Stress effects: A study of salivary cortisol levels in third-year medical students

Stress and Health

Volumn 27, Issue 5, 2011, Pages 436-440

  Tseng, Teresa ^a   Iosif, Ana Maria ^b   Seritan, Andreea L ^b  

^a UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

cortisol; medical student; stress; wellness

Indexed keywords

HYDROCORTISONE;

ADULT; ANXIETY; ARTICLE; CIRCADIAN RHYTHM; CURRICULUM; DEPRESSION; EMOTIONAL STRESS; FEMALE; HUMAN; HUMAN EXPERIMENT; HYPOTHALAMUS HYPOPHYSIS ADRENAL SYSTEM; MALE; MEDICAL SCHOOL; MEDICAL STUDENT; MENTAL STRESS; PHYSICAL STRESS; RADIOIMMUNOASSAY; SALIVA LEVEL; STRESS; SUICIDE; WELLBEING;

EID: 82355161611     PISSN: 15323005     EISSN: 15322998     Source Type: Journal    
DOI: 10.1002/smi.1377     Document Type: Article

References (24)

1. Al-Ayadhi, L.Y., (2005). Neurohormonal changes in medical students during academic stress. Annals of Saudi Medicine, 25, 36-40. (Pubitemid 40403222)
2. Bellingrath, S., Weigl, T., &, Kudielka, B.M., (2008). Cortisol dysregulation in school teachers in relation to burnout, vital exhaustion, and effort-reward-imbalance. Biological Psychology, 78, 104-113.
3. Bergman, B., Ahmad, F., Stewart, D.E., (2008). Work family balance, stress, and salivary cortisol in men and women academic physicians. International Journal of Behavioral Medicine, 15, 54-61. (Pubitemid 351451097)
4. Brant, H., Wetherell, M.A., Lightman, S., Crown, A., &, Vedhara, K., (2010). An exploration into physiological and self-report measures of stress in pre-registration doctors at the beginning and end of a clinical rotation. Stress, 13, 155-162.
5. Dallman, M.F., (2010). Stress-induced obesity and the emotional nervous system. Trends in Endocrinology and Metabolism, 21, 159-165.
6. Dyrbye, L.N., Thomas, M.R., &, Shanafelt, T.D., (2006). Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Academic Medicine, 81, 354-373. (Pubitemid 44274777)
7. Hsiao, F.H., Yang, T.T., Ho, R.T., Jow, G.M., Ng, S.M., Chan, C.L.,. . ., Wang, K.C., (2010). The self-perceived symptom distress and health-related conditions associated with morning to evening diurnal cortisol patterns in outpatients with major depressive disorder. Psychoneuroendocrinology, 35, 503-515.
8. Khaksari, M., Mahmoodi, M., Rezvani, M.E., Sajjadi, M.A., Karam, G.A., Hajizadeh, S., (2005). Differences between male and female students in cardiovascular and endocrine responses to examination stress. Journal of Ayub Medical College, Abbottabad, 17, 15-19.
9. LeBlanc, V., (2009). The effects of acute stress on performance: Implications for health professions education. Academic Medicine, 84, S25-S33.
10. Leonard, B.E., (2006). HPA and immune axes in stress: Involvement of the serotonergic system. Neuroimmunomodulation, 13, 268-276. (Pubitemid 47289509)
11. Lustyk, M.K., Olson, K.C., Gerrish, W.G., Holder, A., &, Widman, L., (2010). Psychophysiological and neuroendocrine responses to laboratory stressors in women: Implications of menstrual cycle phase and stressor type. Biological Psychology, 83, 84-92.
12. Marshall, G.D., Agarwal, S.K., Lloyd, C., Cohen, L., Henninger, E.M., &, Morris, G.J., (1998). Cytokine dysregulation associated with exam stress in healthy medical students. Brain, Behavior, and Immunity, 12, 297-307. (Pubitemid 29224832)
13. McEwen, B., (2000). The neurobiology of stress: From serendipity to clinical relevance. Brain Research, 886, 172-189.
14. Miller, G.E., Cohen, S., Ritchey, A.K., (2002). Chronic psychological stress and the regulation of pro-inflammatory cytokines: A glucocorticoid- resistance model. Health Psychology, 21, 531-541. (Pubitemid 35244766)
15. Miller, G.E., Chen, E., Zhou, S., (2007). If it goes up, must it come down? Chronic stress and the hypothalamic-pituitary-adrenocortical axis in humans. Psychological Bulletin, 13, 25-45.
16. Paris, J.J., Franco, C., Sodano, R., Fridenberg, B., Gordis, E., Anderson, D.A.,. . ., Frye, C.A., (2010). Sex differences in salivary cortisol in response to acute stressors among healthy participants, in recreational or pathological gamblers, and in those with posttraumatic stress disorder. Hormones and Behavior, 57, 35-45.
17. Seritan, A.L., Hunt, J., Shy, A., Rea, M., Worley, L.L.M., (in press). The state of medical student wellness: A call for culture change. Academic Psychiatry.
18. Sjögren, E., Leanderson, P., Kristenson, M., (2006). Diurnal saliva cortisol levels and relations to psychosocial factors in a population sample of middle-aged Swedish men and women. International Journal of Behavioral Medicine, 13, 193-200. (Pubitemid 44867212)
19. Vedhara, K., Hyde, J., Gilchrist, I.D., Tytherleigh, M., &, Plummer, S., (2000) Acute stress, memory, attention and cortisol. Psychoneuroendocrinology, 25, 535-549. (Pubitemid 30407307)
20. Vreeburg, S.A., Hoogendijk, W.J., van Pelt, J., Derijk, R.H., Verhagen, J.C., van Dyck, R.,. . ., Penninx, B.W., (2009). Major depressive disorder and hypothalamic-pituitary-adrenal axis activity: Results from a large cohort study. Archives of General Psychiatry, 66, 617-626.
21. Whitworth, J.A., Williamson, P.M., Mangos, G., &, Kelly, J.J., (2005). Cardiovascular consequences of cortisol excess. Vascular Health and Risk Management, 4, 291-299.
22. Wirtz, P.H., Siegrist, J., Schuhmacher, A., Hoefels, S., Maier, W., &, Zobel, A.W., (2010). Higher overcommitment to work is associated with higher plasma cortisol but not ACTH responses in the combined dexamethasone/CRH test in apparently healthy men and women. Psychoneuroendocrinology, 35, 536-543.
23. Yang, Y., Koh, D., Ng, V., Lee, F.C., Chan, G., Dong, F., &, Chia, S.E., (2001). Salivary cortisol levels and work-related stress among emergency department nurses. Journal of Occupational and Environmental Medicine, 43, 1011-1018. (Pubitemid 33134545)
24. Zeier, H., Brauchli, P., &, Joller-Jemelka, H.I., (1996). Effects of work demands on immunoglobulin A and cortisol in air traffic controllers. Biological Psychology, 42, 413-423. (Pubitemid 26068940)