PDF(Pubmed)
Abstract：
BACKGROUND: Academic and emotional challenges faced by medical students can affect their psychological well-being and health. Personal characteristics may also predispose one to the manifestation of distress reactions. Individuals with type D personality have an increased tendency to develop depressive reactions and somatic diseases, including the presence of cognitive dysfunction. In students, the presence of cognitive dysfunction may additionally adversely affect academic and psycho-emotional problems. The purpose of this study was to examine the influence of type D personality and coping strategies on cognitive functioning in medical students.
METHODS: A cross-sectional study included 258 medical students (age 19 ± 1.2 years, 79 men). All participants completed psychological questionnaires (DS-14 to identify type D personality, and The Coping Strategy Indication, CSI-to determine coping strategies), as well as extensive neuropsychological testing of cognitive functions.
RESULTS: Among the medical students examined, the frequency of identification of type D personality was 44%. In persons with personality type D, according to psychometric testing, a decrease in the level of functional mobility of nervous processes (FMNP) was noted, which was manifested in an increase in the test completion time (p < 0.001) and an increase in the number of errors (p < 0.001) during the FMNP test, and an increase in the test completion time in the attention concentration test. In addition, in type D participants, an increase in the test execution time during the attention test was noted (p = 0.007). Personality type D was an independent risk factor for cognitive decline in students in multiple linear regression analysis, when type D was analyzed as a dichotomous construct.
CONCLUSIONS: Assessing personal characteristics and identifying personality type D is advisable for medical students, to develop subsequent programs to increase their resistance to academic challenges, improve cognitive function, and also to prepare for future stress loads during professional activities in the field of healthcare.
METHODS: A cross-sectional study included 258 medical students (age 19 ± 1.2 years, 79 men). All participants completed psychological questionnaires (DS-14 to identify type D personality, and The Coping Strategy Indication, CSI-to determine coping strategies), as well as extensive neuropsychological testing of cognitive functions.
RESULTS: Among the medical students examined, the frequency of identification of type D personality was 44%. In persons with personality type D, according to psychometric testing, a decrease in the level of functional mobility of nervous processes (FMNP) was noted, which was manifested in an increase in the test completion time (p < 0.001) and an increase in the number of errors (p < 0.001) during the FMNP test, and an increase in the test completion time in the attention concentration test. In addition, in type D participants, an increase in the test execution time during the attention test was noted (p = 0.007). Personality type D was an independent risk factor for cognitive decline in students in multiple linear regression analysis, when type D was analyzed as a dichotomous construct.
CONCLUSIONS: Assessing personal characteristics and identifying personality type D is advisable for medical students, to develop subsequent programs to increase their resistance to academic challenges, improve cognitive function, and also to prepare for future stress loads during professional activities in the field of healthcare.
摘要：
背景：医学生面临的学业和情感挑战会影响他们的心理健康和健康。个人特征也可能使一个人容易表现出痛苦反应。具有D型人格的个体出现抑郁反应和躯体疾病的倾向增加,包括认知功能障碍的存在。在学生中，认知功能障碍的存在可能还会对学业和心理情绪问题产生不利影响。这项研究的目的是研究D型人格和应对策略对医学生认知功能的影响。
方法：一项横断面研究包括258名医学生（年龄19±1.2岁，79名男子)。所有参与者都完成了心理问卷(DS-14识别D型人格，和应对策略指示，CSI-确定应对策略)，以及广泛的认知功能神经心理学测试。
结果：在接受检查的医学生中，D型人格的识别频率为44％。在性格类型为D的人中，根据心理测试，注意到神经过程（FMNP）的功能移动性水平降低，这表现在FMNP测试期间测试完成时间的增加（p<0.001）和错误数量的增加（p<0.001），以及注意力集中测试中测试完成时间的增加。此外,在D型参与者中，注意测试期间测试执行时间增加(p=0.007).多元线性回归分析中,人格类型D是学生认知功能下降的独立危险因素,当D型作为二分法结构分析时。
结论：评估个人特征并识别D型人格对于医学生是可取的，制定后续计划以增加他们对学术挑战的抵抗力，改善认知功能，并为医疗保健领域的专业活动期间的未来压力负荷做准备。
方法：一项横断面研究包括258名医学生（年龄19±1.2岁，79名男子)。所有参与者都完成了心理问卷(DS-14识别D型人格，和应对策略指示，CSI-确定应对策略)，以及广泛的认知功能神经心理学测试。
结果：在接受检查的医学生中，D型人格的识别频率为44％。在性格类型为D的人中，根据心理测试，注意到神经过程（FMNP）的功能移动性水平降低，这表现在FMNP测试期间测试完成时间的增加（p<0.001）和错误数量的增加（p<0.001），以及注意力集中测试中测试完成时间的增加。此外,在D型参与者中，注意测试期间测试执行时间增加(p=0.007).多元线性回归分析中,人格类型D是学生认知功能下降的独立危险因素,当D型作为二分法结构分析时。
结论：评估个人特征并识别D型人格对于医学生是可取的，制定后续计划以增加他们对学术挑战的抵抗力，改善认知功能，并为医疗保健领域的专业活动期间的未来压力负荷做准备。
