Ansar Farrukh, Naveed Hira, Khattak Almas, Khan Sylvia Ali
Farrukh Ansar, MBBS., Northwest School of Medicine, Khyber Medical University Peshawar, Pakistan.
Hira Naveed, BS Sociology, Higher Education Commission, Islamabad, Pakistan.
Pak J Med Sci. 2023 Mar-Apr;39(2):524-528. doi: 10.12669/pjms.39.2.6113.
To determine the frequency of clinical anger, adverse childhood experiences, self-esteem, and their mutual relationship among undergraduate medical and sociology students.
In this descriptive cross-sectional study, data from 400 undergraduate medical and sociology students was collected from the Northwest School of Medicine, Peshawar, and the sociology department of the International Islamic University, Islamabad, from July to September 2021. A self-administered questionnaire incorporating a Clinical Anger Scale (CAS), Adverse childhood experience (ACE) scale and Rosenberg self-esteem (RSE) scale was utilized for data collection. Descriptive statistics, ANOVA and logistic regression model were executed to perform data analysis using SPSS.
The mean CAS score was 19.65 ± 13.23 suggesting that 60.2% of the participants experienced mild to severe degrees of clinical anger. Females were experiencing more anger issues than males (64% vs 54%, p = .040) RSE scale showed that 72.8% of the participants had low self-esteem with a mean score of 12.70 ± 5.43. Besides, 51.5% of the participants had at least one type of adverse childhood experience while 15.8% of the sample population reported being sexually abused in childhood. Significant correlation was found between CAS and age, ACEs and RSE score (p = <0.01). The logistic regression model also suggested that the prevalence of anger was higher in individuals with ACEs (OR = 1.29, 95% CI: 1.12, 1.14, p = <.001) and low self-esteem (OR = 1.15, 95% CI: 1.09, 1.22, p = <.001).
The high frequency of clinical anger necessitates the implementation of periodic screening across all universities. Keeping in mind the problem of low self-esteem and the history of ACEs, there is an urgent need for the development of strategies to preserve and improve the mental well-being of the young generation.
确定本科医学和社会学专业学生中临床愤怒、童年不良经历、自尊的发生率及其相互关系。
在这项描述性横断面研究中，于2021年7月至9月从白沙瓦西北医学院和伊斯兰堡国际伊斯兰大学社会学系收集了400名本科医学和社会学专业学生的数据。使用一份包含临床愤怒量表（CAS）、童年不良经历（ACE）量表和罗森伯格自尊量表（RSE）的自填式问卷进行数据收集。使用SPSS执行描述性统计、方差分析和逻辑回归模型进行数据分析。
CAS平均得分为19.65±13.23，表明60.2%的参与者经历了轻度至重度的临床愤怒。女性比男性经历更多的愤怒问题（64%对54%，p = 0.040）。RSE量表显示，72.8%的参与者自尊水平较低，平均分为12.70±5.43。此外，51.5%的参与者至少有一种童年不良经历，而15.8%的样本人群报告童年曾遭受性虐待。发现CAS与年龄、ACEs与RSE得分之间存在显著相关性（p = <0.01）。逻辑回归模型还表明，有ACEs的个体（OR = 1.29，95%CI：1.12，1.14，p = <.001）和自尊水平低的个体（OR = 1.15，95%CI：1.09，1.22，p = <.001）愤怒发生率更高。
临床愤怒的高发生率使得有必要在所有大学开展定期筛查。考虑到自尊水平低和ACEs的问题，迫切需要制定策略来维护和改善年轻一代 的心理健康。
