Psychophysiological Aspects of Medical Students’ Adaptation in the Process of Working on Simulators
https://doi.org/10.25016/2782-652X-2025-0-94-71-82
Abstract
Relevance. Simulation technologies are widely used in medical education and practical healthcare. Performance of tasks on simulators is close to real working conditions of medical specialists and associated with high workload and personal distress, which can lead to adaptation difficulties manifested in psychological, physiological and humoral indicators.
Intention. The research is devoted to the study of interrelations and influences of psychological and physiological components of adaptation process in a stress situation in medical students.
Methodology. The study sample consisted of 32 students of medical specialties. The stress level was measured during the process of performing cardiopulmonary resuscitation on a simulator by recording electrocardiogram using a heart rate monitor chest strap Polar H10. Personality traits were assessed by the neurotic personality questionnaire KON-2006.
Results and Analysis. 5 factors explaining 67 % of the variance were extracted from the ECG by the method of exploratory factor analysis. A significant influence of a number of personality traits and preferred coping strategy on the process of physiologic adaptation to stress related to simulator work was revealed.
Conclusion. Scientifically-based psychological support of the educational process in the simulation center should take into account the preferred strategies used by students to cope with stress, and the possibility of their modification based on the personal traits of students.
About the Authors
I. S. Korotkova
Saint Petersburg State University
Russian Federation
Russian Federation
Inga Sergeevna Korotkova – PhD Psychol. Sci., Associate Prof., Department of medical psychology and psychophysiology
7–9, Universitetskaya Emb., St. Petersburg
G. L. Isurina
Saint Petersburg State University
Russian Federation
Russian Federation
Galina Lvovna Isurina – PhD Psychol. Sci. Associate Prof., Prof. of the Department of medical psychology and psychophysiology
7–9, Universitetskaya Emb., St. Petersburg
I. V. Grandilevskaja
Saint Petersburg State University
Russian Federation
Russian Federation
Irina Vladimirovna Grandilevskaja – PhD Psychol. Sci., Associate Prof., Department of medical psychology and psychophysiology
7–9, Universitetskaya Emb., St. Petersburg
I. A. Gorbunov
Saint Petersburg State University
Russian Federation
Russian Federation
Ivan Anatolyevich Gorbunov – PhD Psychol. Sci., Senior Researcher, Department of medical psychology and psychophysiology
7–9, Universitetskaya Emb., St. Petersburg
E. O. Kleiman
Saint Petersburg State University
Russian Federation
Russian Federation
Elena Olegovna Kleiman – assistant, Department of medical psychology and psychophysiology
7–9, Universitetskaya Emb., St. Petersburg
References
1. Vasserman L.I., Berebin M.A., Kosenkov N.I. O sistemnom podkhode v otsenke psikhicheskoi adaptatsii [On a systematic approach to assessing mental adaptation]. Obozrenie psikhiatrii i meditsinskoi psikhologii im. V.M.Bekhtereva [Review of Psychiatry and Medical Psychology named after V. M. Bekhterev]. 1994; (3): 16–25. (In Russ.)
2. Isurina G.L., Grandilevskaia I.V., Trabczynski P.K. «Oprosnik KON-2006» – novyi metod issledovaniya nevroticheskikh chert lichnosti [The KON-2006 questionnaire is a new method for studying neurotic personality traits]. Meditsinskaia psikhologiia v Rossii [Medical psychology in Russia]. 2017; (6(47)): 7. (In Russ.)
3. Kostromina S.N., Prokofeva V.V., Gnedykh D.S., Koroleva М.E. Psikhofiziologicheskiĭ monitoring ekzamenatsionnogo stressa u shkol’nikov [Psychophysiological monitoring of evaluation stress in school children]. Psikhologicheskie issledovaniya [Psychological Studies]. 2015; (8(43)): 7. (In Russ.)
4. Moroz V.V. Rekomendacii po provedeniyu reanimacionnyh meropriyatij Evropejskogo soveta po reanimacii (peresmotr 2015 g.). 3-e izd. [European resuscitation council guidelines for resuscitation (2015 revision) 3rd edition]. Moscow. 2016: 192. (In Russ.)
5. Nekrasova M.M., Polevaya S.A., Parin S.B. [et al.]. Sposob opredeleniya stressa [Method of determining stress]. Patent RF № 2013150016/14. 2014: 14. (In. Russ.)
6. Higuchi T. Relationship between the fractal dimension and the power law index for a time series: a numerical investigation. Physica D: Nonlinear Phenomena. 1990; 46(2): 254–264.
7. Kim H.G., Cheon E.J., Bai D.S. [et al.]. Stress and heart rate variability: a meta-analysis and review of the literature. Psychiatry investigation. 2018; 15(3): 235. DOI: 10.30773/pi.2017.08.17.
8. Peabody J., Ziesmann M. T., Gillman L. M. Comparing the stress response using heart rate variability during real and simulated crises: a pilot study. Advances in Health Sciences Education. 2024; 29(2): 465–475. DOI: 10.1007/s10459-023-10246-7.
Review
For citations:
Korotkova I.S., Isurina G.L., Grandilevskaja I.V., Gorbunov I.A., Kleiman E.O. Psychophysiological Aspects of Medical Students’ Adaptation in the Process of Working on Simulators. Bulletin of psychotherapy. 2025;(94):71-82. (In Russ.) https://doi.org/10.25016/2782-652X-2025-0-94-71-82
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