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Related Experiment Videos

Mood changes during the internship.

R L Uliana, F A Hubbell, F A Wyle

    Journal of Medical Education
    |February 1, 1984
    PubMed
    Summary
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    Internal medicine interns experienced significant changes in anger-hostility during their training year, according to standardized psychological tests. This study highlights the need for better support systems for residents during postgraduate medical education.

    Area of Science:

    • Psychiatry
    • Medical Education
    • Psychological Assessment

    Background:

    • The internship year is a period of significant stress for medical residents.
    • Previous studies have indicated emotional changes in residents, but often used non-standardized measures.
    • Understanding these emotional shifts is crucial for developing effective support systems.

    Purpose of the Study:

    • To quantify emotional changes in internal medicine house staff during their internship year.
    • To utilize standardized and validated psychological tests for accurate measurement.
    • To identify specific mood factors affected by the internship experience.

    Main Methods:

    • A prospective study involving 23 internal medicine interns.
    • Administration of the Profile of Mood States (POMS) and Self-Rating Depression Scale (SDS) at four-month intervals over one academic year.

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  • One-way analysis of variance for repeated measures to analyze mood factor changes.

    • Main Results:

    • Only the "anger-hostility" mood factor showed a statistically significant change during the internship year.
    • Anger-hostility levels increased between the first and third testing periods, then decreased by the end of the year.
    • Contrary to previous research, "depression-dejection" and "fatigue-inertia" did not significantly increase.

    Conclusions:

    • Standardized psychological testing can effectively characterize residents' emotional responses to postgraduate training stress.
    • The findings suggest a unique pattern of emotional change, with anger-hostility being particularly affected.
    • This research can inform the design of improved support systems for medical trainees.