School of Community Medicine, University of Oklahoma, Tulsa, OK.
Anne and Henry Zarrow School of Social Work, University of Oklahoma, Tulsa, OK.
Perm J. 2020 Dec;24:1. doi: 10.7812/TPP/19.240.
A major problem facing today's physicians and medical students is burnout. Christina Maslach and fellow researchers have described burnout as a product of chronic stress and a lack of protective psychological factors like hope. The purpose of this study was to explore the relationships between hope, stress, and burnout among medical students.
This study involved an online survey of 329 first- through fourth-year allopathic and osteopathic medical students. Validated psychometric scales were used to measure the primary variables. We conducted Pearson correlation, hierarchical regression, and mediation analyses to test the relationships between hope, stress, and burnout and to determine whether hope directly impacts stress and burnout.
We found significant correlations between hope, stress, and burnout. Hierarchical regression revealed that hope accounted for significant variance in burnout over and above psychological stress and that stress and hope together accounted for 48% of this variance. We discovered that hope may be partially mediating the relationship between stress and burnout.
Hope may play a significant protective role in the stress-burnout relationship in the context of medical students: higher levels of hope are associated with lower levels of stress and burnout. Our study supports the idea of using hope-based interventions in medical student populations and investing more resources into this area of research.
当今医生和医学生面临的一个主要问题是倦怠。Christina Maslach 和同事们将倦怠描述为慢性压力和缺乏希望等保护性心理因素的产物。本研究旨在探讨医学生希望、压力和倦怠之间的关系。
本研究通过在线调查了 329 名第一至第四年的全科学和骨科学医学生。使用经过验证的心理计量学量表来测量主要变量。我们进行了 Pearson 相关分析、分层回归分析和中介分析，以检验希望、压力和倦怠之间的关系，并确定希望是否直接影响压力和倦怠。
我们发现希望、压力和倦怠之间存在显著相关性。分层回归表明，希望在压力之外对倦怠有显著的方差解释，而压力和希望一起解释了 48%的方差。我们发现，希望可能在压力和倦怠之间的关系中起部分中介作用。
在医学生的背景下，希望可能在压力-倦怠关系中发挥重要的保护作用：较高的希望水平与较低的压力和倦怠水平相关。我们的研究支持在医学生群体中使用基于希望的干预措施的想法，并在这一研究领域投入更多资源。
