의과대학생의 우울 및 불안의 종단적 변화와 예측요인
Predictors and Longitudinal Changes of Depression and Anxiety among Medical College Students
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Purpose: This longitudinal study was designed to examine the change in depression and anxiety and their predictors over 1 year among premedical and medical students. We compared depression and anxiety from 2 waves and determined the predictive power of personality, narcissism, social comparison, and social reward value on them. Methods: Two hundred twenty-six students at a medical school in Seoul were divided into 4 groups according to academic year and completed a questionnaire at the end of 2010 and 2011. The questionnaire included the Zung Depression Scale; Zung Anxiety Scale; scales for social comparison, narcissism, and social reward value; and Neuroticism-Extraversion-Openness Personality Inventory. Results: Among first- and second-year medical students, depression and anxiety increased significantly over the previous year. However, irrespective of academic year, depression increased significantly after 1 year. Also, social reward value had a moderating effect. Specifically, among students with low social reward value who entered their first year of medical school, the negative impact of the tendency toward depression and anxiety was amplified compared with older students. Conclusion: Because the predictors of mental health differ between groups, each group must receive specific, appropriate education. Also, because social reward value is important moderating factor of mental health, education and intervention programs that focus on social reward value are needed.
Abstract
Purpose: This longitudinal study was designed to examine the change in depression and anxiety and their predictors over 1 year among premedical and medical students. We compared depression and anxiety from 2 waves and determined the predictive power of personality, narcissism, social comparison, and social reward value on them. Methods: Two hundred twenty-six students at a medical school in Seoul were divided into 4 groups according to academic year and completed a questionnaire at the end of 2010 and 2011. The questionnaire included the Zung Depression Scale; Zung Anxiety Scale; scales for social comparison, narcissism, and social reward value; and Neuroticism-Extraversion-Openness Personality Inventory. Results: Among first- and second-year medical students, depression and anxiety increased significantly over the previous year. However, irrespective of academic year, depression increased significantly after 1 year. Also, social reward value had a moderating effect. Specifically, among students with low social reward value who entered their first year of medical school, the negative impact of the tendency toward depression and anxiety was amplified compared with older students. Conclusion: Because the predictors of mental health differ between groups, each group must receive specific, appropriate education. Also, because social reward value is important moderating factor of mental health, education and intervention programs that focus on social reward value are needed.
참고문헌 (21)
- Roh MS, "Factors influencing treatment for depression among medical students: a nationwide sample in South Korea", Med Educ, 43, pp.133~139 (2009)
- Ham BJ, "The current condition of mental health and interventional management among Korean medical students", Paper presented at: the 21st Symposium for Medical Education (2007)
- 조맹제, "한국 주요정신장애의 유병률 및 관련요인：2006 전국정신질환역학조사", 신경정신의학, 48(3), pp.143~152 (2009), 대한신경정신의학회
- 이금호, "의과대학생의 정신건강과 스트레스 대처방식", Korean Journal of Medical Education, 24(1), pp.55~63 (2012), 한국의학교육학회
- Schwenk TL, "Depression, stigma, and suicidal ideation in medical students", JAMA, 304, pp.1181~1190 (2010)
- Chandavarkar U, "Anxiety symptoms and perceived performance in medical students", Depress Anxiety, 24, pp.103~111 (2007)
- Roh MS, "The prevalence and impact of depression among medical students: a nationwide cross-sectional study in South Korea", Acad Med, 85, pp.1384~1390 (2010)
- Aktekin M, "Anxiety, depression and stressful life events among medical students: a prospective study in Antalya, Turkey", Med Educ, 35, pp.12~17 (2001)
- Lievens F, "Medical students' personality characteristics and academic performance: a five-factor model perspective", Med Educ, 36, pp.1050~1056 (2002)
- Magalhães E, "Empathy of medical students and personality: evidence from the five-factor model", Med Teach, 34, pp.807~812 (2012)
- Miller A, "Depression and grandiosity as related forms of narcissistic disturbances", Int Rev Psychoanal, 6, pp.61~76 (1979)
- 김진희, "의과대학생들의 정신건강 및 이들의 자존감 유지전략이 정신건강에 미치는 영향", Korean Journal of Medical Education, 23(4), pp.295~304 (2011), 한국의학교육학회
- Hojat M, "The devil is in the third year: a longitudinal study of erosion of empathy in medical school", Acad Med, 84, pp.1182~1191 (2009)
- Lee JH, "Development of the Korean form of Zung's self-rating depression scale", Yeungnam Univ J Med, 12, pp.292~305 (1995)
- Lee JH, "Development of the Korean form of Zung's self-rating anxiety scale", Yeungnam Univ J Med, 13, pp.279~294 (1996)
- Goldberg LR, "A-broad-bandwidth, public-domain, personality inventory measuring the lower-level facets of several five-factor models", Personal Psychol Eur, 7, pp.7~28 (1999)
- "IPIP Korean traslation" (2009)[URL]
- Hwang ST, "Development of diagnostic criteria for personality disorder", pp.1995
- 박세란, "외현적·내현적 자기애의 자기평가와 정서 특성", 한국심리학회지 임상, 24(2), pp.255~266 (2005), 한국임상심리학회
- Jang EY, "Effects of social comparison motive and fulfillment level upon choice of comparison target and emotion", pp.2004
- 김정숙, "중학생의 직업가치에 관한 연구", 한국청소년연구, 17(1), pp.79~102 (2006), 한국청소년정책연구원