Vinothkumar M, Arathi A, Joseph Merin, Nayana Prasad, Jishma E Joshy, Sahana U
Department of Psychology, Bharathiar University, Coimbatore, Tamil Nadu, India.
Ind Psychiatry J. 2016 Jul-Dec;25(2):195-201. doi: 10.4103/ipj.ipj_98_14.
Past research studies on the exploration of attributes to the stress of doctors/medical interns were reported more often than the types of coping strategies, healthy practices to strengthen their internal resources to deal effectively with the stressful situations.
The present study was conducted to find such internal resource - "mindfulness" as a mediator of coping, perceived stress, and job satisfaction among medical interns.
A cross-sectional descriptive study comprised 120 medical interns forms from various medical colleges in Mangalore were recruited and completed the assessment on mindfulness, cognitive-emotive regulation, coping strategies, perceived stress, and job satisfaction from doctoral interns were collected.
Initial correlation analysis results indicate that adaptive coping strategies significantly associate with greater mindfulness and less perceived stress. In turn, mindfulness is negatively correlated with nonadaptive coping strategies and perceived. Job satisfaction showed no significant relationship with any of the other variables. Mediational models indicate that the relationship between adaptive coping strategies and perceived stress was significantly mediated by mindfulness. Furthermore, partial mediation between nonadaptive strategies and perceived stress through mindfulness indicates that respondents reported a high level of nonadaptive strategy experience and a lower level of mindfulness can be counterproductive as they encourage the ineffective way to deal with the stresses.
The implication of the results were discussed with suggesting a possible intervention to improve the adaptive strategies and mindfulness among the medical interns.
过去关于医生/实习医生压力属性的研究报道比应对策略的类型更多,而增强他们内部资源以有效应对压力情况的健康做法却较少。
本研究旨在寻找一种内部资源——“正念”,作为实习医生应对、感知压力和工作满意度之间的中介。
一项横断面描述性研究,招募了来自芒格洛尔各医学院的120名实习医生,收集并完成了他们关于正念、认知情绪调节、应对策略、感知压力和工作满意度的评估。
初始相关性分析结果表明,适应性应对策略与更高的正念和更低的感知压力显著相关。反过来,正念与非适应性应对策略和感知呈负相关。工作满意度与其他任何变量均无显著关系。中介模型表明,适应性应对策略与感知压力之间的关系通过正念显著中介。此外,通过正念在非适应性策略与感知压力之间的部分中介表明,受访者报告的非适应性策略经验水平较高,而正念水平较低可能适得其反,因为它们鼓励了应对压力的无效方式。
讨论了研究结果的意义,并提出了一种可能的干预措施,以改善实习医生的适应性策略和正念。