Stress and autonomic response to sleep deprivation in medical residents: A comparative cross-sectional study

Other authors

Institut Català de la Salut

[Morales J, Yáñez A, Solana-Tramunt M] Facultat de Psicologia, Ciències de l’Educació i l’Esport, Universitat Ramon Llull, Barcelona, Spain. [Fernández-González L] Department of Personality and Psychological Assessment and Treatment, University of Deusto, Bilbao, Spain. [Montesinos-Magraner L, Marco-Ahulló A] Unitat de lesionats medul•lars, Vall d’Hebron Institut de Recerca, Barcelona, Spain.

Vall d'Hebron Barcelona Hospital Campus

Publication date

2019-07-04T06:24:01Z

2019-07-04T06:24:01Z

2019-04-04



Abstract

Medical residents; Stress; Sleep deprivation


Médicos residentes; Estrés; Privación del sueño


Metges residents; Estrès; Privació del son:ca_ES


The aim of this study was to evaluate the stress suffered by medical residents as the result of being on call for 24 hours, from a multidimensional approach. Two groups of medical residents selected according to their work shift, participated in the study: one group (n = 40) was sleep-deprived after having been actively on-call for 24 hours, and another contrast group (n = 18) had performed a normal work day and were not sleep-deprived. All participants completed pre-post measures during a 24 h cycle. These were administered on both occasions at 8 am. The measures included HRV, cortisol, cognitive performance and transitory mood. The effect of the group x phase interaction was significant for all variables analysed, indicating that doctors in the 24h on-call shift group showed significant deterioration in all physiological, performance and mood indicators in comparison with the participants in the group not on call. These results suggest the need to review medical on-call systems, in order to reduce the stress load, which has a direct effect on working conditions.

Document Type

Article


Published version

Language

English

Publisher

Public Library of Science

Related items

PLoS ONE;14(4)

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0214858

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Rights

Attribution-NonCommercial-NoDerivatives 4.0 International

http://creativecommons.org/licenses/by-nc-nd/4.0/

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