의과대학생의 정신건강과 스트레스 대처방식
Mental Health and Coping Strategies among Medical Students
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초록
Purpose: Recently, concern of the college students' mental health has increased due to their continuous psychologic problems such as suicidal attempt. This study aimed to examine the correlation among depression, stress, self-esteem, and coping strategies of the medical students and also according to the academic year. Methods: The subject was 384 medical students of K medical school in Korea. Self-rating depression scale, stress scale, self-esteem scale was used for the survey, and academic stress and coping strategies of the students were asked. Frequency analysis, one-way ANOVA, t-test, correlation analysis was carried out. Results: Third year students were under most stress (F=5.67, p=0.000) and had the most students who were moderately (22.9%)and mildly depressed (6.3%). Stress form academic studies and grade was also the highest in third year students. For English fluency,freshmen students scored the top. Academic career stress and school culture stress were higher for year 3, 4, 5, 6 than year 1,2 students. Differences of the coping strategies by academic year was significant in emotional display. Students who showed high level of depression and stress, also students with low self-esteem used emotional display as their major coping strategy. Conclusion: Depending on their academic year medical students' level of depression and stress was different, and they did not use a variety of coping strategies. Therefore, a program which can give a diverse access to variety of coping strategies to relieve students' stress should be developed taking their characteristics of academic year into consideration.
Abstract
Purpose: Recently, concern of the college students' mental health has increased due to their continuous psychologic problems such as suicidal attempt. This study aimed to examine the correlation among depression, stress, self-esteem, and coping strategies of the medical students and also according to the academic year. Methods: The subject was 384 medical students of K medical school in Korea. Self-rating depression scale, stress scale, self-esteem scale was used for the survey, and academic stress and coping strategies of the students were asked. Frequency analysis, one-way ANOVA, t-test, correlation analysis was carried out. Results: Third year students were under most stress (F=5.67, p=0.000) and had the most students who were moderately (22.9%)and mildly depressed (6.3%). Stress form academic studies and grade was also the highest in third year students. For English fluency,freshmen students scored the top. Academic career stress and school culture stress were higher for year 3, 4, 5, 6 than year 1,2 students. Differences of the coping strategies by academic year was significant in emotional display. Students who showed high level of depression and stress, also students with low self-esteem used emotional display as their major coping strategy. Conclusion: Depending on their academic year medical students' level of depression and stress was different, and they did not use a variety of coping strategies. Therefore, a program which can give a diverse access to variety of coping strategies to relieve students' stress should be developed taking their characteristics of academic year into consideration.
참고문헌 (20)
- Erikson EH, "The problem of ego identity", Psychol Issues, 1, pp.101~164 (1959)
- Saipanish R, "Stress among medical students in a Thai medical school", Med Teach, 25, pp.502~506 (2003)
- Bjorksten O, "Identification of medical student problems and comparison with those of other students", J Med Educ, 58, pp.759~767 (1983)
- Dyrbye LN, "Burnout and suicidal ideation among U.S. medical students", Ann Intern Med, 149, pp.334~341 (2008)
- 노명선, "대학생들의 우울장애에 관현 연구 : 유병율, 위험요인, 자살행동 및 기능장애", 신경정신의학, 45(5), pp.432~437 (2006), 대한신경정신의학회
- Hahm BJ, "Urinara uigwadaehaksaeng jeongsing-geongang siltaewa gak daehak-ui gwalli hyeonhwang", the 21st Korean Medical Education Conference (2007)
- Ryu SH, "Quality of life and depressive symptoms and suicidal ideation in medical college students", J Soonchunhyang Med Sci, 14, pp.149~158 (2009)
- 한상수, "Zung Self-Rating Depression Scale을 이용한 일부 수도권 의대생과 공대생의 우울증 유병률 및 관련요인", Korean Journal of Family Medicine, 30(7), pp.539~548 (2009), 대한가정의학회
- Supe AN, "A study of stress in medical students at Seth G.S. Medical College", J Postgrad Med, 44, pp.1~6 (1998)
- 이창인, "제주대학교 의과대학 학생들의 중증 스트레스 유병률과 관련요인", Korean Journal of Medical Education, 19(3), pp.235~249 (2007), 한국의학교육학회
- Firth J, "Levels and sources of stress in medical students", Br Med J (Clin Res Ed), 292, pp.1177~1180 (1986)
- Min SK, "Comparison of quality of life between medical students and general college students", J Korean Neuropsychiatr Assoc, 39, pp.1054~1060 (2000)
- Worley LL, "Our fallen peers: a mandate for change", Acad Psychiatry, 32, pp.8~12 (2008)
- Rosenberg M, "Conceiving the self" (1979), Basic Books
- Zung WW, "A self-rating depression scale", Arch Gen Psychiatry, 12, pp.63~70 (1965)
- Cohen S, "A global measure of perceived stress", J Health Soc Behav, 24, pp.385~396 (1983)
- Chandavarkar U, "Anxiety symptoms and perceived performance in medical students", Depress Anxiety, 24, pp.103~111 (2007)
- Levine RE, "An evaluation of depressed mood in two classes of medical students", Acad Psychiatry, 30, pp.235~237 (2006)
- Radcliffe C, "Perceived stress during undergraduate medical training: a qualitative study", Med Educ, 37, pp.32~38 (2003)
- Kwak DI, "A study on the stress, copying and general well-being of medical students", Korean J Med Educ, 12, pp.227~239 (2000)