Evaluating the Relationship between Stress Coping Styles and Clinical Practice of Anesthesiology Residents with Type D and Non-D Personality

Abstract

Background: Anesthesiology residents are susceptible to different mood and anxiety disorders. The aim of this research was to determine and compare stress coping styles and clinical performances in anesthesiology residents with type D and Non-D personality. Methods: This is a causative – comparative research. Anesthesiology residents at academic department of anesthesiology in Tehran university of medical science(TUMS) consisting of Shariati, Emam Khomeini and Sina Hospitals completed the CISS (coping inventory for stressful situations, ANDLER & PARKER, 1990) and DS-14 (Type D personality) questionnaires. Clinical performance of participants was evaluated by faculty with GRF (Global Rating Format), DOPS (Direct Observation of Procedural Skills) and OSCE (Objectively Structured Clinical Examination) scores. For evaluating research hypothesis, data was analyzed with Pierson correlation coefficient and single and multivariate analysis of variance. Results: Research results demonstrated that type D personality anesthesiology residents use emotional and avoidance- social diversion coping style more than non-D ones. Interestingly, task-oriented coping style was not statistically different in two groups. Clinical performance composed of OSCE, DOPS and GRF scores was also higher in non-D personality participants. Conclusion: Based on our results in this research, type D personality affect negatively on clinical performance and coping styles in anesthesiology residents. So it is rational to identify type D personality residents to educate them how to deal with negative affects and social avoidance in order to promote their clinical performance.

Keywords

• stress
• coping styles
• anesthesiology resident
• clinical performance