Medical Student-led Activities to Listen to Patients' Narratives and Laugh at Each Other / 日本プライマリ・ケア連合学会誌

We organized regular, student-led activities in which medical students listened to patients' narratives and engaged in casual conversation. This report reviews these activities, which were conducted 28 times between June 2020 and September 2022. Through the activities, we received feedback on feelings, new perspectives, and realizations that arose from both students and patients. Our findings suggest that listening to patients' narratives helped students self-reflect and understand the patients' perspectives. Moreover, interacting with students helped patients feel a sense of meaning and a new understanding of their illness.

Private self-consciousness, self-reflection, insight and alcohol consumption among young people and adults / Autoconsciência privada, autorreflexão, insight e consumo de álcool entre jovens e adultos / Autoconciencia privada, autorreflexión, insight y consumo de alcohol entre jóvenes y adultos

Private self-consciousness is a relevant metacognitive capacity in the self-regulation process, with possible implications in alcohol consumption. This research verified the influence of self-reflection and insight, dimensions of private self-consciousness, on drinking behavior. A total of 523 Brazilians, aged from 20 to 39 years old, participated in a survey by answering the Self-Reflection and Insight Scale and the AUDIT test. The results showed that women have higher levels of self-reflection, whereas men have higher levels of insight. With regard to alcohol consumption, young people drink at higher risk levels than adults. Self-reflection and insight were negatively correlated with alcohol consumption. Age and gender differences in the intensity of the correlation between variables and the influence of environmental factors on the regulation of drinking behavior are discussed. (AU)

A autoconsciência privada é uma capacidade metacognitiva relevante no processo de autorregulação, com possível implicação no consumo de álcool. Esta pesquisa objetivou verificar a relação da autorreflexão e do insight, dimensões da autoconsciência privada, no comportamento de beber. Participaram 523 brasileiros, de 20 a 39 anos que responderam à Escala de Autorreflexão e Insight e ao teste AUDIT. Os resultados indicaram que mulheres apresentam níveis mais elevados de autorreflexão, enquanto homens, de insight. Quanto ao consumo de álcool, jovens bebem em níveis considerados mais arriscados do que adultos. A autorreflexão e o insight correlacionaram negativamente com o consumo de álcool. Diferenças etárias e de gênero na intensidade da correlação entre variáveis e a influência de fatores ambientais na regulação do beber são discutidas. (AU)

La autoconciencia privada es una capacidad metacognitiva relevante en el proceso de autorregulación, con posibles implicaciones en el consumo de alcohol. Esta investigación verificó la relación entre autorreflexión e Insight, dimensiones de la autoconciencia privada, en el comportamiento de beber. Participaron 523 brasileños (20 a 39 años) que respondieron la Escala de Autorreflexión e Insight y el test AUDIT. Los resultados estadísticos mostraron que las mujeres tienen mayores niveles de autorreflexión, mientras que los hombres de Insight. En cuanto a consumo de alcohol, los jóvenes beben en niveles considerados más arriesgados que los adultos. Autorreflexión e Insight se correlacionaron negativamente con el consumo de alcohol. Se discuten las diferencias de edad y género con relación a la intensidad de correlación entre las variables y la influencia de factores ambientales en la regulación de beber. (AU)

The Effect of Self Reflection Meditation Program on the Job Stress and Psychosocial Health of Government Staffs / 의료커뮤니케이션

BACKGROUND: The government staffs studied in this research has been easily exposed to excessive job stress, which can lead to a variety of psychosocial problems and poor quality of life. In this study, we examined the effect of the self reflection meditation program on the psychosocial health and stress responses of government staffs, to suggest the intervention program improving psychosocial health and quality of life in government staffs.METHODS: In this study, we measured the conditions of 36 local government staffs based on self reflection scale, psychosocial health and stress score before and after implementing the short-term intensive meditation program.RESULTS: The results showed that there were significant increase in social role performance and self confidence(p=.003), general health and vitality(p=.019) and significant decrease in stress(p=.010). This change was prominently showed in administrative officer and depression and anxiety(p=.034) also significantly decreased after program.CONCLUSION: Self reflection meditation program was effective in improving the psychosocial health and physical health of government staffs. Therefore, self reflection meditation program could be proposed as program for stress management and promotion of quality of life in government staff.

Medical Professionalism and Self-Reflection in Medical Education / 의학교육논단

Recently, unprofessional behavior by physicians and misconduct by medical students have led to increased public concern over medical professionalism. Many studies have been conducted to explore strategies that reinforce professionalism education and prevent misconduct in medical students. However, most studies focused on defining the medical professionalism and its conceptual components. In this study, we conducted a conceptual analysis based on the literature review to categorize issues of unprofessional behavior, and identified doctors' indifference to self and others as the reason for the unprofessional behavior. In this regard, self-reflection provides a practical tool to overcome such indifference. We suggest ‘education and evaluation based on self-reflection and reflective practices’ as the effective strategies to enhance the professionalism in medical students.

The ability and characteristic of self-reflection and insight in schizophrenia and depression patients / 中华行为医学与脑科学杂志

Objective To investigate the ability of the self-reflection and insight in schizophrenia and depression patients and their characteristics. Methods Self-reflection and insight scale(SRIS)and the toronto alexithymia scale-20(TAS-20)were used to test the self-reflection and insight of 140 schizophrenia patients,92 depression patients and 131 healthy controls. Results (1)The SRIS score((73.51±12.78), (79.94± 11.11)),self-reflection(RE)score((42.08 ± 10.95),(47.48 ± 9.19))and insight(IN)score ((31.43± 4.92),(32.46 ± 5.70))in schizophrenia and depression patients were significantly lower than those in healthy controls(SRIS score(86.84±12.70),RE score(51.73±9.95),IN score(35.11±5.48)),and the differences were statistically significant(P<0.05).(2)The SRIS score(73.51 ± 12.78)and RE score (42.08±10.95)in schizophrenia group were significantly lower than those in depression group((79.94 ± 11.11),(47.48±9.19)),and the differences were statistically significant(P<0.05);but the scores of insight factors had no difference between schizophrenia group and depression group(P>0.05).(3)The correlation between TAS-20 score and RE score(r=-0.227,P<0.05)and IN score(r=-0.538,P<0.01)was statisti-cally significant in patients with mental disorder. Conclusion Patients with mental disorder have different levels of self-reflection and insight impairment. Patients with depression suffer from a lower degree of self-re-flection than schizophrenia patients.

Autorreflexão e insight como dimensões da autoconsciência privada: uma revisão da literatura / Self-reflection and insight as dimensions of private self-consciousness: a literature review / Autoreflexión e insight como dimensiones de la autoconciencia privada: uma revisión de la literatura

Investigações da autoconsciência têm envolvido o uso de escalas na aferição de suas dimensões e relação com cognição e comportamento, como a Escala de Autorreflexão e Insight (EAI), desenvolvida para mensurar a dimensão privada da autoconsciência. O instrumento parte do pressuposto de que autorreflexão e insight, componentes metacognitivos, estariam envolvidos no processo de refletir, avaliar e regular os próprios pensamentos, sentimentos e comportamentos. Esta revisão sistemática procurou entender a relação entre autorreflexão e insight na cognição e no comportamento por meio da análise de estudos empíricos que utilizaram a EAI, publicados entre 2002 e 2017, disponíveis no Portal de Periódicos CAPES, e recuperados a partir dos termos "autoconsciência"; "autorreflexão"; "EAI", e seus equivalentes em inglês, incluindo também "insight". Resultados apontam para uma associação entre insight e reações saudáveis, porém divergem sobre os benefícios da autorreflexão. Essa relação e os aspectos que a influenciam são discutidos.

Research about self has involved the use of scales in measuring their dimensions and relationships with cognition and behaviour. Among those is the Self-Reflection and Insight Scale (SRIS), developed to measure the private dimension of self-consciousness. As metacognitive components, self-reflection and insight would be involved in the process of reflecting on one's own thoughts, feelings and behaviours, evaluating and modifying them in order to self-regulate. This systematic review sought to understand the relationship between self-reflection and insight into cognition and behaviour through the analysis of empirical studies that used SRIS, published between 2002 and 2017, and retrieved from Periódicos CAPES Portal, by using the words "self-consciousness", "self-awareness", "self-reflection", "SRIS", their equivalents in Portuguese, and "insight". Results pointed out an association between insight and healthy reactions but diverged on the self-reflection benefits. This relationship and the aspects that influence it are discussed.

Investigaciones de la autoconciencia han usado escalas en la medición de sus dimensiones y su relación con la cognición y el comportamiento. Entre ellas se encuentra la Escala de Autoreflexión e Insight (EAI), desarrollada para medir la dimensión privada de la autoconciencia. Elementos metacognitivos, autoreflexión e insight estarían implicados en el proceso de reflexión sobre los propios pensamientos, sentimientos y comportamientos, evaluarlos y regularlos. Esta revisión sistemática trató de comprender la relación entre autoreflexión e insight en la cognición y el comportamiento a través del análisis de estudios empíricos que utilizaron la EAI, publicados entre 2002 y 2017, disponibles en el Portal de Periódicos CAPES, y recuperados a partir de las palabras "autoconsciência"; "autorreflexão", "EAI", sus equivalentes en inglés, y también "insight ". Resultados apuntan a una asociación entre insight y reacciones saludables, pero difieren en los beneficios de la autoreflexión. Se discute esta relación y sus aspectos.

¿Son relevantes los procesos volitivos y de autorreflexión en los programas de reducción de peso? / Are relevant self-reflection and volition process in lose weight programs?

El sobrepeso se ha convertido en uno de los problemas de salud más importantes en el último siglo, no sólo por el deterioro en la calidad de vida de las personas que lo sufren, también por su relación con enfermedades como la diabetes, las cardiopatías y el cáncer. Desarrollo. La mayoría de los tratamientos están orientados a mantener el equilibrio entre el ingreso (dieta) y el gasto (actividad física) energético, mientras los factores psicológicos, y en menor grado los sociodemográficos, no reciben la importancia que merecen por su papel en la etiología y desarrollo de este problema de salud. Objetivo. Analizar y reflexionar, a través de la literatura científica presente en los últimos años, sobre la necesidad de educar y entrenar en dos procesos centrales e inductores de la pérdida de peso, como son la autorreflexión y la volición, muy relacionados con el correcto desarrollo psicológico de las personas. Conclusiones. La focalización en los aspectos volitivos y autorreflexivos de la conducta en personas con sobrepeso podría mejorar la efectividad del tratamiento por la estrecha relación que mantienen con la motivación ("querer adelgazar") y el autoconcepto ("imagen de uno mismo"), procesos éstos que se han mostrado importantes en la reducción de peso.

Overweight has become one of the most important health problems in the last hundred years, not only owing to the deterioration in quality of life of the persons suffering from it, but also because of its relation to diseases such as diabetes, heart disease and cancer. Development. Most treatments are oriented towards maintaining a balance between intake (diet) and expenditure of energy (physical activity), whereas psychological, and to a lesser degree, socio-demographic, factors do not receive they attention they deserve for their role in the etiology and development of this health problem. Objective. To analyze and reflect, based on the most recent scientific literature, about the need to educate and train individuals in two central process that induce weight loss: self-reflection and volition, very closely related to correct psychological development. Conclusions. Focusing on volitional and self-reflexive aspects of behavior in persons who are overweight could improve the effectiveness of treatment owing to the close relation between motivation ("wanting to lose weight") and self-concept ("one's image of oneself"), processes that have been shown to be important in weight reduction.

Avoiding the internet addiction disorder- from the self-regulated circle theory / 中华医学教育探索杂志

The internet addiction disorder is an important problem under the internet circumstance.Improving self-regulated ability is a good method to avoid the problem.The article uses the selfregulated circle theory to gain the self-regulating strategy in three phases:forethought,performance or volitional control,self-reflection.These strategies include making goal,planning strategy,self-observation and self-record,attribution.

Analysis of Problem Based Learning Based on the Self-reflection Journals and Class Evaluation of Nursing Students / 기본간호학회지

PURPOSE: To examine the results of PBL classes for sophomore nursing students during one semester. METHOD: Self-reflection journals and class evaluation questionnaires were collected from 121 nursing students and analyzed. Results of class evaluation questionnaires were analyzed using mean scores, SD, frequencies and percentages. Significant statements were derived by repeated review of the self-reflection journals by the researchers. RESULTS: The statements, 'Understanding of PBL', 'Improvement of human relationships', 'Expansion of nursing knowledge', 'Excellency in nursing class and application of nursing skills in nursing practices' and 'Improvement of learning ability and attitude during classes' were derived from the self-reflection journals. Analysis of class evaluation questionnaires showed the following scores: prerequisite of PBL (3.0/4), role of facilitator (3.48/4) and satisfaction with PBL learning (3.31/4). Also some complaints such as lack of adequate references in the library, and confusion in at the beginning of PBL were noted. CONCLUSION: PBL was effective. Using the results of the study for planning a more effective PBL class syllabus is recommended.