Determination of Hopelessness Levels of Final Year Students of The Faculty of Medicine

Abstract

Background: Hopelessness, which includes both the characteristics of depression and anxiety, is thought to be triggered by environmental stress. In case of hopelessness, emotional disorders, despair and inability to solve problems arise. This study was conducted to determine the level of hopelessness of the final year students in medical school and to determine whether there is a difference in the levels of hopelessness according to gender and age variables.
Methods: A total of 124 medical faculty last year students, 60 of them (48.4%) male, were included in this study. Using the Beck's Hopelessness Scale Score, the hopelessness levels of the students and the three major aspects of hopelessness, i.e. feelings and expectations about the future, loss of motivation and hopes about the future were evaluated.
Results: The mean Beck's Hopelessness Scale Score of the students was 6.29 . 30.6% of the students had no hopelessness, 48.4% had mild hopelessness, 13.7% had moderate hopelessness and 7.3% had severe hopelessness. No statistically significant difference was found between gender and age groups. For the students who preferred medical school to serve humanity, the mean Beck's Hopelessness Scale Score were significantly lower than those who did not prefer for this purpose; Beck's Hopelessness Scale Score means were found to be significantly higher for those who preferred to earn more money. While the majority of the students (89%) did not have any professional future concerns, it was found that the Beck's Hopelessness Scale Score mean was significantly higher in students who were concerned about not being able to earn enough in the future.
Conclusion: It was found that the students' feelings and expectations about the future were not negative, the loss of motivation was not significant and the hopes about the future were quite high.

Keywords

• Medical student,hopelessness,hopelessness scale

Tıp Fakültesi Son Sınıf Öğrencilerinin Umutsuzluk Düzeylerinin Belirlenmesi

Abstract

Giriş: Hem depresyonun özelliklerini hem de kaygıyı içeren umutsuzluğu, çevresel stresin tetiklediği düşünülmektedir. Umutsuzluk durumunda duygu bozuklukları, çaresizlik ve problemleri çözmede yetersizlikler ortaya çıkmaktadır. Bu çalışma, tıp fakültesi son sınıf öğrencilerinin umutsuzluk düzeylerini belirlemek, cinsiyet ve yaş değişkenlerine göre umutsuzluk düzeylerinde farklılık olup olmadığını tespit etmek için yapılmıştır.
Yöntem: Bu çalışmaya 60` ı (%48,4) erkek olmak üzere toplam 124 son sınıf öğrencisi alınmıştır. Beck’in Umutsuzluk Ölçek Puanı kullanılarak öğrencilerin umutsuzluk düzeyleri ve umutsuzluğun üç ana yönü olarak, gelecekle ilgili duygu ve beklenti, motivasyon kaybı ve gelecekle ilgili umut durumları değerlendirilmiştir.
Bulgular: Öğrencilerin Beck’in Umutsuzluk Ölçek Puanı ortalamaları 6,29 olarak bulunmuştur. Öğrencilerin %30,6’sında umutsuzluğun olmadığı, %48,4’ünde hafif umutsuzluk, %13,7’sinde orta seviyede umutsuzluk ve %7,3’ünde ileri derecede umutsuzluk bulunmuştur. Beck’in Umutsuzluk Ölçek Puanı ortalamaları açısından cinsiyet ve yaş grupları arasında istatistiksel olarak anlamlı bir fark saptanmamıştır. Tıp fakültesini insanlığa hizmet etmek için tercih eden öğrencilerde, bu amaçla tercih etmeyenlere göre Beck’in Umutsuzluk Ölçek Puanı ortalamaları anlamlı olarak daha düşük; iyi para kazanmak düşüncesi ile tercih edenlerde ve tıp fakültesini kendi isteği ile tercih etmeyenlerde Beck’in Umutsuzluk Ölçek Puanı ortalamaları anlamlı olarak daha yüksek bulunmuştur. Fakülteyi başkasının yönlendirmesi (etki altında kalma) ile tercih edenlerde BUP ortalaması 15 puanın üzerinde (şiddetli umutsuzluk) bulunmuştur Öğrencilerin çoğunluğunun (%89) mesleki gelecek kaygısı taşımadıkları görülürken, gelecekte yeterli kazanç elde edememe kaygısı yaşayan öğrencilerde Beck’in Umutsuzluk Ölçek Puanı ortalamasının anlamlı olarak yüksek olduğu bulunmuştur.
Sonuç: Öğrencilerin genel olarak gelecek ile ilgili duygu ve beklentilerinin olumsuz olmadığı, motivasyon kaybının önemli sayılmayacak oranda az olduğu ve gelecek ile ilgili umutlarının ise oldukça yüksek olduğu tespit edilmiştir.

Keywords

• medical student,hopelessnes,hopelessnes scala

References

1. 1- Beck AT, Steer RA, Kovacs M, Gamion B. Hopelessness and eventual suicide: a 10 year prospective study of patients hospitalized with suicidal intention. Am J Psychiatry 1985; 142: 559-563.
2. 2-Vatan S, Lester D, Gunn JF. Emotion Dysregulation, Problem-Solving, and Hopelessness. Psychol Rep. 2014; 114 (2): 647-51
3. 3-Greene SM. The relationship between depression and hopelessness. Implications for current theories of depression. Br J Psychiatry 1989; 154: 650–659
4. 4-Tanaka E, Sakamoto S, Ono Y, Fujihara S, Kitamura T. Hopelessness in a community population in Japan. J Clin Psychol 1996; 52: 609–615.
5. 5- Edwards MJ, Holden RR. Coping, meaning in life, and suicidal manifestations: examining gender differences. J Clin Psychol 2001; 57: 1517–1534.
6. 6- Girgin G. Evaluation of the factors affecting loneliness and hopelessness among university students in Turkey. Social Behavior and Personality 2009; 37: 811-818.
7. 7- Zeyrek EY, Gencoz F, Bergman Y, Lester D. Suicidality, problem-solving skills, attachment style, and hopelessness in Turkish students. Death Studies 2009; 33: 815-827.
8. 8- Ergin A, Bozkurt AI, Uzun SU. Level of Hopelessness and Related Factors in Upcoming Medical Work Force. JME 2016; 15 (1): 15-22.

9. 9-Budakoglu Iİ, Karaoğlu N, Coskun Ö. Loneliness, Hopelessness, Anxiety And Self Compassion Of Medical Students: Gazi Example. GMJ. 2014; 25: 165-170
10. 10-Baiden P, Mengo C, Boateng GO, Small E. Investigating the association between age at first alcohol use and suicidal ideation among high school students: Evidence from the youth risk behavior surveillance system. J. Affect Disord. 2019; 1 (242): 60-67
11. 11- Torres AR, Campos LM, Lima MCP, Ramos-Cerqueira ATA. Suicidal Ideation Among Medical Students Prevalence and Predictors. J Nerv Ment Dis 2018; 206: 160-168
12. 12- Brazeau CM, Shanafelt T, Durning SJ, Massie FS, Eacker A, Moutier C et al. Distress among matriculating medical students relative to the general population. Acad Med. 2014; 89 (11): 1520-1525.
13. 13- Enns MW, Cox BJ, Sareen J, Freeman P. Adaptive and maladaptive perfectionism in medical students: a longitudinal investigation. Med Educ. 2001; 35: 1034-42.
14. 14- Report of the Ad Hoc Committee of Deans. Educating doctors to provide high quality medical care. A vision for medical education in the United States. Washington, DC: AAMC; 2004.
15. 15-Geurts S, Rutte C, Peeters M. Antecedents and consequences of work-home interference among medical residents. Soc Sci Med. 1999; 48: 1135-48.
16. 16-Beck AT, Weissman A, Lester D, Trexler L. The measurement of pessimism: The hopelessness scale. J Consult Clin Psychol. 1974; 42: 861-65.
17. 17- Durham TW. Norms, reliability and item analysis of the hopelessness scale in general psyhiatric, forensic psychiatric, and college population. J Clin Psychology 1982; 38: 597-600
18. 18- Cochrane-Brink KA, Lofchy JS, Sakinofsky I. Gen Hosp Psychiatry 2000; 22 (6): 445-51
19. 19-Seber G, Dilbaz N, Kaptanoglu C, Tekin D. Hopelessness Scale: Validity and Reliability. Crisis Journal (Kriz Dergisi) 1993; 1: 139-42.
20. 20-Willcock Sm, Daly Mg, Tennant Cc, Allard Bj. Burnout And Psychiatric Morbidity In New Medical Graduates. Med J 2004; 181 (7): 357-60
21. 21- Hayat AA, Salehi A, Kojuri J. Medical student’s academic performance: The role of academic emotions and motivation. J Adv Med Educ 2018; 6 (4): 168-175
22. 22-Pompili M, Lester D, Innamorat M, Narciso V, Vento A, De Pisa et al. Risk-taking and reasons for living in non-clinical Italian university students. Death Stud. 2007; 31 (8): 751-62.
23. 23-Karaoglu N, Coskun Ö, Budakoglu II. Meram Medical Faculty Students' Levels of Loneliness, Hopelessness And Anxiety Against Their Self Understanding. Tıp Eğitimi Dünyası 2017; 48: 49-61.
24. 24- Güler M, Demirci K, Karakuş K, Kişioglu AN, Zengin E, Yozgat Z et al. Determination of the Relationship Between Hopelessness-Depression Frequency and Sociodemographic Characteristics in Suleyman Demirel University Medical Faculty Students. Int J Basic Clin Med 2014; 2 (1): 32-37.
25. 25-Wilson CJ, Deane FP. Help-Negation and Suicidal Ideation: The Role of Depression, Anxiety and Hopelessness. J Youth Adolesc. 2010; 39 (3): 291-305
26. 26- Cam Çelikel F, Erkorkmaz Ü. Factors associated with Depressive Symptoms and Hopelessness Levels in University Students. Arch Neuropsychiatry 2008; 45: 122-9.
27. 27-Lester D. Hopelessness in undergraduate students around the world: A review. J Affect Disord. 2013; 150: 1204-1208.
28. 28-Viñas Poch F, Villar E, Caparros B, Juan J, Cornella M, Perez I. Feelings of hopelessness in a Spanish university population - decriptive analysis and its relationship to adapting to university, depressive symptomatology and suicidal ideation. Soc Psychiatry Psychiatr Epidemiol. 2004; 39 (4): 326-34.
29. 29- Erözkan A . Investigation of Factors Predicting the Anxiety Level of University Senior Students. IOJES 2011; 3 (2), 776-805
30. 30-Aish AM, Wasserman D, Renberg ES. Does Beck's Hopelessness Scale really measure several components? Psychol Med 2001;31(2):367-72.