Occupational stress, psychological vulnerability and alcohol-related problems over time in future physicians.
Occupational stress, psychological vulnerability and alcohol-related problems over time in future physicians.
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随着时间的推移，未来医生会出现职业压力、心理脆弱性和酒精相关问题。
DOI：
10.1111/j.1530-0277.1992.tb01360.x
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发表时间：
1992
期刊：
影响因子：
--
通讯作者：
Richman,JA
中科院分区：
文献类型：
--
作者：
Richman,JA
本文阐述了对未来男性和女性医生的酒精问题进行的一项纵向研究的概念框架和主要结果。在医学院入学时、第二年和第三年对一名医学生进行队列调查。相对于一生的发展取向，相当大比例的医学院前问题饮酒者在进入职业培训角色后“成熟”了他们早期的模式。相对于职业选择和压力观点，医学院问题饮酒者被平均分配到那些在开始训练之前表现出症状的人和那些在医学训练期间表现出症状的人。总体而言，男性和女性的问题饮酒在临床前几年都有所下降(与医学院前的水平形成对比)，但在开始临床培训后呈现出扭转先前下降趋势的趋势。临床训练期间酒精滥用的主要心理社会预测因素包括社会关系缺陷或自恋人格风格。此外，这种关系是由社会支持不足和与患者护理相关的压力源调节的。这一队列目前正在医学院的最后一年重新调查，并将在住院医师培训期间再次进行调查。
This paper elaborates the conceptual frameworks and major results to date from an ongoing longitudinal study of alcohol problems in male and female future physicians. A medical student cohort was surveyed at medical school entrance and in the 2nd and 3rd years of training. Relative to life span developmental orientations, a sizable proportion of premedical school problem drinkers “matured out” of their earlier patterns after entrance into occupational training roles. Relative to occupational selection versus stress perspectives, medical school problem drinkers were equally divided between those manifesting onset prior to the initiation of training versus those manifesting onset during medical training. Overall, both male and female problem drinking declined during the preclinical years (in contrast to premedical school levels) but manifested a trend in the direction of a reversal of the previous decline after the initiation of clinical training. The major psychosocial predictor of alcohol abuse during clinical training involved social‐relational deficits or narcissistic personality styles. Moreover, this relationship was mediated by social support deficits and patient care‐related stressors. This cohort is currently being re‐surveyed in the last year of medical school and will be followed again during residency training.
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DOI：
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发表时间：
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期刊：
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DOI：
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DOI：
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发表时间：
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期刊：
Journal of studies on alcohol
影响因子：
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