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KMID : 1143820200160020098
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Anxiety and Mood
2020 Volume.16 No. 2 p.98 ~ p.105
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Association of Social Anxiety Disorder Symptoms with Self-Esteem, Ego-Resiliency and Social Support in Medical Students
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Lee Sung-Eun
Kim Seung-Gon
Kim Sang-Hoon
Park Sang-Hag
Seo Eun-Hyun
Yoon Hyung-Jun
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Abstract
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Objective : The purpose of this study was to investigate the prevalence of social anxiety disorder (SAD)and its association with psychosocial factors including self-esteem, ego-resiliency, and social support in asample of medical students.
Methods : A total of 405 medical students were included in this study. Subjects were asked to complete aself-reported questionnaire, measures of the Social Phobia Inventory (SPIN), the Rosenberg’s Self-EsteemScale (RSES), the Ego-Resiliency Scale (ERS), and the Duke-UNC Functional Social Support Questionnaire(DUFSS). The SAD and non-SAD group were defined using the SPIN score of 25 as a cut-off. The multipleregression analyses were performed to examine the association of self-esteem, ego-resiliency, and social supportwith SAD symptoms.
Results : A total of 79 subjects (19.5%) were identified with SAD. The total RSES score, ERS score, andDUFSS score were significantly lower in the SAD group than the non-SAD group. The total SPIN scorenegatively correlated with the total RSES score (r=-0.481, p<0.001), the ERS score (r=-0.417, p<0.001), andthe DUFSS score (r=-0.406, p<0.001). In the multiple regression, SAD symptoms were associated with selfesteem(β=-0.549, p<0.001), ego-resiliency (β=-0.395, p<0.001), and social support (β=-0.346, p<0.001).
Conclusion : This study revealed the prevalence of SAD and its negative association with self-esteem,ego-resiliency, and social support among medical students. Our findings indicate that improving self-esteemand ego-resiliency as well as perceived social support may contribute to the management of SADsymptoms among medical students.
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KEYWORD
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Social anxiety disorder, Self-esteem, Ego-resiliency, Social support, Medical students
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