의과대학생들의 정신건강 및 이들의 자존감 유지전략이 정신건강에 미치는 영향

• 영문명: Mental Health of Medical School Students and the Effects of Their Strategy for Enhancing Self-Esteem
• 발행기관: 한국의학교육학회
• 저자명: 김진희(Jin-Hee Kim) 장은영(Eun-Young Jang) 김대호(Dae-ho Kim) 최준호(Joon-Ho Choi) 박용천(Yong-Chon Park)
• 간행물 정보: 『Korean Journal of Medical Education』제23권 제4호, 295~304쪽, 전체 10쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2011.12.31

영문 초록

Purpose: This study investigated the mental health status, self-esteem, social comparison, and narcissism among medical school students. In addition, the mediational effect of social comparison between self-esteem and narcissism was also tested with regard to whether the students compared themselves with others to enhance their own self-esteem. Methods: Data were collected from 427 medical school students at a medical school in Seoul. The questionnaire included the Minnesota Multiphasic Personality Inventory (MMPI) 383 scale, the self-esteem scale, the Iowa-Netherlands Comparison Orientation Measure, and the narcissism scale. Using the MMPI findings, a clinical psychologist screened for possible clinical cases. Then, the frequencies of those with distress were compared between three groups, based on affiliation; premedical, medical, and graduate medical students. Also, the level of self-esteem, social comparison, and narcissism was tested by analysis of (ANCOVA), and the mediational role of social comparison was explored. Results: Irrespective of affiliation, almost 10% of medical school students showed mental illness or distress. Of the clinical scales on the MMPI, the T scores of the Pa (Paranoia), Sc (Schizophrenia), and Ma (Hypomania) scales were higher in premedical and medical school students than in graduate medical school students. In addition, the mediational role of social comparison was confirmed only in medical school students. Conclusion: We demonstrated that subjective distress in certain medical school students needs to be addressed. Also, self-esteem was an important factor that correlated with mental health and distress indices. However, comparing oneself with others to enhance self-esteem by derogating or focusing could result in increased narcissism.

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키워드

Mental health Self-esteem Narcissism Comparison MMPI