@misc{10481/51438,
year = {2018},
month = {3},
url = {http://hdl.handle.net/10481/51438},
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.},
publisher = {MDPI},
keywords = {Acute stress},
keywords = {Cortisol},
keywords = {Medical resident},
keywords = {Emergency Department-duty day},
keywords = {Anxiety},
title = {Acute Stress and Anxiety in Medical Residents on the Emergency Department Duty},
doi = {10.3390/ijerph15030506},
author = {González-Cabrera, Joaquín and Fernández-Prada, María and Iribar-Ibabe, Concepción and Molina-Ruano, Rogelio and Salinero-Bachiller, María and Peinado Herreros, José María},
}