IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v15y2018i3p506-d136026.html
   My bibliography  Save this article

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

Author

Listed:
  • Joaquín M. González-Cabrera

    (Faculty of Education, Universidad Internacional de la Rioja, 26006 Logroño, Spain)

  • María Fernández-Prada

    (Department of Preventive Medicine, Central Hospital of Asturias, 33006 Oviedo, Spain)

  • Concepción Iribar

    (Department of Biochemistry, Molecular Biology and Immunology 3, University of Granada, 18016 Granada, Spain
    Institute of Neuroscience “Federico Olóriz”, University of Granada, 18012 Granada, Spain)

  • Rogelio Molina-Ruano

    (Emergency Department, Virgen de las Nieves University Hospital, 18014 Granada, Spain)

  • María Salinero-Bachiller

    (Department of Biochemistry, Molecular Biology and Immunology 3, University of Granada, 18016 Granada, Spain)

  • José M. Peinado

    (Department of Biochemistry, Molecular Biology and Immunology 3, University of Granada, 18016 Granada, Spain
    Institute of Neuroscience “Federico Olóriz”, University of Granada, 18012 Granada, Spain)

Abstract

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.

Suggested Citation

  • Joaquín M. González-Cabrera & María Fernández-Prada & Concepción Iribar & Rogelio Molina-Ruano & María Salinero-Bachiller & José M. Peinado, 2018. "Acute Stress and Anxiety in Medical Residents on the Emergency Department Duty," IJERPH, MDPI, vol. 15(3), pages 1-9, March.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:3:p:506-:d:136026
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/15/3/506/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/15/3/506/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Allyson Green & Andrew D. Jones & Kan Sun & Richard L. Neitzel, 2015. "The Association between Noise, Cortisol and Heart Rate in a Small-Scale Gold Mining Community—A Pilot Study," IJERPH, MDPI, vol. 12(8), pages 1-15, August.
    2. Nasser M. Al-Daghri & Abdulaziz Al-Othman & Abdulmajeed Albanyan & Omar S. Al-Attas & Majed S. Alokail & Shaun Sabico & George P. Chrousos, 2014. "Perceived Stress Scores among Saudi Students Entering Universities: A Prospective Study during the First Year of University Life," IJERPH, MDPI, vol. 11(4), pages 1-10, April.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Kathrine Jáuregui Renaud & Davis Cooper-Bribiesca & Elizabet Martínez-Pichardo & José A. Miguel Puga & Dulce M. Rascón-Martínez & Luis A. Sánchez Hurtado & Tania Colin Martínez & Eliseo Espinosa-Pobla, 2021. "Acute Stress in Health Workers during Two Consecutive Epidemic Waves of COVID-19," IJERPH, MDPI, vol. 19(1), pages 1-19, December.
    2. Ottilia Cassandra Chigwedere & Anvar Sadath & Zubair Kabir & Ella Arensman, 2021. "The Impact of Epidemics and Pandemics on the Mental Health of Healthcare Workers: A Systematic Review," IJERPH, MDPI, vol. 18(13), pages 1-35, June.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Katrina N. Burns & Kan Sun & Julius N. Fobil & Richard L. Neitzel, 2016. "Heart Rate, Stress, and Occupational Noise Exposure among Electronic Waste Recycling Workers," IJERPH, MDPI, vol. 13(1), pages 1-16, January.
    2. Hanan Alfawaz & Nasiruddin Khan & Alwateen Almarshad & Kaiser Wani & Muneerah A. Aljumah & Malak Nawaz Khan Khattak & Nasser M. Al-Daghri, 2020. "The Prevalence and Awareness Concerning Dietary Supplement Use among Saudi Adolescents," IJERPH, MDPI, vol. 17(10), pages 1-14, May.
    3. Win Thiri Kyaw & Masayuki Sakakibara, 2022. "Transdisciplinary Communities of Practice to Resolve Health Problems in Southeast Asian Artisanal and Small-Scale Gold Mining Communities," IJERPH, MDPI, vol. 19(9), pages 1-17, April.
    4. Nasser M. Al-Daghri & Hanan Alfawaz & Nasiruddin Khan & Yousef Al-Saleh & Naji J. Aljohani & Dara Aldisi & Ghadah Alkhaldi & Amani M. Alqarni & Hadeel O. Almasoudi & Lina A. Alshehri & Rinad M. Alanzi, 2022. "Association of Vitamin D Knowledge, Behavior and Attitude with BMI Status among Arab Adults," IJERPH, MDPI, vol. 19(17), pages 1-13, September.
    5. Niladri Basu & Elisha P. Renne & Rachel N. Long, 2015. "An Integrated Assessment Approach to Address Artisanal and Small-Scale Gold Mining in Ghana," IJERPH, MDPI, vol. 12(9), pages 1-16, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:15:y:2018:i:3:p:506-:d:136026. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.