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社交问题解决技能对降低医学生社交焦虑的影响。

The Effect of Social Problem-Solving Skills on Reducing Social Anxiety in Medical Students.

作者信息

Rustham Andi Tenri Pada, Nurhadi Asty Amalia, Afandi Ichlas Nanang, Tajuddin Istiana, Wahyuni Sri, Jamil Rizky Amalia

机构信息

Psychology Study Program, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.

Department of Medical Education, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.

出版信息

J Adv Med Educ Prof. 2025 Jul 1;13(3):218-224. doi: 10.30476/jamp.2025.103845.2069. eCollection 2025 Jul.

Abstract

INTRODUCTION

Entering College is an important transition from adolescence to young adulthood, with significant changes in habits and learning methods. These changes can cause social anxiety, especially in competitive fields of study such as medical education. Similar results were found in interviews with first-year medical students at Hasanuddin University, who faced the pressure of adaptation and learning materials. Therefore, social problem-solving skills are needed so that students do not experience social anxiety. Social problem-solving skills are one form of coping that can help adolescents adapt to a new environment. Social problem-solving skills, as one form of coping strategy, are very important for students in dealing with various daily problems and have the potential to cause stress (daily life stressors of problems), especially in the first year of college. This study aimed to examine the magnitude of the influence of social problem-solving skills training on reducing social anxiety in first-year students at Hasanuddin University, Faculty of Medicine.

METHODS

This study used a quasi-experimental method with a Pretest-Posttest Control Group Design. The respondents in this study were 250 first-year students at the Faculty of Medicine, Hasanuddin University, Makassar. The sample selection in this study was carried out using a purposive sampling method; the experimental and control groups were selected and then categorized into experimental and control groups with low and medium scores on social problem solving skills and high and medium scores on social anxiety as one of the subject criteria. The instrument used in the research was the social anxiety scale developed by Liebowitz. The statistical test was an independent sample t-test using IBM Statistics SPSS 26 edition.

RESULTS

The results indicated that training in social problem-solving skills influenced the reduction of social anxiety in first-year medical students. The higher the student's social problem-solving skills, the lower the level of social anxiety, with a mean value for the experimental group pretest of 55.4 and posttest of 46.92. However, for the control group, the mean values of pretest and posttest were 34.0 and 36.6, respectively. The SD values of the experimental group pretest and posttest were 14.84 and 14.69, while for the control group; the SD values of pretest and posttest were 17.2 and 17.9, respectively. While the lower the student's social problem-solving skills, the higher the level of social anxiety, with a p-value (sig. (2-tailed) of 0.001 or p<0.001).

CONCLUSION

Social problem-solving skill training gives a significant impact in reducing anxiety in first-year medical students.

摘要

引言

进入大学是从青少年到青年期的重要过渡阶段,习惯和学习方法会发生重大变化。这些变化可能会引发社交焦虑,尤其是在医学教育等竞争激烈的学习领域。在对哈山努丁大学的一年级医学生进行访谈时也发现了类似结果,他们面临着适应压力和学习材料的压力。因此,需要具备社会问题解决能力,以便学生不会体验到社交焦虑。社会问题解决能力是一种应对方式,可以帮助青少年适应新环境。社会问题解决能力作为一种应对策略,对于学生处理各种日常问题非常重要,这些问题有可能引发压力(日常生活中的问题压力源),尤其是在大学一年级。本研究旨在探讨社会问题解决能力训练对降低哈山努丁大学医学院一年级学生社交焦虑的影响程度。

方法

本研究采用准实验方法,采用前测-后测控制组设计。本研究的受访者为哈山努丁大学马卡萨分校医学院的250名一年级学生。本研究的样本选择采用立意抽样法;选择实验组和对照组,然后根据社会问题解决能力得分低和中以及社交焦虑得分高和中作为受试者标准之一将其分为实验组和对照组。研究中使用的工具是利博维茨编制的社交焦虑量表。统计检验采用IBM Statistics SPSS 26版的独立样本t检验。

结果

结果表明,社会问题解决能力训练对降低一年级医学生社交焦虑有影响。学生的社会问题解决能力越高,社交焦虑水平越低,实验组前测均值为55.4,后测均值为46.92。然而,对照组前测和后测的均值分别为34.0和36.6。实验组前测和后测的标准差分别为14.84和14.69,而对照组前测和后测的标准差分别为17.2和17.9。而学生的社会问题解决能力越低,社交焦虑水平越高,p值(双侧显著性)为0.001或p<0.001。

结论

社会问题解决能力训练对降低一年级医学生的焦虑有显著影响。

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