Department of Forensic Medicine and Toxicology, National and Kapodistrian University of Athens, Greece.
Anat Sci Educ. 2010 Nov-Dec;3(6):287-94. doi: 10.1002/ase.182.
The reactions of students to forensic dissection encompass psychologico-emotional and physical components. This exploratory study aimed to determine risk factors for students' adverse physical and psychological reactions to forensic dissection. All sixth-year medical students (n = 304) attending the compulsory practical course in forensic medicine in the 2005-2006 academic year were asked to complete a questionnaire at the conclusion of the five-day course. The questionnaire surveyed physical and psychological reactions (outcomes) and 47 student traits, beliefs, and behaviors (risk factors) that might predispose to adverse reactions. Multivariate ordinal logistic regression yielded five independent risk factors for negative psychological reactions: female gender, stereotypic beliefs about forensic pathologists, a less cognitive and more emotional frame of mind relative to forensic dissection, more passive coping strategies, and greater fear of death. The sole independent risk factor for physical symptoms was a less cognitive/more emotional approach to dissection. Students' reactions to forensic dissection integrate a host of inherent and dissection-related risk factors, and future interventions to improve this aspect of medical education will need to take into account the complexities underlying students' experiences with dissection.
学生对法医解剖的反应包括心理-情感和生理成分。本探索性研究旨在确定学生对法医解剖产生不良生理和心理反应的危险因素。所有参加 2005-2006 学年法医学必修实践课程的六年级医学生（n=304）在课程结束时被要求完成一份问卷。该问卷调查了生理和心理反应（结果）以及 47 种学生特质、信念和行为（危险因素），这些因素可能导致不良反应。多变量有序逻辑回归得出了五个独立的负面心理反应危险因素：女性性别、对法医病理学家的刻板印象、相对于法医解剖更倾向于情感思维而非认知思维、更消极的应对策略以及对死亡的更大恐惧。唯一与生理症状相关的独立危险因素是对解剖的认知/情感程度较低。学生对法医解剖的反应综合了一系列内在的和与解剖相关的危险因素，未来改善医学教育这一方面的干预措施将需要考虑到学生在解剖过程中的经历所涉及的复杂性。
