医学生学业倦怠、韧性与生活满意度的关系：一项三波纵向研究。
Associations between academic burnout, resilience and life satisfaction among medical students: a three-wave longitudinal study.
机构信息
Institute of Foreign Languages, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, Liaoning Province, People's Republic of China.
Research Center for Universal Health, School of Public Health, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, Liaoning Province, People's Republic of China.
出版信息
BMC Med Educ. 2022 Apr 5;22(1):248. doi: 10.1186/s12909-022-03326-6.
BACKGROUND
Research shows that there are connections among academic burnout, resilience, and life satisfaction in medical students. However, no study has yet examined the temporal relationships between academic burnout, resilience, and life satisfaction among medical students. This longitudinal study aimed to examine the temporal associations between academic burnout, resilience, and life satisfaction and to explore the possible mediating role of resilience in the relationship between academic burnout and life satisfaction among medical students.
METHODS
This is a three-wave longitudinal study covering the preclinical education period of 20 months. From October 2018 to June 2020, a total of 190 students majoring in clinical medicine filled out the Chinese College Student Academic Burnout Inventory (CCSABI), the Connor-Davidson Resilience Scale (CD-RISC) and the Satisfaction With Life Scale (SWLS) three times. Cross-lagged models were constructed to examine the temporal relationships between academic burnout, resilience, and life satisfaction and longitudinal mediation models were constructed to explore the possible mediating role of resilience in the association of academic burnout with life satisfaction.
RESULTS
Among medical students, resilience uni-directionally and positively predicted life satisfaction, while academic burnout uni-directionally and negatively predicted life satisfaction. However, the temporal association between resilience and academic burnout was negative and somewhat bidirectional. Resilience had a significant mediating effect on the relationship between academic burnout and life satisfaction in medical students.
CONCLUSIONS
Medical educators need to identify and take effective measures to combat academic burnout problems which can lead to reduced life satisfaction among medical students. Resilience-based interventions may be promising in buffering the negative impacts of academic burnout and improving life satisfaction. It is recommended that effective resilience-promotion interventions be developed and implemented in medical education to help enhance medical students' psychological well-being.
背景
研究表明，医学生的学业倦怠、韧性和生活满意度之间存在联系。然而，目前尚无研究探讨医学生学业倦怠、韧性和生活满意度之间的时间关系。本纵向研究旨在检验医学生学业倦怠、韧性和生活满意度之间的时间关联，并探讨韧性在学业倦怠与生活满意度之间关系中的可能中介作用。
方法
这是一项为期 20 个月的三波纵向研究，涵盖了基础医学教育阶段。2018 年 10 月至 2020 年 6 月，共有 190 名临床医学专业学生填写了中国大学生学业倦怠量表（CCSABI）、Connor-Davidson 韧性量表（CD-RISC）和生活满意度量表（SWLS）三次。构建交叉滞后模型来检验学业倦怠、韧性和生活满意度之间的时间关系，并构建纵向中介模型来探讨韧性在学业倦怠与生活满意度之间关联中的可能中介作用。
结果
在医学生中，韧性单向且积极地预测生活满意度，而学业倦怠单向且消极地预测生活满意度。然而，韧性和学业倦怠之间的时间关联是负向的，且有些双向。韧性对医学生学业倦怠与生活满意度之间的关系具有显著的中介作用。
结论
医学教育者需要识别并采取有效措施来解决学业倦怠问题，这可能导致医学生生活满意度降低。基于韧性的干预措施可能有助于缓冲学业倦怠的负面影响，提高生活满意度。建议在医学教育中开发和实施有效的韧性促进干预措施，以帮助增强医学生的心理健康。
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