Stress responses in medical students in ambulatory and in-hospital patient consultations

Medical Education

Volumn 45, Issue 7, 2011, Pages 678-687

  Pottier, Pierre ^a   Hardouin, Jean Benoit ^b   Dejoie, Thomas ^a   Bonnaud, Angélique ^b   Le Loupp, Anne Gaelle ^a   Planchon, Bernard ^a   Leblanc, Vicki ^c  

^a NANTES UNIVERSITY HOSPITAL   (France)

^b UNIVERSITÉ DE NANTES   (France)

^c Wilson Centre for Research in Education   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

HYDROCORTISONE;

ANAMNESIS; ARTICLE; CROSSOVER PROCEDURE; DOCTOR PATIENT RELATION; FEMALE; HOSPITALIZATION; HUMAN; MALE; MEDICAL EDUCATION; MEDICAL STUDENT; MENTAL STRESS; METABOLISM; OUTPATIENT DEPARTMENT; PATHOPHYSIOLOGY; PHYSIOLOGICAL STRESS; PHYSIOLOGY; PSYCHOLOGICAL ASPECT; SALIVA;

CROSS-OVER STUDIES; EDUCATION, MEDICAL, UNDERGRADUATE; FEMALE; HOSPITALIZATION; HUMANS; HYDROCORTISONE; MALE; MEDICAL HISTORY TAKING; OUTPATIENT CLINICS, HOSPITAL; PHYSICIAN-PATIENT RELATIONS; SALIVA; STRESS, PHYSIOLOGICAL; STRESS, PSYCHOLOGICAL; STUDENTS, MEDICAL;

EID: 79958196145     PISSN: 03080110     EISSN: 13652923     Source Type: Journal    
DOI: 10.1111/j.1365-2923.2011.03935.x     Document Type: Article

References (47)

1. Morrison J, Moffat K. More on medical student stress. Med Educ 2001;35:617-8.
2. Sarikaya O, Civaner M, Kalaca S. The anxieties of medical students related to clinical training. Int J Clin Pract 2006;60:1414-8.
3. Dahlin M, Joneborg N, Runeson B. Stress and depression among medical students: a cross-sectional study. Med Educ 2005;39:594-604.
4. Moffat KJ, McConnachie A, Ross S, Morrisson JM. First year medical student stress and coping in a problem-based learning medical curriculum. Med Educ 2004;38:482-91.
5. Schmitter M, Liedl M, Beck J, Rammelsberg P. Chronic stress in medical and dental education. Med Teach 2008;30:97-9.
6. Polychronopoulou A, Divaris K. Perceived sources of stress among Greek dental students. J Dent Educ 2005;69 (6):687-92.
7. Pöhlmann K, Jonas I, Ruf S, Harzer W. Stress, burnout and health in the clinical period of dental education. Eur J Dent Educ 2005;9:78-84.
8. Sheu S, Lin HS, Hwang SL. Perceived stress and physio-psycho-social status of nursing students during their initial period of clinical practice: the effect of coping behaviours. Int J Nurs Stud 2002;39:165-75.
9. Chambers R, Wall D, Campbell I. Stresses, coping mechanisms and job satisfaction in general practitioner registrars. Br J Gen Pract 1996;46:343-8.
10. Lazarus RS, Folkman S. Stress Appraisal and Coping, 1st edn. New York, NY: Springer 1984;1-445.
11. Tomaka J, Blaskovich J, Kelser RM, Leitten CL. Subjective, physiological and behavioural effects of threat and challenge appraisal. J Pers Soc Psychol 1993;65 (2):248-260.
12. Dickerson S, Kemeny ME. Acute stressors and cortisol responses: a theoretical integration and synthesis of laboratory research. Psychol Bull 2004;130 (3):355-91.
13. Denson TF, Spanovic M, Miller N. Cognitive appraisals and emotions predict cortisol and immune responses: a meta-analysis of acute laboratory social stressors and emotion inductions. Psychol Bull 2009;135 (6):823-53.
14. LeBlanc VR. The effects of acute stress on performance: implications for health professions education. Acad Med 2009;84 (Suppl):25-33.
15. Kajantie E, Phillips DIW. The effects of sex and hormonal status on the physiological response to acute psychosocial stress. Psychoneuroendocrinology 2006;31:151-78.
16. Stroud LR, Salovey P, Epel ES. Sex differences in stress responses: social rejection versus achievement stress. Biol Psychiatry 2002;52:318-27.
17. Kirschbaum C, Kudielka BM, Gaab J, Schommer NC, Hellhammer DH. Impact of gender, menstrual cycle phase, and oral contraceptives on the activity of the hypothalamic-pituitary-adrenal axis. Psychosom Med 1999;61:154-62.
18. Kudielka BM, Kirschbaum C. Sex differences in HPA axis responses to stress: a review. Biol Psychol 1995;69:268-82.
19. Michaud K, Matheson K, Kelley O, Anisman H. Impact of stressors in a natural contest on release of cortisol in healthy adult humans: a meta-analysis. Stress 2008;11:177-97.
20. Pottier P, Planchon B, Barrier JH, Fabre M. Place of problem-building in clinical reasoning. A qualitative study in medical students and in experts. Congress of the International Association for Medical Education (AMEE), Malaga, 29 August02 September 2009.
21. van Dulmen S, Tromp F, Grosfeld F, ten Cate O, Bensing J. The impact of assessing simulated bad news consultations on medical students' stress response and communication performance. Psychoneuroendocrinology 2007;32 (8):943-50.
22. Bruchon-Schweitzer M, Paulhan I. Manuel Français de l'Échelle d'Anxiété-Trait at d'Anxiété-Etat de Spielberger. Paris: Editions Centre Psychologie Appliquée 1993.
23. Spielberger CD, Gorsuch RL, Lushene R, Vagg PR, Jacobs GA. Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press 1983.
24. Cohen S, Kamark T, Mermelstein R. A global measure of perceived scale. J Health Soc Behav 1983;24 (4):385-96.
25. Pruessner JC, Gaab J, Hellhammer DH, Lintz D, Schommer N, Kirschbaum C. Increasing correlations between personality traits and cortisol stress responses obtained by data aggregation. Psychoneuroendocrinology 1997;22 (8):615-25.
26. Paris JJ, Franco C, Sodano R, Freidenberg B, Gordis E, Anderson DA, Forsyth JP, Wulfert E, Frye CA. Sex differences in salivary cortisol in response to acute stressors among healthy participants, in recreational or pathological gamblers, and in those with post-traumatic stress disorder. Horm Behav 2010;57 (1):35-45.
27. Lac G, Chamoux A. Biological and psychological responses to two rapid shiftwork schedules. Ergonomics 2004;47 (12):1339-49.
28. Keinan G. Decision making under stress: scanning of alternatives under controllable and uncontrollable threats. J Pers Soc Psychol 1987;52 (3):639-44.
29. Cumming SR, Harris LM. The impact of anxiety on the accuracy of diagnostic decision making. Stress Health 2001;17:281-6.
30. LeBlanc VR, Bandiera GW. The effects of examination stress on performance of emergency medicine residents. Med Educ 2007;41:556-64.
31. LeBlanc VR, McDonald RD, McArthur B, King K, Lepine T. Paramedic performance in calculating drug dosages following stressful scenarios in a human patient simulator. Prehosp Emerg Care 2005;9:439-44.
32. Laudenslager ML, Noonan C, Jacobsen C, Goldberg J, Buchwald D, Bremner JD, Vaccarino V, Manson SM. Salivary cortisol among American Indians with and without post-traumatic stress disorder (PTSD): gender and alcohol influences. Brain Behav Immun 2009;23 (5):658-62.
33. Hong RH, Yun-Jung Y, Kim SY, Lee WY, Hong YP. Determination of appropriate sampling time for job assessment: the salivary chromogranin A and cortisol in adult females. J Prev Med Public Health 2009;42 (4):231-6.
34. Gaab J, Sonderegger L, Scherrer S, Ehlert U. Psychoneuroendocrine effects of cognitive-behavioural stress management in a naturalistic setting - a randomised controlled trial. Psychoneuroendocrinology 2005;31:428-38.
35. Weekes N, Lewis R, Patel F, Garrison-Jakel J, Berger DE, Lupien SJ. Examination stress as an ecological inducer of cortisol and psychological responses to stress in undergraduate students. Stress 2006;9 (4):199-206.
36. Takatsuji K, Sugimoto Y, Ishizaki S, Yasuka O, Matsuyama E, Yama-Guchi Y. The effects of examination stress on salivary cortisol, immunoglobulin A and chromogranin A in nursing students. Biomed Res 2008;28 (4):221-4.
37. Campo AE, Williams V, Williams RB, Segundo MA, Lydston D, Weiss SM. Effects of LifeSkills training on medical students' performance in dealing with complex clinical cases. Acad Psychiatry 2008;32 (3):188-93.
38. Shapiro SL, Shapiro DE, Schwartz GER. Stress management in medical education: a review of the literature. Acad Med 2000;75:748-59.
39. Reznek M, Smith-Coggins R, Howard S, Kiran K, Harter P, Sowb Y, Gaba D, Krummel T. Emergency medicine crisis resource management (EMCRM): pilot study of a simulation-based crisis management course for emergency medicine. Acad Emerg Med 2003;10:386-9.
40. Blum RH, Raemer DB, Carroll JS, Sunder N, Felstein DM, Cooper JB. Crisis resource management training for an anaesthesia faculty: a new approach to continuing education. Med Educ 2004;38:45-55.
41. Allen BD, Carifio J. Mathematical discovery: a covariance analysis. Acad Exchange Q 2000;Summer 2004:115-9.
42. Harvey A, Nathens AB, Bandiera G, LeBlanc VR. Threat and challenge: cognitive appraisal and stress responses in simulated trauma resuscitations. Med Educ 2010;44:587-94.
43. Mathews A, Macintosh B. A cognitive model of selective processing in anxiety. Cogn Ther Res 1998;22:539-60.
44. Mogg K, Bradley BP. A cognitive-motivational analysis of anxiety. Behav Res Ther 1998;36 (9):809-48.
45. Allen BD, Carifio J. Mathematical sophistication and differentiated emotions during mathematical problem solving. J Math Stat 2007;3:163-7.
46. Shah M, Hasan S, Malik S, Sreeramareddy CT. Perceived scale, sources and severity of stress among medical undergraduates in a Pakistani medical school. BMC Med Educ 2010;10:2.
47. Judge TA, Thoresen CJ, Bono JE, Patton GK. The job satisfaction-job performance relationship: a qualitative and quantitative review. Psychol Bull 2001;376 (3):376-407.