Stresserleben bei Medizinstudierenden: Welche Rolle spielen Bindungserleben und Persönlichkeitsaspekte?

Abstract

Significant correlations exist between attachment style and the level of structural integration of the personality, and burnout risk as well as stress burden. The level of structural integration of the personality mediates the relationship between the attachment-related "model of self" and stress experience, i. e. a positive "model of self" can have a stress-protective effect when good structural abilities are present. Practical implication: An insecure attachment style and a low level of structural integration may be associated with higher stress experience when transitioning to study. The results suggest that the enduring personality variable attachment style, mediated by the level of structural integration of the personality, leads to higher stress and burnout experience. Affected students could be supported by early preventive measures enabling the sustainable preparation for this transitional period. Longitudinal prospective studies are needed to explore if the assumption is applicable that pre-existing vulnerabilities in school are exacerbated at this transitional stage.

Medical Clerkship in a State Registration and Reception Center for Forced Migrants in Germany: Students’ Experiences, Teachable Moments, and Psychological Burden

“…However, we discovered that the medical students in the present sample had significantly lower depression and anxiety scores than a sample of first-semester medical students from a previous study by Bugaj et al (t(310) = 3.8035, p < 0.0002; t(309) = 2.897, p = 0.004) [57]. In addition, the post-score for mental health was significantly higher than the score for mental health of the sample of first-semester students in the study by Bugaj et al (t(310) = 3.424, p < 0.0001) [57]. We did not find any significant difference in the scores for physical health when comparing the two samples (t(310) = 0.723, p = 0.470).…”

“…Furthermore, we did not find significant differences when comparing the post PHQ-9 scores and the post GAD-7 scores to representative norm samples (t(2086) = 1.1135, p = 0.266; t(5050) = 0.3437, p = 0.731) [65,66]. However, we discovered that the medical students in the present sample had significantly lower depression and anxiety scores than a sample of first-semester medical students from a previous study by Bugaj et al (t(310) = 3.8035, p < 0.0002; t(309) = 2.897, p = 0.004) [57]. In addition, the post-score for mental health was significantly higher than the score for mental health of the sample of first-semester students in the study by Bugaj et al (t(310) = 3.424, p < 0.0001) [57].…”

A Comparison of Stress Perception in International and Local First Semester Medical Students Using Psychometric, Psychophysiological, and Humoral Methods

“…The current study is the first to compare psychometric, psychophysiological, and humoral assessments of stress perception between international and local first-term medical students. In contrast to other studies [50,51], our study’s participants did not present significantly higher levels of stress with the exception of two measures: first, our sample’s students reported higher levels of depression in the PHQ-9 questionnaire at the beginning of the semester. However, as their scores only reached the cut-off values equivalent to ”minimal” depression symptoms, they should not be overrated [37].…”

Motives, experiences and psychological strain in medical students engaged in refugee care in a reception center– a mixed-methods approach

“…In a previous study conducted in 2016, Bugaj et al investigated psychological stress and possible protective factors in a sample of n = 293 first-year medical students. It was shown that students with a secure attachment style experienced significantly less stress than students with insecure attachment styles [31]. In addition, a positive “Model of the Self”, as part of the dimensional analysis of adult attachment, was also identified as stress-protective in medical students [31].…”