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http://dx.doi.org/10.17496/kmer.2022.24.3.215

Exploring the Psychosocial Characteristics and Systematic Support of Academically Maladjusted Students  

Park, Young-Soon (Department of Medical Education, Konyang University College of Medicine)
Chun, Kyunghee (Department of Medical Education, Konyang University College of Medicine)
Lee, Tae Hee (Division of Gastroenterology, Department of Internal Medicine, Konyang University College of Medicine)
Publication Information
Korean Medical Education Review / v.24, no.3, 2022 , pp. 215-230 More about this Journal
Abstract
The purpose of this study was to explore the psychosocial characteristics of academically maladjusted students and the College's current status regarding academic maladjustment based on 4-year medical student cohort data collected from 2018 to 2021 and through interviews with 10 medical education experts using the integrated research method. This study included 223 students who consented to inclusion in the student cohort and participated in the emotional behavior test and college adaptability test of whom 65 students experienced academic maladjustment. Academically maladjusted students had significantly higher scores for social stress, anxiety, sense of inadequacy, attention, hyperactivity, and school maladjustment, and significantly lower scores for relationships with parents, interpersonal relationships, self-esteem, self-confidence, and self-strength. Academic and social integrity, emotional stability, university satisfaction, and university service satisfaction were all significantly lower in the academically maladjusted students than in the non-maladjusted group. The expert interviews indicated that academic maladjustment was mainly recognized as a personal problem, with causes such as lack of motivation and learning methods, vulnerability to stress, lack of social relationships and alienation, lack of support from the family, and insufficient resilience. Systematic support other than counseling for academically maladjusted students is required, and an early diagnosis and preventive intervention are important.
Keywords
Maladjustment; Mixed method approach; Psychosocial characteristics; Support;
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1 Jeon HJ. A study on students at top-ranked universities who received repeated academic probations [dissertation]. Seoul: Seoul National University; 2017.
2 Yoo HJ, Hwang SH, Han OS, Hong CG. Reviews on the psychological variables concerning the successful adjustment in medical colleges. Korean J Med Educ. 1998;10(2):323-35.
3 Chun KH, Park WK, Park YS, Kang E, Lee SS. A study on the educational climate, self-directed learning and creative thinking in medical school. Korean J Think Dev. 2010;6(1):179-200.
4 Park KH, Park JH, Kim S, Rhee JA, Kim JH, Ahn YJ, et al. Students' perception of the educational environment of medical schools in Korea: findings from a nationwide survey. Korean J Med Educ. 2015;27(2):117-30.   DOI
5 Korean Institute of Medical Education and Evaluation. Accreditation standards of KIMEE 2019. Seoul: Korean Institute of Medical Education and Evaluation; 2021.
6 Kim EJ. Needs analysis of medical student support system in medical school [master's thesis]. Seoul: Seoul National University; 2016.
7 Yoon TH, Yune SJ, Yoon S, Lee SH, Jeong IS, Park BK, et al. Comparison of students' characteristics and perceptions before and after introduction into graduate medical school system. Korean J Med Educ. 2007;19(3):251-5.   DOI
8 Koh E, Cho M, Park J, Seo YS. A validation study of the School Attitude Assessment Scale-revised for Korean college students. Korean J Youth Stud. 2010;17(6):103-27.
9 Shim UB. A meta-analysis of school maladjustment: focused on related triggering variables and the protective variables [dissertation]. Seoul: Korea University; 2015.
10 Lim IR, Oh I. Exploration of psychological, academic competence, and environmental/support factors influencing college students' academic achievements. Asian J Educ. 2016;17(4):285-309.   DOI
11 Kim MS, Choi YH, Suk BO, Baek KY, Lee DG. The clusters of multidimensional perfectionism and self-determination, and their differences in academic procrastination. Korean J Soc Personal Psychol. 2009;23(3):39-56.
12 Ruban PU, Petersen MG, Moller-Madsen B. More than half of the medical students who apply for a dispensation drop out and need focused counselling. Dan Med J. 2013;60(7):A4663.
13 Steel P. The nature of procrastination: a meta-analytic and theoretical review of quintessential self-regulatory failure. Psychol Bull. 2007;133(1):65-94.   DOI
14 Teddlie C, Tashakkori A. Foundations of mixed methods research: integrating quantitative and qualitative approaches in the social and behavioral sciences. Thousand Oaks (CA): Sage Publication; 2009.
15 Merriam SB. Qualitative research: a guide to design and implementation. 3rd ed. San Francisco (CA): Jossey-Bass; 2009.
16 Ahn MH. User guide: KBASC-2 (Korean Behavior Assessment System for Children-2). Seoul: Insight Psychology; 2015.
17 Kim SY. Expert guide: College Student Adaptability Test. Seoul: Insight Psychology; 2016.
18 Cho DY. Clinical behavioral science: general hospital psychiatry. Seoul: Iljogag; 1985.
19 Vitaliano PP, Russo J, Carr JE, Heerwagen JH. Medical school pressures and their relationship to anxiety. J Nerv Ment Dis. 1984;172(12):730-6.   DOI
20 Guthrie EA, Black D, Shaw CM, Hamilton J, Creed FH, Tomenson B. Embarking upon a medical career: psychological morbidity in first year medical students. Med Educ. 1995;29(5):337-41.   DOI
21 Woods SM, Natterson J, Silverman J. Medical students' disease: hypochondriasis in medical education. J Med Educ. 1966;41(8):785-90.
22 Arulampalam W, Naylor R, Smith J. Factors affecting the probability of first year medical student dropout in the UK: a logistic analysis for the intake cohorts of 1980-92. Med Educ. 2004;38(5):492-503.   DOI
23 Doherty EM, Nugent E. Personality factors and medical training: a review of the literature. Med Educ. 2011;45(2):132-40.   DOI
24 Miller PM. The first year at medical school: some findings and student perceptions. Med Educ. 1994;28(1):5-7.   DOI
25 Lievens F, Coetsier P, De Fruyt F, De Maeseneer J. Medical students' personality characteristics and academic performance: a five-factor model perspective. Med Educ. 2002;36(11):1050-6.   DOI
26 Cleland J, Arnold R, Chesser A. Failing finals is often a surprise for the student but not the teacher: identifying difficulties and supporting students with academic difficulties. Med Teach. 2005;27(6):504-8.   DOI
27 Sobral DT. What kind of motivation drives medical students' learning quests? Med Educ. 2004;38(9):950-7.   DOI
28 Kim SH, Jeon WT. The failure experiences of medical school students: a qualitative study. Korean J Med Educ. 2008;20(4):351-62.   DOI
29 Lee DH. Development and application of programs that support learning for students on academic probation and groups likely to receive academic probation: focusing on the learning support program based on d university's 3-step learning special management system. J Learn Cent Curr Instr. 2021;21(12):275-94.
30 Chung EK, Chay KO, Han ER. A case study on approaches to supporting medical students with burnout experience. Korean Med Educ Rev. 2014;16(2):88-91.   DOI
31 Lee SO, Lee SY, Baek S, Woo JS, Im SJ, Yune SJ, et al. Two-and-a-half year follow-up study of strategy factors in successful learning to predict academic achievements in medical education. Korean J Med Educ. 2015;27(2):99-105.   DOI
32 Kim EK, Baek S, Woo JS, Im SJ, Lee SH, Kam B, et al. Group counseling for medical students with drop-out experiences. Korean J Med Educ. 2013;25(1):23-8.   DOI
33 Han ER, Chung EK, Oh SA, Chay KO, Woo YJ. Medical students' failure experiences and their related factors. Korean J Med Educ. 2012;24(3):233-40.   DOI
34 Fong CJ, Krause JM. Lost confidence and potential: a mixed methods study of underachieving college students' sources of self-efficacy. Soc Psychol Educ. 2014;17(2):249-68.   DOI
35 Lee JK. Analysis of structural relations among college students' stress, school maladjustment, academic achievement, and latent dropout intention. J Soc Sci. 2018;34(3):1-24.
36 Reynolds CR, Kamphaus RW. BASC: Behavior Assessment System for Children: manual. Circle Pines (MN): American Guidance Service; 1992.
37 Bang H, Petersson BH, Agergaard M, Risor T, Eriksen TR. Is it time to reevaluate the entrance requirements for medical studies? Ugeskr Laeger. 2006;168(18):1753-5.
38 Klassen RM, Krawchuk LL, Rajani S. Academic procrastination of undergraduates: low self-efficacy to self-regulate predicts higher levels of procrastination. Contemp Educ Psychol. 2008;33(4):915-31.   DOI
39 Jeon WT. A new search for medical student learning and life guidance: based on student counseling cases in 2005. Korean Med Educ Rev. 2006;8(1):23-33.
40 Imperato PJ, Nayeri K. First year medical student experiences with being discouraged from entering medical school. N Y State J Med. 1991;91(6):243-4.
41 Sayer M, Chaput De Saintonge M, Evans D, Wood D. Support for students with academic difficulties. Med Educ. 2002;36(7):643-50.   DOI
42 Malik S. Students, tutors and relationships: the ingredients of a successful student support scheme. Med Educ. 2000;34(8):635-41.   DOI