Korean Journal of Psychosomatic Medicine (정신신체의학)

Korean Psychosomatic Society (한국정신신체의학회)
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Personality Characteristics Predicting Depression, Anxiety and Resilience in the Graduate Medical Students

의학전문대학원 학생들의 우울, 불안, 회복력과 연관된 성격 특징

  • Wee, Sung-Hoon (Department of Psychiatry, Gyeongsang National University Hospital) ;
  • Lee, So-Jin (Department of Psychiatry, Gyeongsang National University Hospital) ;
  • Park, Chul-Soo (Department of Psychiatry, Gyeongsang National University Hospital) ;
  • Kim, Bong-Jo (Department of Psychiatry, Gyeongsang National University Hospital) ;
  • Lee, Cheol-Soon (Department of Psychiatry, Gyeongsang National University School of Medicine) ;
  • Cha, Boseok (Department of Psychiatry, Gyeongsang National University Hospital) ;
  • Lee, Dongyun (Department of Psychiatry, Changwon Gyeongsang National University Hospital) ;
  • Seo, Ji-Yeoung (Department of Psychiatry, Changwon Gyeongsang National University Hospital) ;
  • Choi, Jae-Won (Department of Psychiatry, Gyeongsang National University Hospital) ;
  • Ahn, In-Young (Department of Psychiatry, Changwon Gyeongsang National University Hospital)
  • 위성훈 (경상대학교병원 정신건강의학과) ;
  • 이소진 (경상대학교병원 정신건강의학과) ;
  • 박철수 (경상대학교병원 정신건강의학과) ;
  • 김봉조 (경상대학교병원 정신건강의학과) ;
  • 이철순 (경상대학교 의과대학 정신건강의학교실) ;
  • 차보석 (경상대학교병원 정신건강의학과) ;
  • 이동윤 (창원경상대학교병원 정신건강의학과) ;
  • 서지영 (창원경상대학교병원 정신건강의학과) ;
  • 최재원 (경상대학교병원 정신건강의학과) ;
  • 안인영 (창원경상대학교병원 정신건강의학과)
  • Received : 2018.08.16
  • Accepted : 2018.10.11
  • Published : 2018.12.31
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Abstract

Objectives : This study aimed to investigate the relationship between personality characteristics of medical students at their admission and the level of depression, anxiety, and resilience at their third year. Methods : Self-reported questionnaires were conducted to the students at the beginning of the first year and the third year. When the students in their first year, they performed the personality assessment inventory, the Beck depression inventory, and the Beck anxiety inventory. When they were in the third year, the students answered the composite Scale of morningness and Conner-Davidson resilience scale-10 in addition to the BDI and BAI. Multiple linear regression analyses were performed to identify predictors of the level of depression, anxiety, and resilience. Results : Of the subscales of depression in the PAI, the physiological depression (${\beta}=-0.285$, p=0.049) associated with increase in the depression from the first to the third year. Among the anxiety-related disorder subscale in the PAI phobia (${\beta}=0.119$, p=0.022) and traumatic stress (${\beta}=0.375$, p=0.007) associated with the level of depression at third grade. Somatization (${\beta}=0.631$, p<0.001) in the PAI associated with the level of anxiety at third year. The anxiety (${\beta}=-0.531$, p<0.001) in the PAI was positive associated with the resilience at third grade. Conclusions : This study showed that certain personality characteristics at admission had significant relationships with the level of depression, anxiety, and resilience at the third grade medical students.

연구목적 본 연구에서는 의학전문대학원의 학생들의 입학 당시의 성격 특성이 3학년 때의 우울, 불안, 회복력 등과 어떤 연관성을 갖는지 알아보고자 했다. 방 법 경상대학교 의학전문대학원에 입학한 학생을 대상으로 1학년 입학 당시와 3학년 초에 두 차례에 걸쳐 설문조사를 시행했다. 1학년 때에 personality assessment inventory (PAI), Beck 우울 척도, Beck 불안 척도를 시행했고, 3학년 때에는 Beck 우울 척도, Beck 불안 척도 외에 composite scale of morningness, 코너 데이비슨 회복력 척도를 추가로 시행했다. 3학년 때의 우울과 불안, 회복력과 관련된 요인을 찾기 위해 다중회귀분석을 시행했다. 결 과 PAI 상 우울의 하위 척도 중 생리적 우울(${\beta}=-0.285$, p=0.049)이 낮을수록 1학년으로부터 3학년까지의 Beck 우울척도 점수 증가의 폭이 컸다. PAI의 불안 관련 장애의 하위 척도 중 공포증(${\beta}=0.119$, p=0.022), 외상적 스트레스(${\beta}=0.375$, p=0.007)가 높을수록 3학년 때의 우울이 높았다. PAI의 신체화(${\beta}=0.631$, p<0.001)가 높을수록 3학년 때의 불안이 높았다. PAI 상의 불안(${\beta}=-0.531$, p<0.001)이 낮을수록 3학년 때의 회복력이 높았다. 결 론 본 연구를 통하여 1학년 때의 특정한 성격 특성이 3학년 때의 우울과 불안의 정도, 회복력과 일련의 관계를 가진다는 것을 알 수 있었다.

Keywords

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Fig. 1. Scatter plot showing the relationship between ΔBDI and DEP, DEP-P. A : Between ΔBDI and DEP (R2 : 0.163), B : Between ΔBDI and DEP-P (R2 : 0.125). ΔBDI : For each 3rd year BDI score minus 1st year BDI score, DEP : Depression, DEP-P : Depression- Physiological.

Table 1. Sociodemographics and clinical characteristics of the medical students

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Table 2. Multiple linear regression analysis associating the differences in beck depression inventory score between 3rd and 1st year

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Table 3. Multiple linear regression analysis associating beck depression inventory score at the 3rd year

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Table 4. Multiple linear regression analysis associating beck anxiety inventory score in the 3rd year

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Table 5. Multiple linear regression analysis associating resilience in the 3rd year

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Table 6. Multiple linear regression analysis associating composite scale of morningness score in the 3rd year

JSSCBG_2018_v26n2_102_t0006.png 이미지

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