インターンシップ中の気分や共感の変動
Lisa M Bellini1, Michael Baime, Judy A Shea
1University of Pennsylvania School of Medicine, Philadelphia, PA, USA. Bellini@mail.med.upenn.edu
JAMA
|June 19, 2002
まとめ
インターン医師の気分は,インターンシップ年中に著しく悪化し,うつ病,怒り,疲労が増加しました. 共感も低下し,住民の福祉のための介入を探求する必要性を示しました.
科学分野:
- 医療教育 医療教育について
- 精神科医は精神病を患っている.
- 心理学 心理学とは
背景:
- インターンシップは,医療従事者のための重要な移行期間であり,しばしば気分障害が伴います.
- インターンシップ年を通しての気分と共感のレベルの変化は,体系的に調査されていません.
研究 の 目的:
- インターンシップの1年間,内科のレジデントの間の気分パターンと共感の変化を縦断的に調べる.
- キャリア初期の医師の心理的幸福の時間的ダイナミクスを調査する.
主な方法:
- 大学にある医療センターの内科インターン61人を対象としたコホート研究.
- インターンシップ期間中の4つの時間点 (6月,11月,2月,6月) で,気分状態のプロファイル (POMS) と人際反応性指数 (IRI) を利用しました.
主要な成果:
- インターンは,一般の人々と比較して,より低い負の気分状態と,より高い活力と共感で開始しました.
- 5ヶ月後には,うつ,怒り,疲労,および個人的な苦痛の有意な増加が観察されました (P<.001).
- これらのネガティブな気分の変化は,活力や共感的な懸念の低下と相関しており,インターンシップを通して持続しています.
結論:
- インターンの間の最初の熱意は,急速に増加したうつ,怒り,疲労に変化しました.
- 調査結果は,インターンシップの1年間に心理的幸福感と共感の有意な低下を強調しています.
- これらの有害な変化がインターンシップ期間を超えて広がるかどうかを判断し,支援的介入を開発するために,さらなる研究が必要である.
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