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Anatomi Öncesinde Çizgiler: Ölüm Kaygısını Azaltmak ve Öğrencileri Kadavra ile Karşılaşmaya Hazırlamak İçin Bir Araç

Yıl 2025, Cilt: 24 Sayı: 74, 167 - 179, 22.12.2025
https://doi.org/10.25282/ted.1758379

Öz

Amaç: Bu çalışma, çizim deneyiminin öğrencilerin kadavra algıları ve ölüm kaygısı üzerindeki etkisini araştırmayı amaçlamıştır.
Gereç ve Yöntem: Çalışma, üniversitemizde seçmeli sanatsal anatomi dersine kayıtlı, daha önce hiç kadavra görmemiş ve çalışmaya gönüllü olarak katılan toplam 31 öğrenci ile yürütülmüştür. Thorson-Powell Ölüm Kaygısı Ölçeği uygulandıktan sonra öğrenciler rastgele üç gruba ayrılmıştır. Birinci gruptaki öğrencilere doğrudan kadavra gösterilmiştir. İkinci gruptaki öğrencilerden kadavrayı hayal edip çizmeleri ve ardından çizimlerini gerçek kadavra ile karşılaştırmaları istenmiştir. Üçüncü gruptaki öğrencilere ise önce kadavranın bir bölümü gösterilmiş, bu kısmı çizmeleri istenmiş, ardından tüm kadavra gösterilmiştir. Bu aşamalardan sonra, tüm öğrencilere tekrar ölüm kaygısı ölçeği ve ardından geri bildirim anketi uygulanmıştır.
Bulgular: Ölüm kaygısı ölçeği sonuçları incelendiğinde, çalışma öncesi ortalama puanların, çalışma sonrası puanlara göre daha yüksek olduğu belirlenmiştir (p<0,001). Ayrıca, 1. Grup öğrencilerinin kaygı düzeylerinin 2. ve 3. Grup öğrencilerine göre daha yüksek olduğu bulunmuştur (sırasıyla p=0,039 ve p=0,005), ancak 2. ve 3. Grup arasında fark saptanmamıştır (p=0,603). Bununla birlikte, daha önce hiç ölü bir insan görmediğini belirten öğrencilerin kaygı düzeylerinin diğer öğrencilere göre daha yüksek olduğu görülmüştür (p=0,017).
Sonuç: Çizim temelli uygulamaların, öğrencilerin kadavra ile ilk karşılaşmaları öncesinde yaşadıkları kaygı ve korkuyu azaltmada etkili olduğu kanıtlanmıştır. Bulgularımız, bu yaklaşımın kadavra temelli öğrenme sürecinde duygusal adaptasyonu kolaylaştırma potansiyeline sahip olduğunu ve özellikle anatomi eğitiminde kaygı yönetimi amacıyla, kadavra ile ilk karşılaşmaya yönelik pedagojik planlamaya entegre edilebileceğini göstermektedir.

Kaynakça

  • 1. Marks SC, Bertman SL, Penney JC. Human anatomy: A foundation for education about death and dying in medicine. Clin Anat. 1997;10(2):118–22.
  • 2. Zumwalt AC. Anticipatory Feelings About Dissection: An Exercise for the First Day of a Gross Anatomy Course. Anat Sci Educ. 2021;14(6):828–35.
  • 3. Romo-Barrientos C, Criado-Álvarez JJ, González-González J, Ubeda-Bañon I, Flores-Cuadrado A, Saiz-Sánchez D, et al. Anxiety levels among health sciences students during their first visit to the dissection room. BMC Med Educ. 2020;20(1):1–7.
  • 4. Sullivan MRA. Literature Review : the Relationship Between Art and Anxiety. 2022;
  • 5. Arráez-Aybar LA, Casado-Morales MI, Castaño-Collado G. Anxiety and dissection of the human cadaver: An unsolvable relationship? Anat Rec - Part B New Anat. 2004;279(1):16–23.
  • 6. Fan JE, Bainbridge WA, Chamberlain R, Wammes JD. Drawing as a versatile cognitive tool. Nat Rev Psychol. 2023;2(9):556–68.
  • 7. Mermann A, Gunn D, Dickinson G. Learning to care for the dying: A survey of medical schools and a model course. Acad Med. 1991;66(1):35–8.
  • 8. Laakkonen J. Drawing in Veterinary Anatomy Education: What Do Students Use It For? Anat Sci Educ. 2021;14(6):799–807.
  • 9. Wisenden PA, Budke KJ, Klemetson CJ, Kurtti TR, Patel CM, Schwantz TL, et al. Emotional response of undergraduates to cadaver dissection. Clin Anat. 2018;31(2):224–30.
  • 10. Bati AH, Ozer MA, Govsa F, Pinar Y. Anxiety of first cadaver demonstration in medical, dentistry and pharmacy faculty students. Surg Radiol Anat. 2013;35(5):419–26.
  • 11. Reid S, Shapiro L, Louw G. How Haptics and Drawing Enhance the Learning of Anatomy. Anat Sci Educ. 2019;12(2):164–72.
  • 12. Sándor I, Birkás E, Gyorffy Z. The effects of dissection-room experiences and related coping strategies among Hungarian medical students. BMC Med Educ. 2015;15(1):1–9.
  • 13. Rosenbery P. SIU melds art and science with anatomical drawing workshop July 13-16 [Internet]. 2023. Available from: https://news.siu.edu/2023/06/062223-SIU-melds-art-and-science-with-anatomical-drawing-workshop-July-13-16.php
  • 14. Meade ME, Wammes JD, Fernandes MA. Drawing as an Encoding Tool: Memorial Benefits in Younger and Older Adults. Exp Aging Res [Internet]. 2018;44(5):369–96. Available from: https://doi.org/10.1080/0361073X.2018.1521432
  • 15. Karaca F, Yıldız M. The validity and reliability study of Turkish version of Thorson-Powell Death Anxiety scale in a normal population. Tabula Rasa. 2001;1(1):43–55.
  • 16. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.
  • 17. Pickering JD. Measuring learning gain: Comparing anatomy drawing screencasts and paper-based resources. Anat Sci Educ. 2017;10(4):307–16.
  • 18. Pickering JD. Anatomy drawing screencasts: Enabling flexible learning for medical students. Anat Sci Educ. 2015;8(3):249–57.
  • 19. Backhouse M, Fitzpatrick M, Hutchinson J, Thandi CS, Keenan ID. Improvements in anatomy knowledge when utilizing a novel cyclical “Observe-Reflect-Draw-Edit-Repeat” learning process. Anat Sci Educ. 2017;10(1):7–22.
  • 20. Phillips PS. Running a life drawing class for pre-clinical medical students. Med Educ. 2000;34(12):1020–5.
  • 21. Alsaid B, Bertrand M. Students’ memorization of anatomy, influence of drawing. Morphologie [Internet]. 2016;100(328):2–6. Available from: http://dx.doi.org/10.1016/j.morpho.2015.11.001
  • 22. Naug HL, Colson NJ, Donner DG. Promoting metacognition in first year anatomy laboratories using plasticine modeling and drawing activities: A pilot study of the “Blank Page” technique. Anat Sci Educ. 2011;4(4):231–4.
  • 23. Joewono M, Karmaya INM, Wirata G, Yuliana, Widianti IGA, Wardana ING. Drawing method can improve musculoskeletal anatomy comprehension in medical faculty student. Anat Cell Biol. 2018;51(1):14–8.
  • 24. Van Meter P, Aleksic M, Schwartz A, Garner J. Learner-generated drawing as a strategy for learning from content area text. Contemp Educ Psychol. 2006;31(2):142–66.
  • 25. Adams E. Power drawing. Int J Art Des Educ. 2002;21(3):220–33.
  • 26. Alkaslassy E, Day TO, Grove F. Linking Art and Science with a Drawing Class. Science (80- ). 1999;28:7–14.
  • 27. Nayak SB, Kodimajalu S. Progressive drawing: A novel “lid-opener” and “monotony-breaker.” Anat Sci Educ. 2010;3(6):326–9.

Lines Before Anatomy: Drawing as a Tool to Reduce Death Anxiety and Prepare Students for Cadaver Encounters

Yıl 2025, Cilt: 24 Sayı: 74, 167 - 179, 22.12.2025
https://doi.org/10.25282/ted.1758379

Öz

Objective: This study aimed to investigate the effect of drawing experience on students' perceptions of cadavers and death anxiety.
Materials and methods: The study was conducted with a total of 31 students who were enrolled in the elective course of artistic anatomy at our university, had never seen a cadaver before, and volunteered to participate in the study. After administering the Thorson-Powell Death Anxiety Scale, the students were randomly divided into three groups. The students in the first group were shown the cadaver directly. Students in the second group were asked to imagine and draw the cadaver and then compare their drawings with the actual cadaver. Students in the third group were first shown a part of the cadaver and asked to draw it, and then shown the entire cadaver. After these stages, all students were again administered the death anxiety scale and then the feedback questionnaire.
Results: When the results of the death anxiety scale were examined, it was determined that the average scores before the study were higher than the scores after the study (p<0.001). In addition, it was found that Group 1 students had higher anxiety levels than Group 2 and Group 3 students (p=0.039 and p=0.005, respectively), but there was no difference between Groups 2 and 3 (p=0.603). Furthermore, students who reported never having seen a deceased person before were found to have higher anxiety levels than other students (p=0.017).
Conclusion: Drawing-based applications have been proven to be effective in reducing anxiety and fear experienced by students prior to their first encounter with a cadaver. Our findings suggest that this approach has the potential to facilitate emotional adaptation in the cadaver-based learning process and can be integrated into pedagogical planning for the first encounter with a cadaver, particularly for the purpose of anxiety management in anatomy education.

Etik Beyan

This study was approved by the Ethics Committee of Istanbul Yeni Yüzyıl University for Non-Interventional Research in Science, Social, and Health Sciences (IRB:2024/03-1228).

Kaynakça

  • 1. Marks SC, Bertman SL, Penney JC. Human anatomy: A foundation for education about death and dying in medicine. Clin Anat. 1997;10(2):118–22.
  • 2. Zumwalt AC. Anticipatory Feelings About Dissection: An Exercise for the First Day of a Gross Anatomy Course. Anat Sci Educ. 2021;14(6):828–35.
  • 3. Romo-Barrientos C, Criado-Álvarez JJ, González-González J, Ubeda-Bañon I, Flores-Cuadrado A, Saiz-Sánchez D, et al. Anxiety levels among health sciences students during their first visit to the dissection room. BMC Med Educ. 2020;20(1):1–7.
  • 4. Sullivan MRA. Literature Review : the Relationship Between Art and Anxiety. 2022;
  • 5. Arráez-Aybar LA, Casado-Morales MI, Castaño-Collado G. Anxiety and dissection of the human cadaver: An unsolvable relationship? Anat Rec - Part B New Anat. 2004;279(1):16–23.
  • 6. Fan JE, Bainbridge WA, Chamberlain R, Wammes JD. Drawing as a versatile cognitive tool. Nat Rev Psychol. 2023;2(9):556–68.
  • 7. Mermann A, Gunn D, Dickinson G. Learning to care for the dying: A survey of medical schools and a model course. Acad Med. 1991;66(1):35–8.
  • 8. Laakkonen J. Drawing in Veterinary Anatomy Education: What Do Students Use It For? Anat Sci Educ. 2021;14(6):799–807.
  • 9. Wisenden PA, Budke KJ, Klemetson CJ, Kurtti TR, Patel CM, Schwantz TL, et al. Emotional response of undergraduates to cadaver dissection. Clin Anat. 2018;31(2):224–30.
  • 10. Bati AH, Ozer MA, Govsa F, Pinar Y. Anxiety of first cadaver demonstration in medical, dentistry and pharmacy faculty students. Surg Radiol Anat. 2013;35(5):419–26.
  • 11. Reid S, Shapiro L, Louw G. How Haptics and Drawing Enhance the Learning of Anatomy. Anat Sci Educ. 2019;12(2):164–72.
  • 12. Sándor I, Birkás E, Gyorffy Z. The effects of dissection-room experiences and related coping strategies among Hungarian medical students. BMC Med Educ. 2015;15(1):1–9.
  • 13. Rosenbery P. SIU melds art and science with anatomical drawing workshop July 13-16 [Internet]. 2023. Available from: https://news.siu.edu/2023/06/062223-SIU-melds-art-and-science-with-anatomical-drawing-workshop-July-13-16.php
  • 14. Meade ME, Wammes JD, Fernandes MA. Drawing as an Encoding Tool: Memorial Benefits in Younger and Older Adults. Exp Aging Res [Internet]. 2018;44(5):369–96. Available from: https://doi.org/10.1080/0361073X.2018.1521432
  • 15. Karaca F, Yıldız M. The validity and reliability study of Turkish version of Thorson-Powell Death Anxiety scale in a normal population. Tabula Rasa. 2001;1(1):43–55.
  • 16. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.
  • 17. Pickering JD. Measuring learning gain: Comparing anatomy drawing screencasts and paper-based resources. Anat Sci Educ. 2017;10(4):307–16.
  • 18. Pickering JD. Anatomy drawing screencasts: Enabling flexible learning for medical students. Anat Sci Educ. 2015;8(3):249–57.
  • 19. Backhouse M, Fitzpatrick M, Hutchinson J, Thandi CS, Keenan ID. Improvements in anatomy knowledge when utilizing a novel cyclical “Observe-Reflect-Draw-Edit-Repeat” learning process. Anat Sci Educ. 2017;10(1):7–22.
  • 20. Phillips PS. Running a life drawing class for pre-clinical medical students. Med Educ. 2000;34(12):1020–5.
  • 21. Alsaid B, Bertrand M. Students’ memorization of anatomy, influence of drawing. Morphologie [Internet]. 2016;100(328):2–6. Available from: http://dx.doi.org/10.1016/j.morpho.2015.11.001
  • 22. Naug HL, Colson NJ, Donner DG. Promoting metacognition in first year anatomy laboratories using plasticine modeling and drawing activities: A pilot study of the “Blank Page” technique. Anat Sci Educ. 2011;4(4):231–4.
  • 23. Joewono M, Karmaya INM, Wirata G, Yuliana, Widianti IGA, Wardana ING. Drawing method can improve musculoskeletal anatomy comprehension in medical faculty student. Anat Cell Biol. 2018;51(1):14–8.
  • 24. Van Meter P, Aleksic M, Schwartz A, Garner J. Learner-generated drawing as a strategy for learning from content area text. Contemp Educ Psychol. 2006;31(2):142–66.
  • 25. Adams E. Power drawing. Int J Art Des Educ. 2002;21(3):220–33.
  • 26. Alkaslassy E, Day TO, Grove F. Linking Art and Science with a Drawing Class. Science (80- ). 1999;28:7–14.
  • 27. Nayak SB, Kodimajalu S. Progressive drawing: A novel “lid-opener” and “monotony-breaker.” Anat Sci Educ. 2010;3(6):326–9.
Toplam 27 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Tıp Eğitimi
Bölüm Araştırma Makalesi
Yazarlar

Buse Naz Çandir 0000-0003-3138-8098

Zekiye Karaca Bozdağ 0000-0003-4969-654X

Gönderilme Tarihi 4 Ağustos 2025
Kabul Tarihi 6 Ekim 2025
Yayımlanma Tarihi 22 Aralık 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 24 Sayı: 74

Kaynak Göster

Vancouver Çandir BN, Karaca Bozdağ Z. Lines Before Anatomy: Drawing as a Tool to Reduce Death Anxiety and Prepare Students for Cadaver Encounters. TED. 2025;24(74):167-79.