Resilience, stress, and coping among Canadian medical students

Resilience, stress, and coping among Canadian medical students
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加拿大医学生的适应力、压力和应对方式

DOI:
10.36834/cmej.36689
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发表时间:
2014
影响因子:
--
通讯作者:
L. Balbuena
L. Balbuena
中科院分区:
--
文献类型:
--
作者:
B. Rahimi;M. Baetz;R. Bowen;L. Balbuena

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背景 大量研究表明,医学院是一个充满压力的地方,但应对方式和适应力尚未作为保护因素得到充分重视。方法 采用横断面设计,使用康纳-戴维森弹性量表、感知压力量表和加拿大社区健康调查应对量表对 155 名学生进行了调查。使用 t 检验按性别以及我们的样本分数和标准分数之间的平均分数进行比较。进行多元线性回归来检查压力水平是否与应对和复原力相关。结果 与一般人群中年龄和性别匹配的同龄人相比,医学生的感知压力、消极应对能力和恢复能力较低。男医学生比一般同龄人有更高的积极应对分数,比女医学生有更高的适应力和更低的感知压力。在我们的样本中,应对分数并没有因性别而异。多变量模型表明,复原力和消极应对(而非积极应对)可以预测压力。结论 与同龄人相比,医学生既没有更强的适应能力,也没有更好的应对技能。建议医学实习生更加重视自我保健。强调医疗培训期间自我保健的重要性,无论是通过正式纳入课程还是非正式指导,都值得进一步研究。
Background Numerous studies have established that medical school is a stressful place but coping styles and resilience have not been adequately addressed as protective factors. Method Using a cross-sectional design, 155 students were surveyed using the Connor-Davidson Resilience Scale, Perceived Stress Scale, and the Canadian Community Health Survey Coping Scale. Mean scores were compared by gender and between our sample and normative scores using t-tests. Multivariate linear regression was performed to examine whether stress levels were related to coping and resilience. Results Medical students had higher perceived stress, negative coping, and lower resilience than age and gender-matched peers in the general population. Male medical students had higher positive coping scores than general population peers and higher resilience, and lower perceived stress than female medical students. Coping scores did not vary by gender in our sample. The multivariate model showed that resilience and negative, but not positive coping, predicted stress. Conclusions Medical students are neither more resilient nor better equipped with coping skills than peers in the population. Greater emphasis on self-care among medical trainees is recommended. Emphasizing the importance of self-care during medical training, whether by formal incorporation into the curriculum or informal mentorship, deserves further study.
DOI: 10.1002/jts.20271
发表时间: 2007-12-01
影响因子: 3.3
作者:
Campbell-Sills, Laura;Stein, Murray B.
通讯作者: Stein, Murray B.
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
发表时间: 1992
期刊: Alcoholism, clinical and experimental research
影响因子: --
作者:
Richman,JA
通讯作者: Richman,JA