Priya Ak Sunitha, Babu Rose, Panchu Pallavi, Bahuleyan Biju
Assistant Professor, Department of Physiology, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India.
Associate Professor, Department of Physiology, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India.
J Clin Diagn Res. 2017 Jul;11(7):CC05-CC07. doi: 10.7860/JCDR/2017/30047.10309. Epub 2017 Jul 1.
Medical course requires immense effort by the students to deal with vast curriculum and hence, the need to adopt metacognitive skill to cope up. Diabetes mellitus has an impact on cognition. Metacognition, being a component of cognition, is likely to be affected by diabetes. Children of diabetic parents have demonstrated insulin resistance which may contribute to metacognitive dysfunction. Hence, it is important to focus into the link between family history of diabetes and metacognition.
To evaluate the impact of family history (parents and grandparents) of diabetes mellitus on metacognition in medical students.
The present study was a questionnaire based cross-sectional study. Hundred first year medical students were recruited and they filled the Metacognitive Awareness (MA) questionnaire along with the details of the family history of diabetes. The metacognitive awareness questionnaire evaluated MA, its components (metacognitive knowledge and regulation) and their subcomponents. Positive history of diabetes in parents and grandparents were taken into account. The participants were then divided into two groups: with family history of diabetes (n=73) and without family history of diabetes (n=27). The metacognitive awareness and its subcomponents between the two groups were analysed using Student t-test between the groups (with and without family history). Pearson correlation was done to analyse the association between metacognition and family history of diabetes.
Metacognitive knowledge (global score) was significantly lower in group with family history of diabetes (10.25±3.01 vs 12.04±3.2, p-value<0.05) as was metacognitive regulation global score (7.08±1.83 vs 7.99±1.36, p-value<0.05). Declarative knowledge and information management showed significant difference. Metacognitive knowledge showed a significant negative correlation with family history of diabetes (correlation coefficient = -0.263, p-value<0.01).
Students with family history of diabetes had reduced metacognitive awareness. The awareness that metacognitive dysfunction can occur in early age in individuals with family history of diabetes would help us to identify them and device strategies to delay or prevent metacognitive dysfunction.
医学课程要求学生付出巨大努力来应对庞大的课程体系，因此，需要采用元认知技能来应对。糖尿病会对认知产生影响。元认知作为认知的一个组成部分，很可能会受到糖尿病的影响。患有糖尿病的父母的子女已表现出胰岛素抵抗，这可能导致元认知功能障碍。因此，关注糖尿病家族史与元认知之间的联系很重要。
评估糖尿病家族史（父母和祖父母）对医学生元认知的影响。
本研究是一项基于问卷调查的横断面研究。招募了100名一年级医学生，他们填写了元认知意识（MA）问卷以及糖尿病家族史的详细信息。元认知意识问卷评估了元认知、其组成部分（元认知知识和调节）及其子组成部分。考虑了父母和祖父母的糖尿病阳性病史。然后将参与者分为两组：有糖尿病家族史组（n = 73）和无糖尿病家族史组（n = 27）。使用两组（有和无家族史）之间的学生t检验分析两组之间的元认知意识及其子组成部分。进行Pearson相关性分析以分析元认知与糖尿病家族史之间的关联。
有糖尿病家族史组的元认知知识（总体得分）显著低于无家族史组（10.25±3.01对12.04±3.2，p值<0.05），元认知调节总体得分也是如此（7.08±1.83对7.99±1.36，p值<0.05）。陈述性知识和信息管理显示出显著差异。元认知知识与糖尿病家族史呈显著负相关（相关系数 = -0.263，p值<0.01）。
有糖尿病家族史的学生元认知意识降低。认识到有糖尿病家族史的个体在早年可能会出现元认知功能障碍，这将有助于我们识别他们并制定策略来延迟或预防元认知功能障碍。
