en آموزش پزشکی Medical Education پژوهشي اصیل Orginal Research <span style="line-height:2;"><span style="font-family:Times New Roman;"><span style="font-size:16px;"><span style="background:white"><strong><span style="color:black">Background & Objective:</span></strong> <span style="color:#0f1115">Cognitive distortions are maladaptive thinking patterns that may impair learning, academic performance, and emotional well-being. Medical students are particularly vulnerable due to high academic pressure. Evidence on their prevalence and academic impact remains limited. This study aimed to assess the correlation between cognitive distortions and the academic success of medical students using the previous year&#39;s professional exam results.</span></span><br> <span style="background:white"><b><span style="color:#0f1115">Materials & Methods:</span></b><span style="color:#0f1115">&nbsp;This cross-sectional study was conducted among 242 MBBS students and recent graduates using the 25-item Cognitive Distortions Scale related to Academic Achievement (CDS-AA). The internal consistency of the scale was assessed using Cronbach&#39;s alpha. To examine associations with academic performance, we employed Pearson correlation and multiple regression analyses, using the participants&#39; previous professional examination scores as the outcome variable. </span></span><br> <span style="background:white"><b><span style="color:#0f1115">Results:</span></b><span style="color:#0f1115">&nbsp;The mean CDS-AA score was 81.51 (SD = 11.87); 16% showed high distortion levels. Total CDS-AA scores were negatively correlated with previous professional examination score (%) (r = &minus;0.417, p < 0.001). Catastrophizing was independently associated with lower previous professional examination score (%) (B = &minus;0.441, p = 0.003).</span></span><br> <span style="background:white"><b><span style="color:#0f1115">Conclusion:</span></b><span style="color:#0f1115">&nbsp;Cognitive distortions, particularly catastrophizing, are associated with poorer academic achievement among medical students. Early identification of cognitive distortions and academic counselling are needed to support student well-being and academic performance.</span></span></span></span></span><br> &nbsp; students, medical, cognition, catastrophization, academic performance, cross-sectional studies, psychometrics 0 0 http://edujournal.zums.ac.ir/browse.php?a_code=A-12-3624-1&slc_lang=en&sid=1 Muhammad Rahman muhammadrahman4117@gmail.com 5300319475328460037924 5300319475328460037924 Yes Wah Medical College (NUMS), Wah Cantt, Pakistan Nabiha Asif itsnabiha786@gmail.com 5300319475328460037925 5300319475328460037925 No Sahara Medical College (UHS), Narowal Sumera Gul sumeragul@gmail.coim 5300319475328460037926 5300319475328460037926 No Department of physiology, Wah medical college (NUMS), Wah cantt