自我覺察成長團體對醫學生壓力調適之成效

Effectiveness of Encounter Group Training on the Stress Management in Fifth Year Medical Students

楊延光(Yen-Kuang Yang) ； 葉宗烈(Tzung-Lieh Yeh) ； 林梅鳳(Mai-Feng Lin) ； 柯昇穎(Sheng-Ying Ko) ； 陳高欽(Kao-Ching Chen) ； 蔡湘怡(Hsiang-Yi Tsai) ； 林其和(Chyi-Her Lin)

《Journal of Medical Education》 8卷1期 (2004/03) Pp. 39-48

https://doi.org/10.6145/jme.200403_8(1).0005

摘要

Objective: The purpose of this study was to investigate the feasibility and effectiveness of a stress management training group on medical students. The study was based on an “encounter group” approach combined with a “muscle relaxation” method. Methods: Thirty eight fifth year medical students joined the six-week training group. All of them received complete assessments before and after group training. The assessments included: Brief Symptom Rating Scale (BSRS); Self-perceived mod change scale (SMCS); Maudsley Personality Inventory (MPI); Cook and Medley hostility subscale in MMPI (MMPI-Hostility); Anxiety Sensitivity Index (ASI); Chinese Health Questionnaire (CHQ) and Social Support Scale (SSS). Results: After the training was completed, the GSI of the BSRS had been significantly decreased from 0.33 (.0.33 to 0.26 (0.25.90, (t=2.06, p＜.05). In addition, the score for ASI (t=2.7, p＜0.01), MPI-Neuroticism (t=6.8, p=0.00), CHQ (t=2.5, p=0.02) and SMCS were also significant improved. The exceptions were the scores for MPI-hostility (t=1.6, p＜0.12) and SSS (t=1.7, p＜0.10). Conclusions: Short-term group training based on an “encounter group” approach combined with a “muscle relaxation” method can be conducted successfully and this has potential to improve anxiety symptoms, which are encountered during clinical training by 5th year medical students. (Full text in Chinese)

關鍵字

醫學生 ； 放鬆訓練 ； 自我覺察成長團體

並列摘要

Objective: The purpose of this study was to investigate the feasibility and effectiveness of a stress management training group on medical students. The study was based on an “encounter group” approach combined with a “muscle relaxation” method. Methods: Thirty eight fifth year medical students joined the six-week training group. All of them received complete assessments before and after group training. The assessments included: Brief Symptom Rating Scale (BSRS); Self-perceived mod change scale (SMCS); Maudsley Personality Inventory (MPI); Cook and Medley hostility subscale in MMPI (MMPI-Hostility); Anxiety Sensitivity Index (ASI); Chinese Health Questionnaire (CHQ) and Social Support Scale (SSS). Results: After the training was completed, the GSI of the BSRS had been significantly decreased from 0.33 (.0.33 to 0.26 (0.25.90, (t=2.06, p＜.05). In addition, the score for ASI (t=2.7, p＜0.01), MPI-Neuroticism (t=6.8, p=0.00), CHQ (t=2.5, p=0.02) and SMCS were also significant improved. The exceptions were the scores for MPI-hostility (t=1.6, p＜0.12) and SSS (t=1.7, p＜0.10). Conclusions: Short-term group training based on an “encounter group” approach combined with a “muscle relaxation” method can be conducted successfully and this has potential to improve anxiety symptoms, which are encountered during clinical training by 5th year medical students. (Full text in Chinese)

並列關鍵字

fifth grade medical student ； relaxation training ； encounter goup

參考文獻

Kaur J(2002).Stress in Medical Students.J Med Education.6,261-272.

Barefoot JC,Dodge KA,Peterson BL(1989).The Cook-Medley hostility scale: item content and ability to predict survival.Psychosom Med.51,46-57.

Carlson CR,Hoyle RH(1993).Efficacy of abbreviated progressive muscle relaxation training: a quantitative review of behavioral medicine research.Journal of Consulting & Clinical Psychology.61,1059-1067.

Cheng TA,Williams P(1986).Psycholog Med.

Chong MY,Wilkinson C(1989).Validation of 30- and 12-item versions of the Chinese Health Questionnaire (CHQ) in patients admitted for general health screening.Psycholog Med.19,495-505.