Findyartini Ardi, Greviana Nadia, Putera Azis Muhammad, Sutanto Reynardi Larope, Saki Vernonia Yora, Felaza Estivana
Medical Education Center, Indonesia Medical Education and Research Institute (IMERI), Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
Department of Medical Education, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
BMC Med Educ. 2021 Feb 18;21(1):113. doi: 10.1186/s12909-021-02547-5.
Resilience is an essential aspect of wellbeing that plays a major role in undergraduate medical education. Various personal and social factors are known to affect resilience. Empirical evidence remains limited regarding resilience and the personal factors that affect it among undergraduate medical students in an Asian setting. Therefore, this study aims to identify undergraduate medical students' level of resilience and its relationships to personal factors in Indonesia.
This cross-sectional study was conducted among undergraduate medical students in years 1-6. Respondents were asked to complete three validated questionnaires: the Connor-Davidson Resilience Scale (CD-RISC) to measure resilience, the Brief-COPE to assess coping mechanisms, and the Big Five Personality Test to measure five personality dimensions. Descriptive and Pearson's correlation analyses were completed to explore relationships between each variable. Regression analysis was completed to analyze the extent to which coping mechanisms, personality, and academic achievement explained the variation in resilience scores.
A total of 1040 respondents completed the questionnaires (a 75.42% response rate). Students in both preclinical and clinical stages had quite good levels of resilience and higher scores on adaptive coping mechanisms than on maladaptive coping mechanisms. Adaptive and maladaptive coping mechanisms, Big Five Personality traits (extraversion, agreeableness, conscientiousness, neuroticism, and openness), and students' academic achievement explained 46.9% of students' resilience scores.
Although the resilience scores in this study were comparable to resilience scores among undergraduate medical students in other settings, we found that coping mechanisms, personality traits, and academic performance may predict resilience among medical students.
心理韧性是幸福感的一个重要方面,在本科医学教育中起着重要作用。已知各种个人和社会因素会影响心理韧性。在亚洲背景下,关于本科医学生的心理韧性及其影响因素的实证证据仍然有限。因此,本研究旨在确定印度尼西亚本科医学生的心理韧性水平及其与个人因素的关系。
本横断面研究在1至6年级的本科医学生中进行。要求受访者完成三份经过验证的问卷:用于测量心理韧性的康纳-戴维森心理韧性量表(CD-RISC)、用于评估应对机制的简易应对方式问卷(Brief-COPE)以及用于测量五大人格维度的大五人格测试。完成描述性和皮尔逊相关性分析以探索各变量之间的关系。完成回归分析以分析应对机制、人格和学业成绩在多大程度上解释了心理韧性得分的差异。
共有1040名受访者完成了问卷(回复率为75.42%)。临床前和临床阶段的学生都具有相当好的心理韧性水平,并且在适应性应对机制上的得分高于非适应性应对机制。适应性和非适应性应对机制、大五人格特质(外向性、宜人性、尽责性、神经质和开放性)以及学生的学业成绩解释了学生心理韧性得分的46.9%。
尽管本研究中的心理韧性得分与其他环境中本科医学生的心理韧性得分相当,但我们发现应对机制、人格特质和学业表现可能预测医学生的心理韧性。