Endocrine and psychological stress responses in a simulated emergency situation

Psychoneuroendocrinology
Ariane KeitelRenate Deinzer

Abstract

Several studies have assessed the effects of training using patient simulation systems on medical skills. However, endocrine and psychological stress responses in a patient simulation situation and the relationship between stress reactivity and medical performance have been studied rarely, so far. Medical students (18 males and 16 females) who had completed at least two months anaesthesiology training participated in the study. In a counterbalanced cross-over design they were subjected to three conditions: rest, laboratory stress (LS; public speaking), and simulated emergency situation (SIM; myocardial ischemia and ventricular fibrillation). Salivary cortisol and psychological responses (visual analogue scales, VAS) were assessed every 15 min from 15 min prior to until 60 min after intervention. Differences between stress and rest conditions were analysed. Medical performance was assessed according to the European Resuscitation Council's Guidelines for Resuscitation. As compared to rest, cortisol increased significantly in both stress conditions with different time courses in LS and SIM. Psychological responses in SIM exceeded those in LS. Cortisol increase in LS (r(s)=.486; p=.019) but not in SIM (r(s)=.106; p=.631) correlated...Continue Reading

References

May 1, 1986·Canadian Anaesthetists' Society Journal·L TiretG Vourc'h
May 7, 2002·British Journal of Anaesthesia·G C L FletcherN J Maran
Jan 23, 2003·Anesthesia and Analgesia·Tom PedersenBente D Pedersen
May 5, 2004·Psychological Bulletin·Sally S Dickerson, Margaret E Kemeny
Jul 22, 2004·Brain, Behavior, and Immunity·Renate DeinzerArmin Herforth
Mar 3, 2005·Biological Psychology·Brigitte M Kudielka, Clemens Kirschbaum
Mar 18, 2005·The Journal of Neuroscience : the Official Journal of the Society for Neuroscience·Sabrina KuhlmannOliver T Wolf
Sep 6, 2005·Psychoneuroendocrinology·Eero Kajantie, David I W Phillips
Dec 3, 2005·Resuscitation·Jerry P NolanUNKNOWN European Resuscitation Council
Dec 8, 2005·CNS Drugs·Lesley J Scott, Caroline M Perry
Jan 10, 2006·American Journal of Surgery·Cordula M WetzelAra Darzi
Feb 24, 2006·Behavioral Neuroscience·Sabrina Kuhlmann, Oliver T Wolf
Nov 24, 2006·Anesthesiology·André LienhartEric Jougla
Sep 19, 2008·Psychosomatic Medicine·Ulrike WeikRenate Deinzer
Dec 25, 2009·Annals of Surgery·Cordula M WetzelMaria Woloshynowych

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Citations

Mar 19, 2016·Journal of Critical Care·Roger Daglius Dias, Augusto Scalabrini Neto
Mar 26, 2016·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Daniel Aiham GhazaliDenis Oriot
Apr 23, 2015·Best Practice & Research. Clinical Anaesthesiology·Alin Schaumberg
Sep 12, 2012·Occupational Medicine·F-X LesageF Deschamps
May 3, 2016·Anaesthesia Critical Care & Pain Medicine·Christian BauerJean-Jacques Lehot
Apr 20, 2016·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Belinda Karyn JuddChristopher James Gordon
May 26, 2017·Cambridge Quarterly of Healthcare Ethics : CQ : the International Journal of Healthcare Ethics Committees·Andrew T GoldbergSamuel Demaria
May 10, 2018·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Anna Abelsson, Lars Lundberg
May 12, 2018·Disaster Medicine and Public Health Preparedness·Mark S MannenbachMatthew D Sztajnkrycer
Jan 3, 2019·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Timothy RogersSandrijn van Schaik
Aug 8, 2019·Prehospital and Disaster Medicine·Matt PepperJohn Moloney
May 26, 2017·Nurse Educator·Kelley McGuire, Rebecca Lorenz
Feb 22, 2017·Der Anaesthesist·A SchaumbergM Sander
Feb 29, 2020·The Journal of Trauma and Acute Care Surgery·Johnathan KentJack Sava
Jun 18, 2020·International Journal of Environmental Research and Public Health·José Luis Martin-ContyAlicia Mohedano-Moriano
May 4, 2017·Stress : the International Journal on the Biology of Stress·Roger Daglius Dias, Augusto Scalabrini Neto
Feb 24, 2017·Frontiers in Psychology·Ulrike WeikRenate Deinzer
Jul 10, 2019·International Journal of Nursing Studies·Amal Al-GhareebSimon Cooper
Jan 19, 2020·Neuroscience and Biobehavioral Reviews·Antonio ArmarioRoser Nadal
Oct 29, 2021·Medical Education Online·Salim FredericksAbdelhaleem M E Bella

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