Psychoanalysis.  2021 Jul;32(3):107-111. 10.18529/psychoanal.2021.32.3.107.

The Relationship of Pre-Clerkship Immature Defense Style in Medical Students with Physician-Patient Interactions

Affiliations
  • 1Department of Psychiatry, Gyeongsang National University Hospital, Jinju, Korea
  • 2Department of Psychiatry, Gyeongsang National University School of Medicine, Jinju, Korea
  • 3Gyeongsang National University Changwon Hospital, Changwon, Korea

Abstract


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 KDSQ 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.

Keyword

Immature defense style; Humor; Medical students; Physician-patient interactions.
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