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KMID : 0385320210320030107
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Journal of Korean Psychoanalytic Society
2021 Volume.32 No. 3 p.107 ~ p.111
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The Relationship of Pre-Clerkship Immature Defense Style in Medical Students with Physician-Patient Interactions
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Lee So-Jin
Park Chul-Soo
Kim Bong-Jo
Lee Cheol-Soon
Cha Bo-Seok
Lee Dong-Yun
Seo Ji-Yeong
Choi Jae-Won
Lee Young-Ji
Lee Yoon-Jung
Lim Eun-Ji
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Abstract
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Objectives: The ability of medical students to form positive relationships with patients is influenced by the students’ personality. The psychological characteristics necessary for effective physician-patient interactions (PPIs) have not been identified.
Methods: In August of 2012, 2013, and 2014, second-year medical students at Gyeongsang National University completed the Korean version of the Defense Style Questionnaire (K-DSQ). Following completion of their 2-year clerkships, the students completed the K-DSQ again. Of the 216 second-year students, 187 (94 males and 93 females) aged 24-38 years (mean, 28.9±2.8 years) completed the K-DSQ at year 4. PPIs were rated by standardized patients during practical examinations following the clerkships.
Results: Female sex (β=-0.157, p=0.035) and a more immature defense style in year 2 (β=0.197, p=0.027) were significant predictors of better PPIs in year 4. An increase in humor during the clinical clerkship (β=0.171, p=0.030) and female sex (β=-0.170, p=0.023) were significant predictors of the year-4 PPI ratings.
Conclusion: Female sex and a more immature defense style in the second year, as well as an increase in humor during clerkships predicted positive PPIs.
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KEYWORD
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Immature defense style, Humor, Medical students, Physician-patient interactions
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