Nisu Sansanee, Anuroj Krittisak, Wannaiampikul Sivaporn, Pangsorn Apichai, Chiencharoenthanakij Romteera, Chongbanyatcharoen Siwat
Department of Psychiatry, Faculty of Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand.
Department of Biochemistry, Faculty of Medicine, Srinakharinwirot University, Bangkok, Thailand.
Psychol Res Behav Manag. 2023 Jul 6;16:2545-2551. doi: 10.2147/PRBM.S420771. eCollection 2023.
Medical students are a vulnerable population. Exposure to cyberbullying can aggravate stress and lead to affective disorders. Features that moderate the influence of this stressor have been under-studied in Thai context.
An annual survey on the mental health and stressors of medical students from 2021 was analyzed. Measures on cyberbullying victimization, psychosocial stressors, self-reported resilience measures ("problem solving", "positive core belief", "social emotional responsiveness", and "perseverance"), and other covariates were assessed for their effects on affective symptoms using linear regression. Interaction analyses were then performed.
A total of 303 cyberbullied respondents were included. In a linear regression model controlled for cyberbullying victimization score, perceived psychosocial difficulties, age, and academic year, positive core belief significantly predicted lower affective symptoms, while social-emotional responsiveness showed a trend toward predicting lower affective symptoms. Trend toward negative interaction was found for positive core belief, whereas an opposite trend was found for social-emotional responsiveness. Implications in the context of medical schools are also discussed.
Positive core belief appears to be a resilience feature toward cyberbullying victimization in the studied population. Its effects were discussed from the perspective of cognitive-behavioral therapy. In the context of medical school, the belief could be fostered by creating a safe learning environment with readily available guidance. Social-emotional responsiveness is a protective factor toward cyberbullying victimization, although its trend toward negative interaction with cyberbullying victimization implies that this feature's protective effect declines as intensity of the bullying increases.
Positive core belief is a potential resilience feature of cyberbullying victimization. On the other hand, the protective effect of social-emotional responsiveness appeared to decline with greater intensity of cyberbullying.
医学生是弱势群体。遭受网络欺凌会加重压力并导致情感障碍。在泰国背景下，对减轻这种压力源影响的因素研究较少。
对2021年以来医学生心理健康和压力源的年度调查进行分析。使用线性回归评估网络欺凌受害情况、心理社会压力源、自我报告的复原力指标（“解决问题”、“积极核心信念”、“社会情感反应能力”和“毅力”）以及其他协变量对情感症状的影响。然后进行交互分析。
共纳入303名遭受网络欺凌的受访者。在控制了网络欺凌受害得分、感知到的心理社会困难、年龄和学年的线性回归模型中，积极核心信念显著预测较低的情感症状，而社会情感反应能力显示出预测较低情感症状的趋势。积极核心信念发现有负向交互趋势，而社会情感反应能力则发现相反趋势。还讨论了在医学院背景下的意义。
积极核心信念似乎是所研究人群中抵御网络欺凌受害的复原力特征。从认知行为疗法的角度讨论了其影响。在医学院背景下，可以通过营造一个有随时可得指导的安全学习环境来培养这种信念。社会情感反应能力是抵御网络欺凌受害的保护因素，尽管其与网络欺凌受害的负向交互趋势表明，随着欺凌强度的增加，该特征的保护作用会下降。
积极核心信念是网络欺凌受害的潜在复原力特征。另一方面，社会情感反应能力的保护作用似乎随着网络欺凌强度的增加而下降。
