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职业倦怠、抑郁和人格解体——牙科和医科学生的心理因素及应对策略

Burnout, depression and depersonalisation--psychological factors and coping strategies in dental and medical students.

作者信息

Prinz Patrick, Hertrich Klaus, Hirschfelder Ursula, de Zwaan Martina

机构信息

torhaus-Ihre Zahnärzte, Berlin, Germany.

出版信息

GMS Z Med Ausbild. 2012;29(1):Doc10. doi: 10.3205/zma000780. Epub 2012 Feb 15.

DOI:10.3205/zma000780
PMID:22403595
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3296106/
Abstract

BACKGROUND

Previous studies found that stress, depression, burnout, anxiety, and depersonalisation play a significant role amongst dental and medical students. We wanted to examine if students of the University of Erlangen-Nuremberg also would report elevated values as can been found in similar publications. Furthermore, particularly coping strategies were investigated.

METHODS

The data collection took place in April 2008 including 182 dental and medical students of the 4th and 5th academic year at the University of Erlangen-Nuremberg. Demographic data and the following screening instruments were used: Maslach Burnout Inventory (MBI), Cambridge Depersonalisation Scale (CDS-9), Hospital Anxiety and Depression Scale (HADS), Brief COPE.

RESULTS

Descriptive statistics showed higher pathological values in dental students than in medical students. The difference was especially pronounced on the depersonalisation scale (CDS-9), with 20.4% of the dental students, but only 5.5% of the medical students showing scores above a cut-off of 19. The scores decreased in the course of 3 semesters of dentistry. The students with elevated values showed a higher degree of dysfunctional coping.

CONCLUSION

Our results obtained with the screening instruments are in line with the results of previous investigations of other authors and point out the importance of this issue. It might be useful to develop programs teaching dental students more adaptive coping strategies before their first patient contact.

摘要

背景

先前的研究发现,压力、抑郁、职业倦怠、焦虑和人格解体在牙科和医学专业学生中起着重要作用。我们想研究埃尔朗根 - 纽伦堡大学的学生是否也会像类似出版物中那样报告较高的值。此外,还特别调查了应对策略。

方法

2008年4月进行了数据收集,包括埃尔朗根 - 纽伦堡大学第四和第五学年的182名牙科和医学专业学生。使用了人口统计学数据和以下筛查工具:马氏职业倦怠量表(MBI)、剑桥人格解体量表(CDS - 9)、医院焦虑抑郁量表(HADS)、简易应对方式问卷(Brief COPE)。

结果

描述性统计显示,牙科专业学生的病理值高于医学专业学生。这种差异在人格解体量表(CDS - 9)上尤为明显,20.4%的牙科专业学生得分高于临界值19,而医学专业学生中只有5.5%。在牙科学习的三个学期中,得分有所下降。得分较高的学生表现出更高程度的功能失调性应对方式。

结论

我们使用筛查工具获得的结果与其他作者先前的调查结果一致,并指出了这个问题的重要性。在牙科专业学生首次接触患者之前,开发教授他们更具适应性应对策略的项目可能会很有用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/620a/3296106/dd63c9e7f22b/ZMA-29-10-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/620a/3296106/0c5d06de3b5b/ZMA-29-10-t-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/620a/3296106/2903e2479636/ZMA-29-10-t-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/620a/3296106/f284185341c7/ZMA-29-10-t-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/620a/3296106/aba07385af29/ZMA-29-10-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/620a/3296106/dd63c9e7f22b/ZMA-29-10-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/620a/3296106/0c5d06de3b5b/ZMA-29-10-t-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/620a/3296106/2903e2479636/ZMA-29-10-t-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/620a/3296106/f284185341c7/ZMA-29-10-t-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/620a/3296106/aba07385af29/ZMA-29-10-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/620a/3296106/dd63c9e7f22b/ZMA-29-10-g-002.jpg

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