在实习期间情绪和同情心的变化
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
概括
实习医生的心情在实习期间明显恶化,抑郁,愤怒和疲劳增加. 同理心也下降,表明需要探索对居民福祉的干预措施.
科学领域:
- 医学教育 医学教育
- 精神病学是一种精神病学.
- 心理学 心理学 心理学
背景情况:
- 实习代表了医疗住院人员的关键过渡期,经常伴随着情绪障碍.
- 在实习一年中情绪和同理心水平的变化没有被系统地调查.
研究的目的:
- 纵向检查内部医学医生在实习期间的情绪模式和同情心的变化.
- 在职业生涯早期的医生中调查心理健康的时间动态.
主要方法:
- 一项涉及61名大学医疗中心内科实习生的队列研究.
- 在实习一年的四个时间点 (六月,十一月,二月,六月) 使用情绪状态 (POMS) 和人际反应指数 (IRI) 的概况.
主要成果:
- 与普通人群相比,实习生开始时的负面情绪状态较低,活力和同情心更高.
- 在五个月后,人们观察到抑郁,愤怒,疲劳和个人痛苦的显著增加 (P<.001).
- 这些负面的情绪变化与活力和同理心关注的减少相关,在整个实习期间持续存在.
结论:
- 实习生最初的热情很快转变为越来越多的抑郁,愤怒和疲劳.
- 调查结果强调,在实习一年期间,心理健康和同情心的显著下降.
- 需要进一步的研究来确定这些有害变化是否延伸到实习期之外,并开发支持性干预措施.
相关概念视频
Nonconscious Mimicry
Nonconscious mimicry occurs when individuals alter their mannerisms to match the behaviors and expressions of those nearby, without intention.
Empathy
Some researchers suggest that altruism operates on empathy. Empathy is the capacity to understand another person’s perspective, to feel what he or she feels. An empathetic person makes an emotional connection with others and feels compelled to help (Batson, 1991). Empathy can be expressed in several ways, including cognitive, affective, and motor.
Physiology of Emotion
The physiology of emotions is a multifaceted process involving the autonomic nervous system, brain structures, hormones, and neurotransmitters. This intricate interplay dictates how emotions manifest in the body and influence behavior.
Autonomic Nervous System
The autonomic nervous system (ANS) plays a critical role in emotional responses by regulating involuntary physiological functions. It consists of two main components: the sympathetic and parasympathetic systems. The sympathetic system...
Autonomic Nervous System
The autonomic nervous system (ANS) plays a critical role in emotional responses by regulating involuntary physiological functions. It consists of two main components: the sympathetic and parasympathetic systems. The sympathetic system...
Emotional Expression
Emotional expression encompasses how individuals convey their emotions through verbal communication and non-verbal cues. These non-verbal actions include facial expressions, body language, and physical gestures, such as frowning or smiling. Among these, facial expressions play a crucial role in emotional expression and are understood universally, indicating a biological basis for how humans communicate emotions.
Universal Facial Expressions
Psychologist Paul Ekman identified seven basic...
Universal Facial Expressions
Psychologist Paul Ekman identified seven basic...
Socioemotional Development during Infancy
Socio-emotional development in infancy is primarily shaped by early emotional responses and social connections, with temperament playing a central role. Temperament refers to the consistent patterns in an individual's emotional and behavioral responses, observable even in infancy. By examining temperament, researchers can better understand an infant's unique ways of interacting with the world, influencing subsequent personality and socio-emotional growth.
Primary Temperament Types
Stella Chess...
Primary Temperament Types
Stella Chess...
Role of Emotions in Social Life
Emotions play a fundamental role in shaping human experience and interactions. The absence of emotions would render life incomplete and fail to capture the essence of human nature. In social psychology, feelings and moods have been extensively studied due to their profound impact on social life and interpersonal relationships. These affective states influence decision-making, behavior, and social perceptions, making them integral to understanding human interactions.Emotions and Social...


