Acute Stress and Anxiety in Medical Residents on the Emergency Department Duty
| Autor: | Joaquín González-Cabrera, María Fernández-Prada, María Salinero-Bachiller, Jose M. Peinado, Rogelio Molina-Ruano, Concepcion Iribar |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
acute stress
Adult Male Longitudinal study medicine.medical_specialty Hypothalamo-Hypophyseal System Hydrocortisone Personality Inventory Release pattern Health Toxicology and Mutagenesis Emergency Department-duty day lcsh:Medicine Pituitary-Adrenal System cortisol Anxiety Article Cortisol 03 medical and health sciences 0302 clinical medicine Stress Physiological Physicians medicine Humans 030212 general & internal medicine Longitudinal Studies Acute stress Saliva medical resident business.industry lcsh:R Public Health Environmental and Occupational Health Area under the curve Internship and Residency Emergency department anxiety Medical resident Spain Emergency medicine Female medicine.symptom Personality Assessment Inventory business Emergency Service Hospital 030217 neurology & neurosurgery Stress Psychological medicine.drug |
| Zdroj: | Digibug. Repositorio Institucional de la Universidad de Granada instname International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health; Volume 15; Issue 3; Pages: 506 International Journal of Environmental Research and Public Health, Vol 15, Iss 3, p 506 (2018) |
| Popis: | The authors are grateful to the residents who participated in the study. They also thank Cruz Miguel Cendán Martínez (University of Granada, Granada, Spain) for his assistance with the application of SigmaPlot. The objectives of this longitudinal study were to compare salivary cortisol release patterns in medical residents and their self-perceived anxiety levels between a regular working day and a day when on call in the emergency department (ED-duty day) and to determine any differences in cortisol release pattern as a function of years of residency or sex. The study included 35 residents (physicians-in-training) of the Granada University Hospital, Granada, Spain. Acute stress was measured on a regular working day and an ED-duty day, evaluating anxiety-state with the Spanish version of the State-Trait Anxiety Inventory. Physiological stress assessment was based on salivary cortisol levels. Cortisol release concentrations were higher on an ED-duty day than on a regular working day, with a significantly increased area under the curve (AUC) (p < 0.006). This difference slightly attenuated with longer residency experience. No gender difference in anxiety levels was observed (p < 0.001). According to these findings, the hypothalamic-pituitary-adrenal axis activity and anxiety levels of medical residents are higher on an ED-duty day than on a regular working day. |
| Databáze: | OpenAIRE |
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