PURPOSE From the point of view that medical students are under the pressure of academic achievement and vulnerable to subjective distress, there is need for evaluate their strategies for enhancing self-esteem when they failed academically. This study was to develop the scale for enhancing self-esteem and to confirm the convergent, discriminant and criteria validity.
METHODS Data were collected from 279 students at a medical school in Seoul. The scale of strategies for enhancing self-esteem (SSES) comprised comparison with inferior, doubting academic failure, accepting failure, and attribution to incidental factors. Also, to confirm the validities, participants responded to items measuring self-esteem, narcissism, 5 personality factors, depression and adjustment.
RESULTS By explanatory factor analysis of SSES, composed of three factors-comparison, doubting, and acceptance-and in the confirmatory factor analysis, 3 dimensions were best fit. Notably, comparison and doubting strategies were positively associated with depression and negatively associated with adjustment. In contrast, acceptance strategies were negatively associated with depression and positively associated with adjustment. Additionally, comparison and doubting strategies were positively associated with narcissism.
CONCLUSION The SSES of medical school students after academic failure yields 3 dimensions reliably and consistently. Also, it shows satisfactory convergent and concurrent validities.
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Research trends in studies of medical students’ characteristics: a scoping review Sung Soo Jung, Kwi Hwa Park, HyeRin Roh, So Jung Yune, Geon Ho Lee, Kyunghee Chun Korean Journal of Medical Education.2017; 29(3): 137. CrossRef
PURPOSE This longitudinal study was designed to examine the change in depression and anxiety and their predictors over 1 year among premedical and medical students. We compared depression and anxiety from 2 waves and determined the predictive power of personality, narcissism, social comparison, and social reward value on them.
METHODS Two hundred twenty-six students at a medical school in Seoul were divided into 4 groups according to academic year and completed a questionnaire at the end of 2010 and 2011. The questionnaire included the Zung Depression Scale; Zung Anxiety Scale; scales for social comparison, narcissism, and social reward value; and Neuroticism-Extraversion-Openness Personality Inventory.
RESULTS Among first- and second-year medical students, depression and anxiety increased significantly over the previous year. However, irrespective of academic year, depression increased significantly after 1 year. Also, social reward value had a moderating effect. Specifically, among students with low social reward value who entered their first year of medical school, the negative impact of the tendency toward depression and anxiety was amplified compared with older students.
CONCLUSION Because the predictors of mental health differ between groups, each group must receive specific, appropriate education. Also, because social reward value is important moderating factor of mental health, education and intervention programs that focus on social reward value are needed.
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The Effects of Medical Students’ Traits and College Life on Academic Failure Mediated by Mental Health Garam Lee, Il-Seon Hwang, Sung-Won Jung, Soongu Kim Korean Medical Education Review.2024; 26(2): 155. CrossRef
The differences in procrastination and anxiety according to the gender and cognitive regulatory focus of university students Bo-Kyoung KIM, Soon-Hwa YOO Journal of Fisheries and Marine Sciences Education.2015; 27(3): 853. CrossRef
Operation of a school adaptation program considering the interpersonal needs of medical freshmen Yera Hur, A Ra Cho, Sun Kim Korean Journal of Medical Education.2014; 26(4): 283. CrossRef
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.
Citations
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Research Trends and Meta-Analysis of Variables Related to Depression in Korean Medical Students Hyun-Gyung Yang, Kangmoon Kim, Kyeong Ryong Lee, Sun-Geun Baek Korean Medical Education Review.2023; 25(3): 243. CrossRef
Educational Applications of Psychotherapy for the Medical Students: Development of Psychotherapy Education Model Hyun Young Oh, Yong Chon Park, Seon-Cheol Park, Eun Kyung Kim Journal of Korean Neuropsychiatric Association.2021; 60(1): 86. CrossRef
Social comparison in parents of children with chronic conditions: Results from the Portuguese version of the Iowa-Netherlands Comparison Orientation Measure Teresa Mendes, Carla Crespo, João Marôco, Abraham Buunk, Joan Austin Psychology, Community & Health.2019; 8(1): 72. CrossRef
Research trends in studies of medical students’ characteristics: a scoping review Sung Soo Jung, Kwi Hwa Park, HyeRin Roh, So Jung Yune, Geon Ho Lee, Kyunghee Chun Korean Journal of Medical Education.2017; 29(3): 137. CrossRef
A school-level longitudinal study of clinical performance examination scores Jang Hee Park Korean Journal of Medical Education.2015; 27(2): 107. CrossRef
Development of the Scale of Strategies for Enhancing Self-Esteem among Medical School Students Jin-Ju Kim, Eun-Young Jang, Yong-Chon Park Korean Journal of Medical Education.2013; 25(2): 89. CrossRef
Predictors and Longitudinal Changes of Depression and Anxiety among Medical College Students Hyun-Ji Lee, Eun-Young Jang, Yong-Chon Park, Daeho Kim Korean Journal of Medical Education.2013; 25(2): 101. CrossRef
How to Set an Educational Goal Sun Huh Korean Journal of Medical Education.2011; 23(4): 241. CrossRef
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