대한불안의학회지 (Anxiety and mood)

  • 제16권2호
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  • Pages.98-105
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  • 2020
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  • 2586-0151(pISSN)
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  • 2586-0046(eISSN)
대한불안의학회 (Korean Academy of Anxiety Disorders)
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의과대학생의 사회불안장애 증상과 자기존중감, 자아탄력성 및 사회적 지지 사이의 연관성

Association of Social Anxiety Disorder Symptoms with Self-Esteem, Ego-Resiliency and Social Support in Medical Students

  • 이성은 (조선대학교병원 정신건강의학과) ;
  • 김승곤 (조선대학교병원 정신건강의학과) ;
  • 김상훈 (조선대학교병원 정신건강의학과) ;
  • 박상학 (조선대학교병원 정신건강의학과) ;
  • 서은현 (조선대학교 의과대학 의예과) ;
  • 윤형준 (조선대학교병원 정신건강의학과)
  • Lee, Sung-Eun (Department of Psychiatry, Chosun University Hospital) ;
  • Kim, Seung-Gon (Department of Psychiatry, Chosun University Hospital) ;
  • Kim, Sang Hoon (Department of Psychiatry, Chosun University Hospital) ;
  • Park, Sang Hag (Department of Psychiatry, Chosun University Hospital) ;
  • Seo, Eun Hyun (Premedical Science, Chosun University College of Medicine) ;
  • Yoon, Hyung-Jun (Department of Psychiatry, Chosun University Hospital)
  • 투고 : 2020.06.26
  • 심사 : 2020.08.04
  • 발행 : 2020.10.30
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초록

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 a sample of medical students. Methods : A total of 405 medical students were included in this study. Subjects were asked to complete a self-reported questionnaire, measures of the Social Phobia Inventory (SPIN), the Rosenberg's Self-Esteem Scale (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 multiple regression analyses were performed to examine the association of self-esteem, ego-resiliency, and social support with SAD symptoms. Results : A total of 79 subjects (19.5%) were identified with SAD. The total RSES score, ERS score, and DUFSS score were significantly lower in the SAD group than the non-SAD group. The total SPIN score negatively correlated with the total RSES score (r=-0.481, p<0.001), the ERS score (r=-0.417, p<0.001), and the DUFSS score (r=-0.406, p<0.001). In the multiple regression, SAD symptoms were associated with self-esteem (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-esteem and ego-resiliency as well as perceived social support may contribute to the management of SAD symptoms among medical students.

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