Cherkil Sandhya, Gardens Seby J, Soman Deepak Kuttikatt
Department of Clinical Psychology, Amrita Institute of Medical Sciences and Research Centre, Amrita Viswa Vidyapeetham, Ponekkara, Cochin, Kerala, India.
Department of Public Health Dentistry, Amrita Institute of Medical Sciences and Research Centre, Amrita Viswa Vidyapeetham, Ponekkara, Cochin, Kerala, India.
Indian J Psychol Med. 2013 Oct;35(4):389-93. doi: 10.4103/0253-7176.122235.
The two ubiquitous factors that have been identified in medical courses to underlie mental health are stress and different coping styles adopted to combat stress.
To find the association between coping styles and stress in undergraduate medical students.
A medical college in Central Kerala. A cross-sectional study design was adopted.
Source and Severity of Stress Scale, Medical Student Version, was used to assess the source and nature of stress. Brief Cope was used to find out the coping styles adopted.
The statistical analysis was done using Statistical Package for Social Sciences version 20 and SAS. Chi-square analysis was used to find the association between coping styles and stress domains and with the overall stress score.
There is a significant positive association between overall stress score and coping styles (P=0.001) of 'Negative cope', 'Blame', and 'Humor'. 'Positive cope' and 'Religion' has significant positive association with 'Academics' (P=0.047) and 'self Expectations' (P=0.009). 'Blame' (P<0.001) has very high significant positive association with 'Academics', 'self expectation', and 'Relationships'. Very high significant positive association is further found between 'Humor' (P<0.001) and 'self expectations', 'Living conditions', and 'Health and Value conflict'. 'substance Use' is positively associated in high significance to 'Health and Value conflict' (P<0.001).
The outcome of the study emphasizes the need for stress management techniques in the medical school.
在医学课程中已确定的影响心理健康的两个普遍因素是压力以及为应对压力而采用的不同应对方式。
探究本科医学生的应对方式与压力之间的关联。
喀拉拉邦中部的一所医学院。采用横断面研究设计。
使用医学生版的压力源与严重程度量表来评估压力的来源和性质。使用简易应对方式问卷来了解所采用的应对方式。
使用社会科学统计软件包第20版和SAS进行统计分析。采用卡方分析来探究应对方式与压力领域以及总体压力得分之间的关联。
总体压力得分与“消极应对”“责备”和“幽默”的应对方式之间存在显著正相关（P = 0.001）。“积极应对”和“宗教”与“学业”（P = 0.047）和“自我期望”（P = 0.009）存在显著正相关。“责备”与“学业”“自我期望”和“人际关系”之间存在非常高的显著正相关（P<0.001）。“幽默”与“自我期望”“生活条件”以及“健康与价值观冲突”之间进一步发现存在非常高的显著正相关（P<0.001）。“物质使用”与“健康与价值观冲突”高度正相关（P<0.001）。
该研究结果强调了医学院校开展压力管理技巧培训的必要性。
