일 대학교 의과대학생과 의학전문대학원생의 심리적 특성 비교
The Comparison of Psychological Characteristics Between Undergraduate and Graduate Medical Students
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의대생과 의전원생 간에 유의한 심리학적 차이가 있었다. 이러한 차이는 남자 집단 간의 비교에서 두드러졌으나 여자집단 간 비교에서는 차이를 나타내지 않았다. 전반적으로 의대생에 비해 의전원생이 정신병리에 대한 점수가 더 낮고, 심리적인 문제가 적은 경향을 나타냈다. 세부 항목에서는 남자 의대생이 남자 의전원생에 비해 우울증, 내향성, 강박증 경향이 더욱 높게 나타났다. 이러한 자료는 변화된 제도 하에 입학하게 된 의전원생의 심리적 특성을 파악하여 의전원 교육과정 및 학생 생활지도를 발전시키는데 있어 주요한 참고자료로 활용할 수 있을 것이다. 또한, 향후 보완 연구를 통해 보다 정확히 의대생과 의전원생의 심리적 특성 차이를 규명하여야 할 필요가 있다.
Abstract
Objectives: The conversion of medical colleges into medical schools has been attempted by the Korean government since 2005. The aim of this study was to compare psychological characteristics of undergraduate and graduate medical students before and after changes in the medical educational system. Methods: Four hundred-and-twenty-eight medical students participated in this study；247 were undergraduates and 181 were graduate students. The participants completed psychological assessments including the Minnesota Multiphasic Personality Inventory (MMPI), the Symptom Checklist-90-Revision (SCL-90-R), the Beck Depression Inventory (BDI), and the Alexithymia Scale. Results: Overall, undergraduate medical students demonstrated significantly higher scores than the graduate medical student on three of MMPI subscales (F, depression, and social introversion) and two of SCL-90-R subscales (somatization and obsessive-compulsive). When comparing the four groups (male undergraduate, female undergraduate, male graduate, female graduate) using analysis of covariance and controlling for age as a covariate, there were significant differences between male graduate and male undergraduate medical students in the same subscales except somatization, whereas there were no significant differences between female groups. Conclusion: These findings suggest that male graduate medical students may have better mental health states and less psychological problems than undergraduate medical students even after controlling for age. However, these differences were not found between female groups. Although every score of all items was within normal range regardless of group, distinctive differences between male graduate and undergraduate students were revealed for some psychological profiles such as depression, social introversion, and obsessive-compulsive traits.
참고문헌 (19)
- Tyssen R, "Suicidal ideation among medical students and young physicians: a nationwide and prospective study of prevalence and predictors", J Affect Disord, 64, pp.69~79 (2001)
- Tyssen R, "Factors in medical school that predict postgraduate mental health problems in need of treatment: a nationwide and longitudinal study", Med Educ, 35, pp.110~120 (2001)
- Bramness JG, "Effect of medical school stress on the mental health of medical students in early and late clinical curriculum", Acta Psychiatr Scand, 84, pp.340~345 (1991)
- Richman JA, "Gender differences in medical student distress: contributions of prior socialization and current role-related stress", Soc Sci Med, 30, pp.777~787 (1990)
- 이상진, "충북대학교 의과대학생과 의학전문대학원생 간의 1학년 학업성취도 비교", 한국의학교육, 19(1), pp.73~81 (2007), 한국의학교육학회
- 김민강, "의과대학과 의학전문대학원 학생들의 진로선택동기 및 도덕판단력 비교", 한국의학교육, 19(2), pp.91~99 (2007), 한국의학교육학회
- 한재진, "의과대학과 의학전문대학원 신입생의 배경 및 특성 비교 - 일개대학 사례 -", 한국의학교육, 20(1), pp.11~21 (2008), 한국의학교육학회
- Kim YH, "Manual for MMPI", pp.4~11 (1989), Korean Guidance
- Derogatis LR, "The SCL-90 and the MMPI: a step in the validation of a new self-report scale", Br J Psychiatry, 128, pp.280~289 (1976)
- Kim KI, "Korean manual of Symptom Checklist-90-Revision" (1984), Jungang Juksung Publisher
- Hahn HM, "A standardization study of Beck depression inventory in Korea", J Korean Neuropsychiatr Assoc, 25, pp.487~500 (1986)
- Lee YH, "Development and validation of a Korean version of the 20-item Toronto Alexithymia Scale(TAS-20K)", J Korean Neuropsychiatr Assoc, 35, pp.888~899 (1996)
- Kim JK, "The MMPI", pp.39~120 (2003), Seoul National University Press
- 연세의대 편입생 및 복수 전공학생의 학교생활 적응, "민성길", 연세대학교, ~ (1999)
- Lloyd C, "Sex differences in medical students requesting psychiatric intervention", J Nerv Ment Dis, 171, pp.535~545 (1983)
- Mattila AK, "Age is strongly associated with alexithymia in the general population", J Psychosom Res, 61, pp.629~635 (2006)
- Salminen JK, "Prevalence of alexithymia and its association with sociodemographic variables in the general population of Finland", J Psychosom Res, 46, pp.75~82 (1999)
- Honkalampi K, "Depression is strongly associated with alexithymia in the general population", J Psychosom Res, 48, pp.99~104 (2000)
- Modestin J, "Study on alexithymia in adult non-patients", J Psychosom Res, 56, pp.707~709 (2004)