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    Acute Stress and Anxiety in Medical Residents on the Emergency Department Duty

    Autor: 
    González-Cabrera, Joaquín (1)
    ;
    Fernández-Prada, María
    ;
    Iribar-Ibabe, Concepción
    ;
    Molina-Ruano, Rogelio
    ;
    Salinero-Bachiller, María
    ;
    Peinado, José M.
    Fecha: 
    13/03/2018
    Palabra clave: 
    acute stress; cortisol; medical resident; Emergency Department-duty day; anxiety; JCR; Scopus
    Tipo de Ítem: 
    Articulo Revista Indexada
    URI: 
    https://reunir.unir.net/handle/123456789/6628
    DOI: 
    https://doi.org/10.3390/ijerph15030506
    Dirección web: 
    http://www.mdpi.com/1660-4601/15/3/506
    Open Access
    Resumen:
    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.
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