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An Exploratory Study of Trait Emotional Intelligence and Mental Health in Freshmen Greek Medical Students

  • Maria Skokou
  • George Sakellaropoulos
  • Nektaria-Artemis Zairi
  • Philippos Gourzis
  • Ourania AndreopoulouEmail author
Article
  • 29 Downloads

Abstract

The present work aims at evaluating the concept of trait Emotional Intelligence (EI) and the correlation between EI variables and mental health problems in freshman year Greek medical students. Furthermore, we aim to reveal possible connections between these findings regarding gender and intended choice of medical specialty. A total of 206 first year students (81 males and 125 females) enrolled in the University of Patras School of Medicine in 2017, were invited voluntarily to complete on paper the TEIQue-LF for assessing trait EI, the Zung Self-Rating Anxiety and Depression Scale, as well as a demographic questionnaire. Male medical students did not differ from females in global trait EI (p = 0.292), however they scored significantly higher on self-esteem (p = 0.019), emotion regulation (p = 0.013), social awareness (p = 0.046), stress management (p = 0.050) and sociability (p = 0.050). Female medical students (n = 125) reported significantly higher levels of anxiety (p < 0.001) and depression (p < 0.004), compared to males (n = 81). Students aiming to specialize in psychiatry, had significantly lower scores in Happiness (p < 0.003), Optimism (p < 0.002) and Well-being (p < 0.0011), and also scored significantly higher in anxiety (p < 0.029). Male medical students reported being significantly more self-confident, more socially competent and better regulating their stress and emotions compared to females, who seemed to have more anxiety and depression at the beginning of their studies. Students who aimed to pursue psychiatry as specialty had more anxiety symptoms, less self-esteem and were less happy. The findings support the need for enhancing EI attributes and remediating students’ mental health problems, particularly in students of a certain emotional profile.

Keywords

Emotional intelligence Mental health Medical students Medical education Choice of residency Depression Anxiety Trait emotional intelligence 

Abbreviations

ΕΙ

Emotional intelligence

TEIQue -LF

Trait Emotional Intelligence Questionnaire- Long Form

Notes

Acknowledgements

We would like to thank all the students who participated voluntarily in the study.

Authors’ Contributions

MS contributed to the design of the study, acquisition of the data, writing the manuscript and revising it critically. GS assisted with study design and performed the data analysis and revision of manuscript. NZ performed data collection. OA contributed to the design of the study, acquisition of the data, writing the manuscript and revising it critically. PG revised the final manuscript. All authors have read and approved this manuscript.

Compliance with Ethical Standards

Ethics Approval and Consent to Participate

The study was approved by the Committee of Ethics of the Patras University and was undertaken with the understanding and written consent of each subject and in full accordance with the principles of the World Medical Association Declaration of Helsinki.

Consent for Publication

Not Applicable.

Competing Interests

The authors declare that they have no competing interests.

Supplementary material

12144_2019_535_MOESM1_ESM.docx (13 kb)
ESM 1 (DOCX 12 kb)

References

  1. Argyriou, E., Bakoyannis, G., & Tantaros, S. (2016). Parenting styles and trait emotional intelligence in adolescence. Scandinavian Journal of Psychology, 57(1), 42–49.  https://doi.org/10.1111/sjop.12266.CrossRefGoogle Scholar
  2. Arndt, J., & Goldenberg, J. L. (2002). From threat to sweat: The role of physiological arousal in the motivation to maintain self-esteem. In Self and motivation: Emerging psychological perspectives (pp. 43–69). Washington: American Psychological Association.  https://doi.org/10.1037/10448-002.CrossRefGoogle Scholar
  3. Austin, E. J., Evans, P., Goldwater, R., & Potter, V. (2005). A preliminary study of emotional intelligence, empathy and exam performance in first year medical students. Personality and Individual Differences, 39(8), 1395–1405.  https://doi.org/10.1016/J.PAID.2005.04.014.CrossRefGoogle Scholar
  4. Baykan, Z., Naçar, M., & Çetinkaya, F. (2012). Depression, anxiety, and stress among last-year students at Erciyes University medical school. Academic Psychiatry, 36(1), 64–65.  https://doi.org/10.1176/appi.ap.11060125.CrossRefPubMedGoogle Scholar
  5. Borges, N. J., Stratton, T. D., Wagner, P. J., & Elam, C. L. (2009). Emotional intelligence and medical specialty choice: Findings from three empirical studies. Medical Education, 43(6), 565–572.  https://doi.org/10.1111/j.1365-2923.2009.03371.x.CrossRefPubMedGoogle Scholar
  6. Brannick, M. T., Wahi, M. M., Arce, M., Johnson, H.-A., Nazian, S., & Goldin, S. B. (2009). Comparison of trait and ability measures of emotional intelligence in medical students. Medical Education, 43(11), 1062–1068.  https://doi.org/10.1111/j.1365-2923.2009.03430.x.CrossRefPubMedGoogle Scholar
  7. Brosschot, J. F., Gerin, W., & Thayer, J. F. (2006). The perseverative cognition hypothesis: A review of worry, prolonged stress-related physiological activation, and health. Journal of Psychosomatic Research, 60(2), 113–124.  https://doi.org/10.1016/j.jpsychores.2005.06.074.CrossRefPubMedGoogle Scholar
  8. Carr, S. E. (2009). Emotional intelligence in medical students: Does it correlate with selection measures? Medical Education, 43(11), 1069–1077.  https://doi.org/10.1111/j.1365-2923.2009.03496.x.CrossRefPubMedGoogle Scholar
  9. Cherry, M. G., Fletcher, I., O’Sullivan, H., & Dornan, T. (2014). Emotional intelligence in medical education: A critical review. Medical Education, 48(5), 468–478.  https://doi.org/10.1111/medu.12406.CrossRefPubMedGoogle Scholar
  10. Cherry, M. G., Fletcher, I., O’sullivan, H., & Shaw, N. (2012). What impact do structured educational sessions to increase emotional intelligence have on medical students? BEME guide no. 17. Medical Teacher, 34(1), 11–19.  https://doi.org/10.3109/0142159X.2011.614293.CrossRefPubMedGoogle Scholar
  11. Chew-Graham, C. A., Rogers, A., & Yassin, N. (2003). “I wouldn’t want it on my CV or their records”: Medical students’ experiences of help-seeking for mental health problems. Medical Education, 37(10), 873–880 http://www.ncbi.nlm.nih.gov/pubmed/12974841. .CrossRefGoogle Scholar
  12. Costa, P. T., Terracciano, A., & McCrae, R. R. (2001). Gender differences in personality traits across cultures: Robust and surprising findings. Journal of Personality and Social Psychology, 81(2), 322–331.  https://doi.org/10.1037/0022-3514.81.2.322.CrossRefPubMedGoogle Scholar
  13. Di Fabio, A., & Saklofske, D. H. (2014). Comparing ability and self-report trait emotional intelligence, fluid intelligence, and personality traits in career decision. Personality and Individual Differences, 64, 174–178.  https://doi.org/10.1016/J.PAID.2014.02.024.CrossRefGoogle Scholar
  14. Dyrbye, L. N., Power, D. V., Massie, F. S., Eacker, A., Harper, W., Thomas, M. R., et al. (2010). Factors associated with resilience to and recovery from burnout: A prospective, multi-institutional study of US medical students. Medical Education, 44(10), 1016–1026.  https://doi.org/10.1111/j.1365-2923.2010.03754.x.CrossRefPubMedGoogle Scholar
  15. Ellemers, N. (2018). Gender Stereotypes. Annual Review of Psychology, 69(1), 275–298.  https://doi.org/10.1146/annurev-psych-122216-011719.CrossRefPubMedGoogle Scholar
  16. Farnia, F., Nafukho, F. M., & Petrides, K. V. (2018). Predicting career decision-making difficulties: The role of trait emotional intelligence, positive and negative emotions. Frontiers in Psychology, 9, 1107.  https://doi.org/10.3389/fpsyg.2018.01107.CrossRefPubMedPubMedCentralGoogle Scholar
  17. Feingold, A. (1994). Gender differences in personality: A meta-analysis. Psychological Bulletin, 116(3), 429–456 http://www.ncbi.nlm.nih.gov/pubmed/7809307. .CrossRefGoogle Scholar
  18. Fountoulakis, K. N., Lacovides, A., Samolis, S., Kleanthous, S., Kaprinis, S. G., Kaprinis, G. S., & Bech, P. (2001). Reliability, validity and psychometric properties of the Greek translation of the zung depression rating scale. BMC Psychiatry, 1(1), 6.  https://doi.org/10.1186/1471-244X-1-6.CrossRefPubMedPubMedCentralGoogle Scholar
  19. Groves, K. S. (2005). Gender differences in social and emotional skills and charismatic leadership. Journal of Leadership & Organizational Studies, 11(3), 30–46.  https://doi.org/10.1177/107179190501100303.CrossRefGoogle Scholar
  20. Gupta, R., Singh, N., & Kumar, R. (2017). Longitudinal predictive validity of emotional intelligence on first year medical students perceived stress. BMC Medical Education, 17(1), 139.  https://doi.org/10.1186/s12909-017-0979-z.CrossRefPubMedPubMedCentralGoogle Scholar
  21. Haldorsen, H., Bak, N. H., Dissing, A., & Petersson, B. (2014). Stress and symptoms of depression among medical students at the University of Copenhagen. Scandinavian Journal of Public Health, 42(1), 89–95.  https://doi.org/10.1177/1403494813503055.CrossRefPubMedGoogle Scholar
  22. Hope, V., & Henderson, M. (2014). Medical student depression, anxiety and distress outside North America: A systematic review. Medical Education, 48(10), 963–979.  https://doi.org/10.1111/medu.12512.CrossRefPubMedGoogle Scholar
  23. Ivcevic, Z., Brackett, M. A., & Mayer, J. D. (2007). Emotional intelligence and emotional creativity. Journal of Personality, 75(2), 199–236.  https://doi.org/10.1111/j.1467-6494.2007.00437.x.CrossRefPubMedGoogle Scholar
  24. Kokkinos, C. M., & Vlavianou, E. (2019). The moderating role of emotional intelligence in the association between parenting practices and academic achievement among adolescents. Current Psychology, 1–15.  https://doi.org/10.1007/s12144-019-00343-5.
  25. Leach, L. S., Christensen, H., Mackinnon, A. J., Windsor, T. D., & Butterworth, P. (2008). Gender differences in depression and anxiety across the adult lifespan: The role of psychosocial mediators. Social Psychiatry and Psychiatric Epidemiology, 43(12), 983–998.  https://doi.org/10.1007/s00127-008-0388-z.CrossRefPubMedGoogle Scholar
  26. Martincin, K. M., & Stead, G. B. (2015). Five-factor model and difficulties in career decision making. Journal of Career Assessment, 23(1), 3–19.  https://doi.org/10.1177/1069072714523081.CrossRefGoogle Scholar
  27. Mayer, J. D., & Salovey, P. (1997). What is emotional intelligence? In P. Salovey & D. J. Sluyter (Eds.), Emotional development and emotional intelligence: Educational implications (pp. 3–34). New York: Harper Collins.Google Scholar
  28. McKinley, S. K., Petrusa, E. R., Fiedeldey-Van Dijk, C., Mullen, J. T., Smink, D. S., Scott-Vernaglia, S. E., et al. (2014). Are there gender differences in the emotional intelligence of resident physicians? Journal of Surgical Education, 71(6), e33–e40.  https://doi.org/10.1016/j.jsurg.2014.05.003.CrossRefPubMedGoogle Scholar
  29. Mikolajczak, M., Luminet, O., Leroy, C., & Roy, E. (2007). Psychometric properties of the trait emotional intelligence questionnaire: Factor structure, reliability, construct, and incremental validity in a French-speaking population. Journal of Personality Assessment, 88(3), 338–353.  https://doi.org/10.1080/00223890701333431.CrossRefPubMedGoogle Scholar
  30. Mruk, C. J. (1995). Self-esteem: Research, theory, and practice. Self-esteem: Research, theory, and practice. New York, NY, US: Springer Publishing Co..Google Scholar
  31. Orth, U., & Robins, R. W. (2014). The development of self-esteem. Current Directions in Psychological Science, 23(5), 381–387.  https://doi.org/10.1177/0963721414547414.CrossRefGoogle Scholar
  32. Parker, G., & Brotchie, H. (2010). Gender differences in depression. International Review of Psychiatry, 22(5), 429–436.  https://doi.org/10.3109/09540261.2010.492391.CrossRefPubMedGoogle Scholar
  33. Petrides, K. V., & Furnham, A. (2006). The role of trait emotional intelligence in a gender-specific model of organizational Variables1. Journal of Applied Social Psychology, 36(2), 552–569.  https://doi.org/10.1111/j.0021-9029.2006.00019.x.CrossRefGoogle Scholar
  34. Petrides, K. V., Pita, R., & Kokkinaki, F. (2007). The location of trait emotional intelligence in personality factor space. British Journal of Psychology, 98(2), 273–289.  https://doi.org/10.1348/000712606X120618.CrossRefPubMedGoogle Scholar
  35. Petrides, K. V. (2009). Psychometric properties of the trait emotional intelligence questionnaire (TEIQue), In J. D. A. P. con Stough, Donald H. Saklofske (Ed.), Assessing Emotional Intelligence Theory, Research, and Applications (1st ed., pp. 85–101). Boston, MA: Springer.  https://doi.org/10.1007/978-0-387-88370-0_5.CrossRefGoogle Scholar
  36. Petrides, K. V., Vernon, P. A., Aitken Schermer, J., & Veselka, L. (2011). Trait emotional intelligence and the dark triad traits of personality. Twin Research and Human Genetics, 14, 35–41.  https://doi.org/10.1375/twin.14.1.35.CrossRefPubMedGoogle Scholar
  37. Pratt, L. A., & Brody, D. J. (2014). Depression in the U.S. household population, 2009-2012. NCHS data brief, (172), 1–8. http://www.ncbi.nlm.nih.gov/pubmed/25470183. Accessed 18 June 2019.
  38. Puthran, R., Zhang, M. W. B., Tam, W. W., & Ho, R. C. (2016). Prevalence of depression amongst medical students: A meta-analysis. Medical Education, 50(4), 456–468.  https://doi.org/10.1111/medu.12962.CrossRefPubMedGoogle Scholar
  39. Rosenberg, M. (1965). The measurement of self- esteem. In Society and the Adolescent Self-Image (pp. 16–36). Princeton University press.Google Scholar
  40. Rotenstein, L. S., Ramos, M. A., Torre, M., Segal, J. B., Peluso, M. J., Guille, C., Sen, S., & Mata, D. A. (2016). Prevalence of depression, depressive symptoms, and suicidal ideation among medical students. JAMA, 316(21), 2214–2236.  https://doi.org/10.1001/jama.2016.17324.CrossRefPubMedPubMedCentralGoogle Scholar
  41. Samakouri, M., Bouhos, G., Kadoglou, M., Giantzelidou, A., Tsolaki, K., & Livaditis, M. (2012). Standardization of the Greek version of Zung’s self-rating anxiety scale (SAS). Psychiatrike = Psychiatriki, 23(3), 212–220 http://www.ncbi.nlm.nih.gov/pubmed/23073544. .PubMedGoogle Scholar
  42. Sánchez-Álvarez, N., Extremera, N., & Fernández-Berrocal, P. (2016). The relation between emotional intelligence and subjective well-being: A meta-analytic investigation. The Journal of Positive Psychology, 11(3), 276–285.  https://doi.org/10.1080/17439760.2015.1058968.CrossRefGoogle Scholar
  43. Sánchez-Ruiz, M. J., Pérez-González, J. C., & Petrides, K. V. (2010). Trait emotional intelligence profiles of students from different university faculties. Australian Journal of Psychology, 62(1), 51–57.  https://doi.org/10.1080/00049530903312907.CrossRefGoogle Scholar
  44. Sianou-Kyrgiou, E., & Tsiplakides, I. (2011). Similar performance, but different choices: Social class and higher education choice in Greece. Studies in Higher Education, 36(1), 89–102.  https://doi.org/10.1080/03075070903469606.CrossRefGoogle Scholar
  45. Todres, M., Tsimtsiou, Z., Stephenson, A., & Jones, R. (2010). The emotional intelligence of medical students: An exploratory cross-sectional study. Medical Teacher, 32(1), e42–e48.  https://doi.org/10.3109/01421590903199668.CrossRefPubMedGoogle Scholar
  46. Vlachou, E. M., Damigos, D., Lyrakos, G., Chanopoulos, K., Kosmidis, G., & Karavis, M. (2016). The relationship between burnout syndrome and emotional intelligence in healthcare professionals. Health Science Journal, 10.  https://doi.org/10.4172/1791-809X.1000100502.
  47. Zysberg, L., & Zysberg, L. (2018). Emotional intelligence and health outcomes. Psychology, 09(11), 2471–2481.  https://doi.org/10.4236/psych.2018.911142.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Psychiatry DepartmentUniversity of Patras School of MedicineRio AchaiasGreece
  2. 2.Medical Physics DepartmentUniversity of Patras School of MedicineRio AchaiasGreece
  3. 3.University of Patras School of MedicineRio AchaiasGreece

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