for years now and I know it's a service that won't disappoint. It does a good job spotting mistakes”

Citation Styles

• Chicago Style
• Annotated Bibliographies

What is a Lit Review?

How to write a lit review.

• Video Introduction to Lit Reviews

Main Objectives

Examples of lit reviews, additional resources.

• Zotero (Citation Management)

What is a literature review?

• Either a complete piece of writing unto itself or a section of a larger piece of writing like a book or article
• A thorough and critical look at the information and perspectives that other experts and scholars have written about a specific topic
• A way to give historical perspective on an issue and show how other researchers have addressed a problem
• An analysis of sources based on your own perspective on the topic
• Based on the most pertinent and significant research conducted in the field, both new and old

• A descriptive list or collection of summaries of other research without synthesis or analysis
• An annotated bibliography
• A literary review (a brief, critical discussion about the merits and weaknesses of a literary work such as a play, novel or a book of poems)
• Exhaustive; the objective is not to list as many relevant books, articles, reports as possible
• To convey to your reader what knowledge and ideas have been established on a topic
• To explain what the strengths and weaknesses of that knowledge and those ideas might be
• To learn how others have defined and measured key concepts    
• To keep the writer/reader up to date with current developments and historical trends in a particular field or discipline
• To establish context for the argument explored in the rest of a paper
• To provide evidence that may be used to support your own findings
• To demonstrate your understanding and your ability to critically evaluate research in the field
• To suggest previously unused or underused methodologies, designs, and quantitative and qualitative strategies
• To identify gaps in previous studies and flawed methodologies and/or theoretical approaches in order to avoid replication of mistakes
• To help the researcher avoid repetition of earlier research
• To suggest unexplored populations
• To determine whether past studies agree or disagree and identify strengths and weaknesses on both sides of a controversy in the literature

• Choose a topic that is interesting to you; this makes the research and writing process more enjoyable and rewarding.
• For a literature review, you'll also want to make sure that the topic you choose is one that other researchers have explored before so that you'll be able to find plenty of relevant sources to review.

• Your research doesn't need to be exhaustive. Pay careful attention to bibliographies. Focus on the most frequently cited literature about your topic and literature from the best known scholars in your field. Ask yourself: "Does this source make a significant contribution to the understanding of my topic?"
• Reading other literature reviews from your field may help you get ideas for themes to look for in your research. You can usually find some of these through the library databases by adding literature review as a keyword in your search.
• Start with the most recent publications and work backwards. This way, you ensure you have the most current information, and it becomes easier to identify the most seminal earlier sources by reviewing the material that current researchers are citing.

The organization of your lit review should be determined based on what you'd like to highlight from your research. Here are a few suggestions:

• Chronology : Discuss literature in chronological order of its writing/publication to demonstrate a change in trends over time or to detail a history of controversy in the field or of developments in the understanding of your topic.  
• Theme: Group your sources by subject or theme to show the variety of angles from which your topic has been studied. This works well if, for example, your goal is to identify an angle or subtopic that has so far been overlooked by researchers.  
• Methodology: Grouping your sources by methodology (for example, dividing the literature into qualitative vs. quantitative studies or grouping sources according to the populations studied) is useful for illustrating an overlooked population, an unused or underused methodology, or a flawed experimental technique.

• Be selective. Highlight only the most important and relevant points from a source in your review.
• Use quotes sparingly. Short quotes can help to emphasize a point, but thorough analysis of language from each source is generally unnecessary in a literature review.
• Synthesize your sources. Your goal is not to make a list of summaries of each source but to show how the sources relate to one another and to your own work.
• Make sure that your own voice and perspective remains front and center. Don't rely too heavily on summary or paraphrasing. For each source, draw a conclusion about how it relates to your own work or to the other literature on your topic.
• Be objective. When you identify a disagreement in the literature, be sure to represent both sides. Don't exclude a source simply on the basis that it does not support your own research hypothesis.
• At the end of your lit review, make suggestions for future research. What subjects, populations, methodologies, or theoretical lenses warrant further exploration? What common flaws or biases did you identify that could be corrected in future studies?

• Double check that you've correctly cited each of the sources you've used in the citation style requested by your professor (APA, MLA, etc.) and that your lit review is formatted according to the guidelines for that style.

Your literature review should:

• Be focused on and organized around your topic.
• Synthesize your research into a summary of what is and is not known about your topic.
• Identify any gaps or areas of controversy in the literature related to your topic.
• Suggest questions that require further research.
• Have your voice and perspective at the forefront rather than merely summarizing others' work.
• Cyberbullying: How Physical Intimidation Influences the Way People are Bullied
• Use of Propofol and Emergence Agitation in Children
• Eternity and Immortality in Spinoza's 'Ethics'
• Literature Review Tutorials and Samples - Wilson Library at University of La Verne
• Literature Reviews: Introduction - University Library at Georgia State
• Literature Reviews - The Writing Center at UNC Chapel Hill
• Writing a Literature Review - Boston College Libraries
• Write a Literature Review - University Library at UC Santa Cruz
• << Previous: Annotated Bibliographies
• Next: Zotero (Citation Management) >>
• Last Updated: Aug 28, 2024 12:27 PM
• URL: https://researchguides.elac.edu/Citation

Boatwright Memorial Library

• Chicago/Turabian
• AP (Associated Press)
• APSA (Political Science)
• ASA & AAA (Soc/Ant)
• ACS (Chemistry)
• Harvard Style
• SBL (Society of Biblical Literature)
• EndNote Web
• Help Resources
• Annotated Bibliographies
• Literature Reviews
• Citation exercises This link opens in a new window

What is a Literature Review?

The literature review is a written explanation by you, the author, of the research already done on the topic, question or issue at hand. What do we know (or not know) about this issue/topic/question?

• A literature review provides a thorough background of the topic by giving your reader a guided overview of major findings and current gaps in what is known so far about the topic. 
• The literature review is not a list (like an annotated bibliography) -- it is a narrative helping your reader understand the topic and where you will "stand" in the debate between scholars regarding the interpretation of meaning and understanding why things happen. Your literature review  helps your reader start to see the "camps" or "sides" within a debate, plus who studies the topic and their arguments. 
• A good literature review should help the reader sense how you will answer your research question and should highlight the preceding arguments and evidence you think are most helpful in moving the topic forward.
• The purpose of the literature review is to dive into the existing debates on the topic to learn about the various schools of thought and arguments, using your research question as an anchor. If you find something that doesn't help answer your question, you don't have to read (or include) it. That's the power of the question format: it helps you filter what to read and include in your literature review, and what to ignore.

How Do I Start?

Essentially you will need to:

• Identify and evaluate relevant literature (books, journal articles, etc.) on your topic/question.
• Figure out how to classify what you've gathered. You could do this by schools of thought, different answers to a question, the authors' disciplinary approaches, the research methods used, or many other ways.
• Use those groupings to craft a narrative, or story, about the relevant literature on this topic. 
• Remember to cite your sources properly! 
• Research: Getting Started Visit this guide to learn more about finding and evaluating resources.
• Literature Review: Synthesizing Multiple Sources (IUPUI Writing Center) An in-depth guide on organizing and synthesizing what you've read into a literature review.
• Guide to Using a Synthesis Matrix (NCSU Writing and Speaking Tutorial Service) Overview of using a tool called a Synthesis Matrix to organize your literature review.
• Synthesis Matrix Template (VCU Libraries) A word document from VCU Libraries that will help you create your own Synthesis Matrix.

Literature Reviews: Overview

This video from NCSU Libraries gives a helpful overview of literature reviews. Even though it says it's "for graduate students," the principles are the same for undergraduate students too!

Literature Review Examples

Reading a Scholarly Article

• Reading a Scholarly Article or Literature Review Highlights sections of a scholarly article to identify structure of a literature review.
• Anatomy of a Scholarly Article (NCSU Libraries) Interactive tutorial that describes parts of a scholarly article typical of a Sciences or Social Sciences research article.
• Evaluating Information | Reading a Scholarly Article (Brown University Library) Provides examples and tips across disciplines for reading academic articles.
• Reading Academic Articles for Research [LIBRE Project] Gabriel Winer & Elizabeth Wadell (ASCCC Open Educational Resources Initiative (OERI))

Additional Tutorials and Resources

• UR Writer's Web: Using Sources Guidance from the UR Writing Center on how to effectively use sources in your writing (which is what you're doing in your literature review!).
• Write a Literature Review (VCU Libraries) "Lit Reviews 101" with links to helpful tools and resources, including powerpoint slides from a literature review workshop.
• Literature Reviews (UNC Writing Center) Overview of the literature review process, including examples of different ways to organize a lit review.
• “Ten Simple Rules for Writing a Literature Review.” Pautasso, Marco. “Ten Simple Rules for Writing a Literature Review.” PLOS Computational Biology, vol. 9, no. 7, July 2013, p. e1003149.
• Writing the Literature Review Part I (University of Maryland University College) Video that explains more about what a literature review is and is not. Run time: 5:21.
• Writing the Literature Review Part II (University of Maryland University College) Video about organizing your sources and the writing process. Run time: 7:40.
• Writing a Literature Review (OWL @ Purdue)
• << Previous: Annotated Bibliographies
• Next: Citation exercises >>

• Library Accounts

Writing a Literature Review

About this guide, what is a literature review, trials and tribulations of writing.

• Planning a review
• Exploring the Literature
• Managing the Review
• Organizing and writing the review

Science Librarian

The guide instructs students on how to write the literature review in scientific research papers. It illustrates the principles and practices that enable students to write a cogent and relevant literature review that frames their research study in terms of structure, scope and content. Using steps delineated in this guide illustrates to the researcher the process of writing a literature review. It allows the reader, when reading the review, to understand the justification for the research study as supported through the literature.. 

The process of writing a literature review encompasses four phases:

1. P lanning the Review.  Provides a strategic roadmap for the writing process. 

2. Exploring the Literature.  Searching the literature for relevant sources for addition into their review.

3. Managing the Literature.  Compiling and evaluating relevant sources for inclusion into the review.

4. Organizing and   Writing the Review.  Involves outlining and writing the literature review.  

A literature review surveys the scholarly literature for relevant sources that address the scope of a research topic. Neither an annotated bibliography, nor a systematic review, it lays the groundwork for justification of the research study by identifying the research problem, formulating the study’s research questions, and defining the objectives of the study.

There are two types of literature reviews. The first type, article literature review, provides a comprehensive coverage of a research topic, problem or area of interest. The second type is a chapter embedded within a research article, which cites relevant literature sources that support the research study findings and discussion. This libguide focuses on how to write a literature review for a research article.

• Next: Planning a review >>
• Last Updated: Jul 3, 2023 4:49 PM
• URL: https://guides.library.unlv.edu/LiteratureReview
• Special Collections
• Architecture Library
• Medical Library
• Music Library
• Teacher Library
• Law Library

How to Write a Literature Review

What is a literature review.

• What Is the Literature
• Writing the Review

A literature review is much more than an annotated bibliography or a list of separate reviews of articles and books. It is a critical, analytical summary and synthesis of the current knowledge of a topic. Thus it should compare and relate different theories, findings, etc, rather than just summarize them individually. In addition, it should have a particular focus or theme to organize the review. It does not have to be an exhaustive account of everything published on the topic, but it should discuss all the significant academic literature and other relevant sources important for that focus.

This is meant to be a general guide to writing a literature review: ways to structure one, what to include, how it supplements other research. For more specific help on writing a review, and especially for help on finding the literature to review, sign up for a Personal Research Session .

The specific organization of a literature review depends on the type and purpose of the review, as well as on the specific field or topic being reviewed. But in general, it is a relatively brief but thorough exploration of past and current work on a topic. Rather than a chronological listing of previous work, though, literature reviews are usually organized thematically, such as different theoretical approaches, methodologies, or specific issues or concepts involved in the topic. A thematic organization makes it much easier to examine contrasting perspectives, theoretical approaches, methodologies, findings, etc, and to analyze the strengths and weaknesses of, and point out any gaps in, previous research. And this is the heart of what a literature review is about. A literature review may offer new interpretations, theoretical approaches, or other ideas; if it is part of a research proposal or report it should demonstrate the relationship of the proposed or reported research to others' work; but whatever else it does, it must provide a critical overview of the current state of research efforts. 

Literature reviews are common and very important in the sciences and social sciences. They are less common and have a less important role in the humanities, but they do have a place, especially stand-alone reviews.

Types of Literature Reviews

There are different types of literature reviews, and different purposes for writing a review, but the most common are:

• Stand-alone literature review articles . These provide an overview and analysis of the current state of research on a topic or question. The goal is to evaluate and compare previous research on a topic to provide an analysis of what is currently known, and also to reveal controversies, weaknesses, and gaps in current work, thus pointing to directions for future research. You can find examples published in any number of academic journals, but there is a series of Annual Reviews of *Subject* which are specifically devoted to literature review articles. Writing a stand-alone review is often an effective way to get a good handle on a topic and to develop ideas for your own research program. For example, contrasting theoretical approaches or conflicting interpretations of findings can be the basis of your research project: can you find evidence supporting one interpretation against another, or can you propose an alternative interpretation that overcomes their limitations?
• Part of a research proposal . This could be a proposal for a PhD dissertation, a senior thesis, or a class project. It could also be a submission for a grant. The literature review, by pointing out the current issues and questions concerning a topic, is a crucial part of demonstrating how your proposed research will contribute to the field, and thus of convincing your thesis committee to allow you to pursue the topic of your interest or a funding agency to pay for your research efforts.
• Part of a research report . When you finish your research and write your thesis or paper to present your findings, it should include a literature review to provide the context to which your work is a contribution. Your report, in addition to detailing the methods, results, etc. of your research, should show how your work relates to others' work.

A literature review for a research report is often a revision of the review for a research proposal, which can be a revision of a stand-alone review. Each revision should be a fairly extensive revision. With the increased knowledge of and experience in the topic as you proceed, your understanding of the topic will increase. Thus, you will be in a better position to analyze and critique the literature. In addition, your focus will change as you proceed in your research. Some areas of the literature you initially reviewed will be marginal or irrelevant for your eventual research, and you will need to explore other areas more thoroughly. 

Examples of Literature Reviews

See the series of Annual Reviews of *Subject* which are specifically devoted to literature review articles to find many examples of stand-alone literature reviews in the biomedical, physical, and social sciences. 

Research report articles vary in how they are organized, but a common general structure is to have sections such as:

• Abstract - Brief summary of the contents of the article
• Introduction - A explanation of the purpose of the study, a statement of the research question(s) the study intends to address
• Literature review - A critical assessment of the work done so far on this topic, to show how the current study relates to what has already been done
• Methods - How the study was carried out (e.g. instruments or equipment, procedures, methods to gather and analyze data)
• Results - What was found in the course of the study
• Discussion - What do the results mean
• Conclusion - State the conclusions and implications of the results, and discuss how it relates to the work reviewed in the literature review; also, point to directions for further work in the area

Here are some articles that illustrate variations on this theme. There is no need to read the entire articles (unless the contents interest you); just quickly browse through to see the sections, and see how each section is introduced and what is contained in them.

The Determinants of Undergraduate Grade Point Average: The Relative Importance of Family Background, High School Resources, and Peer Group Effects , in The Journal of Human Resources , v. 34 no. 2 (Spring 1999), p. 268-293.

This article has a standard breakdown of sections:

• Introduction
• Literature Review
• Some discussion sections

First Encounters of the Bureaucratic Kind: Early Freshman Experiences with a Campus Bureaucracy , in The Journal of Higher Education , v. 67 no. 6 (Nov-Dec 1996), p. 660-691.

This one does not have a section specifically labeled as a "literature review" or "review of the literature," but the first few sections cite a long list of other sources discussing previous research in the area before the authors present their own study they are reporting.

• Next: What Is the Literature >>
• Last Updated: Jan 11, 2024 9:48 AM
• URL: https://libguides.wesleyan.edu/litreview

An official website of the United States government

The .gov means it’s official. Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

The site is secure. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

• Publications
• Account settings

Preview improvements coming to the PMC website in October 2024. Learn More or Try it out now .

• Advanced Search
• Journal List
• Clinics (Sao Paulo)

Approaching literature review for academic purposes: The Literature Review Checklist

Debora f.b. leite.

I Departamento de Ginecologia e Obstetricia, Faculdade de Ciencias Medicas, Universidade Estadual de Campinas, Campinas, SP, BR

II Universidade Federal de Pernambuco, Pernambuco, PE, BR

III Hospital das Clinicas, Universidade Federal de Pernambuco, Pernambuco, PE, BR

Maria Auxiliadora Soares Padilha

Jose g. cecatti.

A sophisticated literature review (LR) can result in a robust dissertation/thesis by scrutinizing the main problem examined by the academic study; anticipating research hypotheses, methods and results; and maintaining the interest of the audience in how the dissertation/thesis will provide solutions for the current gaps in a particular field. Unfortunately, little guidance is available on elaborating LRs, and writing an LR chapter is not a linear process. An LR translates students’ abilities in information literacy, the language domain, and critical writing. Students in postgraduate programs should be systematically trained in these skills. Therefore, this paper discusses the purposes of LRs in dissertations and theses. Second, the paper considers five steps for developing a review: defining the main topic, searching the literature, analyzing the results, writing the review and reflecting on the writing. Ultimately, this study proposes a twelve-item LR checklist. By clearly stating the desired achievements, this checklist allows Masters and Ph.D. students to continuously assess their own progress in elaborating an LR. Institutions aiming to strengthen students’ necessary skills in critical academic writing should also use this tool.

INTRODUCTION

Writing the literature review (LR) is often viewed as a difficult task that can be a point of writer’s block and procrastination ( 1 ) in postgraduate life. Disagreements on the definitions or classifications of LRs ( 2 ) may confuse students about their purpose and scope, as well as how to perform an LR. Interestingly, at many universities, the LR is still an important element in any academic work, despite the more recent trend of producing scientific articles rather than classical theses.

The LR is not an isolated section of the thesis/dissertation or a copy of the background section of a research proposal. It identifies the state-of-the-art knowledge in a particular field, clarifies information that is already known, elucidates implications of the problem being analyzed, links theory and practice ( 3 - 5 ), highlights gaps in the current literature, and places the dissertation/thesis within the research agenda of that field. Additionally, by writing the LR, postgraduate students will comprehend the structure of the subject and elaborate on their cognitive connections ( 3 ) while analyzing and synthesizing data with increasing maturity.

At the same time, the LR transforms the student and hints at the contents of other chapters for the reader. First, the LR explains the research question; second, it supports the hypothesis, objectives, and methods of the research project; and finally, it facilitates a description of the student’s interpretation of the results and his/her conclusions. For scholars, the LR is an introductory chapter ( 6 ). If it is well written, it demonstrates the student’s understanding of and maturity in a particular topic. A sound and sophisticated LR can indicate a robust dissertation/thesis.

A consensus on the best method to elaborate a dissertation/thesis has not been achieved. The LR can be a distinct chapter or included in different sections; it can be part of the introduction chapter, part of each research topic, or part of each published paper ( 7 ). However, scholars view the LR as an integral part of the main body of an academic work because it is intrinsically connected to other sections ( Figure 1 ) and is frequently present. The structure of the LR depends on the conventions of a particular discipline, the rules of the department, and the student’s and supervisor’s areas of expertise, needs and interests.

Interestingly, many postgraduate students choose to submit their LR to peer-reviewed journals. As LRs are critical evaluations of current knowledge, they are indeed publishable material, even in the form of narrative or systematic reviews. However, systematic reviews have specific patterns 1 ( 8 ) that may not entirely fit with the questions posed in the dissertation/thesis. Additionally, the scope of a systematic review may be too narrow, and the strict criteria for study inclusion may omit important information from the dissertation/thesis. Therefore, this essay discusses the definition of an LR is and methods to develop an LR in the context of an academic dissertation/thesis. Finally, we suggest a checklist to evaluate an LR.

WHAT IS A LITERATURE REVIEW IN A THESIS?

Conducting research and writing a dissertation/thesis translates rational thinking and enthusiasm ( 9 ). While a strong body of literature that instructs students on research methodology, data analysis and writing scientific papers exists, little guidance on performing LRs is available. The LR is a unique opportunity to assess and contrast various arguments and theories, not just summarize them. The research results should not be discussed within the LR, but the postgraduate student tends to write a comprehensive LR while reflecting on his or her own findings ( 10 ).

Many people believe that writing an LR is a lonely and linear process. Supervisors or the institutions assume that the Ph.D. student has mastered the relevant techniques and vocabulary associated with his/her subject and conducts a self-reflection about previously published findings. Indeed, while elaborating the LR, the student should aggregate diverse skills, which mainly rely on his/her own commitment to mastering them. Thus, less supervision should be required ( 11 ). However, the parameters described above might not currently be the case for many students ( 11 , 12 ), and the lack of formal and systematic training on writing LRs is an important concern ( 11 ).

An institutional environment devoted to active learning will provide students the opportunity to continuously reflect on LRs, which will form a dialogue between the postgraduate student and the current literature in a particular field ( 13 ). Postgraduate students will be interpreting studies by other researchers, and, according to Hart (1998) ( 3 ), the outcomes of the LR in a dissertation/thesis include the following:

• To identify what research has been performed and what topics require further investigation in a particular field of knowledge;
• To determine the context of the problem;
• To recognize the main methodologies and techniques that have been used in the past;
• To place the current research project within the historical, methodological and theoretical context of a particular field;
• To identify significant aspects of the topic;
• To elucidate the implications of the topic;
• To offer an alternative perspective;
• To discern how the studied subject is structured;
• To improve the student’s subject vocabulary in a particular field; and
• To characterize the links between theory and practice.

A sound LR translates the postgraduate student’s expertise in academic and scientific writing: it expresses his/her level of comfort with synthesizing ideas ( 11 ). The LR reveals how well the postgraduate student has proceeded in three domains: an effective literature search, the language domain, and critical writing.

Effective literature search

All students should be trained in gathering appropriate data for specific purposes, and information literacy skills are a cornerstone. These skills are defined as “an individual’s ability to know when they need information, to identify information that can help them address the issue or problem at hand, and to locate, evaluate, and use that information effectively” ( 14 ). Librarian support is of vital importance in coaching the appropriate use of Boolean logic (AND, OR, NOT) and other tools for highly efficient literature searches (e.g., quotation marks and truncation), as is the appropriate management of electronic databases.

Language domain

Academic writing must be concise and precise: unnecessary words distract the reader from the essential content ( 15 ). In this context, reading about issues distant from the research topic ( 16 ) may increase students’ general vocabulary and familiarity with grammar. Ultimately, reading diverse materials facilitates and encourages the writing process itself.

Critical writing

Critical judgment includes critical reading, thinking and writing. It supposes a student’s analytical reflection about what he/she has read. The student should delineate the basic elements of the topic, characterize the most relevant claims, identify relationships, and finally contrast those relationships ( 17 ). Each scientific document highlights the perspective of the author, and students will become more confident in judging the supporting evidence and underlying premises of a study and constructing their own counterargument as they read more articles. A paucity of integration or contradictory perspectives indicates lower levels of cognitive complexity ( 12 ).

Thus, while elaborating an LR, the postgraduate student should achieve the highest category of Bloom’s cognitive skills: evaluation ( 12 ). The writer should not only summarize data and understand each topic but also be able to make judgments based on objective criteria, compare resources and findings, identify discrepancies due to methodology, and construct his/her own argument ( 12 ). As a result, the student will be sufficiently confident to show his/her own voice .

Writing a consistent LR is an intense and complex activity that reveals the training and long-lasting academic skills of a writer. It is not a lonely or linear process. However, students are unlikely to be prepared to write an LR if they have not mastered the aforementioned domains ( 10 ). An institutional environment that supports student learning is crucial.

Different institutions employ distinct methods to promote students’ learning processes. First, many universities propose modules to develop behind the scenes activities that enhance self-reflection about general skills (e.g., the skills we have mastered and the skills we need to develop further), behaviors that should be incorporated (e.g., self-criticism about one’s own thoughts), and each student’s role in the advancement of his/her field. Lectures or workshops about LRs themselves are useful because they describe the purposes of the LR and how it fits into the whole picture of a student’s work. These activities may explain what type of discussion an LR must involve, the importance of defining the correct scope, the reasons to include a particular resource, and the main role of critical reading.

Some pedagogic services that promote a continuous improvement in study and academic skills are equally important. Examples include workshops about time management, the accomplishment of personal objectives, active learning, and foreign languages for nonnative speakers. Additionally, opportunities to converse with other students promotes an awareness of others’ experiences and difficulties. Ultimately, the supervisor’s role in providing feedback and setting deadlines is crucial in developing students’ abilities and in strengthening students’ writing quality ( 12 ).

HOW SHOULD A LITERATURE REVIEW BE DEVELOPED?

A consensus on the appropriate method for elaborating an LR is not available, but four main steps are generally accepted: defining the main topic, searching the literature, analyzing the results, and writing ( 6 ). We suggest a fifth step: reflecting on the information that has been written in previous publications ( Figure 2 ).

First step: Defining the main topic

Planning an LR is directly linked to the research main question of the thesis and occurs in parallel to students’ training in the three domains discussed above. The planning stage helps organize ideas, delimit the scope of the LR ( 11 ), and avoid the wasting of time in the process. Planning includes the following steps:

• Reflecting on the scope of the LR: postgraduate students will have assumptions about what material must be addressed and what information is not essential to an LR ( 13 , 18 ). Cooper’s Taxonomy of Literature Reviews 2 systematizes the writing process through six characteristics and nonmutually exclusive categories. The focus refers to the reviewer’s most important points of interest, while the goals concern what students want to achieve with the LR. The perspective assumes answers to the student’s own view of the LR and how he/she presents a particular issue. The coverage defines how comprehensive the student is in presenting the literature, and the organization determines the sequence of arguments. The audience is defined as the group for whom the LR is written.
• Designating sections and subsections: Headings and subheadings should be specific, explanatory and have a coherent sequence throughout the text ( 4 ). They simulate an inverted pyramid, with an increasing level of reflection and depth of argument.
• Identifying keywords: The relevant keywords for each LR section should be listed to guide the literature search. This list should mirror what Hart (1998) ( 3 ) advocates as subject vocabulary . The keywords will also be useful when the student is writing the LR since they guide the reader through the text.
• Delineating the time interval and language of documents to be retrieved in the second step. The most recently published documents should be considered, but relevant texts published before a predefined cutoff year can be included if they are classic documents in that field. Extra care should be employed when translating documents.

Second step: Searching the literature

The ability to gather adequate information from the literature must be addressed in postgraduate programs. Librarian support is important, particularly for accessing difficult texts. This step comprises the following components:

• Searching the literature itself: This process consists of defining which databases (electronic or dissertation/thesis repositories), official documents, and books will be searched and then actively conducting the search. Information literacy skills have a central role in this stage. While searching electronic databases, controlled vocabulary (e.g., Medical Subject Headings, or MeSH, for the PubMed database) or specific standardized syntax rules may need to be applied.

In addition, two other approaches are suggested. First, a review of the reference list of each document might be useful for identifying relevant publications to be included and important opinions to be assessed. This step is also relevant for referencing the original studies and leading authors in that field. Moreover, students can directly contact the experts on a particular topic to consult with them regarding their experience or use them as a source of additional unpublished documents.

Before submitting a dissertation/thesis, the electronic search strategy should be repeated. This process will ensure that the most recently published papers will be considered in the LR.

• Selecting documents for inclusion: Generally, the most recent literature will be included in the form of published peer-reviewed papers. Assess books and unpublished material, such as conference abstracts, academic texts and government reports, are also important to assess since the gray literature also offers valuable information. However, since these materials are not peer-reviewed, we recommend that they are carefully added to the LR.

This task is an important exercise in time management. First, students should read the title and abstract to understand whether that document suits their purposes, addresses the research question, and helps develop the topic of interest. Then, they should scan the full text, determine how it is structured, group it with similar documents, and verify whether other arguments might be considered ( 5 ).

Third step: Analyzing the results

Critical reading and thinking skills are important in this step. This step consists of the following components:

• Reading documents: The student may read various texts in depth according to LR sections and subsections ( defining the main topic ), which is not a passive activity ( 1 ). Some questions should be asked to practice critical analysis skills, as listed below. Is the research question evident and articulated with previous knowledge? What are the authors’ research goals and theoretical orientations, and how do they interact? Are the authors’ claims related to other scholars’ research? Do the authors consider different perspectives? Was the research project designed and conducted properly? Are the results and discussion plausible, and are they consistent with the research objectives and methodology? What are the strengths and limitations of this work? How do the authors support their findings? How does this work contribute to the current research topic? ( 1 , 19 )
• Taking notes: Students who systematically take notes on each document are more readily able to establish similarities or differences with other documents and to highlight personal observations. This approach reinforces the student’s ideas about the next step and helps develop his/her own academic voice ( 1 , 13 ). Voice recognition software ( 16 ), mind maps ( 5 ), flowcharts, tables, spreadsheets, personal comments on the referenced texts, and note-taking apps are all available tools for managing these observations, and the student him/herself should use the tool that best improves his/her learning. Additionally, when a student is considering submitting an LR to a peer-reviewed journal, notes should be taken on the activities performed in all five steps to ensure that they are able to be replicated.

Fourth step: Writing

The recognition of when a student is able and ready to write after a sufficient period of reading and thinking is likely a difficult task. Some students can produce a review in a single long work session. However, as discussed above, writing is not a linear process, and students do not need to write LRs according to a specific sequence of sections. Writing an LR is a time-consuming task, and some scholars believe that a period of at least six months is sufficient ( 6 ). An LR, and academic writing in general, expresses the writer’s proper thoughts, conclusions about others’ work ( 6 , 10 , 13 , 16 ), and decisions about methods to progress in the chosen field of knowledge. Thus, each student is expected to present a different learning and writing trajectory.

In this step, writing methods should be considered; then, editing, citing and correct referencing should complete this stage, at least temporarily. Freewriting techniques may be a good starting point for brainstorming ideas and improving the understanding of the information that has been read ( 1 ). Students should consider the following parameters when creating an agenda for writing the LR: two-hour writing blocks (at minimum), with prespecified tasks that are possible to complete in one section; short (minutes) and long breaks (days or weeks) to allow sufficient time for mental rest and reflection; and short- and long-term goals to motivate the writing itself ( 20 ). With increasing experience, this scheme can vary widely, and it is not a straightforward rule. Importantly, each discipline has a different way of writing ( 1 ), and each department has its own preferred styles for citations and references.

Fifth step: Reflecting on the writing

In this step, the postgraduate student should ask him/herself the same questions as in the analyzing the results step, which can take more time than anticipated. Ambiguities, repeated ideas, and a lack of coherence may not be noted when the student is immersed in the writing task for long periods. The whole effort will likely be a work in progress, and continuous refinements in the written material will occur once the writing process has begun.

LITERATURE REVIEW CHECKLIST

In contrast to review papers, the LR of a dissertation/thesis should not be a standalone piece or work. Instead, it should present the student as a scholar and should maintain the interest of the audience in how that dissertation/thesis will provide solutions for the current gaps in a particular field.

A checklist for evaluating an LR is convenient for students’ continuous academic development and research transparency: it clearly states the desired achievements for the LR of a dissertation/thesis. Here, we present an LR checklist developed from an LR scoring rubric ( 11 ). For a critical analysis of an LR, we maintain the five categories but offer twelve criteria that are not scaled ( Figure 3 ). The criteria all have the same importance and are not mutually exclusive.

First category: Coverage

1. justified criteria exist for the inclusion and exclusion of literature in the review.

This criterion builds on the main topic and areas covered by the LR ( 18 ). While experts may be confident in retrieving and selecting literature, postgraduate students must convince their audience about the adequacy of their search strategy and their reasons for intentionally selecting what material to cover ( 11 ). References from different fields of knowledge provide distinct perspective, but narrowing the scope of coverage may be important in areas with a large body of existing knowledge.

Second category: Synthesis

2. a critical examination of the state of the field exists.

A critical examination is an assessment of distinct aspects in the field ( 1 ) along with a constructive argument. It is not a negative critique but an expression of the student’s understanding of how other scholars have added to the topic ( 1 ), and the student should analyze and contextualize contradictory statements. A writer’s personal bias (beliefs or political involvement) have been shown to influence the structure and writing of a document; therefore, the cultural and paradigmatic background guide how the theories are revised and presented ( 13 ). However, an honest judgment is important when considering different perspectives.

3. The topic or problem is clearly placed in the context of the broader scholarly literature

The broader scholarly literature should be related to the chosen main topic for the LR ( how to develop the literature review section). The LR can cover the literature from one or more disciplines, depending on its scope, but it should always offer a new perspective. In addition, students should be careful in citing and referencing previous publications. As a rule, original studies and primary references should generally be included. Systematic and narrative reviews present summarized data, and it may be important to cite them, particularly for issues that should be understood but do not require a detailed description. Similarly, quotations highlight the exact statement from another publication. However, excessive referencing may disclose lower levels of analysis and synthesis by the student.

4. The LR is critically placed in the historical context of the field

Situating the LR in its historical context shows the level of comfort of the student in addressing a particular topic. Instead of only presenting statements and theories in a temporal approach, which occasionally follows a linear timeline, the LR should authentically characterize the student’s academic work in the state-of-art techniques in their particular field of knowledge. Thus, the LR should reinforce why the dissertation/thesis represents original work in the chosen research field.

5. Ambiguities in definitions are considered and resolved

Distinct theories on the same topic may exist in different disciplines, and one discipline may consider multiple concepts to explain one topic. These misunderstandings should be addressed and contemplated. The LR should not synthesize all theories or concepts at the same time. Although this approach might demonstrate in-depth reading on a particular topic, it can reveal a student’s inability to comprehend and synthesize his/her research problem.

6. Important variables and phenomena relevant to the topic are articulated

The LR is a unique opportunity to articulate ideas and arguments and to purpose new relationships between them ( 10 , 11 ). More importantly, a sound LR will outline to the audience how these important variables and phenomena will be addressed in the current academic work. Indeed, the LR should build a bidirectional link with the remaining sections and ground the connections between all of the sections ( Figure 1 ).

7. A synthesized new perspective on the literature has been established

The LR is a ‘creative inquiry’ ( 13 ) in which the student elaborates his/her own discourse, builds on previous knowledge in the field, and describes his/her own perspective while interpreting others’ work ( 13 , 17 ). Thus, students should articulate the current knowledge, not accept the results at face value ( 11 , 13 , 17 ), and improve their own cognitive abilities ( 12 ).

Third category: Methodology

8. the main methodologies and research techniques that have been used in the field are identified and their advantages and disadvantages are discussed.

The LR is expected to distinguish the research that has been completed from investigations that remain to be performed, address the benefits and limitations of the main methods applied to date, and consider the strategies for addressing the expected limitations described above. While placing his/her research within the methodological context of a particular topic, the LR will justify the methodology of the study and substantiate the student’s interpretations.

9. Ideas and theories in the field are related to research methodologies

The audience expects the writer to analyze and synthesize methodological approaches in the field. The findings should be explained according to the strengths and limitations of previous research methods, and students must avoid interpretations that are not supported by the analyzed literature. This criterion translates to the student’s comprehension of the applicability and types of answers provided by different research methodologies, even those using a quantitative or qualitative research approach.

Fourth category: Significance

10. the scholarly significance of the research problem is rationalized.

The LR is an introductory section of a dissertation/thesis and will present the postgraduate student as a scholar in a particular field ( 11 ). Therefore, the LR should discuss how the research problem is currently addressed in the discipline being investigated or in different disciplines, depending on the scope of the LR. The LR explains the academic paradigms in the topic of interest ( 13 ) and methods to advance the field from these starting points. However, an excess number of personal citations—whether referencing the student’s research or studies by his/her research team—may reflect a narrow literature search and a lack of comprehensive synthesis of ideas and arguments.

11. The practical significance of the research problem is rationalized

The practical significance indicates a student’s comprehensive understanding of research terminology (e.g., risk versus associated factor), methodology (e.g., efficacy versus effectiveness) and plausible interpretations in the context of the field. Notably, the academic argument about a topic may not always reflect the debate in real life terms. For example, using a quantitative approach in epidemiology, statistically significant differences between groups do not explain all of the factors involved in a particular problem ( 21 ). Therefore, excessive faith in p -values may reflect lower levels of critical evaluation of the context and implications of a research problem by the student.

Fifth category: Rhetoric

12. the lr was written with a coherent, clear structure that supported the review.

This category strictly relates to the language domain: the text should be coherent and presented in a logical sequence, regardless of which organizational ( 18 ) approach is chosen. The beginning of each section/subsection should state what themes will be addressed, paragraphs should be carefully linked to each other ( 10 ), and the first sentence of each paragraph should generally summarize the content. Additionally, the student’s statements are clear, sound, and linked to other scholars’ works, and precise and concise language that follows standardized writing conventions (e.g., in terms of active/passive voice and verb tenses) is used. Attention to grammar, such as orthography and punctuation, indicates prudence and supports a robust dissertation/thesis. Ultimately, all of these strategies provide fluency and consistency for the text.

Although the scoring rubric was initially proposed for postgraduate programs in education research, we are convinced that this checklist is a valuable tool for all academic areas. It enables the monitoring of students’ learning curves and a concentrated effort on any criteria that are not yet achieved. For institutions, the checklist is a guide to support supervisors’ feedback, improve students’ writing skills, and highlight the learning goals of each program. These criteria do not form a linear sequence, but ideally, all twelve achievements should be perceived in the LR.

CONCLUSIONS

A single correct method to classify, evaluate and guide the elaboration of an LR has not been established. In this essay, we have suggested directions for planning, structuring and critically evaluating an LR. The planning of the scope of an LR and approaches to complete it is a valuable effort, and the five steps represent a rational starting point. An institutional environment devoted to active learning will support students in continuously reflecting on LRs, which will form a dialogue between the writer and the current literature in a particular field ( 13 ).

The completion of an LR is a challenging and necessary process for understanding one’s own field of expertise. Knowledge is always transitory, but our responsibility as scholars is to provide a critical contribution to our field, allowing others to think through our work. Good researchers are grounded in sophisticated LRs, which reveal a writer’s training and long-lasting academic skills. We recommend using the LR checklist as a tool for strengthening the skills necessary for critical academic writing.

AUTHOR CONTRIBUTIONS

Leite DFB has initially conceived the idea and has written the first draft of this review. Padilha MAS and Cecatti JG have supervised data interpretation and critically reviewed the manuscript. All authors have read the draft and agreed with this submission. Authors are responsible for all aspects of this academic piece.

ACKNOWLEDGMENTS

We are grateful to all of the professors of the ‘Getting Started with Graduate Research and Generic Skills’ module at University College Cork, Cork, Ireland, for suggesting and supporting this article. Funding: DFBL has granted scholarship from Brazilian Federal Agency for Support and Evaluation of Graduate Education (CAPES) to take part of her Ph.D. studies in Ireland (process number 88881.134512/2016-01). There is no participation from sponsors on authors’ decision to write or to submit this manuscript.

No potential conflict of interest was reported.

1 The questions posed in systematic reviews usually follow the ‘PICOS’ acronym: Population, Intervention, Comparison, Outcomes, Study design.

2 In 1988, Cooper proposed a taxonomy that aims to facilitate students’ and institutions’ understanding of literature reviews. Six characteristics with specific categories are briefly described: Focus: research outcomes, research methodologies, theories, or practices and applications; Goals: integration (generalization, conflict resolution, and linguistic bridge-building), criticism, or identification of central issues; Perspective: neutral representation or espousal of a position; Coverage: exhaustive, exhaustive with selective citations, representative, central or pivotal; Organization: historical, conceptual, or methodological; and Audience: specialized scholars, general scholars, practitioners or policymakers, or the general public.

Researching and writing for Economics students

4 literature review and citations/references.

Figure 4.1: Literature reviews and references

Your may have done a literature survey as part of your proposal. This will be incorporated into your dissertation, not left as separate stand-alone. Most economics papers include a literature review section, which may be a separate section, or incorporated into the paper’s introduction. (See organising for a standard format.)

Some disambiguation:

A ‘Literature survey’ paper: Some academic papers are called ‘literature surveys’. These try to summarise and discuss the existing work that has been done on a particular topic, and can be very useful. See, for example, works in The Journal of Economic Perspectives, the Journal of Economic Literature, the “Handbook of [XXX] Economics”

Many student projects and undergraduate dissertations are mainly literature surveys.

4.1 What is the point of a literature survey?

Your literature review should explain:

what has been done already to address your topic and related questions, putting your work in perspective, and

what techniques others have used, what are their strengths and weaknesses, and how might they be relevant tools for your own analysis.

Figure 4.2: Take notes on this as you read, and write them up.

4.2 What previous work is relevant?

Focus on literature that is relevant to your topic only.

But do not focus only on articles about your exact topic ! For example, if your paper is about the relative price of cars in the UK, you might cite papers (i) about the global automobile market, (ii) about the theory and evidence on competition in markets with similar features and (iii) using econometric techniques such as “hedonic regression” to estimate “price premia” in other markets and in other countries.

Consider: If you were Colchester a doctor and wanted to know whether a medicine would be effective for your patients, would you only consider medical studies that ran tests on Colchester residents, or would you consider more general national and international investigations?

4.3 What are “good” economics journal articles?

You should aim to read and cite peer-reviewed articles in reputable economics journals. (Journals in other fields such as Finance, Marketing and Political Science may also be useful.) These papers have a certain credibility as they have been checked by several referees and one or more editors before being published. (In fact, the publication process in Economics is extremely lengthy and difficult.)

Which journals are “reputable”? Economists spend a lot of time thinking about how to rank and compare journals (there are so many papers written about this topic that they someone could start a “Journal of Ranking Economics Journals”. For example, “ REPEC ” has one ranking, and SCIMAGO/SCOPUS has another one. You may want to focus on journals ranked in the top 100 or top 200 of these rankings. If you find it very interesting and relevant paper published somewhere that is ranked below this, is okay to cite it, but you may want to be a bit more skeptical of its findings.

Any journal you find on JSTOR is respectable, and if you look in the back of your textbooks, there will be references to articles in journals, most of which are decent.

You may also find unpublished “working papers”; these may also be useful as references. However, it is more difficult to evaluate the credibility of these, as they have not been through a process of peer review. However, if the author has published well and has a good reputation, it might be more likely that these are worth reading and citing.

Unpublished “working papers”

You may also find unpublished “working papers” or ‘mimeos’; these may also be useful as references. In fact, the publication process in Economics is so slow (six years from first working paper to publication is not uncommon) that not consulting working papers often means not being current.

However, it is more difficult to evaluate the credibility of this ‘grey literature’, as they have not been through a process of peer review. However, if the author has published well and has a good reputation, it might be more likely that these are worth reading and citing. Some working paper series are vetted, such as NBER; in terms of credibility, these might be seen as something in between a working paper and a publication.

Which of the following are “peer-reviewed articles in reputable economics journals”? Which of the following may be appropriate to cite in your literature review and in your final project? 8

Klein, G, J. (2011) “Cartel Destabilization and Leniency Programs – Empirical Evidence.” ZEW - Centre for European Economic Research Discussion Paper No. 10-107

Spencer, B. and Brander, J.A. (1983) “International R&D Rivalry and Industrial Strategy”, Review of Economic Studies Vol. 50, 707-722

Troisi, Jordan D., Andrew N. Christopher, and Pam Marek. “Materialism and money spending disposition as predictors of economic and personality variables.” North American Journal of Psychology 8.3 (2006): 421.

The Economist,. ‘Good, Bad And Ugly’. Web. 11 Apr. 2015. [accessed on…]

Mecaj, Arjola, and María Isabel González Bravo. “CSR Actions and Financial Distress: Do Firms Change Their CSR Behavior When Signals of Financial Distress Are Identified?.” Modern Economy 2014 (2014).

Universities, U. K. “Creating Prosperity: the role of higher education in driving the UK’s creative economy.” London Universities UK (2010).

4.4 How to find and access articles

You should be able to find and access all the relevant articles online. Leafing through bound volumes and photocopying should not be neededs. (Having been a student in the late 90’s and 2000’s, I wish I could get those hours back.)

Figure 4.3: The old way!

Good online tools include Jstor (jstor.org) and Google Scholar (scholar.google.co.uk). Your university should have access to Jstor, and Google is accessible to all (although the linked articles may require special access). You will usually have the ‘most access’ when logged into your university or library computing system.If you cannot access a paper, you may want to consult a reference librarian.

It is also ok, if you cannot access the journal article itself, to use the last working paper version (on Google scholar find this in the tab that says “all X versions”, where X is some number, and look for a PDF). However, authors do not always put up the most polished versions, although they should do to promote open-access. As a very last resort, you can e-mail the author and ask him or her to send you the paper.

When looking for references, try to find ones published in respected refereed economics journals (see above ).

4.5 Good starting points: Survey article, course notes, and textbooks

A “survey article” is a good place to start; this is a paper that is largely a categorization and discussion of previous work on a particular topic. You can often find such papers in journals such as

• the Journal of Economic Perspectives,
• the Journal of Economic Surveys,
• and the Journal of Economic Literature.

These will be useful as a “catalog” of papers to read and considers citing. They are also typically very readable and offer a decent introduction to the issue or the field.

It is also helpful to consult module (course) notes and syllabi from the relevant field. Do not only limit yourself to the ones at your own university; many of universities make their course materials publicly accessible online. These will not only typically contain reading lists with well-respected and useful references, they may also contain slides and other material that will help you better understand your topic and the relevant issues.

However, be careful not to take material from course notes without properly citing it. (Better yet, try to find the original paper that the course notes are referring to.)

Textbooks serve as another extremely useful jumping off point. Look through your own textbooks and other textbooks in the right fields. Textbooks draw from, and cite a range of relevant articles and papers. (You may also want to go back to textbooks when you are finding the articles you are reading too difficult. Textbooks may present a simpler version of the material presented in an article, and explain the concepts better.)

4.6 Backwards and forwards with references

When you find a useful paper, look for its “family.” You may want to go back to earlier, more fundamental references, by looking at the articles that this paper cited. See what is listed as “keywords” (these are usually given at the top of the paper), and “JEL codes”. Check what papers this paper cites, and check what other papers cited this paper. On Google scholar you can follow this with a link “Cited by…” below the listed article. “Related articles” is also a useful link.

4.7 Citations

Keep track of all references and citations

You may find it helpful to use software to help you manage your citations

A storage “database” of citations (e.g., Jabref, Zotero, Endnote, Mendeley); these interface well with Google Scholar and Jstor

An automatic “insert citation” and “insert bibliography” in your word processing software

Use a tool like Endnote to manage and insert the bibliographies, or use a bibliography manager software such as Zotero or Jabref,

Further discussion: Citation management tools

List of works cited

Put your list of references in alphabetical order by author’s last name (surname).

Include all articles and works that you cite in your paper; do not include any that you don’t cite.

Avoiding plagiarism and academic offenses**

Here is a definition of plagiarism

The main point is that you need to cite everything that is not your own work. Furthermore, be clear to distinguish what is your own work and your own language and what is from somewhere/someone else.

Why cite? Not just to give credit to others but to make it clear that the remaining uncited content is your own.

Here are some basic rules:

(Rephrased from University of Essex material, as seen in Department of Economics, EC100 Economics for Business Handbook 2017-18, https://www1.essex.ac.uk/economics/documents/EC100-Booklet_2017.pdf accessed on 20 July 2019, pp. 15-16)

Do not submit anything that is not your own work.

Never copy from friends.

Do not copy your own work or previously submitted work. (Caveat: If you are submitting a draft or a ‘literature review and project plan’ at an earlier stage, this can be incorporated into your final submission.

Don’t copy text directly into your work, unless:

• you put all passages in quotation marks: beginning with ’ and ending with ’, or clearly offset from the main text
• you cite the source of this text.

It is not sufficient merely to add a citation for the source of copied material following the copied material (typically the end of a paragraph). You must include the copied material in quotation marks. … Ignorance … is no defence.’ (ibid, pp. 15 )

(‘Ibid’ means ‘same as the previous citation’.)

Your university may use sophisticated plagiarism-detection software. Markers may also report if the paper looks suspect

Before final submission, they may ask you to go over your draft and sign that you understand the contents and you have demonstrated that the work is your own.

Not being in touch with your supervisor may put you under suspicion.

Your university may give a Viva Voce oral exam if your work is under suspicion. It is a cool-sounding word but probably something you want to avoid.

Your university may store your work in its our database, and can pursue disciplinary action, even after you have graduated.

Penalties may be severe, including failure with no opportunity to retake the module (course). You may even risk your degree!

Comprehension questions; answers in footnotes

True or false: “If you do not directly quote a paper you do not need to cite it” 9

You should read and cite a paper (choose all that are correct)… 10

• If it motivates ‘why your question is interesting’ and how it can be modeled economically
• Only if it asks the same question as your paper
• Only if it is dealing with the same country/industry/etc as you are addressing
• If it has any connection to your topic, question, or related matters
• If it answers a similar question as your paper
• If it uses and discusses techniques that inform those you are using

4.8 How to write about previous authors’ analysis and findings

Use the right terminology.

“Johnson et al. (2000) provide an analytical framework that sheds substantial doubt on that belief. When trying to obtain a correlation between institutional efficiency and wealth per capita, they are left with largely inconclusive results.”

They are not trying to “obtain a correlation”; they are trying to measure the relationship and test hypotheses.

“Findings”: Critically examine sources

Don’t take everything that is in print (or written online) as gospel truth. Be skeptical and carefully evaluate the arguments and evidence presented. Try to really survey what has been written, to consider the range of opinions and the preponderance of the evidence. You also need to be careful to distinguish between “real research” and propaganda or press releases.

The returns to higher education in Atlantis are extremely high. For the majority of Atlanian students a university degree has increased their lifetime income by over 50%, as reported in the “Benefits of Higher Education” report put out by the Association of Atlantian Universities (2016).

But don’t be harsh without explanation:

Smith (2014) found a return to education in Atlantis exceeding 50%. This result is unlikely to be true because the study was not a very good one.

“Findings:” “They Proved”

A theoretical economic model can not really prove anything about the real world; they typically rely on strong simplifying assumptions.

Through their economic model, they prove that as long as elites have incentives to invest in de facto power, through lobbying or corruption for example, they will invest as much as possible in order to gain favourable conditions in the future for their businesses.

In their two period model, which assumes \[details of key assumptions here\] , they find that when an elite Agent has an incentive to invest in de facto power, he invests a strictly positive amount, up to the point where marginal benefit equals marginal cost”

Empirical work does not “prove” anything (nor does it claim to).

It relies on statistical inference under specific assumptions, and an intuitive sense that evidence from one situation is likely to apply to other situations.

“As Smith et al (1999) proved using data from the 1910-1920 Scandanavian stock exchange, equity prices always increase in response to reductions in corporate tax rates.”

“Smith et al (199) estimated a VAR regression for a dynamic CAP model using data from the 1910-1920 Scandanavian stock exchange. They found a strongly statistically significant negative coefficient on corporate tax rates. This suggests that such taxes may have a negative effect on publicly traded securities. However, as their data was from a limited period with several simultaneous changes in policy, and their results are not robust to \[something here\] , further evidence is needed on this question.”

Use the language of classical 11 statistics:

Hypothesis testing, statistical significance, robustness checks, magnitudes of effects, confidence intervals.

Note that generalisation outside the data depends on an intuitive sense that evidence from one situation is likely to apply to other situations.

“Findings”: How do you (or the cited paper) claim to identify a causal relationship?

This policy was explained by Smith and Johnson (2002) in their research on subsidies and redistribution in higher education. Their results showed that people with higher degree have higher salaries and so pay higher taxes. Thus subsidizing higher education leads to a large social gain.

The results the student discusses seem to show an association between higher degrees and higher salaries. The student seems to imply that the education itself led to higher salaries. This has not been shown by the cited paper. Perhaps people who were able to get into higher education would earn higher salaries anyway. There are ways economists used to try to identify a “causal effect” (by the way, this widely used term is redundant as all effects must have a cause), but a mere association between two variables is not enough

As inflation was systematically lower during periods of recession, we see that too low a level of inflation increases unemployment.

Economists have long debated the nature of this “Phillips curve” relationship. There is much work trying to determine whether the association (to the extent it exists) is a causal one. We could not rule out reverse causality, or third factor that might cause changes in both variables.

4.9 …Stating empirical results

Don’t write: “I accept the null hypothesis.”

Do write: “The results fail to reject the null hypothesis, in spite of a large sample size and an estimate with small standard errors” (if this is the case)

Note: The question of what to infer from acceptance/rejection of null hypotheses is a complex difficult one in Classical (as opposed to Bayesian) statistics. This difficulty is in part philosophical: classical hypothesis testing is deductive , while inference is necessarily inductive.

4.10 What to report

You need to read this paper more clearly; it is not clear what they conclude nor what their evidence is.

4.11 Organising your literature review

A common marking comment:

These papers seem to be discussed in random order – you need some structure organising these papers thematically, by finding, by technique, or chronologically perhaps.

How should you organise it? In what order?

Thematically (usually better)

By method, by theoretical framework, by results or assumptions, by field

Chronologically (perhaps within themes)

Exercise: Compare how the literature review section is organized in papers you are reading.

Figure 4.4: Organising a set of references

Q: What sort of structure am I using in the above outline?

It may also be helpful to make a ‘table’ of the relevant literature, as in the figure below. This will help you get a sense of the methods and results, and how the papers relate, and how to assess the evidence. You may end up putting this in the actual paper.

Figure 4.5: Organisational table from Reinstein and Riener, 2012b

4.12 What if you have trouble reading and understanding a paper?

Consult a survey paper, textbook, or lecture notes that discuss this paper and this topic

Try to find an easier related paper

Ask your supervisor for help; if he or she can

Try to understand what you can; do not try to “fake it”

4.13 Some literature survey do’s and don’ts

Do not cite irrelevant literature.

Do not merely list all the papers you could find.

Discuss them, and their relevance to your paper.

What are their strengths and weaknesses? What techniques do they use, and what assumptions do they rely on? How do they relate to each other?

Use correct citation formats.

Try to find original sources (don’t just cite a web link).

Don’t just cut and paste from other sources. And make sure to attribute every source and every quote. Be clear: which part of your paper is your own work and what is cited from others? The penalties for plagiarism can be severe!

• Critically examine the sources, arguments, and methods

4.14 Comprehension questions: literature review

How to discuss empirical results: “Causal” estimation, e.g., with Instrumental Variables

Which is the best way to state it? 12

“As I prove in table 2, more lawyers lead to slower growth (as demonstrated by the regression analysis evidence).”

“Table 2 provides evidence that a high share of lawyers in a city’s population leads to slower growth.”

3.“Table 2 shows that a high share of lawyers in a city’s population is correlated with slower growth.”

Which is better? 13

• “However, when a set of observable determinants of city growth (such as Census Region growth) are accounted for, the estimate of this effect becomes less precise.”
• “In the correct regression I control for all determinants of city growth and find that there is no effect of lawyers on growth”

Stating empirical results: descriptive

“Using the US data from 1850-1950, I find that inflation is lower during periods of recession. This is statistically significant in a t-test [or whatever test] at the 99% level, and the difference is economically meaningful. This is consistent with the theory of …, which predicts that lower inflation increases unemployment. However, other explanations are possible, including reverse causality, and unmeasured covarying lags and trends.”

“I find a significantly lower level of inflation during periods of recession, and the difference is economically meaningful. This relationship is statistically significant and the data is accurately measured. Thus I find that inflation increases unemployment.”

Some tips on writing a good paper– relevant to literature reviews

• Answer the question
• Provide clear structure and signposting
• Demonstrate an ability for critical analysis
• Refer to your sources
• Produce a coherent, clear argument
• Take time to proofread for style and expresssion
• Source “Assignment Writing Skills EBS 3rd year 2012”"

Answer: only b is a ‘peer reviewed article in a reputable economics journal’. All of these might be useful to cite, however. ↩

False. You need to cite any content and ideas that are not your own. ↩

Answers: 1, 5, and 6. Note that 2 and 3 are too narrow criteria, and 4 is too broad. ↩

or Bayesian if you like ↩

The second one; if this is really causal evidence. ↩

The first one. There is no ‘correct regression’. It is also not really correct in classical statistics to ‘find no effect’. ↩

Literature Review Guide

The literature review, database search tips.

• Back to Research Help
• What is a Literature Review?
• Plan Your Literature Review
• Identify a Research Gap
• Define Your Research Question
• Search the Literature
• Analyze Your Research Results
• Manage Research Results
• Write the Literature Review

What is a Literature Review?  What is its purpose?

The purpose of a literature review is to offer a  comprehensive review of scholarly literature on a specific topic along with an  evaluation of the strengths and weaknesses of authors' arguments . In other words, you are summarizing research available on a certain topic and then drawing conclusions about researchers' findings. To make gathering research easier, be sure to start with a narrow/specific topic and then widen your topic if necessary.

A thorough literature review provides an accurate description of current knowledge on a topic and identifies areas for future research.  Are there gaps or areas that require further study and exploration? What opportunities are there for further research? What is missing from my collection of resources? Are more resources needed?

It is important to note that conclusions described in the literature you gather may contradict each other completely or in part.  Recognize that knowledge creation is collective and cumulative.  Current research is built upon past research findings and discoveries.  Research may bring previously accepted conclusions into question.  A literature review presents current knowledge on a topic and may point out various academic arguments within the discipline.

What a Literature Review is not

• A literature review is not an annotated bibliography .  An annotated bibliography provides a brief summary, analysis, and reflection of resources included in the bibliography.  Often it is not a systematic review of existing research on a specific subject.  That said, creating an annotated bibliography throughout your research process may be helpful in managing the resources discovered through your research.
• A literature review is not a research paper .  A research paper explores a topic and uses resources discovered through the research process to support a position on the topic.  In other words, research papers present one side of an issue.  A literature review explores all sides of the research topic and evaluates all positions and conclusions achieved through the scientific research process even though some conclusions may conflict partially or completely.

From the Online Library

SAGE Research Methods is a web-based research methods tool that covers quantitative, qualitative and mixed methods. Researchers can explore methods and concepts to help design research projects, understand a particular method or identify a new method, and write up research. Sage Research Methods focuses on methodology rather than disciplines, and is of potential use to researchers from the social sciences, health sciences and other research areas.

• Sage Research Methods Project Planner - Reviewing the Literature View the resources and videos for a step-by-step guide to performing a literature review.

The Literature Review: Step by Step

Follow this step-by-step process by using the related tabs in this Guide.

• Define your Research question
• Analyze the material you’ve found
• Manage the results of your research
• Write your Review

Getting Started

Consider the following questions as you develop your research topic, conduct your research, and begin evaluating the resources discovered in the research process:

• What is known about the subject?
• Are there any gaps in the knowledge of the subject?
• Have areas of further study been identified by other researchers that you may want to consider?
• Who are the significant research personalities in this area?
• Is there consensus about the topic?
• What aspects have generated significant debate on the topic?
• What methods or problems were identified by others studying in the field and how might they impact your research?
• What is the most productive methodology for your research based on the literature you have reviewed?
• What is the current status of research in this area?
• What sources of information or data were identified that might be useful to you?
• How detailed? Will it be a review of ALL relevant material or will the scope be limited to more recent material, e.g., the last five years.
• Are you focusing on methodological approaches; on theoretical issues; on qualitative or quantitative research?

What is Academic Literature?

What is the difference between popular and scholarly literature?

To better understand the differences between popular and scholarly articles, comparing characteristics and purpose of the publications where these articles appear is helpful.

Popular Article (Magazine)

• Articles are shorter and are written for the general public
• General interest topics or current events are covered
• Language is simple and easy to understand
• Source material is not cited
• Articles often include glossy photographs, graphics, or visuals
• Articles are written by the publication's staff of journalists
• Articles are edited and information is fact checked

Examples of magazines that contain popular articles:

Scholarly Article (Academic Journal)

• Articles are written by scholars and researchers for academics, professionals, and experts in the field
• Articles are longer and report original research findings
• Topics are narrower in focus and provide in-depth analysis
• Technical or scholarly language is used
• Source material is cited
• Charts and graphs illustrating research findings are included
• Many are  "peer reviewed"  meaning that panels of experts review articles submitted for publication to ensure that proper research methods were used and research findings are contributing something new to the field before selecting for publication.

Examples of academic journals that contain scholarly articles:

Define your research question

Selecting a research topic can be overwhelming.  Consider following these steps:

1.  Brainstorm  research topic ideas

      - Free write: Set a timer for five minutes and write down as many ideas as you can in the allotted time

      -  Mind-Map  to explore how ideas are related

2.  Prioritize  topics based on personal interest and curiosity

3.  Pre-research

      - Explore encyclopedias and reference books for background information on the topic

      - Perform a quick database or Google search on the topic to explore current issues. 

4.  Focus the topic  by evaluating how much information is available on the topic

         - Too much information?  Consider narrowing the topic by focusing on a specific issue 

         - Too little information?  Consider broadening the topic 

5.  Determine your purpose  by considering whether your research is attempting to:

         - further the research on this topic

         - fill a gap in the research

         - support existing knowledge with new evidence

         - take a new approach or direction

         - question or challenge existing knowledge

6.  Finalize your research question

NOTE:  Be aware that your initial research question may change as you conduct research on your topic.

Searching the Literature

Research on your topic should be conducted in the academic literature.  The  Rasmussen University Online Library contains subject-focused databases that contain the leading academic journals in your programmatic area.

Consult the  Using the Online Library video tutorials  for information about how to effectively search library databases.

Watch the video below for tips on how to create a search statement that will provide relevant results

Need help starting your research?  Make a  research appointment with a Rasmussen Librarian .

TIP:  Document as you research.  Begin building your references list using the citation managers in one of these resources:

• APA Academic Writer
• NoodleTools

Recommended programmatic databases include:

Data Science

Coverage includes computer engineering, computer theory & systems, research and development, and the social and professional implications of new technologies. Articles come from more than 1,900 academic journals, trade magazines, and professional publications.

Provides access to full-text peer-reviewed journals, transactions, magazines, conference proceedings, and published standards in the areas of electrical engineering, computer science, and electronics. It also provides access to the IEEE Standards Dictionary Online. Full-text available.

Computing, telecommunications, art, science and design databases from ProQuest.

Healthcare Management

Articles from scholarly business journals back as far as 1886 with content from all disciplines of business, including marketing, management, accounting, management information systems, production and operations management, finance, and economics. Contains 55 videos from the Harvard Faculty Seminar Series, on topics such as leadership, sustaining competitive advantage, and globalization. To access the videos, click "More" in the blue bar at the top. Select "Images/ Business Videos." Uncheck "Image Quick View Collection" to indicate you only wish to search for videos. Enter search terms.

Provides a truly comprehensive business research collection. The collection consists of the following databases and more: ABI/INFORM Complete, ProQuest Entrepreneurship, ProQuest Accounting & Tax, International Bibliography of Social Sciences (IBSS), ProQuest Asian Business and Reference, and Banking Information Source.

The definitive research tool for all areas of nursing and allied health literature. Geared towards the needs of nurses and medical professionals. Covers more than 750 journals from 1937 to present.

HPRC provides information on the creation, implementation and study of health care policy and the health care system. Topics covered include health care administration, economics, planning, law, quality control, ethics, and more.

PolicyMap is an online mapping site that provides data on demographics, real estate, health, jobs, and other areas across the U.S. Access and visualize data from Census and third-party records.

Human Resources

Articles from all subject areas gathered from more than 11,000 magazines, journals, books and reports. Subjects include astronomy, multicultural studies, humanities, geography, history, law, pharmaceutical sciences, women's studies, and more. Coverage from 1887 to present. Start your research here.

Cochrane gathers and summarizes the best evidence from research to help you make informed choices about treatments. Whether a doctor or nurse, patient, researcher or student, Cochrane evidence provides a tool to enhance your healthcare knowledge and decision making on topics ranging from allergies, blood disorders, and cancer, to mental health, pregnancy, urology, and wounds.

Health sciences, biology, science, and pharmaceutical information from ProQuest. Includes articles from scholarly, peer-reviewed journals, practical and professional development content from professional journals, and general interest articles from magazines and newspapers.

Joanna Briggs Institute Academic Collection contains evidence-based information from across the globe, including evidence summaries, systematic reviews, best practice guidelines, and more. Subjects include medical, nursing, and healthcare specialties.

Comprehensive source of full-text articles from more than 1,450 scholarly medical journals.

Articles from more than 35 nursing journals in full text, searchable as far back as 1995.

Analyzing Your Research Results

You have completed your research and discovered many, many academic articles on your topic.  The next step involves evaluating and organizing the literature found in the research process.

As you review, keep in mind that there are three types of research studies:

• Quantitative
• Qualitative 
• Mixed Methods

Consider these questions as you review the articles you have gathered through the research process:

1. Does the study relate to your topic?

2. Were sound research methods used in conducting the study?

3. Does the research design fit the research question? What variables were chosen? Was the sample size adequate?

4. What conclusions were drawn?  Do the authors point out areas for further research?

Reading Academic Literature

Academic journals publish the results of research studies performed by experts in an academic discipline.  Articles selected for publication go through a rigorous peer-review process.  This process includes a thorough evaluation of the research submitted for publication by journal editors and other experts or peers in the field.  Editors select articles based on specific criteria including the research methods used, whether the research contributes new findings to the field of study, and how the research fits within the scope of the academic journal.  Articles selected often go through a revision process prior to publication.

Most academic journal articles include the following sections:

• Abstract    (An executive summary of the study)
• Introduction  (Definition of the research question to be studied)
• Literature Review  (A summary of past research noting where gaps exist)
• Methods  (The research design including variables, sample size, measurements)
• Data   (Information gathered through the study often displayed in tables and charts)
• Results   (Conclusions reached at the end of the study)
• Conclusion   (Discussion of whether the study proved the thesis; may suggest opportunities for further research)
• Bibliography  (A list of works cited in the journal article)

TIP:  To begin selecting articles for your research, read the   highlighted sections   to determine whether the academic journal article includes information relevant to your research topic.

Step 1: Skim the article

When sorting through multiple articles discovered in the research process, skimming through these sections of the article will help you determine whether the article will be useful in your research.

1.  Article title   and subject headings assigned to the article

2.   Abstract

3.   Introduction

4.  Conclusion

If the article fits your information need, go back and  read the article thoroughly.

TIP:  Create a folder on your computer to save copies of articles you plan to use in your thesis or research project.  Use  NoodleTools  or  APA Academic Writer  to save APA references.

Step 2: Determine Your Purpose

Think about how you will evaluate the academic articles you find and how you will determine whether to include them in your research project.  Ask yourself the following questions to focus your search in the academic literature:

• ​Are you looking for an overview of a topic? an explanation of a specific concept, idea, or position?
• Are you exploring gaps in the research to identify a new area for academic study?
• Are you looking for research that supports or disagrees with your thesis or research question?
• Are you looking for examples of a research design and/or research methods you are considering for your own research project?

Step 3: Read Critically

Before reading the article, ask yourself the following:

• What is my research question?  What position am I trying to support?
• What do I already know about this topic?  What do I need to learn?
• How will I evaluate the article?  Author's reputation? Research design? Treatment of topic? 
• What are my biases about the topic?

As you read the article make note of the following:

• Who is the intended audience for this article?
• What is the author's purpose in writing this article?
• What is the main point?
• How was the main point proven or supported?  
• Were scientific methods used in conducting the research?
• Do you agree or disagree with the author? Why?
• How does this article compare or connect with other articles on the topic?
• Does the author recommend areas for further study?
• How does this article help to answer your research question?

Managing your Research

Tip:  Create APA references for resources as you discover them in the research process

Use APA Academic Writer or NoodleTools to generate citations and manage your resources.  Find information on how to use these resources in the Citation Tools Guide .

Writing the Literature Review

Once research has been completed, it is time to structure the literature review and begin summarizing and synthesizing information.  The following steps may help with this process:

• Chronological
• By research method used
• Explore contradictory or conflicting conclusions
• Read each study critically
• Critique methodology, processes, and conclusions
• Consider how the study relates to your topic

• Description of public health nursing nutrition assessment and interventions for home‐visited women. This article provides a nice review of the literature in the article introduction. You can see how the authors have used the existing literature to make a case for their research questions. more... less... Horning, M. L., Olsen, J. M., Lell, S., Thorson, D. R., & Monsen, K. A. (2018). Description of public health nursing nutrition assessment and interventions for home‐visited women. Public Health Nursing, 35(4), 317–326. https://doi.org/10.1111/phn.12410
• Improving Diabetes Self-Efficacy in the Hispanic Population Through Self-Management Education Doctoral papers are a good place to see how literature reviews can be done. You can learn where they searched, what search terms they used, and how they decided which articles were included. Notice how the literature review is organized around the three main themes that came out of the literature search. more... less... Robles, A. N. (2023). Improving diabetes self-efficacy in the hispanic population through self-management education (Order No. 30635901). Available from ProQuest Dissertations & Theses Global: The Sciences and Engineering Collection. https://www.proquest.com/dissertations-theses/improving-diabetes-self-efficacy-hispanic/docview/2853708553/se-2
• Exploring mediating effects between nursing leadership and patient safety from a person-centred perspective: A literature review Reading articles that publish the results of a systematic literature review is a great way to see in detail how a literature review is conducted. These articles provide an article matrix, which provides you an example of how you can document information about the articles you find in your own search. To see more examples, include "literature review" or "systematic review" as a search term. more... less... Wang, M., & Dewing, J. (2021). Exploring mediating effects between nursing leadership and patient safety from a person‐centred perspective: A literature review. Journal of Nursing Management, 29(5), 878–889. https://doi.org/10.1111/jonm.13226
• Boolean Operators
• Keywords vs. Subjects
• Creating a Search String
• Library databases are collections of resources that are searchable, including full-text articles, books, and encyclopedias.
• Searching library databases is different than searching Google. Best results are achieved when using Keywords linked with Boolean Operators . 
• Applying Limiters such as full-text, publication date, resource type, language, geographic location, and subject help to refine search results.
• Utilizing Phrases or Fields , in addition to an awareness of Stop Words , can focus your search and retrieve more useful results.
• Have questions? Ask a Librarian

Boolean Operators connect keywords or concepts logically to retrieve relevant articles, books, and other resources.  There are three Boolean Operators:

Using AND 

• Narrows search results
• Connects two or more keywords/concepts
• All keywords/concepts connected with "and" must be in an article or resource to appear in the search results list

Venn diagram of the AND connector

Example: The result list will include resources that include both keywords -- "distracted driving" and "texting" -- in the same article or resource, represented in the shaded area where the circles intersect (area shaded in purple).

• Broadens search results ("OR means more!")
• Connects two or more synonyms or related keywords/concepts
• Resources appearing in the results list will include any of the terms connected with the OR connector

Venn diagram of the OR connector

Example:  The result list will include resources that include the keyword "texting" OR the keyword "cell phone" (entire area shaded in blue); either is acceptable.

• Excludes keywords or concepts from the search
• Narrows results by removing resources that contain the keyword or term connected with the NOT connector
• Use sparingly

Venn diagram of the NOT connector

Example: The result list will include all resources that include the term "car" (green area) but will exclude any resource that includes the term "motorcycle" (purple area) even though the term car may be present in the resource.

A library database searches for keywords throughout the entire resource record including the full-text of the resource, subject headings, tags, bibliographic information, etc.

• Natural language words or short phrases that describe a concept or idea
• Can retrieve too few or irrelevant results due to full-text searching (What words would an author use to write about this topic?)
• Provide flexibility in a search
• Must consider synonyms or related terms to improve search results
• TIP: Build a Keyword List

Example:  The keyword list above was developed to find resources that discuss how texting while driving results in accidents.  Notice that there are synonyms (texting and "text messaging"), related terms ("cell phones" and texting), and spelling variations ("cell phone" and cellphone).  Using keywords when searching full text requires consideration of various words that express an idea or concept.

• Subject Headings
• Predetermined "controlled vocabulary" database editors apply to resources to describe topical coverage of content
• Can retrieve more precise search results because every article assigned that subject heading will be retrieved.
• Provide less flexibility in a search
• Can be combined with a keyword search to focus search results.
• TIP: Consult database subject heading list or subject headings assigned to relevant resources

Example 1: In EBSCO's Academic Search Complete, clicking on the "Subject Terms" tab provides access to the entire subject heading list used in the database.  It also allows a search for specific subject terms.

Example 2:  A subject term can be incorporated into a keyword search by clicking on the down arrow next to "Select a Field" and selecting "Subject Terms" from the dropdown list.  Also, notice how subject headings are listed below the resource title, providing another strategy for discovering subject headings used in the database.

When a search term is more than one word, enclose the phrase in quotation marks to retrieve more precise and accurate results.  Using quotation marks around a term will search it as a "chunk," searching for those particular words together in that order within the text of a resource. 

"cell phone"

"distracted driving"

"car accident"

TIP: In some databases, neglecting to enclose phrases in quotation marks will insert the AND Boolean connector between each word resulting in unintended search results.

Truncation provides an option to search for a root of a keyword in order to retrieve resources that include variations of that word.  This feature can be used to broaden search results, although some results may not be relevant.  To truncate a keyword, type an asterisk (*) following the root of the word.

For example:

Library databases provide a variety of tools to limit and refine search results.  Limiters provide the ability to limit search results to resources having specified characteristics including:

• Resource type
• Publication date
• Geographic location

In both the EBSCO and ProQuest databases, the limiting tools are located in the left panel of the results page.

                                                 EBSCO                                                     ProQuest

The short video below provides a demonstration of how to use limiters to refine a list of search results.

Each resource in a library database is stored in a record.  In addition to the full-text of the resources, searchable Fields are attached that typically include:

• Journal title
• Date of Publication

Incorporating Fields into your search can assist in focusing and refining search results by limiting the results to those resources that include specific information in a particular field.

In both EBSCO and ProQuest databases, selecting the Advanced Search option will allow Fields to be included in a search.

For example, in the Advanced Search option in EBSCO's Academic Search Complete database, clicking on the down arrow next to "Select a Field" provides a list of fields that can be searched within that database.  Select the field and enter the information in the text box to the left to use this feature.

Stop words are short, commonly used words--articles, prepositions, and pronouns-- that are automatically dropped from a search.  Typical stop words include:

In library databases, a stop word will not be searched even if it is included in a phrase enclosed in quotation marks.  In some instances, a word will be substituted for the stop word to allow for the other words in the phrase to be searched in proximity to one another within the text of the resource.

For example, if you searched company of America, your result list will include these variatons:

• company in America
• company of America
• company for America

Creating an Search String

This short video demonstrates how to create a search string -- keywords connected with Boolean operators -- to use in a library database search to retrieve relevant resources for any research assignment.

• Database Search Menu Template Use this search menu template to plan a database search.
• Next: Back to Research Help >>
• Last Updated: Jun 14, 2024 10:44 AM
• URL: https://guides.rasmussen.edu/LitReview

Harvey Cushing/John Hay Whitney Medical Library

• Collections
• Research Help

YSN Doctoral Programs: Steps in Conducting a Literature Review

• Biomedical Databases
• Global (Public Health) Databases
• Soc. Sci., History, and Law Databases
• Grey Literature
• Trials Registers
• Data and Statistics
• Public Policy
• Google Tips
• Recommended Books
• Steps in Conducting a Literature Review

What is a literature review?

A literature review is an integrated analysis -- not just a summary-- of scholarly writings and other relevant evidence related directly to your research question.  That is, it represents a synthesis of the evidence that provides background information on your topic and shows a association between the evidence and your research question.

A literature review may be a stand alone work or the introduction to a larger research paper, depending on the assignment.  Rely heavily on the guidelines your instructor has given you.

Why is it important?

A literature review is important because it:

• Explains the background of research on a topic.
• Demonstrates why a topic is significant to a subject area.
• Discovers relationships between research studies/ideas.
• Identifies major themes, concepts, and researchers on a topic.
• Identifies critical gaps and points of disagreement.
• Discusses further research questions that logically come out of the previous studies.

APA7 Style resources

APA Style Blog - for those harder to find answers

1. Choose a topic. Define your research question.

Your literature review should be guided by your central research question.  The literature represents background and research developments related to a specific research question, interpreted and analyzed by you in a synthesized way.

• Make sure your research question is not too broad or too narrow.  Is it manageable?
• Begin writing down terms that are related to your question. These will be useful for searches later.
• If you have the opportunity, discuss your topic with your professor and your class mates.

2. Decide on the scope of your review

How many studies do you need to look at? How comprehensive should it be? How many years should it cover? 

• This may depend on your assignment.  How many sources does the assignment require?

3. Select the databases you will use to conduct your searches.

Make a list of the databases you will search. 

Where to find databases:

• use the tabs on this guide
• Find other databases in the Nursing Information Resources web page
• More on the Medical Library web page
• ... and more on the Yale University Library web page

4. Conduct your searches to find the evidence. Keep track of your searches.

• Use the key words in your question, as well as synonyms for those words, as terms in your search. Use the database tutorials for help.
• Save the searches in the databases. This saves time when you want to redo, or modify, the searches. It is also helpful to use as a guide is the searches are not finding any useful results.
• Review the abstracts of research studies carefully. This will save you time.
• Use the bibliographies and references of research studies you find to locate others.
• Check with your professor, or a subject expert in the field, if you are missing any key works in the field.
• Ask your librarian for help at any time.
• Use a citation manager, such as EndNote as the repository for your citations. See the EndNote tutorials for help.

Review the literature

Some questions to help you analyze the research:

• What was the research question of the study you are reviewing? What were the authors trying to discover?
• Was the research funded by a source that could influence the findings?
• What were the research methodologies? Analyze its literature review, the samples and variables used, the results, and the conclusions.
• Does the research seem to be complete? Could it have been conducted more soundly? What further questions does it raise?
• If there are conflicting studies, why do you think that is?
• How are the authors viewed in the field? Has this study been cited? If so, how has it been analyzed?

Tips: 

• Review the abstracts carefully.  
• Keep careful notes so that you may track your thought processes during the research process.
• Create a matrix of the studies for easy analysis, and synthesis, across all of the studies.
• << Previous: Recommended Books
• Last Updated: Jun 20, 2024 9:08 AM
• URL: https://guides.library.yale.edu/YSNDoctoral

Stack Exchange Network

Stack Exchange network consists of 183 Q&A communities including Stack Overflow , the largest, most trusted online community for developers to learn, share their knowledge, and build their careers.

Q&A for work

Connect and share knowledge within a single location that is structured and easy to search.

How to reference studies mentioned in a paper without having to read the original papers?

I'm review the literature at the moment. Now I'm reading a paper that mention other studies. How can I reference them without reading the original papers?

• literature-review

• 34 Don't. Just read the original papers. –  JeffE Commented Sep 3, 2013 at 2:01
• 14 I'm starting to notice a pattern in your questions ... they're all about seeking any shortcuts instead of doing a thorough literature review. This is a very bad strategy, that risks leaving you with patchy, incomplete, incoherent knowledge. –  410 gone Commented Sep 3, 2013 at 2:43
• 2 Possible duplicate: What's the correct way to cite a paper cited by another paper? ; there is also a cross-style review of indirect reference at academia.stackexchange.com/a/7776/5920 . –  apsillers Commented Sep 3, 2013 at 14:44
• Related: academia.stackexchange.com/q/13305/64 –  JRN Commented Oct 10, 2013 at 6:47

4 Answers 4

Let us assume, for example, you read Doe (2011) and find Smith (1966) referenced therein. Technically, you can say something like "Smith (1966, cited in Doe, 2011)", or alternatively "(Smith 1966, cited in Doe, 2011)." The exact format depends on the format of the journal (it is also possible to phrase it "cited by" instead of "cited in").

That said, however, it is very dangerous to provide such quotes since you do not know if the person(s) citing the paper has understood it correctly. It is not unheard of that people cite for very odd reasons and not double-checking works cited may just propagate such errors.

So, it is possible but not recommended.

• now it is clear. but in this case do I have to put Smith (1966) in Reference List? –  Kaser Commented Sep 2, 2013 at 21:04
• Both should be in the reference list –  Peter Jansson Commented Sep 2, 2013 at 21:05
• 2 If you are using the American Psychological Association (APA) style, the secondary source is listed in the reference list and the primary source is not. (See, for example, apa.org/support/publications/apa-style/secondary-sources.aspx ). So if Doe (2011) cites Smith (1966), then Doe (2011) should be in the reference list while Smith (1966) should not. For more on the APA style, see also blog.apastyle.org/apastyle/2010/05/… –  JRN Commented Sep 2, 2013 at 23:48
• 4 I'll just leave this here... xkcd.com/978 –  George Mitchell Commented Sep 3, 2013 at 14:24

If it is relevant to your work, why wouldn't you read them? If they are not relevant, why would you cite them?

The only case I can think where it might make sense is if you are reading a review paper, and want to actually cite them as a collection rather than individually. Because there are a large number or for other reasons. Then you would write

Doe et al. collected in their recent reviews a large number of earlier work in (Doe, 2012 and references therein)

Doe et al. collected in their recent reviews a large number of earlier work in (Doe, 2012 and references 15–73 therein)

• 6 "If it is relevant to your work, why wouldn't you read them?" One possibility is that a copy of the work is very hard to obtain, for example, it could have been published a hundred years ago in an obscure foreign journal. –  JRN Commented Sep 2, 2013 at 23:34
• 1 It's also possible that the primary source is a personal correspondence. Or when the secondary source converts the technical language of the primary source into layman's terms. See blog.apastyle.org/apastyle/2010/05/… –  JRN Commented Sep 2, 2013 at 23:45

I wrote a post on writing literature reviews in psychology . Here's my advice:

Cited In : Good literature reviews do not use "Cited in". Literature reviews which summarise Author B’s citation of Author A’s work write: "as Author A (1999) says as cited in Author B (2002) …" . However, good literature reviews, when they see that Author B cites Author A, go and get Author A’s article, read it , and draw conclusions about it directly.

So it is only in rare occasions that you need to indicate that an article was cited by another author. Just because you learnt about a study because it was cited somewhere is generally not relevant. Read the original so that you know enough about it to incorporate it into your literature review.

Of course, there are many less common exceptions where you may wish to indicate the relationship between two papers:

• You want to discuss how Paper 1 uses Paper 2. For example, you might want to draw attention to how various papers have mis-used a citation in order to justify some misguided methodological practice.
• You are performing a meta-analysis and you want to indicate that you used a previous study to find references.

There is also a potential plagiarism issue around over-reliance on a single paper to generate your literature review. If for example, you took 95% of your references from the one paper, this would be questionable in general, but at least by using "cited in" you are being honest. Of course, I think this strategy of reviewing the literature should be avoided in general.

More generally, finding literature by following the citation trail backwards (by looking at references) and forwards (using tools like Google Scholar) forms part of a general set of strategies for finding literature.

As JeffE above said, "Don't". When you make assertions in your published work, they should be based on either

• Something that you have demonstrated yourself in the work
• Something that another person has demonstrated (so you cite them)
• Something that is sufficiently well known to the intended audience that no citation should be necessary (you don't need to cite Newton for his law of gravitation for example)

To consider the bigger picture for a moment, something that is published does not suddenly become a part of scientific dogma, even if it's published in a top tier journal. The motto of the Royal Society is "Nullius in verba", that is, "take nobody's word for it". If you are relying on established results for your work, then reading these results is the very minimum you should do. In an ideal world where you would then proceed to replicate the results that you are depending on.

Of course, this is usually not practical because of constraints on your time but at the early stages of your studies you should at least consider replicating some results since:

• It will give you a far greater familiarity with the domain
• There's a very high chance that you will expose some misconception that you had held about the work you are citing
• There's a reasonable chance that you will expose a deficiency in the original work

In closing, you should consider that every time you publish something, you have added to mankinds knowledge. Every time you cite a paper without reading it, you dilute that knowledge.

You must log in to answer this question.

Not the answer you're looking for browse other questions tagged writing citations literature-review ..

• Featured on Meta
• Bringing clarity to status tag usage on meta sites
• We've made changes to our Terms of Service & Privacy Policy - July 2024
• Announcing a change to the data-dump process

Hot Network Questions

• What happens if all nine Supreme Justices recuse themselves?
• Why does Jesus give an action of Yahweh as an example of evil?
• What unique phenomena would be observed in a system around a hypervelocity star?
• Parody of Fables About Authenticity
• Encode a VarInt
• Does Vexing Bauble counter taxed 0 mana spells?
• Dutch Public Transportation Electronic Payment Options
• What are the 270 mitzvot relevant today?
• How can I delete a column from several CSV files?
• Is it possible to calculate FPS (frames per second) of video using statistical data?
• Weird SMS. Help!
• Is there a phrase for someone who's really bad at cooking?
• Regression techniques for a “triangular” scatterplot
• Do metal objects attract lightning?
• Which hash algorithms support binary input of arbitrary bit length?
• Too many \setmathfont leads to "Too many symbol fonts declared" error
• Ring Buffer Implementation in C++
• Is there a way to resist spells or abilities with an AOE coming from my teammates, or exclude certain beings from the effect?
• The answer is not wrong
• How long does it take to achieve buoyancy in a body of water?
• How can moral disagreements be resolved when the conflicting parties are guided by fundamentally different value systems?
• How do eradicated diseases make a comeback?
• How to remove obligation to run as administrator in Windows?
• Reusing own code at work without losing licence

APA 7th Edition Citation Examples

• Volume and Issue Numbers
• Page Numbers
• Undated Sources
• Citing a Source Within a Source

Citing a Source within a Source

• In-Text Citations
• Academic Journals
• Encyclopedia Articles
• Book, Film, and Product Reviews
• Online Classroom Materials
• Conference Papers
• Technical + Research Reports
• Court Decisions
• Treaties and Other International Agreements
• Federal Regulations: I. The Code of Federal Regulations
• Federal Regulations: II. The Federal Register
• Executive Orders
• Charter of the United Nations
• Federal Statutes
• Dissertations and Theses
• Interviews, E-mail Messages + Other Personal Communications
• Social Media
• Business Sources
• PowerPoints
• AI: ChatGPT, etc.

Scenario: You read a 2007 article by Linhares and Brum that cites an earlier article, by Klein. You want to cite Klein's article, but you have not read Klein's article itself.

Reference list citation

Linhares, A., & Brum, P. (2007). Understanding our understanding of strategic scenarios: What role do chunks play? Cognitive Science , 31 (6), 989-1007. https://doi.org/10.1080/03640210701703725

Your Reference list will contain the article you read, by Linhares and Brum. Your Reference list will NOT contain a citation for Klein's article.

In-text citation

Klein's study (as cited in Linhares & Brum, 2007) found that...

Your in-text citation gives credit to Klein and shows the source in which you found Klein's ideas.

See  Publication Manual , p. 258.

• << Previous: Undated Sources
• Next: In-Text Citations >>
• Last Updated: Mar 18, 2024 12:55 PM
• URL: https://libguides.umgc.edu/apa-examples

PSYC 210: Foundations of Psychology

• Tips for Searching for Articles

What is a literature review?

Conducting a literature review, organizing a literature review, writing a literature review, helpful book.

• Avoiding Plagiarism
• Google Scholar

A  literature review  is a compilation of the works published in a particular field of study or line of research, usually over a specific period of time, in the form of an in-depth, critical bibliographic essay or annotated list in which attention is drawn to the most significant works.

• Summarizes and analyzes previous research relevant to a topic
• Includes scholarly books and articles published in academic journals
• Can be an specific scholarly paper or a section in a research paper

The objective of a Literature Review is to find previous published scholarly works relevant to an specific topic

• Help gather ideas or information
• Keep up to date in current trends and findings
• Help develop new questions

A literature review is important because it:

• Explains the background of research on a topic
• Demonstrates why a topic is significant to a subject area
• Helps focus your own research questions or problems
• Discovers relationships between research studies/ideas
• Suggests unexplored ideas or populations
• Identifies major themes, concepts, and researchers on a topic
• Tests assumptions; may help counter preconceived ideas and remove unconscious bias
• Identifies critical gaps, points of disagreement, or potentially flawed methodology or theoretical approaches

Source: "What is a Literature Review?", Old Dominion University,  https://guides.lib.odu.edu/c.php?g=966167&p=6980532

1. Choose a topic. Define your research question. 

Your literature review should be guided by a central research question. It represents background and research developments related to a specific research question, interpreted, and analyzed by you in a synthesized way. 

• Make sure your research question is not too broad or too narrow.
• Write down terms that are related to your question for they will be useful for searches later. 

2. Decide on the scope of your review. 

How many studies do you need to look at? How comprehensive should it be? How many years should it cover? 

• This may depend on your assignment.
• Consider these things when planning your time for research. 

3. Select the databases you will use to conduct your searches. 

• By Research Guide 

4. Conduct your searches and find the literature. 

• Review the abstracts carefully - this will save you time!
• Many databases will have a search history tab for you to return to for later.
• Use bibliographies and references of research studies to locate others.
• Use citation management software such as Zotero to keep track of your research citations. 

5. Review the literature. 

Some questions to help you analyze the research: 

• What was the research question you are reviewing? What are the authors trying to discover? 
• Was the research funded by a source that could influence the findings? 
• What were the research methodologies? Analyze the literature review, samples and variables used, results, and conclusions. Does the research seem complete? Could it have been conducted more soundly? What further questions does it raise? 
• If there are conflicted studies, why do you think that is? 
• How are the authors viewed in the field? Are they experts or novices? Has the study been cited? 

Source: "Literature Review", University of West Florida,  https://libguides.uwf.edu/c.php?g=215113&p=5139469

A literature review is not a summary of the sources but a synthesis of the sources. It is made up of the topics the sources are discussing. Each section of the review is focused on a topic, and the relevant sources are discussed within the context of that topic. 

1. Select the most relevant material from the sources

• Could be material that answers the question directly
• Extract as a direct quote or paraphrase 

2. Arrange that material so you can focus on it apart from the source text itself

• You are now working with fewer words/passages
• Material is all in one place

3. Group similar points, themes, or topics together and label them 

• The labels describe the points, themes, or topics that are the backbone of your paper’s structure

4. Order those points, themes, or topics as you will discuss them in the paper, and turn the labels into actual assertions

• A sentence that makes a point that is directly related to your research question or thesis 

This is now the outline for your literature review. 

Source: "Organizing a Review of the Literature – The Basics", George Mason University Writing Center,  https://writingcenter.gmu.edu/writing-resources/research-based-writing/organizing-literature-reviews-the-basics

• Literature Review Matrix Here is a template on how people tend to organize their thoughts. The matrix template is a good way to write out the key parts of each article and take notes. Downloads as an XLSX file.

The most common way that literature reviews are organized is by theme or author. Find a general pattern of structure for the review. When organizing the review, consider the following: 

• the methodology 
• the quality of the findings or conclusions
• major strengths and weaknesses
• any other important information

Writing Tips: 

• Be selective - Select only the most important points in each source to highlight in the review. It should directly relate to the review's focus.
• Use quotes sparingly.
• Keep your own voice - Your voice (the writer's) should remain front and center. .   
• Aim for one key figure/table per section to illustrate complex content, summarize a large body of relevant data, or describe the order of a process
• Legend below image/figure and above table and always refer to them in text 

Source: "Composing your Literature Review", Florida A&M University,  https://library.famu.edu/c.php?g=577356&p=3982811

• << Previous: Tips for Searching for Articles
• Next: Citing Your Sources >>
• Last Updated: Aug 21, 2024 3:43 PM
• URL: https://infoguides.pepperdine.edu/PSYC210

Explore. Discover. Create.

Copyright ©  2022  Pepperdine University

Want to create or adapt books like this? Learn more about how Pressbooks supports open publishing practices.

Chapter 7: Synthesizing Sources

Learning objectives.

At the conclusion of this chapter, you will be able to:

• synthesize key sources connecting them with the research question and topic area.

7.1 Overview of synthesizing

7.1.1 putting the pieces together.

Combining separate elements into a whole is the dictionary definition of synthesis.  It is a way to make connections among and between numerous and varied source materials.  A literature review is not an annotated bibliography, organized by title, author, or date of publication.  Rather, it is grouped by topic to create a whole view of the literature relevant to your research question.

Your synthesis must demonstrate a critical analysis of the papers you collected as well as your ability to integrate the results of your analysis into your own literature review.  Each paper collected should be critically evaluated and weighed for “adequacy, appropriateness, and thoroughness” ( Garrard, 2017 ) before inclusion in your own review.  Papers that do not meet this criteria likely should not be included in your literature review.

Begin the synthesis process by creating a grid, table, or an outline where you will summarize, using common themes you have identified and the sources you have found. The summary grid or outline will help you compare and contrast the themes so you can see the relationships among them as well as areas where you may need to do more searching. Whichever method you choose, this type of organization will help you to both understand the information you find and structure the writing of your review.  Remember, although “the means of summarizing can vary, the key at this point is to make sure you understand what you’ve found and how it relates to your topic and research question” ( Bennard et al., 2014 ).

As you read through the material you gather, look for common themes as they may provide the structure for your literature review.  And, remember, research is an iterative process: it is not unusual to go back and search information sources for more material.

At one extreme, if you are claiming, ‘There are no prior publications on this topic,’ it is more likely that you have not found them yet and may need to broaden your search.  At another extreme, writing a complete literature review can be difficult with a well-trod topic.  Do not cite it all; instead cite what is most relevant.  If that still leaves too much to include, be sure to reference influential sources…as well as high-quality work that clearly connects to the points you make. ( Klingner, Scanlon, & Pressley, 2005 ).

7.2 Creating a summary table

Literature reviews can be organized sequentially or by topic, theme, method, results, theory, or argument.  It’s important to develop categories that are meaningful and relevant to your research question.  Take detailed notes on each article and use a consistent format for capturing all the information each article provides.  These notes and the summary table can be done manually, using note cards.  However, given the amount of information you will be recording, an electronic file created in a word processing or spreadsheet is more manageable. Examples of fields you may want to capture in your notes include:

• Authors’ names
• Article title
• Publication year
• Main purpose of the article
• Methodology or research design
• Participants
• Measurement
• Conclusions

  Other fields that will be useful when you begin to synthesize the sum total of your research:

• Specific details of the article or research that are especially relevant to your study
• Key terms and definitions
• Strengths or weaknesses in research design
• Relationships to other studies
• Possible gaps in the research or literature (for example, many research articles conclude with the statement “more research is needed in this area”)
• Finally, note how closely each article relates to your topic.  You may want to rank these as high, medium, or low relevance.  For papers that you decide not to include, you may want to note your reasoning for exclusion, such as ‘small sample size’, ‘local case study,’ or ‘lacks evidence to support assertion.’

This short video demonstrates how a nursing researcher might create a summary table.

7.2.1 Creating a Summary Table

  Summary tables can be organized by author or by theme, for example:

For a summary table template, see http://blogs.monm.edu/writingatmc/files/2013/04/Synthesis-Matrix-Template.pdf

7.3 Creating a summary outline

An alternate way to organize your articles for synthesis it to create an outline. After you have collected the articles you intend to use (and have put aside the ones you won’t be using), it’s time to identify the conclusions that can be drawn from the articles as a group.

  Based on your review of the collected articles, group them by categories.  You may wish to further organize them by topic and then chronologically or alphabetically by author.  For each topic or subtopic you identified during your critical analysis of the paper, determine what those papers have in common.  Likewise, determine which ones in the group differ.  If there are contradictory findings, you may be able to identify methodological or theoretical differences that could account for the contradiction (for example, differences in population demographics).  Determine what general conclusions you can report about the topic or subtopic as the entire group of studies relate to it.  For example, you may have several studies that agree on outcome, such as ‘hands on learning is best for science in elementary school’ or that ‘continuing education is the best method for updating nursing certification.’ In that case, you may want to organize by methodology used in the studies rather than by outcome.

Organize your outline in a logical order and prepare to write the first draft of your literature review.  That order might be from broad to more specific, or it may be sequential or chronological, going from foundational literature to more current.  Remember, “an effective literature review need not denote the entire historical record, but rather establish the raison d’etre for the current study and in doing so cite that literature distinctly pertinent for theoretical, methodological, or empirical reasons.” ( Milardo, 2015, p. 22 ).

As you organize the summarized documents into a logical structure, you are also appraising and synthesizing complex information from multiple sources.  Your literature review is the result of your research that synthesizes new and old information and creates new knowledge.

7.4 Additional resources:

Literature Reviews: Using a Matrix to Organize Research / Saint Mary’s University of Minnesota

Literature Review: Synthesizing Multiple Sources / Indiana University

Writing a Literature Review and Using a Synthesis Matrix / Florida International University

 Sample Literature Reviews Grid / Complied by Lindsay Roberts

Select three or four articles on a single topic of interest to you. Then enter them into an outline or table in the categories you feel are important to a research question. Try both the grid and the outline if you can to see which suits you better. The attached grid contains the fields suggested in the video .

Literature Review Table  

Test Yourself

• Select two articles from your own summary table or outline and write a paragraph explaining how and why the sources relate to each other and your review of the literature.
• In your literature review, under what topic or subtopic will you place the paragraph you just wrote?

Image attribution

Literature Reviews for Education and Nursing Graduate Students Copyright © by Linda Frederiksen is licensed under a Creative Commons Attribution 4.0 International License , except where otherwise noted.

Share This Book

• University of Oregon Libraries
• Research Guides

How to Write a Literature Review

• 6. Synthesize
• Literature Reviews: A Recap
• Reading Journal Articles
• Does it Describe a Literature Review?
• 1. Identify the Question
• 2. Review Discipline Styles
• Searching Article Databases
• Finding Full-Text of an Article
• Citation Chaining
• When to Stop Searching
• 4. Manage Your References
• 5. Critically Analyze and Evaluate

Synthesis Visualization

Synthesis matrix example.

• 7. Write a Literature Review

• Synthesis Worksheet

About Synthesis

Approaches to Synthesis

You can sort the literature in various ways, for example:

How to Begin?

Read your sources carefully and find the main idea(s) of each source

Look for similarities in your sources – which sources are talking about the same main ideas? (for example, sources that discuss the historical background on your topic)

Use the worksheet (above) or synthesis matrix (below) to get organized

This work can be messy. Don't worry if you have to go through a few iterations of the worksheet or matrix as you work on your lit review!

Four Examples of Student Writing

In the four examples below, only ONE shows a good example of synthesis: the fourth column, or  Student D . For a web accessible version, click the link below the image.

Long description of "Four Examples of Student Writing" for web accessibility

• Download a copy of the "Four Examples of Student Writing" chart

Click on the example to view the pdf.

From Jennifer Lim

• << Previous: 5. Critically Analyze and Evaluate
• Next: 7. Write a Literature Review >>
• Last Updated: Aug 12, 2024 11:48 AM
• URL: https://researchguides.uoregon.edu/litreview

Contact Us Library Accessibility UO Libraries Privacy Notices and Procedures

1501 Kincaid Street Eugene, OR 97403 P: 541-346-3053 F: 541-346-3485

• Visit us on Facebook
• Visit us on Twitter
• Visit us on Youtube
• Visit us on Instagram
• Report a Concern
• Nondiscrimination and Title IX
• Accessibility
• Privacy Policy
• Find People

• Langson Library
• Science Library
• Grunigen Medical Library
• Law Library
• Connect From Off-Campus
• Accessibility
• Gateway Study Center

Email this link

Writing a scientific paper.

• Writing a lab report
• INTRODUCTION

Literature Cited Section

Guides from other schools, citation styles & writing guides, "literature cited checklist" from: how to write a good scientific paper. chris a. mack. spie. 2018..

• Bibliography of guides to scientific writing and presenting
• Peer Review
• Presentations
• Lab Report Writing Guides on the Web

This is the last section of the paper. Here you should provide an alphabetical listing of all the published work you cited in the text of the paper. This does not mean every article you found in your research; only include the works you actually cited in the text of your paper. A standard format is used both to cite literature in the text and to list these studies in the Literature Cited section.  Hypothetical examples of the format used in the journal Ecology are below:     Djorjevic, M., D.W. Gabriel and B.G. Rolfe. 1987. Rhizobium: Refined parasite of legumes. Annual Review of Phytopathology 25: 145-168.     Jones, I. J. and B. J. Green. 1963. Inhibitory agents in walnut trees. Plant Physiology 70:101-152.     MacArthur, R.H. and E.O. Wilson. 1967. The Theory of Island Biogeography. Princeton University Press, Princeton, N.J.     Smith, E. A. 1949. Allelopathy in walnuts. American Journal of Botany 35:1066-1071. Here is a dissection of the first entry, in the format for Ecology :       Firstauthor, M., D.W. Secondauthor and B.G. Thirdauthor. Year. Article title with only the first letter capitalized. Journal Article Title with Important Words in Caps  volume#(issue# if there is one): firstpage-lastpage. Notice some of the following details:       - the list is alphabetized;     - no first or middle names are listed (the author's first and middle initials are used instead);     - only the first word in the title of the journal article (except for proper nouns) is capitalized;     - different journals use different styles for Literature Cited sections.   You should pay careful attention to details of formatting when you write your own Literature Cited section. For papers published in journals you must provide the date, title, journal name, volume number, and page numbers. For books you need the publication date, title, publisher, and place of publication.

• Bates College Guide to Citing Sources
• American Psychological Association (APA) style A guide to formatting papers using APA from Purdue University.
• APA 2007 Revision of Citation Styles An online revision of the information presented in the fifth edition of the Publication Manual of the American Psychological Association . more... less... This guide serves a resource for citation styles and uniform means of referencing authoritative works.
• APA Documentation (University of Wisconsin-Madison) A quick resource for citing references in papers using the 5th edition of the Publication Manual of the American Psychological Association (2001). Provided by The Writing Center at the University of Wisconsin-Madison.
• American Anthropological Association Style Manual Prepared for and preferred by the American Anthropological Association (AAA) using the Chicago Manual of Style. Citation examples listed from pages 10-14. Also recommend consulting the Chicago Manual of Style Online.

• Elements of Style This classic work by William Strunk is intended for use in which the practice of composition is combined with the study of literature. It gives the main requirements of plain English style and concentrates on the rules of usage most often abused.
• IEEE Editorial Style Manual This link will take you to a downloadable version of the IEEE Editorial Style Manual.
• Modern Language Association (MLA) style
• Purdue OWL (Online Writing Lab) Easy-to-use site that provides information and examples for using the American Psychological Association (APA) citation and format style and the Modern Language Association (MLA) citation and format style. Also included information about the Chicago Manual of Style (16th ed.)
• Include citations that provide sufficient context to allow for critical analysis of this
• work by others.
• Include citations that give the reader sources of background and related material so
• that the current work can be understood by the target audience.
• Include citations that provide examples of alternate ideas, data, or conclusions to
• compare and contrast with this work, if they exist. Do not exclude contrary evidence.
• Include citations that acknowledge and give credit to sources relied upon for this
• Are the citations up to date, referencing that latest work on this topic?
• It is the job of the authors to verify the accuracy of the references.
• Avoid: spurious citations (citations that are not needed but are included anyway);

biased citations (references added or omitted for reasons other than meeting the above goals of citations); excessive self-cites (citations to one’s own work). 

• << Previous: DISCUSSION
• Next: Bibliography of guides to scientific writing and presenting >>
• Last Updated: Aug 4, 2023 9:33 AM
• URL: https://guides.lib.uci.edu/scientificwriting

Off-campus? Please use the Software VPN and choose the group UCIFull to access licensed content. For more information, please Click here

Software VPN is not available for guests, so they may not have access to some content when connecting from off-campus.

APA Citation Guide (7th edition) : Works Cited in Another Source

• What Kind of Source Is This?
• Advertisements
• Books & eBooks
• Book Reviews
• Class Handouts, Presentations, and Readings
• Encyclopedias & Dictionaries
• Government Documents
• Images, Charts, Graphs, Maps & Tables
• Journal Articles
• Magazine Articles
• Newspaper Articles
• Personal Communication (Interviews, Emails)
• Social Media
• Videos & DVDs
• Paraphrasing

Works Cited in Another Source

• No Author, No Date etc.
• Sample Paper, Reference List & Annotated Bibliography
• Powerpoint Presentations

On This Page

Sometimes an author of a book, article or website will mention another person’s work by using a quotation or paraphrased idea from that source. The work that is mentioned in the article you are reading is called the primary source. The article you are reading is called the secondary source.

For example, suppose you are reading an article by Brown (2014) that cites information from an article by Snow (1982) that you would like to include in your essay. For the reference list, you will only make a citation for the secondary source (Brown). You do not put in a citation for the primary source (Snow) in the reference list. For the in-text citation, you identify the primary source (Snow) and then write "as cited in" the secondary source (Brown). If you know the year of the publication of the primary source, include it in the in-text citation. Otherwise, you can omit it. See below for examples.

Examples of in-text citations:

According to a study by Snow (1982, as cited in Brown, 2014), 75% of students believe that teachers should not assign nightly homework.

Note: If you don't have the publication date of Snow's article, you just omit it like this: According to a study by Snow (as cited in Brown, 2014), 75% of students believe that teachers should not assign nightly homework.

In fact, 75% of students believe that teachers should not assign nightly homework (Snow, 1982, as cited in Brown, 2014).

Snow (1982, as cited in Brown, 2014) concluded that "nightly homework is a great stressor for many students" (p.34).

Example of Reference list citation:

Brown, S. (2014). Trends in homework assignments.  Journal of Secondary Studies , 12(3) , 29-38. http://doi.org/fsfsbit

• << Previous: Paraphrasing
• Next: No Author, No Date etc. >>
• Last Updated: Aug 29, 2024 4:58 PM
• URL: https://columbiacollege-ca.libguides.com/apa

Report of a case of renal collecting duct carcinoma with literature review

• Open access
• Published: 29 August 2024
• Volume 1 , article number  33 , ( 2024 )

Cite this article

You have full access to this open access article

• Yong Cui 1 &
• Yuan Gao 2  

Collecting duct carcinoma (CDC) is a rare pathologic subtype of renal cell carcinoma that accounts for approximately 0.4–1% of cases and originates in the collecting ducts (Bellini ducts) of the renal medulla. The majority of patients are metastatic at the time of presentation, extremely malignant and rapidly progressive, with most patients dying 1–3 years after initial diagnosis. Currently, surgery is considered the only effective treatment. There is no uniform standard for postoperative adjuvant radiotherapy and chemotherapy.In this article, we report a case of an 85-year-old female patient with CDC who underwent radical nephrectomy. This is an extremely rare case. We describe the case and perform a literature review to report current research advances regarding the treatment and prognosis of patients with CDC. The aim of this study is to contribute to improving the diagnosis and treatment of CDC.

Avoid common mistakes on your manuscript.

1 Introduction

CDC is a rare pathologic subtype of renal cell carcinoma that accounts for approximately 0.4–1% of cases and originates from the collecting ducts of the renal medulla (Bellini ducts), Mancilla-Jimenz reported the first case of CDC [ 1 ].Due to the rapid progression of the disease and extensive metastasis to peripheral lymph nodes, the majority of patients have a very poor prognosis, with a median survival of less than 2 years [ 2 ]. Early diagnosis is an important factor in prolonging survival.Fleming and Lewi developed diagnostic criteria and CDC was isolated as a separate subtype of renal cancer.Although this disease has immunohistochemical features, it is difficult to characterize histologically due to its rarity and needs to be differentiated from other renal cell carcinomas and uroepithelial carcinomas [ 3 ].

We retrospectively analyzed the medical records of a patient with CDC admitted to Weifang People’s Hospital, and combined with the literature review, we analyzed the diagnosis and treatment of CDC in order to improve people's understanding of CDC, so as to reduce misdiagnosis and mistreatment.

2 Case report

An 85-year-old woman was admitted to the hospital with a complaint of hematuria for 3 months. The patient reported no distinct triggers or causes for the hematuria. She had chest pain and chest tightness. Prior to admission, she did not have lumbar pain, loss of appetite, fatigue, lethargy, or other systemic symptoms. A lower abdominal and pelvic computed tomography (CT) scan performed after admission revealed the following:Left upper renal calyx and renal parenchyma occupations; Small cyst of the right kidney; pelvic effusion (Fig.  1 ). Considering her age and the necessity of surgery, a team of urologists evaluated his physical condition and established a treatment plan for surgery. One week after admission, the patient underwent laparoscopic nephroureterectomy, which was successful.

The lower abdominal and pelvic CT scan revealed Left upper renal calyx and renal parenchyma occupations

2.1 Postoperative pathological diagnosis

Postoperative pathological examination revealed resection of the left kidney along with perirenal fat measuring 12 cm × 7 cm × 4.5 cm. The renal fat capsule was easily peeled. A mass measuring 2.5 cm × 1.5 cm × 1 cm was observed in the kidney. The section appeared grayish white and grayish red, was brittle, and had a close relationship with the renal peritoneum, 0.6 cm from it.

2.2 Pathological results

The left kidney tumor was glandular tubular and papillary. The size of the renal tumor was 2.5 cm × 1.5 cm × 1 cm. The tumor involved the renal pelvis and renal sinus fat, and did not involve the renal perineurium and perirenal fat. The nerves were invaded and cancerous emboli were seen in the vasculature. Ureteral and vascular breaks were clear (Fig.  2 ).

Pathological findings of renal collecting duct carcinoma (hematoxylin and eosin, 100×)

Immunohistochemical results: CK wide ( +), Vimentin ( +), E-Cadherin (partially +), RCC (scattered +), PAX-8 ( +),CAIX (focal +), P504S ( +), INI1 (weak +), Ki-67 (index 20%).

Pathological staging based on the American Joint Committee on Cancer (AJCC) 8th edition classified the tumor as pT3aNxMx.

2.3 Postoperative treatment

Postoperatively, pezopanib 0.8 g was administered orally once daily.Intravenous 160 mg of teraplizumab every 3 weeks for 1 month postoperatively. CT scans of the lower abdomen at 1 month postoperatively and 3 months postoperatively reported the following findings:

Postoperative left kidney; Striated dense shadow in the left adrenal region.This treatment has been maintained for 4 months. No adverse immune-related events occurred, and no signs of local recurrence or systemic metastasis were found. Therefore, the therapeutic effect has been highly favorable.In April after surgery, the patient was admitted to the hospital for diarrhea, and the patient died 3 days after admission.

3 Discussion

3.1 clinical manifestations.

CDC can occur at any age and is more common in younger people. Males are more likely to be affected than females by a ratio of approximately 2:1 [ 4 ].

Common clinical symptoms of CDC include painless hematuria, low back and abdominal pain, low back and abdominal masses, fatigue, fever, and weight loss or when the tumor develops metastasis, Usually most of the patients develop metastasis including bone and lymph node metastasis prior to treatment [ 5 ]. In this case, we presented to the hospital with painless hematuria as the main symptom.

3.2 Imaging features

The imaging features of CDC differ from those of other renal cell carcinomas. In renal tumors located in the zone connecting the renal cortex and medulla, the early presentation of poorly defined borders, mild enhancement, and metastasis require consideration of the diagnosis of CDC [ 6 ].

The organ of origin of CDC is water-rich renal tissue, and the interstitium of the tumor is characterized by increased fibrous tissue proliferation and collagenization, and the tumor parenchyma is denser than the surrounding normal tissue, which is a characteristic feature of CDC tumors on nonenhanced CT. These features differ from renal cell carcinoma originating in the renal cortex, where dense interstitial tissue or increased collagen secretion, proliferation of inflammatory fibroblast tissue and abundant fibrous tissue components are characteristic of CDC tumors. These features are important for the pathologic diagnosis of CDC, which shows low signal on magnetic resonance T2WI [ 7 ]. On dynamic enhancement scans, most CDC tumors show relatively low density in the renal cortex and medulla. The parenchyma of the mass is heterogeneous, with mild to moderate enhancement in the cortical or medullary stage, below the surrounding renal parenchyma. The medullary stage shows inhomogeneous and mildly delayed enhancement [ 6 ]. MRI shows isointensity or hyperintensity on T1WI and hypointensity on T2WI [ 8 ].

3.3 Pathologic features

Pathological examination is the gold standard for the diagnosis of CDC. Tumors tend to be yellowish-brown to white in color, may be associated with necrosis and hemorrhage, and show infiltrative growth, often invading the cortex, and may extend beyond the renal parenchyma, including perirenal fat, adrenal glands, and perirenal fascia [ 9 ]. Microscopically, CDCs are usually seen as tubular papillary structures, with tumor cells forming cobblestones along the glandular ducts. Lowly differentiated tumor cells show a nested, cord-like, sarcomatoid, or adenoidal cystic morphology with or without interstitial connective tissue reaction [ 10 ].

Genetic and biochemical approaches are becoming increasingly important for the identification and diagnosis of renal cancer. Many biomolecules, including epithelial mesenchymal transition (EMT) markers, such as N-calmodulin and poikilodulin, and human leukocyte molecules, such as HLA-G and HLA-E, have been reported to be biomarkers for renal cancer. Immunohistochemical examination of these biomarkers is important for determining the origin and diagnosis of CDC. positive expression of CK (AE1/AE3), CK7, CK19, EMA, wave proteins, CK34BE12, PNA, and european agglutinin (UEA), and negative expression of CD10 and CK20. the combination of CK34BE12 and PNA is able to detect 90% of the CDC. Pathologic and immunohistochemical findings are important for the diagnosis of CDC and differentiation from other types of renal cancer [ 11 , 12 , 13 ].

3.4 Differential diagnosis

Renal collecting duct carcinoma is mainly differentiated from the following malignant tumors.

Renal medullary carcinoma: renal medullary carcinoma originates from the collecting ducts near the cortical area, under the microscope, the tumor of renal medullary carcinoma is low differentiated and patchy distribution, and the tumor cells are arranged in an adenoidal cystic structure, and more neutrophil infiltration can be seen in the tumor body, and sickle-shaped erythrocytes can be seen at the same time [ 14 ].

Papillary renal cell carcinoma: According to the histopathological changes, it is divided into two subtypes: type I and type II. Tumor cells consist of papillary or tubular structures with a slender vascular axis, and foamy macrophages and cholesterol crystals can be seen in the core of the papillae; tumor cells are small, with sparse cytoplasm (type I) or tumor cells with abundant eosinophilic cytoplasm and high nuclear grading (type II), and areas of necrosis, sarcomatous differentiation and rhabdomyosarcomatous differentiation can be seen. Papillary renal cell carcinoma was positive for CK7, and the positive rate of P504S was high.

3.5 Treatment and prognosis

In the clinical setting, the initial diagnosis and treatment decisions for renal cancer are often made without histopathologic information, and the diagnosis can only be confirmed based primarily on imaging and after initial surgery. According to the literature, most CDC cases are high-grade and advanced, but there is no consensus on treatment options. Surgery remains the most effective treatment for patients with kidney cancer, even in advanced stages [ 15 ]. Surgical procedures include radical nephrectomy and partial nephrectomy, but given the highly aggressive nature of CDC, radical nephrectomy is recommended. Méjean et al. [ 16 ] reported that the median survival of six patients with CDC who underwent nephrectomy was only seven months, and three patients died perioperatively or postoperatively. CDC is highly biologically invasive, and patients are usually in poor general condition at the time of diagnosis. Surgical complications and postoperative recovery may prevent patients from receiving systemic therapy, so it is recommended that the diagnosis of CDC can be confirmed by biopsy, which can provide the best diagnostic and treatment plan for subsequent treatment.

In patients with CDC who develop metastases, the treatment regimen is usually based on uroepithelial tumors, using chemotherapy regimens, usually platinum or carboplatin in combination with gemcitabine. The prognosis for these regimens is poor, with survival statistically less than 12 months [ 17 ]. Orsola et al. [ 18 ] reported two cases of CDC who underwent adjuvant chemotherapy (doxorubicin + gemcitabine) after radical nephrectomy; however, the mean postoperative survival was only 5.6 months. A prospective phase II trial showed that, platinum-based combined with gemcitabine chemotherapy was effective in 23 patients with previously untreated mCDC undergoing 6 cycles of treatment, which showed objective remission rate (ORR), progression-free survival (PFS), and overall survival (OS) of 26 months, 7.1 months, and 10.5 months, respectively [ 19 ].

Tyrosine kinase inhibitors (TKIs) and mTOR inhibitors targeting the vascular endothelial growth factor (VEGF) pathway are important for the treatment of metastatic CCRCC. There is less evidence on the effectiveness of such agents in the treatment of NCCRCC, especially for mCDC.A small retrospective analysis of 13 patients with mCDC evaluated the activity of different TKIs: sunitinib, sorafenib, pazopanib, and the mTOR inhibitor tesirolimus. Only 2 patients were able to receive second-line treatment with sunitinib after disease progression, no patient survived more than 5 years, 4 patients experienced early disease progression, and 2 patients had long-term control of their disease with OS of 49 and 19 months, respectively [ 20 ].

Tamada et al. [ 21 ] reported that immunotherapy-based combination therapy has become the standard first-line treatment for metastatic RCC.CDC in combination with immunotherapy, the effect of which is unclear. A 62-year-old man was treated with pembrolizumab and axitinib for CDC with multiple bone metastases. after 7 months, the primary and metastatic lesions shrank and were evaluated as partial response.A 71-year-old man received pembrolizumab and axitinib for the treatment of CDC with lymph nodes and lung metastases. after 9 months, the primary and metastatic lesions had shrunk and were assessed as partial responses. Tumor cell expression of PD-L was negative in both patients, and CD4 + and CD8 + cells were observed in the tumors. The combination of pembrolizumab and axitinib is effective in the immunotherapy of metastatic CDC [ 22 ].

In summary, despite clinical advances in the treatment of metastatic RCC, the prognosis for patients with mCDC remains poor. Currently available treatment options are poor, and results from prospective trials are limited. For patients with localized disease, nephrectomy is the only potentially curative option, whereas for patients with mCDC, a doublet chemotherapy regimen containing platinum salts and gemcitabine is recommended.

4 Conclusion

In conclusion, CDC is a highly malignant and rare renal tumor with unique biological behavior, morphology and functional manifestations. Most patients with CDC have distant metastases at the time of initial diagnosis. The prognosis of CDC is generally poor. There is no standardized follow-up treatment plan for this tumor, and radical surgery is the only curative treatment for patients with limited CDC. However, it is prone to recurrence and metastasis after surgery.

Data availability

The original contributions presented in the study are included in the article/supplementary material. Further inquiries can be directed to the corresponding author.

Tang C, Zhou Y, Ge S, et al. Incidence, clinical characteristics, and survival of collecting duct carcinoma of the kidney: a population-based study. Front Oncol. 2021;11: 727222.

Article   PubMed   PubMed Central   Google Scholar  

Bahadoram S, Davoodi M, Hassanzadeh S, et al. Renal cell carcinoma: an overview of the epidemiology, diagnosis, and treatment. G Ital Nefrol. 2022;39(3):9.

Google Scholar  

Panunzio A, Tappero S, Hohenhorst L, et al. Collecting duct carcinoma: epidemiology, clinical characteristics and survival. Urol Oncol. 2023;41(2):110–7.

Article   Google Scholar  

Tokuda N, Naito S, Matsuzaki O, et al. Collecting duct (Bellini duct) renal cell carcinoma: a nationwide survey in Japan. J Urol. 2006;176(1):40–3.

Article   PubMed   Google Scholar  

Wang X, Hao J, Zhou R, et al. Collecting duct carcinoma of the kidney: a clinicopathological study of five cases. Diagn Pathol. 2013;8:96.

Lyu Z, Liu L, Li H, et al. Imaging analysis of 13 rare cases of renal collecting (Bellini) duct carcinoma in northern China: a case series and literature review. BMC Med Imaging. 2021;21(1):42.

Zhu Q, Wu J, Wang Z, et al. The MSCT and MRI findings of collecting duct carcinoma. Clin Radiol. 2013;68(10):1002–7.

Article   CAS   PubMed   Google Scholar  

Pickhardt PJ, Siegel CL, McLarney JK. Collecting duct carcinoma of the kidney: are imaging findings suggestive of the diagnosis? AJR Am J Roentgenol. 2001;176(3):627–33.

Seo AN, Yoon G, Ro JY. Clinicopathologic and molecular pathology of collecting duct carcinoma and related renal cell carcinomas. Adv Anat Pathol. 2017;24(2):65–77.

Chao D, Zisman A, Pantuck AJ, et al. Collecting duct renal cell carcinoma: clinical study of a rare tumor. J Urol. 2002;167(1):71–4.

Li M, Vuolo MA, Weidenheim KM, et al. Collecting-duct carcinoma of the kidney with prominent signet ring cell features. Mod Pathol. 2001;14(6):623–8.

Kren L, Valkovsky I, Dolezel J, et al. HLA-G and HLA-E specific mRNAs connote opposite prognostic significance in renal cell carcinoma. Diagn Pathol. 2012;7:58.

Article   CAS   PubMed   PubMed Central   Google Scholar  

Behnes CL, Hemmerlein B, Strauss A, et al. N-cadherin is differentially expressed in histological subtypes of papillary renal cell carcinoma. Diagn Pathol. 2012;7:95.

Elliott A, Bruner E. Renal medullary carcinoma. Arch Pathol Lab Med. 2019;143(12):1556–61.

Guillaume Z, Allory Y, Auclin E, et al. Collecting duct carcinoma and renal medullary carcinoma in the age of new therapies. Bull Cancer. 2023;110(4):450–62.

Méjean A, Rouprêt M, Larousserie F, et al. Is there a place for radical nephrectomy in the presence of metastatic collecting duct (Bellini) carcinoma? J Urol. 2003;169(4):1287–90.

Panunzio A, Sorce G, Tappero S, et al. Mortality according to treatment in metastatic collecting duct renal cell carcinoma. Clin Genitourin Cancer. 2023;21(2):295–300.

Orsola A, Trias I, Raventós CX, et al. Renal collecting (Bellini) duct carcinoma displays similar characteristics to upper tract urothelial cell carcinoma. Urology. 2005;65(1):49–54.

Oudard S, Banu E, Vieillefond A, et al. Prospective multicenter phase II study of gemcitabine plus platinum salt for metastatic collecting duct carcinoma: results of a GETUG (Groupe d’Etudes des Tumeurs Uro-Génitales) study. J Urol. 2007;177(5):1698–702.

Procopio G, Testa I, Iacovelli R, et al. Treatment of collecting duct carcinoma: current status and future perspectives. Anticancer Res. 2014;34(2):1027–30.

PubMed   Google Scholar  

Tamada S, Ikarashi D, Tsuyukubo T, et al. Efficacy of combination therapy with pembrolizumab and axitinib for metastatic renal collecting duct cell carcinoma: a report on two cases. IJU Case Rep. 2022;5(6):438–41.

Plimack ER, Powles T, Stus V, et al. Pembrolizumab plus axitinib versus sunitinib as first-line treatment of advanced renal cell carcinoma: 43-month follow-up of the phase 3 KEYNOTE-426 study. Eur Urol. 2023;84(5):449–54.

Download references

Author information

Authors and affiliations.

Department of Clinical Medicine, Shandong Second Medical University, Weifang, Shandong, China

Department of Urinary Surgery, Weifang People’s Hospital, No.151 Guangwen Street, Weifang, 261000, Shandong, China

You can also search for this author in PubMed   Google Scholar

Contributions

C.Y: Writing—original draft. G.Y and C.Y: Writing—review and editing.

Corresponding author

Correspondence to Yuan Gao .

Ethics declarations

Ethics approval and consent to participate.

This study was approved by the Ethics Committee of Weifang People’s Hospital. We certify that the study was performed in accordance with the 1964 declaration of HELSINKI and later amendments. Written informed consent was obtained from the individual(s) for the publication of any potentially identifiable images or data included in this article.

Competing interests

The authors declare no competing interests.

Additional information

Publisher's note.

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/ .

Reprints and permissions

About this article

Cui, Y., Gao, Y. Report of a case of renal collecting duct carcinoma with literature review. Discov Med 1 , 33 (2024). https://doi.org/10.1007/s44337-024-00051-5

Download citation

Received : 19 June 2024

Accepted : 26 August 2024

Published : 29 August 2024

DOI : https://doi.org/10.1007/s44337-024-00051-5

Share this article

Anyone you share the following link with will be able to read this content:

Sorry, a shareable link is not currently available for this article.

Provided by the Springer Nature SharedIt content-sharing initiative

• Renal collecting duct carcinoma
• Case report
• Literature review
• Find a journal
• Publish with us
• Track your research

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

• View all journals
• Explore content
• About the journal
• Publish with us
• Sign up for alerts
• 28 August 2024

Exclusive: the papers that most heavily cite retracted studies

• Richard Van Noorden &
• Miryam Naddaf

You can also search for this author in PubMed   Google Scholar

Credit: Waldemar Thaut/Zoonar via Alamy

In January, a review paper 1 about ways to detect human illnesses by examining the eye appeared in a conference proceedings published by the Institute of Electrical and Electronics Engineers (IEEE) in New York City. But neither its authors nor its editors noticed that 60% of the papers it cited had already been retracted.

The case is one of the most extreme spotted by a giant project to find papers whose results might be in question because they cite retracted or problematic research. The project’s creator, computer scientist Guillaume Cabanac at the University of Toulouse in France, shared his data with Nature ’s news team, which analysed them to find the papers that most heavily cite retracted work yet haven’t themselves been withdrawn (see ‘Retracted references’).

Chain retraction: how to stop bad science propagating through the literature

“We are not accusing anybody of doing something wrong. We are just observing that in some bibliographies, the references have been retracted or withdrawn, meaning that the paper may be unreliable,” Cabanac says. He calls his tool a Feet of Clay Detector, referring to an analogy, originally from the Bible, about statues or edifices that collapse because of their weak clay foundations.

The IEEE paper is the second-highest on the list assembled by Nature , with 18 of the 30 studies it cites withdrawn. Its authors didn’t respond to requests for comment, but IEEE integrity director Luigi Longobardi says that the publisher didn’t know about the issue until Nature asked, and that it is investigating.

Cabanac, a research-integrity sleuth, has already created software to flag thousands of problematic papers in the literature for issues such as computer-written text or disguised plagiarism . He hopes that his latest detector, which he has been developing over the past two years and describes this week in a Comment article in Nature , will provide another way to stop bad research propagating through the scientific literature — some of it fake work created by ‘papermill’ firms .

Further scrutiny

Cabanac lists the detector’s findings on his website , but elsewhere online — on the paper-review site PubPeer and on social media — he has explicitly flagged more than 1,700 papers that caught his eye because of their reliance on retracted work. Some authors have thanked Cabanac for alerting them to problems in their references. Others argue that it’s unfair to effectively cast aspersions on their work because of retractions made after publication that, they say, don’t affect their paper.

Scientific sleuths spot dishonest ChatGPT use in papers

Retracted references don’t definitively show that a paper is problematic, notes Tamara Welschot, part of the research-integrity team at Springer Nature in Dordrecht, the Netherlands, but they are a useful sign that a paper might benefit from further scrutiny. ( Nature ’s news team is independent of its publisher, Springer Nature.)

Some researchers argue that retraction of references in a narrative review — which describes the state of research in a field — doesn’t necessarily invalidate the original paper. But when studies assessed by a systematic review or meta-analysis are withdrawn, the results of that review should always be recalculated to keep the literature up to date, says epidemiologist Isabelle Boutron at Paris City University.

Retracted references

These studies have the highest proportion of retracted papers in their reference lists, according to Nature ’s analysis of articles flagged by the Feet of Clay Detector.

Source: Nature analysis of data from the Feet of Clay Detector . Figures for references and retractions were hand-checked and altered where necessary; detector data sources do not always give accurate counts.

Picking up fraudsters

Some of the papers that cite high proportions of retracted work are authored by known academic fraudsters who have had many of their own papers retracted.

These include engineering researcher Ali Nazari, who was dismissed from Swinburne University of Technology in Melbourne, Australia, in 2019, after a university misconduct investigation into his activities. He previously worked at Islamic Azad University in Saveh, Iran, and his current whereabouts are unclear. After Nature told publishers about his extant papers 2 , 3 topping Cabanac’s lists — including Elsevier and Fap-Unifesp, a non-profit foundation that supports the Federal University of São Paulo in Brazil — they said that they would look into the articles. One of the relevant journals was discontinued in 2013, Elsevier noted.

Cabanac’s detector also flags papers 4 by Chen-Yuan Chen, a computer scientist who worked at the National Pingtung University of Education in Taiwan until 2014. He was behind a syndicate that faked peer review and boosted citations, which came to light in 2014 after an investigation by the publisher SAGE. Some of Chen’s papers that are still in the literature were published by Springer Nature, which says it hadn’t been aware of the issue but is now investigating. Neither Chen nor Nazari responded to Nature ’s requests for comment.

Another flagged study 5 is by Ahmad Salar Elahi, a physicist affiliated with the Islamic Azad University in Tehran who has already had dozens of his papers retracted, in many cases because of excessive self-citation and instances of faked peer review. In 2018, the website Retraction Watch (which also wrote about the Nazari and Chen cases) reported that according to Mahmoud Ghoranneviss, then-director of the Plasma Physics Research Centre where Elahi worked, Elahi was likely to be dismissed from the university. Now, Ghoranneviss — who has retired — says that Elahi was barred only from that centre and not the rest of the university. Elahi continues to publish papers, sometimes listing co-authors including Ghoranneviss, who says he wasn’t aware of this. Neither Elahi nor the university responded to Nature ’s queries. The IEEE and Springer Nature, publishers of the journals that ran the Elahi papers, say they’re investigating.

Unhappy authors

Some authors are unhappy about Cabanac’s work. In May 2024, editors of the journal Clinical and Translational Oncology placed an expression of concern on a 2019 review paper 6 about RNA and childhood cancers, warning that it might not be reliable because it cited “a number of articles that have been retracted”. The journal’s publishing editor, Ying Jia at Springer Nature in Washington DC, says the team was alerted by one of Cabanac’s posts on social media last year.

Computer scientist Guillaume Cabanac has flagged more than 1,700 papers that caught his eye because of their reliance on retracted work. Credit: Fred Scheiber/SIPA/Shutterstock

Cabanac’s analysis finds that just under 10% of the article’s 637 references have been retracted — almost all after the review was published. However, the paper’s corresponding author, María Sol Brassesco, a biologist at the University of São Paulo, says that removing these references doesn’t change the conclusions of the review, and that she has sent the journal an updated version, which it hasn’t published. Because the cited works were retracted after publication, the expression of concern “felt like we were being punished for something that we could not see ahead”, she says. Jia says that editors felt that adding the notice was the most appropriate action.

In other cases, authors disagree about what to do. Nature examined three papers 7 , 8 , 9 in which between 5 and 16% of the references have now been retracted, all co-authored by Mohammad Taheri, a genetics PhD student at Friedrich Schiller University of Jena in Germany. He says that criticisms of his work on PubPeer “lack solid scientific basis”. Yet, in May, a co-author of two of those works, Marcel Dinger, dean of science at the University of Sydney in Australia, told Retraction Watch that he was reassessing review papers that cited retracted articles. He now says that his team has submitted corrections for the works, but Frontiers, which published one paper, says it hasn’t received the correspondence and will investigate. Elsevier — which published the other two papers — also says that it is examining the issue.

Catching problems early

Examples in which papers cite already-retracted work suggest that publishers could do a better job of screening manuscripts. For instance, 20 studies cited by a 2023 review paper 10 about RNA and gynaecological cancers in Frontiers in Oncology had been retracted before the article was submitted. Review co-author Maryam Mahjoubin-Tehran, a pharmacist at Mashhad University of Medical Sciences in Iran, told Nature that her team didn’t know about the retractions, and does not plan to update or withdraw the paper. The publisher, Frontiers, says it is investigating.

Until recently, publishers have not flagged citations to retracted papers in submitted manuscripts. However, many publishers say they are aware of Cabanac’s tool and monitor issues he raises, and some are bringing in similar screening tools.

Last year, Wiley announced it was checking Retraction Watch’s database of retracted articles to flag issues in reference lists, and Elsevier says it is also rolling out a tool that assesses manuscripts for red flags such as self-citations and references to retracted work. Springer Nature is piloting an in-house tool to look for retracted papers in manuscript citations and Longobardi says the IEEE is considering including Feet of Clay or similar solutions in its workflow. A working group for the STM Integrity Hub — a collaboration between publishers — has also tested the Feet of Clay Detector and “found it useful”, says Welschot.

Medical trend

Medical reviews that cite studies in areas later shown to be affected by fraud are a recurring theme in Cabanac’s findings.

In theory, meta-analyses or systematic reviews should be withdrawn or corrected if work they have cited goes on to be retracted, according to a policy issued in 2021 by the Cochrane Collaboration, an international group known for its gold-standard reviews of medical treatments .

Boutron, who directs Cochrane France in Paris, is using Cabanac’s tool to identify systematic reviews that cite retracted work, and to assess the impact the retracted studies had on the overall results.

However, a 2022 study 11 suggests that authors are often reluctant to update reviews, even when they are told the papers cite retracted work. Researchers e-mailed the authors of 88 systematic reviews that cited now-retracted studies in bone health by a Japanese fraudster, Yoshihiro Sato . Only 11 of the reviews were updated, the authors told Nature last year.

Retraction alerts

Authors aren’t routinely alerted if work cited in their past papers is withdrawn — although in recent years, paper-management tools for researchers such as Zotero and EndNote have incorporated Retraction Watch’s open database of retracted papers and have begun to flag papers that have been taken down. Cabanac thinks publishers might use tools like his to create similar alerts.

In 2016, researchers at the University of Oxford, UK, began developing a tool called RetractoBot , which automatically notifies authors by e-mail when a study that they have previously cited has been retracted. The software currently monitors 20,000 retracted papers and about 400,000 papers, published after 2000, that cite them. The team behind it is running a randomized trial to see whether papers flagged by RetractoBot are subsequently cited less than those not flagged by the tool, and will publish its results next year, says project lead Nicholas DeVito, a integrity researcher at Oxford.

The team has alerted more than 100,000 researchers so far. DeVito says that a minority of authors are annoyed about being contacted, but that others are grateful. “We are merely trying to provide a service to the community to reduce this practice from happening,” he says.

doi: https://doi.org/10.1038/d41586-024-02719-5

Sandhiya, M. & Aneetha, A. S. 9th Intl Conf. Smart Struct. Syst . 1–4 (2023).

Nazari, A. Mater. Res. 15 , 383–396 (2012).

Article   Google Scholar  

Nazari, A., Khalaj, G. & Riahi, S. Math. Comput. Model. 55 , 1339–1353 (2012).

Shih, B.-Y., Chen, T.-H., Cheng, M.-H., Chen, C.-Y. & Chen, B.-W. Nat. Hazards 65 , 1637–1652 (2013).

Salar Elahi, A. & Ghoranneviss, M. IEEE Trans. Plasma Sci. 41 , 334–340 (2013).

Viera, G. M. et al. Clin. Transl. Oncol. 21 , 1583–1623 (2019); editorial expression of concern 26 , 1806 (2024).

Taheri, M. et al. Exp. Molec. Pathol . https://doi.org/10.1016/j.yexmp.2021.104602 (2021).

Taheri, M. et al. Front. Mol. Biosci . https://doi.org/10.3389/fmolb.2021.665199 (2021).

Ghafouri-Fard, S. et al. Biomed. Pharmacotherapy 137 , 111279 (2021).

Rezaee, A. et al. Front. Oncol. 13 , 1215194 (2023).

Article   PubMed   Google Scholar  

Avenell, A., Bolland, M. J., Gamble, G. D. & Grey, A. Account. Res. 31 , 14–37 (2022).

Download references

Reprints and permissions

Supplementary Information

• NEWS Retracted references Supplementary Information 2024

Related Articles

• Peer review

Cash for catching scientific errors

Technology Feature 19 AUG 24

Who will make AlphaFold3 open source? Scientists race to crack AI model

News 23 MAY 24

Pay researchers to spot errors in published papers

World View 21 MAY 24

Comment 28 AUG 24

No more hunting for replication studies: crowdsourced database makes them easy to find

Nature Index 27 AUG 24

AI firms must play fair when they use academic data in training

Editorial 27 AUG 24

Tenure-Track/Tenured Faculty Positions

Tenure-Track/Tenured Faculty Positions in the fields of energy and resources.

Suzhou, Jiangsu, China

School of Sustainable Energy and Resources at Nanjing University

ATLAS - Joint PhD Program from BioNTech and TRON with a focus on translational medicine

5 PhD positions for ATLAS, the joint PhD Program from BioNTech and TRON with a focus on translational medicine.

Mainz, Rheinland-Pfalz (DE)

Translational Oncology (TRON) Mainz

Alzheimer's Disease (AD) Researcher/Associate Researcher

Xiaoliang Sunney XIE’s Group is recruiting researchers specializing in Alzheimer's disease (AD).

Beijing, China

Changping Laboratory

Supervisory Bioinformatics Specialist CTG Program Head

The National Library of Medicine (NLM) is a global leader in biomedical informatics and computational health data science and the world’s largest b...

Bethesda, Maryland (US)

National Library of Medicine, National Center for Biotechnology Information

Post Doctoral Research Scientist

Post-Doctoral Research Scientist Position in Human Transplant Immunology at the Columbia Center for Translational Immunology in New York, NY

New York City, New York (US)

Columbia Center for Translational Immunoogy

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Quick links

• Explore articles by subject
• Guide to authors
• Editorial policies

• Open access
• Published: 23 August 2024

The role of emotions in academic performance of undergraduate medical students: a narrative review

• Nora Alshareef 1 , 2 ,
• Ian Fletcher 2 &
• Sabir Giga 2  

BMC Medical Education volume  24 , Article number:  907 ( 2024 ) Cite this article

225 Accesses

Metrics details

This paper is devoted to a narrative review of the literature on emotions and academic performance in medicine. The review aims to examine the role emotions play in the academic performance of undergraduate medical students.

Eight electronic databases were used to search the literature from 2013 to 2023, including Academic Search Ultimate, British Education Index, CINAHL, Education Abstract, ERIC, Medline, APA Psych Articles and APA Psych Info. Using specific keywords and terms in the databases, 3,285,208 articles were found. After applying the predefined exclusion and inclusion criteria to include only medical students and academic performance as an outcome, 45 articles remained, and two reviewers assessed the quality of the retrieved literature; 17 articles were selected for the narrative synthesis.

The findings indicate that depression and anxiety are the most frequently reported variables in the reviewed literature, and they have negative and positive impacts on the academic performance of medical students. The included literature also reported that a high number of medical students experienced test anxiety during their study, which affected their academic performance. Positive emotions lead to positive academic outcomes and vice versa. However, Feelings of shame did not have any effect on the academic performance of medical students.

The review suggests a significant relationship between emotions and academic performance among undergraduate medical students. While the evidence may not establish causation, it underscores the importance of considering emotional factors in understanding student performance. However, reliance on cross-sectional studies and self-reported data may introduce recall bias. Future research should concentrate on developing anxiety reduction strategies and enhancing mental well-being to improve academic performance.

Peer Review reports

Introduction

Studying medicine is a multi-dimensional process involving acquiring medical knowledge, clinical skills, and professional attitudes. Previous research has found that emotions play a significant role in this process [ 1 , 2 ]. Different types of emotions are important in an academic context, influencing performance on assessments and evaluations, reception of feedback, exam scores, and overall satisfaction with the learning experience [ 3 ]. In particular, medical students experience a wide range of emotions due to many emotionally challenging situations, such as experiencing a heavy academic workload, being in the highly competitive field of medicine, retaining a large amount of information, keeping track of a busy schedule, taking difficult exams, and dealing with a fear of failure [ 4 , 5 , 6 ].Especially during their clinical years, medical students may experience anxiety when interacting with patients who are suffering, ill, or dying, and they must work with other healthcare professionals. Therefore, it is necessary to understand the impact of emotions on medical students to improve their academic outcomes [ 7 ].

To distinguish the emotions frequently experienced by medical students, it is essential to define them. Depression is defined by enduring emotions of sadness, despair, and a diminished capacity for enjoyment or engagement in almost all activities [ 4 ]. Negative emotions encompass unpleasant feelings such as anger, fear, sadness, and anxiety, and they frequently cause distress [ 8 ]. Anxiety is a general term that refers to a state of heightened nervousness or worry, which can be triggered by various factors. Test anxiety, on the other hand, is a specific type of anxiety that arises in the context of taking exams or assessments. Test anxiety is characterised by physiological arousal, negative self-perception, and a fear of failure, which can significantly impair a student’s ability to perform well academically [ 9 , 10 ]. Shame is a self-conscious emotion that arises from the perception of having failed to meet personal or societal standards. It can lead to feelings of worthlessness and inadequacy, severely impacting a student’s motivation and academic performance [ 11 , 12 ]. In contrast, positive emotions indicate a state of enjoyable involvement with the surroundings, encompassing feelings of happiness, appreciation, satisfaction, and love [ 8 ].

Academic performance generally refers to the outcomes of a student’s learning activities, often measured through grades, scores, and other formal assessments. Academic achievement encompasses a broader range of accomplishments, including mastery of skills, attainment of knowledge, and the application of learning in practical contexts. While academic performance is often quantifiable, academic achievement includes qualitative aspects of a student’s educational journey [ 13 ].

According to the literature, 11–40% of medical students suffer from stress, depression, and anxiety due to the intensity of medical school, and these negative emotions impact their academic achievement [ 14 , 15 ]. Severe anxiety may impair memory function, decrease concentration, lead to a state of hypervigilance, and interfere with judgment and cognitive function, further affecting academic performance [ 16 ]. However, some studies have suggested that experiencing some level of anxiety has a positive effect and serves as motivation that can improve academic performance [ 16 , 17 ].

Despite the importance of medical students’ emotions and their relation to academic performance, few studies have been conducted in this area. Most of these studies have focused on the prevalence of specific emotions without correlating with medical students’ academic performance. Few systematic reviews have addressed the emotional challenges medical students face. However, there is a lack of comprehensive reviews that discuss the role of emotions and academic outcomes. Therefore, this review aims to fill this gap by exploring the relationship between emotions and the academic performance of medical students.

Aim of the study

This review aims to examine the role emotions play in the academic performance of undergraduate medical students.

A systematic literature search examined the role of emotions in medical students’ academic performance. The search adhered to the concepts of a systematic review, following the criteria of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) [ 18 ]. Then, narrative synthesise was done to analyse the retrieved literature and synthesise the results. A systematic literature search and narrative review provide complete coverage and flexibility to explore and understand findings. Systematic search assures rigour and reduces bias, while narrative synthesis allows for flexible integration and interpretation. This balance improves review quality and utility.

Eligibility criteria

Inclusion criteria.

The study’s scope was confined to January 2013 to December 2023, focusing exclusively on undergraduate medical students. The research encompassed articles originating within medical schools worldwide, accepting content from all countries. The criteria included only full-text articles in English published in peer-reviewed journals. Primary research was considered, embracing quantitative and mixed-method research. The selected studies had to explicitly reference academic performance, test results, or GPA as key outcomes to address the research question.

Exclusion criteria

The study excluded individuals beyond the undergraduate medical student demographic, such as students in other health fields and junior doctors. There was no imposed age limit for the student participants. The research specifically focused on articles within medical schools, excluding those from alternative settings. It solely considered full-text articles in English-language peer-reviewed journals. Letters or commentary articles were excluded, and the study did not limit itself to a particular type of research. Qualitative studies were excluded from the review because they did not have the quantitative measures required to answer the review’s aim. This review excluded articles on factors impacting academic performance, those analysing nursing students, and gender differences. The reasons and numbers for excluding articles are shown in Table  1 .

Information sources

Eight electronic databases were used to search the literature. These were the following: Academic Search Ultimate, British Education Index, CINAHL, Education Abstract, ERIC, Medline, APA Psych Articles and APA Psych Info. The databases were chosen from several fields based on relevant topics, including education, academic evaluation and assessment, medical education, psychology, mental health, and medical research. Initially, with the help of a subject librarian, the researcher used all the above databases; the databases were searched with specific keywords and terms, and the terms were divided into the following concepts emotions, academic performance and medical students. Google Scholar, EBSCOhost, and the reference list of the retrieved articles were also used to identify other relevant articles.

Search strategy

This review started with a search of the databases. Eight electronic databases were used to search the literature from 2013 to 2023. Specific keywords and terms were used to search the databases, resulting in 3,285,208 articles. After removing duplicates, letters and commentary, this number was reduced to 1,637 articles. Exclusion and inclusion criteria were then applied, resulting in 45 articles. After two assessors assessed the literature, 17 articles were selected for the review. The search terms are as follows:

Keywords: Emotion, anxiety, stress, empathy, test anxiety, exam anxiety, test stress, exam stress, depression, emotional regulation, test scores, academic performance, grades, GPA, academic achievement, academic success, test result, assessment, undergraduate medical students and undergraduate medical education.

Emotions: TI (Emotion* OR Anxiety OR Stress OR empathy) OR emotion* OR (test anxiety or exam anxiety or test stress or exam stress) OR (depression) OR AB ((Emotion* OR Anxiety OR Stress OR empathy) OR emotion* OR (test anxiety or exam anxiety or test stress or exam stress)) (MH “Emotions”) OR (MH “Emotional Regulation”) DE “EMOTIONS”.

Academic performance: TI (test scores or academic performance or grades or GPA) OR (academic achievement or academic performance or academic success) OR (test result* OR assessment*) OR AB (test scores or academic performance or grades or GPA) OR (academic achievement or academic performance or academic success) OR test result* OR assessment*.

Medical Students: TI (undergraduate medical students OR undergraduate medical education) OR AB (undergraduate medical students OR undergraduate medical education), TI “medical students” OR AB “medical students” DE “Medical Students”.

Selection process

This literature review attempts to gather only peer-reviewed journal articles published in English on undergraduate medical students’ negative and positive emotions and academic performance from January 2013 to December 2023. Their emotions, including depression, anxiety, physiological distress, shame, happiness, joy, and all emotions related to academic performance, were examined in quantitative research and mixed methods.

Moreover, to focus the search, the author specified and defined each keyword using advanced search tools, such as subject headings in the case of the Medline database. The author used ‘MeSH 2023’ as the subject heading, then entered the term ‘Emotion’ and chose all the relevant meanings. This method was applied to most of the keywords.

Studies were included based on predefined criteria related to study design, participants, exposure, outcomes, and study types. Two independent reviewers screened each record, and the report was retrieved. In the screening process, reviewers independently assessed each article against the inclusion criteria, and discrepancies were resolved through consensus during regular team meetings. In cases of persistent disagreement, a third reviewer was consulted. Endnote library program was used for the initial screening phase. This tool was used to identify duplicates, facilitated the independent screening of titles and abstracts and helped to retrieve the full-text articles. The reasons for excluding the articles are presented in Table  1 .

Data collection process

Two independent reviewers extracted data from the eligible studies, with any discrepancies resolved through discussion and consensus. If the two primary reviewers could not agree, a third reviewer served as an arbitrator. For each included study, the following information was extracted and recorded in a standardised database: first author name, publication year, study design, sample characteristics, details of the emotions exposed, outcome measures, and results.

Academic performance as an outcome for medical students was defined to include the following: Exam scores (e.g., midterm, final exams), Clinical assessments (e.g., practical exams, clinical rotations), Overall grade point average (GPA) or any other relevant indicators of academic achievement.

Data were sought for all outcomes, including all measures, time points, and analyses within each outcome domain. In cases where studies reported multiple measures or time points, all relevant data were extracted to provide a comprehensive overview of academic performance. If a study reported outcomes beyond the predefined domains, inclusion criteria were established to determine whether these additional outcomes would be included in the review. This involved assessing relevance to the primary research question and alignment with the predefined outcome domains.

Quality assessment

The quality and risk of bias in included studies were assessed using the National Institute of Health’s (NIH) critical appraisal tool. The tool evaluates studies based on the following domains: selection bias, performance bias, detection bias, attrition bias, reporting bias, and other biases. Two independent reviewers assessed the risk of bias in each included study. Reviewers worked collaboratively to reach a consensus on assessments. Discrepancies were resolved through discussion and consensus. In cases of persistent disagreement, a third reviewer was consulted.

To determine the validity of eligible articles, all the included articles were critically appraised, and all reviewers assessed bias. The validity and reliability of the results were assessed by using objective measurement. Each article was scored out of 14, with 14 indicating high-quality research and 1 indicating low-quality research. High-quality research, according to the NIH (2013), includes a clear and focused research question, defines the study population, features a high participation rate, mentions inclusion and exclusion criteria, uses clear and specific measurements, reports results in detail, lists the confounding factors and lists the implications for the local community. Therefore, an article was scored 14 if it met all criteria of the critical appraisal tool. Based on scoring, each study was classified into one of three quality categories: good, fair or poor. The poorly rated articles mean their findings were unreliable, and they will not be considered, including two articles [ 16 , 19 ]. Seventeen articles were chosen after critical appraisal using the NIH appraisal tool, as shown in Table  2 .

Effect measures

For each outcome examined in the included studies, various effect measures were utilised to quantify the relationship between emotions and academic performance among undergraduate medical students. The effect measures commonly reported across the studies included prevalence rat, correlation coefficients, and mean differences. The reviewer calculated the effect size for the studies that did not report the effect. The choice of effect measure depended on the nature of the outcome variable and the statistical analysis conducted in each study. These measures were used to assess the strength and direction of the association between emotional factors and academic performance.

The synthesis method

The findings of individual studies were summarised to highlight crucial characteristics. Due to the predicted heterogeneity, the synthesis involved pooling effect estimates and using a narrative method. A narrative synthesis approach was employed in the synthesis of this review to assess and interpret the findings from the included studies qualitatively. The narrative synthesis involved a qualitative examination of the content of each study, focusing on identifying common themes. This synthesis was employed to categorise and interpret data, allowing for a nuanced understanding of the synthesis. Themes related to emotions were identified and extracted for synthesis. Control-value theory [ 20 ] was used as an overarching theory, providing a qualitative synthesis of the evidence and contributing to a deeper understanding of the research question. If the retrieved articles include populations other than medical, such as dental students or non-medical students, the synthesis will distinguish between them and summarise the findings of the medical students only, highlighting any differences or similarities.

The Control-Value Theory, formulated by Pekrun (2006), is a conceptual framework that illustrates the relationship between emotions and academic achievement through two fundamental assessments: control and value. Control pertains to the perceived ability of a learner to exert influence over their learning activities and the results they achieve. Value relates to a student’s significance to these actions and results. The theory suggests that students are prone to experiencing good feelings, such as satisfaction and pride when they possess a strong sense of control and importance towards their academic assignments. On the other hand, individuals are prone to encountering adverse emotions (such as fear and embarrassment) when they perceive a lack of control or worth in these particular occupations. These emotions subsequently impact students’ motivation, learning strategies, and, eventually, their academic achievement. The relevance of control-value theory in reviewing medical student emotions and their influence on academic performance is evident for various reasons. This theory offers a complete framework that facilitates comprehending the intricate connection between emotions and academic achievement. It considers positive and negative emotions, providing a comprehensive viewpoint on how emotions might influence learning and performance. The relevance of control and value notions is particularly significant for medical students due to their frequent exposure to high-stakes tests and difficult courses. Gaining insight into the students’ perception of their power over academic assignments and the importance they attach to their medical education might aid in identifying emotional stimuli and devising remedies. Multiple research has confirmed the theory’s assertions, showing the critical influence of control and value evaluations on students’ emotional experiences and academic achievements [ 21 , 22 ].

Data extraction

For this step, a data extraction sheet was developed using the data extraction template provided by the Cochrane Handbook. To ensure the review is evidence-based and bias-free, the Cochrane Handbook strongly suggests that more than one reviewer review the data. Therefore, the main researcher extracted the data from the included studies, and another reviewer checked the included, excluded and extracted data. Any disagreements were resolved via discussion by a third reviewer. The data extraction Table  2 identified all study features, including the author’s name, the year of publication, the method used the aim of the study, the number and description of participants, data collection tools, and study findings.

Finalisation of references and study characteristics

Prisma sheet and the summary of final studies that have been used for the review.

When the keywords and search terms related to emotions, as mentioned above, in the eight databases listed, 3,285,208 articles were retrieved. After using advanced search and subject headings, the number of articles increased to 3,352,371. Similarly, searching for the second keyword, ‘academic performance,’ using all the advanced search tools yielded 8,119,908 articles. Searching for the third keyword, ‘medical students’, yielded 145,757 articles. All terms were searched in article titles and abstracts. After that, the author combined all search terms by using ‘AND’ and applied the time limit from 2013 to 2023; the search narrowed to 2,570 articles. After duplicates, letters and commentary were excluded, the number was reduced to 1,637 articles. After reading the title and abstract to determine relevance to the topic and applying the exclusion and inclusion criteria mentioned above, 45 articles remained; after the quality of the retrieved literature was assessed by two reviewers, 17 articles were selected for the review. The PRISMA flow diagram summarising the same is presented in Fig.  1 . Additionally, One article by Ansari et al. (2018) was selected for the review; it met most inclusion and exclusion criteria except that the outcome measure is cognitive function and not academic performance. Therefore, it was excluded from the review. Figure  1 shows the Prisma flow diagram (2020) of studies identified from the databases.

Prisma flow diagram (2020)

Study characteristics

Table  2 , summarising the characteristics of the included studies, is presented below.

Findings of the study

Country of the study.

Many of the studies were conducted in developing countries, with the majority being conducted in Europe ( n  = 4), followed by Pakistan ( n  = 2), then Saudi Arabia ( n  = 2), and the United States ( n  = 2). The rest of the studies were conducted in South America ( n  = 1), Morocco ( n  = 1), Brazil ( n  = 1), Australia ( n  = 1), Iran ( n  = 1), South Korea ( n  = 1) and Bosnia and Herzegovina ( n  = 1). No included studies were conducted in the United Kingdom.

Study design

Regarding study design, most of the included articles used a quantitative methodology, including 12 cross-sectional studies. There were two randomised controlled trials, one descriptive correlation study, one cohort study, and only one mixed-method study.

Population and study setting

Regarding population and setting, most of the studies focused on all medical students studying in a medical school setting, from first-year medical students to those in their final year. One study compared medical students with non-medical students; another combined medical students with dental students.

The study aims varied across the included studies. Seven studies examined the prevalence of depression and anxiety among medical students and their relation to academic performance. Four studies examined the relationship between test anxiety and academic performance in medical education. Four studies examined the relationship between medical students’ emotions and academic achievements. One study explored the influence of shame on medical students’ learning.

Study quality

The studies were assessed for quality using tools created by the NIH (2013) and then divided into good, fair, and poor based on these results. Nine studies had a high-quality methodology, seven achieved fair ratings, and only three achieved poor ratings. The studies that were assigned the poor rating were mainly cross-sectional studies, and the areas of weakness were due to the study design, low response rate, inadequate reporting of the methodology and statistics, invalid tools, and unclear research goals.

Outcome measures

Most of the outcome measures were heterogenous and self-administered questionnaires; one study used focus groups and observation ward assessment [ 23 ]. All the studies used the medical students’ academic grades.

Results of the study

The prevalence rate of psychological distress in the retrieved articles.

Depression and anxiety are the most common forms of psychological distress examined concerning academic outcomes among medical students. Studies consistently show concerningly high rates, with prevalence estimates ranging from 7.3 to 66.4% for anxiety and 3.7–69% for depression. These findings indicate psychological distress levels characterised as moderate to high based on common cut-off thresholds have a clear detrimental impact on academic achievement [ 16 , 24 , 25 , 26 ].

The studies collectively examine the impact of psychological factors on academic performance in medical education contexts, using a range of effect sizes to quantify their findings. Aboalshamat et al. (2015) identified a small effect size ( η 2 = 0.018) for depression’s impact on academic performance, suggesting a modest influence. Mihailescu (2016) found a significant negative correlation between levels of depression/anxiety (rho=-0.14, rho=-0.19), academic performance and GPA among medical students. Burr and Beck Dallaghan (2019) reported professional efficacy explaining 31.3% of the variance in academic performance, indicating a significant effect size. However, Del-Ben (2013) et al. did not provide the significant impact of affective changes on academic achievement, suggesting trivial effect sizes for these factors.

In conclusion, anxiety and depression, both indicators of psychological discomfort, are common among medical students. There is a link between distress and poor academic performance results, implying that this relationship merits consideration. Table  3 below shows the specific value of depression and anxiety in retrieved articles.

Test anxiety

In this review, four studies examined the relationship between test anxiety and academic performance in medical education [ 27 , 28 , 29 , 30 ]. The studies found high rates of test anxiety among medical students, ranging from 52% [ 27 ] to as high as 81.1% [ 29 ]. Final-year students tend to experience the highest test anxiety [ 29 ].

Test anxiety has a significant negative correlation with academic performance measures and grade point average (GPA) [ 27 , 28 , 29 ]. Green et al. (2016) found that test anxiety was moderately negatively correlated with USMLE score ( r = − 0.24, p  = 0.00); high test anxiety was associated with low USMLE scores in the control group, further suggesting that anxiety can adversely affect performance. The findings that a test-taking strategy course reduced anxiety without improving test scores highlight the complex nature of anxiety’s impact on performance.

Nazir et al. (2021) found that excellent female medical students reported significantly lower test anxiety than those with low academic grades, with an odds ratio of 1.47, indicating that students with higher test anxiety are more likely to have lower academic grades. Kim’s (2016) research shows moderate correlations between test anxiety and negative achievement emotions such as anxiety and boredom, but interestingly, this anxiety does not significantly affect practical exam scores (OSCE) or GPAs. However, one study found that examination stress enhanced academic performance with a large effect size (W = 0.78), with stress levels at 47.4% among their sample, suggesting that a certain stress level before exams may be beneficial [ 30 ].

Three papers explored shame’s effect on medical students’ academic achievement [ 24 , 31 , 32 ]. Hayat et al. (2018) reported that academic feelings, like shame, significantly depend on the academic year. shame was found to have a slight negative and significant correlation with the academic achievement of learners ( r =-0.15). One study found that some medical students felt shame during simulations-based education examinations because they had made incorrect decisions, which decreased their self-esteem and motivation to learn. However, others who felt shame were motivated to study harder to avoid repeating the same mistakes [ 23 ].

Hautz (2017) study examined how shame affects medical students’ learning using a randomised controlled trial where researchers divided the students into two groups: one group performed a breast examination on mannequins and the other group on actual patients. The results showed that students who performed the clinical examination on actual patients experienced significantly higher levels of shame but performed better in examinations than in the mannequin group. In the final assessments on standardised patients, both groups performed equally well. Therefore, shame decreased with more clinical practice, but shame did not have significant statistics related to learning or performance. Similarly, Burr and Dallaghan (2019) reported that the shame level of medical students was (40%) but had no association with academic performance.

Academic performance, emotions and medical students

Three articles discussed medical students’ emotions and academic performance [ 23 , 24 , 32 ]. Burr and Dallaghan (2019) examine the relationship between academic success and emotions in medical students, such as pride, hope, worry, and shame. It emphasises the links between academic accomplishment and professional efficacy, as well as hope, pride, worry, and shame. Professional efficacy was the most significant factor linked to academic performance, explaining 31.3% of the variance. The importance of emotions on understanding, processing of data, recall of memories, and cognitive burden is emphasised throughout the research. To improve academic achievement, efforts should be made to increase student self-efficacy.

Hayat et al. (2018) found that positive emotions and intrinsic motivation are highly connected with academic achievement, although emotions fluctuate between educational levels but not between genders. The correlations between negative emotions and academic achievement, ranging from − 0.15 to -0.24 for different emotions, suggest small but statistically significant adverse effects.

Behren et al.‘s (2019) mixed-method study found that students felt various emotions during the simulation, focusing on positive emotions and moderate anxiety. However, no significant relationships were found between positive emotions and the student’s performance during the simulation [ 23 ].

This review aims to investigate the role of emotions in the academic performance of undergraduate medical students. Meta-analysis cannot be used because of the heterogeneity of the data collection tools and different research designs [ 33 ]. Therefore, narrative synthesis was adopted in this paper. The studies are grouped into four categories as follows: (1) The effect of depression and anxiety on academic performance, (2) Test anxiety and academic achievement, (3) Shame and academic performance, and (4) Academic performance, emotions and medical students. The control-value theory [ 20 ], will be used to interpret the findings.

The effect of depression and anxiety on academic performance

According to the retrieved research, depression and anxiety can have both a negative and a positive impact on the academic performance of medical students. Severe anxiety may impair memory function, decrease concentration, lead to a state of hypervigilance, interfere with judgment and cognitive function, and further affect academic performance [ 4 ]. Most of the good-quality retrieved articles found that anxiety and depression were associated with low academic performance [ 16 , 24 , 25 , 26 ]. Moreira (2018) and Mihailescu (2016) found that higher depression levels were associated with more failed courses and a lower GPA. However, they did not find any association between anxiety level and academic performance.

By contrast, some studies have suggested that experiencing some level of anxiety reinforces students’ motivation to improve their academic performance [ 16 , 34 ]. Zalihic et al. (2017) conducted a study to investigate anxiety sensitivity about academic success and noticed a positive relationship between anxiety level and high academic scores; they justified this because when medical students feel anxious, they tend to prepare and study more, and they desire to achieve better scores and fulfil social expectations. Similarly, another study found anxiety has a negative impact on academic performance when excessive and a positive effect when manageable, in which case it encourages medical students and motivates them to achieve higher scores [ 35 ].

In the broader literature, the impact of anxiety on academic performance has contradictory research findings. While some studies suggest that having some level of anxiety can boost students’ motivation to improve their academic performance, other research has shown that anxiety has a negative impact on their academic success [ 36 , 37 ]. In the cultural context, education and anxiety attitudes differ widely across cultures. High academic pressure and societal expectations might worsen anxiety in many East Asian societies. Education is highly valued in these societies, frequently leading to significant academic stress. This pressure encompasses attaining high academic marks and outperformance in competitive examinations. The academic demands exerted on students can result in heightened levels of anxiety. The apprehension of not meeting expectations can lead to considerable psychological distress and anxiety, which can appear in their physical and mental health and academic achievement [ 38 , 39 ].

Test anxiety and academic achievement

The majority of the studies reviewed confirm that test anxiety negatively affects academic performance [ 27 , 28 , 29 ]. Several studies have found a significant correlation between test anxiety and academic achievement, indicating that higher levels of test anxiety are associated with lower exam scores and lower academic performance [ 40 , 41 ]. For example, Green et al. (2016) RCT study found that test anxiety has a moderately significant negative correlation with the USMLE score. They found that medical students who took the test-taking strategy course had lower levels of test anxiety than the control group, and their test anxiety scores after the exam had improved from the baseline. Although their test anxiety improved after taking the course, there was no significant difference in the exam scores between students who had and had not taken the course. Therefore, the intervention they used was not effective. According to the control-value theory, this intervention can be improved if they design an emotionally effective learning environment, have a straightforward instructional design, foster self-regulation of negative emotions, and teach students emotion-oriented regulation [ 22 ].

Additionally, according to this theory, students who perceive exams as difficult are more likely to experience test anxiety because test anxiety results from a student’s negative appraisal of the task and outcome values, leading to a reduction in their performance. This aligns with Kim’s (2016) study, which found that students who believed that the OSCE was a problematic exam experienced test anxiety more than other students [ 9 , 22 , 42 ].

In the wider literature, a meta-analysis review by von der Embse (2018) found a medium significant negative correlation ( r =-0.24) between test anxiety and test performance in undergraduate educational settings [ 43 ] . Also, they found a small significant negative correlation ( r =-0.17) between test anxiety and GPA. This indicates that higher levels of test anxiety are associated with lower test performance. Moreover, Song et al. (2021) experimental study examined the effects of test anxiety on working memory capacity and found that test anxiety negatively correlated with academic performance [ 44 ]. Therefore, the evidence from Song’s study suggests a small but significant effect of anxiety on working memory capacity. However, another cross-sectional study revealed that test anxiety in medical students had no significant effect on exam performance [ 45 ]. The complexities of this relationship necessitate additional investigation. Since the retrieved articles are from different countries, it is critical to recognise the possible impact of cultural differences on the impact of test anxiety. Cultural factors such as different educational systems, assessment tools and societal expectations may lead to variances in test anxiety experience and expression across diverse communities [ 46 , 47 ]. Culture has a substantial impact on how test anxiety is expressed and evaluated. Research suggests that the degree and manifestations of test anxiety differ among different cultural settings, emphasising the importance of using culturally validated methods to evaluate test anxiety accurately. A study conducted by Lowe (2019) with Canadian and U.S. college students demonstrated cultural variations in the factors contributing to test anxiety. Canadian students exhibited elevated levels of physiological hyperarousal, but U.S. students had more pronounced cognitive interference. These variations indicate that the cultural environment has an influence on how students perceive and respond to test anxiety, resulting in differing effects on their academic performance in different cultures. Furthermore, scholars highlight the significance of carrying out meticulous instruments to assess test anxiety, which are comparable among diverse cultural cohorts. This technique guarantees that the explanations of test scores are reliable and can be compared across different populations. Hence, it is imperative to comprehend and tackle cultural disparities in order to create efficient interventions and assistance for students who encounter test anxiety in diverse cultural environments. Therefore, there is a need for further studies to examine the level of test anxiety and cultural context.

Shame and academic performance

The review examined three studies that discuss the impact of feelings of shame on academic performance [ 23 , 24 , 48 ]. Generally, shame is considered a negative emotion which involves self-reflection and self-evaluation, and it leads to rumination and self-condemnation [ 49 ]. Intimate examinations conducted by medical students can induce feelings of shame, affecting their ability to communicate with patients and their clinical decisions. Shame can increase the avoidance of intimate physical examinations and also encourage clinical practice [ 23 , 24 , 48 ].

One study found that some medical students felt shame during simulations-based education examinations because they had made incorrect decisions, which decreased their self-esteem and motivation to learn. However, others who felt shame were motivated to study harder to avoid repeating the same mistakes [ 23 ]. Shame decreased with more clinical practice, but shame did not affect their learning or performance [ 48 ]. The literature on how shame affects medical students’ learning is inconclusive [ 31 ].

In the broader literature, shame is considered maladaptive, leading to dysfunctional behaviour, encouraging withdrawal and avoidance of events and inhibiting social interaction. However, few studies have been conducted on shame in the medical field. Therefore, more research is needed to investigate the role of shame in medical students’ academic performance [ 49 ]. In the literature, there are several solutions that can be used to tackle the problem of shame in medical education; it is necessary to establish nurturing learning settings that encourage students to openly discuss their problems and mistakes without the worry of facing severe criticism. This can be accomplished by encouraging medical students to participate in reflective practice, facilitating the processing of their emotions, and enabling them to derive valuable insights from their experiences, all while avoiding excessive self-blame [ 50 ]. Offering robust mentorship and support mechanisms can assist students in effectively managing the difficulties associated with intimate examinations. Teaching staff have the ability to demonstrate proper behaviours and provide valuable feedback and effective mentoring [ 51 ]. Training and workshops that specifically target communication skills and the handling of sensitive situations can effectively equip students to handle intimate tests, hence decreasing the chances of them avoiding such examinations due to feelings of shame [ 52 ].

The literature review focused on three studies that examined the relationship between emotions and the academic achievements of medical students [ 23 , 24 , 32 ].

Behren et al. (2019) mixed-method study on the achievement emotions of medical students during simulations found that placing students in challenging clinical cases that they can handle raises positive emotions. Students perceived these challenges as a positive drive for learning and mild anxiety was considered beneficial. However, the study also found non-significant correlations between emotions and performance during the simulation, indicating a complex relationship between emotions and academic performance. The results revealed that feelings of frustration were perceived to reduce students’ interest and motivation for studying, hampered their decision-making process, and negatively affected their self-esteem, which is consistent with the academic achievement emotions literature where negative emotions are associated with poor intrinsic motivation and reduced the ability to learn [ 3 ].

The study also emphasises that mild anxiety can have positive effects, corroborated by Gregor (2005), which posits that moderate degrees of anxiety can improve performance. The author suggests that an ideal state of arousal (which may be experienced as anxiety) enhances performance. Mild anxiety is commonly seen as a type of psychological stimulation that readies the body for upcoming challenges, frequently referred to as a “fight or flight” response. Within the realm of academic performance, this state of heightened arousal can enhance concentration and optimise cognitive functions such as memory, problem-solving skills, and overall performance. However, once the ideal point is surpassed, any additional increase in arousal can result in a decline in performance [ 53 ]. This is additionally supported by Cassady and Johnson (2002), who discovered that a specific level of anxiety can motivate students to engage in more comprehensive preparation, hence enhancing their performance.

The reviewed research reveals a positive correlation between positive emotions and academic performance and a negative correlation between negative emotions and academic performance. These findings align with the control–value theory [ 8 , 22 ], which suggests that positive emotions facilitate learning through mediating factors, including cognitive learning strategies such as strategic thinking, critical thinking and problem-solving and metacognitive learning strategies such as monitoring, regulating, and planning students’ intrinsic and extrinsic motivation. Additionally, several studies found that extrinsic motivation from the educational environment and the application of cognitive and emotional strategies improve students’ ability to learn and, consequently, their academic performance [ 23 , 24 , 32 ]. By contrast, negative emotions negatively affect academic performance. This is because negative emotions reduce students’ motivation, concentration, and ability to process information [ 23 , 24 , 32 ].

Limitations of the study

This review aims to thoroughly investigate the relationship between emotions and academic performance in undergraduate medical students, but it has inherent limitations. Overall, the methodological quality of the retrieved studies is primarily good and fair. Poor-quality research was excluded from the synthesis. The good-quality papers demonstrated strengths in sampling techniques, data analysis, collection and reporting. However, most of the retrieved articles used cross-section studies, and the drawback of this is a need for a more causal relationship, which is a limitation in the design of cross-sectional studies. Furthermore, given the reliance on self-reported data, there were concerns about potential recall bias. These methodological difficulties were noted in most of the examined research. When contemplating the implications for practice and future study, the impact of these limitations on the validity of the data should be acknowledged.

The limitation of the review process and the inclusion criteria restricted the study to articles published from January 2013 to December 2023, potentially overlooking relevant research conducted beyond this timeframe. Additionally, the exclusive focus on undergraduate medical students may constrain the applicability of findings to other health fields or educational levels.

Moreover, excluding articles in non-English language and those not published in peer-reviewed journals introduces potential language and publication biases. Reliance on electronic databases and specific keywords may inadvertently omit studies using different terms or indexing. While the search strategy is meticulous, it might not cover every relevant study due to indexing and database coverage variations. However, the two assessors’ involvement in study screening, selection, data extraction, and quality assessment improved the robustness of the review and ensured that it included all the relevant research.

In conclusion, these limitations highlight the need for careful interpretation of the study’s findings and stress the importance of future research addressing these constraints to offer a more comprehensive understanding of the nuanced relationship between emotions and academic performance in undergraduate medical education.

Conclusion and future research

The review exposes the widespread prevalence of depression, anxiety and test anxiety within the medical student population. The impact on academic performance is intricate, showcasing evidence of adverse and favourable relationships. Addressing the mental health challenges of medical students necessitates tailored interventions for enhancing mental well-being in medical education. Furthermore, it is crucial to create practical strategies considering the complex elements of overcoming test anxiety. Future research should prioritise the advancement of anxiety reduction strategies to enhance academic performance, focusing on the control-value theory’s emphasis on creating an emotionally supportive learning environment. Additionally, Test anxiety is very common among medical students, but the literature has not conclusively determined its actual effect on academic performance. Therefore, there is a clear need for a study that examines the relationship between test anxiety and academic performance. Moreover, the retrieved literature did not provide effective solutions for managing test anxiety. This gap highlights the need for practical solutions informed by Pekrun’s Control-Value Theory. Ideally, a longitudinal study measuring test anxiety and exam scores over time would be the most appropriate approach. it is also necessary to explore cultural differences to develop more effective solutions and support systems tailored to specific cultural contexts.

The impact of shame on academic performance in medical students was inconclusive. Shame is a negative emotion that has an intricate influence on learning outcomes. The inadequacy of current literature emphasises the imperative for additional research to unravel the nuanced role of shame in the academic journeys of medical students.

Overall, emotions play a crucial role in shaping students’ academic performance, and research has attempted to find solutions to improve medical students’ learning experiences; thus, it is recommended that medical schools revise their curricula and consider using simulation-based learning in their instructional designs to enhance learning and improve students’ emotions. Also, studies have suggested using academic coaching to help students achieve their goals, change their learning styles, and apply self-testing and simple rehearsal of the material. Moreover, the study recommended to improve medical students’ critical thinking and autonomy and changing teaching styles to support students better.

Data availability

all included articles are mentioned in the manuscript, The quality assessment of included articles are located in the supplementary materials file no. 1.

Weurlander M, Lonn A, Seeberger A, Hult H, Thornberg R, Wernerson A. Emotional challenges of medical students generate feelings of uncertainty. Med Educ. 2019;53(10):1037–48.

Article   Google Scholar  

Boekaerts M, Pekrun R. Emotions and emotion regulation in academic settings. Handbook of educational psychology: Routledge; 2015. pp. 90–104.

Google Scholar  

Camacho-Morles J, Slemp GR, Pekrun R, Loderer K, Hou H, Oades LG. Activity achievement emotions and academic performance: a meta-analysis. Educational Psychol Rev. 2021;33(3):1051–95.

Aboalshamat K, Hou X-Y, Strodl E. Psychological well-being status among medical and dental students in Makkah, Saudi Arabia: a cross-sectional study. Med Teach. 2015;37(Suppl 1):S75–81.

Mirghni HO, Ahmed Elnour MA. The perceived stress and approach to learning effects on academic performance among Sudanese medical students. Electron Physician. 2017;9(4):4072–6.

Baessler F, Zafar A, Schweizer S, Ciprianidis A, Sander A, Preussler S, et al. Are we preparing future doctors to deal with emotionally challenging situations? Analysis of a medical curriculum. Patient Educ Couns. 2019;102(7):1304–12.

Rowe AD, Fitness J. Understanding the role of negative emotions in Adult Learning and Achievement: a Social Functional Perspective. Behav Sci (Basel). 2018;8(2).

Pekrun R, Frenzel AC, Goetz T, Perry RP. The control-value theory of achievement emotions: An integrative approach to emotions in education. Emotion in education: Elsevier; 2007. pp. 13–36.

Zeidner M. Test anxiety: The state of the art. 1998.

Cassady JC, Johnson RE. Cognitive test anxiety and academic performance. Contemp Educ Psychol. 2002;27(2):270–95.

Tangney JP, Dearing RL. Shame and guilt: Guilford Press; 2003.

Fang J, Brown GT, Hamilton R. Changes in Chinese students’ academic emotions after examinations: pride in success, shame in failure, and self-loathing in comparison. Br J Educ Psychol. 2023;93(1):245–61.

York TT, Gibson C, Rankin S. Defining and measuring academic success. Practical Assess Res Evaluation. 2019;20(1):5.

Abdulghani HM, Irshad M, Al Zunitan MA, Al Sulihem AA, Al Dehaim MA, Al Esefir WA, et al. Prevalence of stress in junior doctors during their internship training: a cross-sectional study of three Saudi medical colleges’ hospitals. Neuropsychiatr Dis Treat. 2014;10:1879–86.

Moreira de Sousa J, Moreira CA, Telles-Correia D, Anxiety. Depression and academic performance: a Study Amongst Portuguese Medical Students Versus non-medical students. Acta Med Port. 2018;31(9):454–62.

Junaid MA, Auf AI, Shaikh K, Khan N, Abdelrahim SA. Correlation between academic performance and anxiety in Medical students of Majmaah University - KSA. JPMA J Pakistan Med Association. 2020;70(5):865–8.

MihĂIlescu AI, Diaconescu LV, Donisan T, Ciobanu AM, THE INFLUENCE OF EMOTIONAL, DISTRESS ON THE ACADEMIC PERFORMANCE IN UNDERGRADUATE MEDICAL STUDENTS. Romanian J Child Adolesc Psychiatry. 2016;4(1/2):27–40.

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372.

Hahn H, Kropp P, Kirschstein T, Rücker G, Müller-Hilke B. Test anxiety in medical school is unrelated to academic performance but correlates with an effort/reward imbalance. PLoS ONE. 2017;12(2):1–13.

Pekrun R. The control-value theory of achievement emotions: assumptions, corollaries, and Implications for Educational Research and Practice. Educational Psychol Rev. 2006;18(4):315–41.

Graesser AC. Emotions are the experiential glue of learning environments in the 21st century. Learn Instruction. 2019.

Pekrun R, Perry RP. Control-value theory of achievement emotions. International handbook of emotions in education: Routledge; 2014. pp. 120 – 41.

Behrens CC, Dolmans DH, Gormley GJ, Driessen EW. Exploring undergraduate students achievement emotions during ward round simulation: a mixed-method study. BMC Med Educ. 2019;19(1):316.

Burr J, Beck-Dallaghan GL. The relationship of emotions and Burnout to Medical Students’ academic performance. Teach Learn Med. 2019;31(5):479–86.

Zalihić A, Mešukić S, Sušac B, Knezović K, Martinac M. Anxiety sensitivity as a predictor of academic success of medical students at the University of Mostar. Psychiatria Danubina. 2017;29(Suppl 4):851–4.

Del-Ben CM, Machado VF, Madisson MM, Resende TL, Valério FP, Troncon LEDA. Relationship between academic performance and affective changes during the first year at medical school. Med Teach. 2013;35(5):404–10.

Nazir MA, Izhar F, Talal A, Sohail ZB, Majeed A, Almas K. A quantitative study of test anxiety and its influencing factors among medical and dental students. J Taibah Univ Med Sci. 2021;16(2):253–9.

Green M, Angoff N, Encandela J. Test anxiety and United States Medical Licensing Examination scores. Clin Teacher. 2016;13(2):142–6.

Ben Loubir D, Serhier Z, Diouny S, Battas O, Agoub M, Bennani Othmani M. Prevalence of stress in Casablanca medical students: a cross-sectional study. Pan Afr Med J. 2014;19:149.

Kausar U, Haider SI, Mughal IA, Noor MSA, Stress levels; stress levels of final year mbbs students and its effect on their academic performance. Prof Med J. 2018;25(6):932–6.

Hautz WE, Schröder T, Dannenberg KA, März M, Hölzer H, Ahlers O, et al. Shame in Medical Education: a randomized study of the Acquisition of intimate Examination skills and its effect on subsequent performance. Teach Learn Med. 2017;29(2):196–206.

Hayat AA, Salehi A, Kojuri J. Medical student’s academic performance: the role of academic emotions and motivation. J Adv Med Educ Professionalism. 2018;6(4):168–75.

Deeks JJ, Riley RD, Higgins JP. Combining Results Using Meta-Analysis. Systematic Reviews in Health Research: Meta‐Analysis in Context. 2022:159 – 84.

Aboalshamat K, Hou X-Y, Strodl E. The impact of a self-development coaching programme on medical and dental students’ psychological health and academic performance: a randomised controlled trial. BMC Med Educ. 2015;15:134.

Jamil H, Alakkari M, Al-Mahini MS, Alsayid M, Al Jandali O. The impact of anxiety and depression on academic performance: a cross-sectional study among medical students in Syria. Avicenna J Med. 2022;12(03):111–9.

Mirawdali S, Morrissey H, Ball P. Academic anxiety and its effects on academic performance. 2018.

Al-Qaisy LM. The relation of depression and anxiety in academic achievement among group of university students. Int J Psychol Couns. 2011;3(5):96–100.

Cheng DR, Poon F, Nguyen TT, Woodman RJ, Parker JD. Stigma and perception of psychological distress and depression in Australian-trained medical students: results from an inter-state medical school survey. Psychiatry Res. 2013;209(3):684–90.

Lee M, Larson R. The Korean ‘examination hell’: long hours of studying, distress, and depression. J Youth Adolesc. 2000;29(2):249–71.

Ali SK. 861 – Social phobia among medical students. Eur Psychiatry. 2013;28:1.

Bonna AS, Sarwar M, Md Nasrullah A, Bin Razzak S, Chowdhury KS, Rahman SR. Exam anxiety among medical students in Dhaka City and its Associated Factors-A cross-sectional study. Asian J Med Health. 2022;20(11):20–30.

Kim K-J. Factors associated with medical student test anxiety in objective structured clinical examinations: a preliminary study. Int J Med Educ. 2016;7:424–7.

Von der Embse N, Jester D, Roy D, Post J. Test anxiety effects, predictors, and correlates: a 30-year meta-analytic review. J Affect Disord. 2018;227:483–93.

Song J, Chang L, Zhou R. Test anxiety impairs filtering ability in visual working memory: evidence from event-related potentials. J Affect Disord. 2021;292:700–7.

Theobald M, Breitwieser J, Brod G. Test anxiety does not predict exam performance when knowledge is controlled for: strong evidence against the interference hypothesis of test anxiety. Psychol Sci. 2022;33(12):2073–83.

Lowe PA. Examination of test anxiety in samples of Australian and US Higher Education Students. High Educ Stud. 2019;9(4):33–43.

Kavanagh BE, Ziino SA, Mesagno C. A comparative investigation of test anxiety, coping strategies and perfectionism between Australian and United States students. North Am J Psychol. 2016;18(3).

Mihăilescu AI, Diaconescu LV, Ciobanu AM, Donisan T, Mihailescu C. The impact of anxiety and depression on academic performance in undergraduate medical students. Eur Psychiatry. 2016;33:S341–2.

Terrizzi JA Jr, Shook NJ. On the origin of shame: does shame emerge from an evolved disease-avoidance architecture? Front Behav Neurosci. 2020;14:19.

Epstein RM. Mindful practice. JAMA. 1999;282(9):833–9.

Hauer KE, Teherani A, Dechet A, Aagaard EM. Medical students’ perceptions of mentoring: a focus-group analysis. Med Teach. 2005;27(8):732–4.

Kalet A, Pugnaire MP, Cole-Kelly K, Janicik R, Ferrara E, Schwartz MD, et al. Teaching communication in clinical clerkships: models from the macy initiative in health communications. Acad Med. 2004;79(6):511–20.

Gregor A. Examination anxiety: live with it, control it or make it work for you? School Psychol Int. 2005;26(5):617–35.

Download references

Acknowledgements

I would like to thank Lancaster university library for helping me to search the literature and to find the appropriate databases and thanks to Lancaster university to prove access to several softwares.

No funding.

Author information

Authors and affiliations.

King Abdulaziz University, Jeddah, Saudi Arabia

Nora Alshareef

Lancaster University, Lancaster, UK

Nora Alshareef, Ian Fletcher & Sabir Giga

You can also search for this author in PubMed   Google Scholar

Contributions

NA made substantial contributions throughout the systematic review process and was actively involved in writing and revising the manuscript. NA’s responsible for the design of the study, through the acquisition, analysis, and interpretation of data, to the drafting and substantive revision of the manuscript. NA has approved the submitted version and is personally accountable for her contributions, ensuring the accuracy and integrity of the work. IF was instrumental in screening the literature, extracting data, and conducting the quality assessment of the included studies. Additionally, IF played a crucial role in revising the results and discussion sections of the manuscript, ensuring that the interpretation of data was both accurate and insightful. IF has approved the submitted version and has agreed to be personally accountable for his contributions, particularly in terms of the accuracy and integrity of the parts of the work he was directly involved in. SG contributed significantly to the selection of papers and data extraction, demonstrating critical expertise in resolving disagreements among authors. SG’s involvement was crucial in revising the entire content of the manuscript, enhancing its coherence and alignment with the study’s objectives. SG has also approved the submitted version and is personally accountable for his contributions, committed to upholding the integrity of the entire work.

Corresponding author

Correspondence to Nora Alshareef .

Ethics declarations

Ethics approval and consent to participate.

Not applicable.

Consent for publication

Consent of publication was obtained from the other authors.

Competing interests

The authors declare no competing interests.

Additional information

Publisher’s note.

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary Material 1

Rights and permissions.

Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/ .

Reprints and permissions

About this article

Cite this article.

Alshareef, N., Fletcher, I. & Giga, S. The role of emotions in academic performance of undergraduate medical students: a narrative review. BMC Med Educ 24 , 907 (2024). https://doi.org/10.1186/s12909-024-05894-1

Download citation

Received : 08 March 2024

Accepted : 12 August 2024

Published : 23 August 2024

DOI : https://doi.org/10.1186/s12909-024-05894-1

Share this article

Anyone you share the following link with will be able to read this content:

Sorry, a shareable link is not currently available for this article.

Provided by the Springer Nature SharedIt content-sharing initiative

• Medical students
• Academic performance

BMC Medical Education

ISSN: 1472-6920

• General enquiries: [email protected]