Resilience Among Medical Students: The Role of Coping Style and Social Support
- PMID: 27064719
- DOI: 10.1080/10401334.2016.1146611
Resilience Among Medical Students: The Role of Coping Style and Social Support
Abstract
Theory: Although medical students begin medical school with better mental health than their peers, during medical school students have a higher prevalence of psychological distress. Medical students often do not seek help for mental health concerns. The use of approach coping strategies and social support has been shown in other populations to be related to mental health resiliency.
Hypotheses: The rates of depression and burnout in this medical student population are expected to be high, with the majority not seeking help for their psychological distress in accordance with studies of medical students across the nation. Perceptions of stigma are hypothesized to be a potential source of this lack of care-seeking behavior. Approach coping strategies and social support are speculated to have an inverse relationship with the prevalence of depression and burnout in the medical student population.
Method: Validated measures of depression and burnout along with items pertaining to diagnosis and treatment of mental health issues, specific coping strategies used during stressful times, and perceptions of social support were used in a cross-sectional study of students at the University of North Dakota School of Medicine and Health Sciences (UND SMHS).
Results: The overall survey response rate was 64%. Seventeen percent had moderate to severe depression, and 49% had burnout. Of depressed respondents, 81% were undiagnosed. When asked why depression develops, 23% responded that it was due to an inability to cope. A significantly greater risk of depression was associated with inadequate support from family and friends (p = .002), fellow medical students (p = .01), and the UND SMHS (p = .003). Greater use of approach-oriented coping strategies than avoidant-oriented strategies was associated with significantly decreased risk of burnout (p = .02) and was inversely correlated with depression (rs = -0.27, n = 153, p = .001).
Conclusions: This study outlines associations among approach-oriented coping strategies, social support, and resiliency to mental health issues among medical students. This study also supports the existing literature that stigma regarding mental health issues is present in the medical community. Further multi-institutional, longitudinal research to delineate whether interventions that promote approach coping style and utilization of social support lead to decreased rates of mental health issues is necessary. The development of these interventions will need to be a multifaceted approach that includes promotion of care-taking behaviors but also focuses on institutional cultural change in order to empower students to participate in these resiliency strategies.
Keywords: burnout; coping; depression; medical students; resiliency.
Similar articles
-
The Impact of Stigma and Personal Experiences on the Help-Seeking Behaviors of Medical Students With Burnout.Acad Med. 2015 Jul;90(7):961-9. doi: 10.1097/ACM.0000000000000655. Acad Med. 2015. PMID: 25650824
-
The prevalence and correlations of medical student burnout in the pre-clinical years: a cross-sectional study.Psychol Health Med. 2012;17(2):188-95. doi: 10.1080/13548506.2011.597770. Epub 2011 Jul 25. Psychol Health Med. 2012. PMID: 21781020
-
[Negative and positive predictive relationships between coping strategies and the three dimensions of burnout among Hungarian medical students].Orv Hetil. 2014 Aug 10;155(32):1273-80. doi: 10.1556/OH.2014.29949. Orv Hetil. 2014. PMID: 25087219 Hungarian.
-
A conceptual model of medical student well-being: promoting resilience and preventing burnout.Acad Psychiatry. 2008 Jan-Feb;32(1):44-53. doi: 10.1176/appi.ap.32.1.44. Acad Psychiatry. 2008. PMID: 18270280 Review.
-
[Which interventions improve the well-being of medical students? A review of the literature].Encephale. 2020 Feb;46(1):55-64. doi: 10.1016/j.encep.2019.09.004. Epub 2019 Nov 22. Encephale. 2020. PMID: 31767254 Review. French.
Cited by
-
Impostor phenomenon and its association with resilience in medical education - a questionnaire study among Swedish medical students.BMC Med Educ. 2024 Jul 19;24(1):782. doi: 10.1186/s12909-024-05788-2. BMC Med Educ. 2024. PMID: 39030556 Free PMC article.
-
Resilience and social support as protective factors against suicidal ideation among tertiary students during COVID-19: a cross-sectional study.BMC Public Health. 2024 Jul 19;24(1):1942. doi: 10.1186/s12889-024-19470-1. BMC Public Health. 2024. PMID: 39030522 Free PMC article.
-
High risk of burnout syndrome and associated factors in medical students: A cross-sectional analytical study.PLoS One. 2024 May 31;19(5):e0304515. doi: 10.1371/journal.pone.0304515. eCollection 2024. PLoS One. 2024. PMID: 38820370 Free PMC article.
-
Is There a Burnout Epidemic among Medical Students? Results from a Systematic Review.Medicina (Kaunas). 2024 Mar 30;60(4):575. doi: 10.3390/medicina60040575. Medicina (Kaunas). 2024. PMID: 38674221 Free PMC article. Review.
-
Impact of social support on the resilience of youth: mediating effects of coping styles.Front Public Health. 2024 Mar 20;12:1331813. doi: 10.3389/fpubh.2024.1331813. eCollection 2024. Front Public Health. 2024. PMID: 38572006 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical