Thompson Galilee, Wrath Andrew, Trinder Krista, Adams G Camelia
University of Saskatchewan, Saskatchewan, Canada.
Can Med Educ J. 2018 Nov 12;9(4):e69-e77. eCollection 2018 Nov.
Medical students are susceptible to high levels of psychological stress, while being equipped with lower levels of resilience, especially females. Adult attachment is a known risk factor for a broad range of mental health difficulties and poor coping. The purpose of this study is to examine relationship attachment style, perceived stress, and resilience in medical students.
Data was collected via an online survey using self-report measures from University of Saskatchewan undergraduate medical students ( = 188). Attachment was assessed with the Relationship Questionnaire and Experiences in Close Relationships Scale. Resilience and stress were assessed with the Connor-Davidson Resilience Scale and Perceived Stress Scale, respectively.
Approximately half of our sample endorsed secure attachment style (49.4%). Females reported significantly more attachment insecurity, higher attachment anxiety, higher perceived stress, and lower resilience compared to males, as expected. As predicted, attachment anxiety and avoidance were predictors of perceived stress. Mediation analyses supported the hypothesis that resilience acted as a partial mediator between attachment insecurity and perceived stress.
These findings suggest attachment plays a role in perceived stress in medical students. In addition, the role of resiliency in protecting against this effect highlights potential areas for intervention to improve medical student well-being and provides a foundation for longitudinal follow-up.
医学生容易承受高水平的心理压力，同时其心理韧性水平较低，尤其是女性。成人依恋是一系列心理健康问题和应对能力差的已知风险因素。本研究的目的是探讨医学生的关系依恋风格、感知压力和心理韧性之间的关系。
通过在线调查收集数据，采用自陈式量表对萨斯喀彻温大学本科医学生（n = 188）进行测量。使用关系问卷和亲密关系经历量表评估依恋。分别使用康纳-戴维森心理韧性量表和感知压力量表评估心理韧性和压力。
我们样本中约一半的人认可安全依恋风格（49.4%）。正如预期的那样，与男性相比，女性报告的依恋不安全感、更高的依恋焦虑、更高的感知压力和更低的心理韧性明显更多。如预测的那样，依恋焦虑和回避是感知压力的预测因素。中介分析支持了心理韧性在依恋不安全感和感知压力之间起部分中介作用的假设。
这些发现表明依恋在医学生的感知压力中起作用。此外，心理韧性在抵御这种影响方面的作用突出了改善医学生幸福感的潜在干预领域，并为纵向随访提供了基础。
