住院医师规范化培训学员自我能力否定倾向与焦虑的关系研究

doi:10.3760/cma.j.cn115259-20240401-00339

中华医学教育杂志 ›› 2025, Vol. 45 ›› Issue (4): 304-309.DOI: 10.3760/cma.j.cn115259-20240401-00339

住院医师规范化培训学员自我能力否定倾向与焦虑的关系研究

王杰艳¹, 姜红艳², 朱泽东³, 吾米尔·吾斯曼江⁴, 黄兰香⁵, 刘超⁶, 彭娟⁷

¹深圳市龙华区人民医院泌尿外科,深圳 518109;
²永州市中心医院科教部,永州 425000;
³南方医科大学第三附属医院学生科,广州 510630;
⁴中山大学附属第一医院泌尿外科,广州 510630;
⁵南华大学附属第二医院脊柱外科,衡阳 421001;
⁶湖南省人民医院重症监护室,长沙 410000;
⁷永州市中心医院康复科,永州 425000

收稿日期:2024-04-01 出版日期:2025-04-01 发布日期:2025-03-31
通讯作者: 彭娟, Email: 3572650352@qq.com

Correlation analysis of imposter phenomenon and anxiety among residents in standardized training

Wang Jieyan¹, Jiang Hongyan², Zhu Zedong³, Wumier Wusimanjiang⁴, Huang Lanxiang⁵, Liu Chao⁶, Peng Juan ⁷

¹ Department of Urology, Longhua District People's Hospital in Guangdong Province, Shenzhen 518109, China;
² Department of Science and Education, Yongzhou Central Hospital, Yongzhou 425000, China;
³ Department of Student, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China;
⁴ Department of Urology, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China;
⁵ Department of Spinal Surgery, the Second Affiliated Hospital of the University of South China, Hengyang 421001, China;
⁶ Department of Intensive Care Unit, Hunan Provincial People's Hospital, Changsha 410000, China;
⁷ Department of Rehabilitation, Yongzhou Central Hospital, Yongzhou 425000, China

Received:2024-04-01 Online:2025-04-01 Published:2025-03-31
Contact: Peng Juan, Email: 3572650352@qq.com

摘要/Abstract

摘要： 目的　了解住院医师规范化培训(简称住培)学员自我能力否定倾向与焦虑之间的关系,为住培学员的培养提供参考。方法　采用问卷调查方法。2023年11月至2024年5月,以湖南省和广东省3所住院医师规范化培训基地的381名住培学员为研究对象,采用自我能力否定倾向量表和焦虑自评量表进行调查。采用t检验、非参数检验、Spearman相关分析进行数据分析,采用多元线性回归方法分析自我能力否定倾向中自我怀疑维度、被动伪装维度和外界归因维度对焦虑的影响。结果　共有338名住培学员参与本研究。住培学员自我能力否定倾向评分为75.0(31.0)分;焦虑评分为(47.9±10.0)分;自我能力否定倾向评分与焦虑评分呈正相关(ρ=0.44,P<0.001);焦虑评分与自我怀疑维度评分、被动伪装维度评分、外界归因维度评分均呈正相关(ρ=0.37,ρ=0.34,ρ=0.44,均P<0.001),多元线性回归分析显示,被动伪装维度(B=-0.56,P=0.034)和外界归因维度(B=1.02,P＜0.001)均对住培学员的焦虑有所影响。结论　住培学员自我能力否定倾向与焦虑呈正相关,建议住培管理者重视过程管理,优化全程导师管理机制和沟通反馈机制,以减少学员出现自我能力否定倾向的情况,从而降低学员的焦虑水平。

关键词: 焦虑, 住院医师规范化培训, 学员, 自我能力否定倾向, 关系

Abstract: Objective To understand the relationship between imposter phenomenon and anxiety among residents in standardized training. Methods The study used a questionnaire survey method. From November 2023 to May 2024, 381 residents participating in the residency training program at three training bases in Hunan and Guangdong provinces were surveyed using the Impostor Phenomenon Scale and Anxiety Scale. The data were processed by t test, ANOVA and Spearman correlation analysis. Multivariate linear regression analysis explores the impact of the self-doubt dimension, passive disguise dimension, and external attribution dimension of self-ability negativity on anxiety. Results A total of 338 resident trainees participated in this study. The scores of imposter phenomenon and anxiety were 75.0 (31.0); (47.9±10.0), respectively. The score of imposter phenomenon was positively correlated with the score of anxiety (ρ=0.44, P<0.001). Anxiety scores were positively correlated with self-doubt dimension, passive camouflage dimension and external attribution dimension (ρ=0.37, ρ=0.34, ρ=0.44, all P<0.001). Multiple linear regression analysis showed that passive camouflage dimension (β=-0.56,P=0.034) and external attribution dimension (β=1.02,P＜0.001) had an impact on anxiety. Conclusions There is a positive correlation between imposter phenomenon and anxiety of residential training students. It is suggested that residential training managers should pay attention to process management, optimize the whole-process tutor management mechanism and communication feedback mechanism, so as to reduce the imposter phenomenon of residential training students and reduce their anxiety level.

Key words: Anxiety, Standardized residency training, Trainee, Imposter phenomenon, Correlation

中图分类号:

王杰艳, 姜红艳, 朱泽东, 吾米尔·吾斯曼江, 黄兰香, 刘超, 彭娟. 住院医师规范化培训学员自我能力否定倾向与焦虑的关系研究[J]. 中华医学教育杂志, 2025, 45(4): 304-309.

Wang Jieyan, Jiang Hongyan, Zhu Zedong, Wumier Wusimanjiang, Huang Lanxiang, Liu Chao, Peng Juan. Correlation analysis of imposter phenomenon and anxiety among residents in standardized training[J]. Chinese Journal of Medical Education, 2025, 45(4): 304-309.

参考文献

[1] Clance PR, Imes SA. The imposter phenomenon in high achieving women:dynamics and therapeutic intervention[J]. Psychotherapy Theory,1978,15(3):241-247. DOI:10.1037/h0086006.
[2] Narayanamoorthy S, McLaren R, Pendam R, et al. Are women residents of surgical specialties at a higher risk of developing imposter syndrome?[J]. Am J Surg, 2024,227:48-51. DOI: 10.1016/j.amjsurg.2023.09.025.
[3] Cokley K, McClain S, Enciso A,et al.An examination of the impact of minority status stress and impostor feelings on the mental health of diverse ethnic minority college students[J]. J Multicult Couns and Dev,2013,41(2):82-95.DOI: 10.1002/j.2161-1912.2013.00029.x.
[4] Tan JH, Eh KX, Ling ZJ. Prevalence of impostor phenomenon and burnout in a Singapore health system[J]. Singapore Med J, 2023,14(4):1-5.DOI: 10.4103/singaporemedj.SMJ-2022-006.
[5] 罗苏梅. 国外关于自我能力否定倾向的研究综述[J]. 考试周刊,2007(3):119-120.
[6] Chodoff A, Conyers L, Wright S, et al. “I never should have been a doctor”: a qualitative study of imposter phenomenon among internal medicine residents[J]. BMC Med Educ, 2023,23(1):1-8. DOI: 10.1186/s12909-022-03982-8.
[7] Deek AJ, Deek RA, Clegg DJ, et al. To what extent do oral and maxillofacial surgery residents suffer from imposter syndrome?[J]. Oral Surg Oral Med Oral Pathol Oral Radiol,2024,138(1):21-27.DOI: 10.1016/j.oooo.2024.02.02.
[8] Gottlieb M, Chung A, Battaglioli N, et al. Impostor syndrome among physicians and physicians in training: a scoping review[J]. Med Educ, 2020,54(2):116-124. DOI: 10.1111/medu.13956.
[9] 于潇, 毛旭, 马艳梅. 临床护士自我能力否定倾向与职业倦怠的相关性研究[J]. 军事护理,2023,40(9):18-21. DOI: 10.3969/j.issn.2097-1826.2023.09.005.
[10] 夏雨, 杨莎, 安晓, 等. 本科护生自我能力否定倾向现状及影响因素分析[J]. 护理学杂志,2023,38(20):76-79. DOI: 10.3870/j.issn.1001-4152.2023.20.076.
[11] 罗苏梅. 自我能力否定倾向量表在我国大学生群体中的适用性研究[J]. 考试周刊,2009(34):444-445.
[12] 倪平,陈京立,刘娜. 护理研究中量性研究的样本量估计[J]. 中华护理杂志, 2010, 45 (4): 378-380. DOI: 10.3761/j.issn.0254-1769.2010.04.037.
[13] Clance PR.Imposter phenomenon when success makes you feel like a fake[M]. Toronto:Bantam Books,1985:20-22.
[14] 蒋露苗, 徐玉林, 刘晓琴, 等. Clance自我能力否定倾向量表的汉化及在护士群体中的信效度检验[J]. 护理研究,2022,36(14):2486-2490. DOI: 10.12102/j.issn.1009-6493.2022.14.008.
[15] 张作记.行为医学量表手册[M]. 北京:中华医学电子音像出版社,2005:213-214.
[16] LaDonna KA,Ginsburg S,Watling C.“Rising to the level of your incompetence”: what physicians′ self-assessment of their performance reveals about the imposter syndrome in medicine[J]. Acad Med,2018,93(5):763-768. DOI:10.1097/ACM.0000000000002046.
[17] Baumann N, Faulk C, Vanderlan J, et al. Small-group discussion sessions on imposter syndrome[J]. MedEdPORTAL, 2020,16:11004. DOI: 10.15766/mep_2374-8265.11004.
[18] 董亚莉, 赵婷, 顾晓芬. 某医学院校临床医学硕士专业学位研究生焦虑和抑郁水平现况及影响因素研究[J]. 中华医学教育杂志,2020,40(8):586-589. DOI: 10.3760/cma.j.cn115259-20190819-00667.
[19] 陈锴, 段昌柱, 董国利, 等. 医科院校硕士研究生心理健康状况及影响因素分析[J]. 中华医学教育探索杂志,2022,21(3):378-384.DOI: 10.3760/cma.j.cn116021-20210509-00807.
[20] Oriel K, Plane MB, Mundt M. Family medicine residents and the impostor phenomenon[J]. Fam Med, 2004,36(4):248-252.
[21] 黄悦, 陈乔珠, 郑婕, 等. 妇幼医院规范化培训住院医师抑郁、焦虑及其影响因素研究[J]. 现代医院,2022,22(8):1288-1291,1294. DOI: 10.3969/j.issn.1671-332X.2022.08.042.
[22] 陈泓桦, 杨钰立, 李毅, 等. 大学生完美主义与情感平衡:心理弹性和反刍思维的链式中介作用[J]. 中国健康心理学杂志,2022,30(2):247-252. DOI: 10.13342/j.cnki.cjhp.2022.02.018.
[23] 李芳雅, 葛玲, 葛丽君, 等. 团体心理训练对高强迫倾向大学生完美主义和自尊水平的影响[J]. 教育理论与实践,2022,42(33):44-47.
[24] 罗苏梅. 自我能力否定倾向与归因方式的关系研究[J]. 嘉应学院学报,2009,27(5):89-92. DOI: 10.3969/j.issn.1006-642X.2009.05.018.
[25] 陈辉, 李小飒, 王艺, 等. 规范化培训住院医师倦怠焦虑抑郁发生率meta分析[J]. 青岛大学学报(医学版),2023,59(4):601-606. DOI: 10.11712/jms.2096-5532.2023.59.112.
[26] Liu RQ, Davidson J, Van Hooren TA, et al. Impostorism and anxiety contribute to burnout among resident physicians[J]. Med Teach, 2022,44(7):758-764. DOI: 10.1080/0142159X.2022.2028751.
[27] 白美玲, 韩敏, 董明纲, 等. 河北省某高校临床医学本科生焦虑抑郁现状调查及其影响因素分析[J]. 河北北方学院学报(自然科学版),2023,39(12):19-22,25. DOI: 10.3969/j.issn.1673-1492.2023.12.006.

住院医师规范化培训学员自我能力否定倾向与焦虑的关系研究

Correlation analysis of imposter phenomenon and anxiety among residents in standardized training

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