University College Cork, Cork, Ireland.
Open University of the Netherlands, Heerlen, The Netherlands.
Acad Psychiatry. 2020 Aug;44(4):427-431. doi: 10.1007/s40596-020-01208-x. Epub 2020 Mar 2.
Research has consistently shown that medical students have greater rates of stress and mental-ill health in comparison with non-medical students. The objective of this study was to investigate the resilience strategies employed by medical students in an Irish medical school to inoculate themselves against the deleterious effects of stress on health and wellbeing.
Group concept mapping was utilized incorporating qualitative and quantitative methodologies. The stages undertaken by year 3 students at an Irish medical school involved brainstorming/idea generation, categorization, and rating of resilience strategies students employed to manage stress during medical school. The data was analyzed utilizing The Concept System® software through multidimensional scaling and hierarchical clustering.
Categories of resilience strategies employed included "friends and family," "de-stress through exercise/sport," "extra-curricular non-medical activities," "self-enabled distraction," "organization," and "enhancing emotional and mental wellbeing." Students rated spending time with "friends and family" to be most effective when seeking to relieve stress, whereas students rated "de-stressing through exercise/sport" as being of greatest importance in relation to inclusion in a resilience-based intervention. Students recognized the value of incorporating strategies to enhance emotional and mental wellbeing into a resilience-promoting program. "Self-enabled distraction" rated poorly on both scales.
Strategies rated by students to be important to incorporate in a stress reduction management program are accessible, are feasible, and can be implemented into the medical curriculum.
研究表明，与非医学专业学生相比，医学生的压力和心理健康问题更为严重。本研究旨在调查爱尔兰医学院的医学生所采用的应对策略，以减轻压力对健康和幸福的不利影响。
采用团体概念映射法，结合定性和定量方法。爱尔兰医学院三年级学生经历了头脑风暴/创意产生、分类和对学生在医学院期间管理压力时采用的应对策略进行评分等阶段。利用 The Concept System®软件通过多维尺度分析和层次聚类对数据进行分析。
采用的应对策略类别包括“朋友和家人”、“通过运动/体育减压”、“课外非医学活动”、“自我分散注意力”、“组织”和“增强情绪和心理健康”。学生认为在寻求缓解压力时，与朋友和家人共度时光最有效，而学生认为“通过运动/体育减压”在纳入基于应对策略的干预措施方面最为重要。学生认识到将增强情绪和心理健康的策略纳入促进应对策略的计划中的价值。“自我分散注意力”在这两个尺度上的评分都很差。
学生认为重要的纳入减压管理计划的策略是可及的、可行的，并可以纳入医学课程。
