School of Medicine, University College Cork, Cork, Ireland School of Applied Psychology, University College Cork, Cork, Ireland.
Med Educ. 2010 Oct;44(10):1027-37. doi: 10.1111/j.1365-2923.2010.03734.x.
It is well recognised that medical training can be extremely stressful and that high stress is a risk factor for a wide range of psychological and health-related consequences. The primary aims of this study were to introduce the Medical Student Stress Profile (MSSP) and to demonstrate its psychometric quality as a specific device for auditing medical student stress. Secondary aims were to establish the reliability, construct and criterion validity of this instrument and to explore the relationships between stress, coping, personality, motivation and emotional intelligence in medical students.
A battery of self-report measures including the MSSP was administered to a sample of 239 undergraduate and graduate-entry medical students. The battery included indices of stress, coping with and proneness to stress, as well as measures of emotional intelligence, motivation style, personality traits, educational environment perception and self-reported symptomatology. Psychometric evaluation of the MSSP was conducted along with a correlation analysis of stress concomitants.
The MSSP revealed good psychometric properties and showed a substantial stress load in the participant sample. The pattern of correlations with concomitant measures conformed generally to expectations. Strong cohort effects were observed, which suggest the importance of future investigation into the role of the group in stress amelioration. Stress adversely affects ratings of the educational environment as measured by the Dundee Ready Education Environment Measure.
The MSSP was specifically developed for the medical training context and may have utility for individual and group stress audits of medical students and as a device to inform remedial programmes in stress management in medical education.
众所周知，医学培训可能会非常紧张，而高压力是各种心理和健康相关后果的一个风险因素。本研究的主要目的是介绍医学生压力特征量表（MSSP），并证明其作为医学学生压力评估的专用工具的心理测量学质量。次要目的是确定该工具的可靠性、结构和效标效度，并探讨医学生压力、应对、个性、动机和情绪智力之间的关系。
向 239 名本科和研究生入学的医学生样本发放了一套包括 MSSP 在内的自我报告量表。该工具包包括压力、应对和易感性的指标，以及情绪智力、动机风格、个性特征、教育环境感知和自我报告症状的衡量标准。对 MSSP 进行了心理测量学评估，并对压力伴随物进行了相关分析。
MSSP 显示出良好的心理测量学特性，在参与者样本中显示出较大的压力负荷。与伴随措施的相关模式总体上符合预期。观察到强烈的队列效应，这表明未来有必要研究群体在减轻压力方面的作用。压力对邓迪准备教育环境测量表所测量的教育环境评价产生负面影响。
MSSP 是专门为医学培训环境开发的，可能对医学学生的个人和群体压力审计以及告知医学教育中压力管理的补救计划有用。
