The influence of the dimensions of perfectionism on the formation of emotional maladjustment

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Abstract

The growing complexity of the medical profession places increased demands on the future physician’s adaptive capacity. The problem of the relationship of the aff ective spectrum disorders with such a dysfunctional personality trait as perfectionism is intensively discussed in clinical psychology. Medical students are in a more diffi cult position than others. It’s related to their future profession requires a high level of training and also associated with a high responsibility for the lives and patient’s health. High pace, intense workload, stress of life makes increased demands on the compensatory mechanisms of the medical student’s psyche, failure of which leads to psychological and social confl icts. The paper presents an empirical study of the severity of symptoms of depression, anxiety, and daily stress as the main components of emotional maladaptation, depending on the level of perfectionism in the medical student environment in conditions of increased psychological stress and pre-examination stress. Subjects with a low level of perfectionism are as emotionally prosperous as possible - they have no signs of depression in 89% of cases. In the group of subjects with a medium level of perfectionism, the number of respondents in whom there are no signs of depression decreases and the number with mild, moderate and high levels of depression increases. In the group with a high level of perfectionism, the number of people without signs of depression is half of the whole group, a sharp increase in the number of subjects with moderate and high levels of depression. The level of depression in all three groups is statistically signifi cantly diff erent from each other: the lowest in the group with a low level of perfectionism and the highest in the group with a high level of perfectionism (p <0.001). Positive correlations between the general indicator of perfectionism, its separate parameters and indicators of depression, anxiety and daily stress in the studied groups are revealed. The data obtained as a result of the study confi rm the high level of emotional maladaptation of medical students. In the academic student medical environment, respondents with a pronounced level of perfectionism experience more high-intensity, daily stress (both in the interpersonal and academic spheres of student life) compared to respondents with moderate and low levels of perfectionism.
完美主义各维度对情绪不适应形成的影响
日益复杂的医疗行业对未来医生的适应能力提出了更高的要求。在临床心理学中,对情感障碍与完美主义等功能失调人格特征之间的关系问题进行了深入的探讨。医学生的处境比其他人更困难。这与他们未来的职业有关,需要高水平的培训,也与对生命和病人健康的高度责任有关。高节奏、高负荷、生活压力增加了医学生心理代偿机制的需求,代偿机制的失败导致心理和社会冲突。本研究以医学生为研究对象,在心理压力和考试前压力增加的情况下,完美主义水平对抑郁、焦虑和日常压力等情绪适应不良症状的影响程度进行实证研究。完美主义水平低的人在情感上尽可能地繁荣——89%的人没有抑郁的迹象。在中度完美主义组中,没有抑郁迹象的受访者数量减少,轻度、中度和高度抑郁的受访者数量增加。在高度完美主义的小组中,没有抑郁迹象的人数占到整个小组的一半,中度和高度抑郁的人数急剧增加。三组的抑郁水平在统计学上有显著差异:完美主义程度低的组抑郁水平最低,完美主义程度高的组抑郁水平最高(p <0.001)。结果表明,完美主义总体指标及其单独参数与被研究群体的抑郁、焦虑和日常压力指标之间存在正相关。研究结果证实医学生情绪适应不良的程度较高。在学院派学生医疗环境中,与中等和低水平完美主义的受访者相比,具有明显完美主义水平的受访者经历了更多高强度的日常压力(在学生生活的人际关系和学术领域)。
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