Stress and autonomic response to sleep deprivation in medical residents: A comparative cross-sectional study
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Author
Morales Aznar, José
Yáñez, Alexandre
Fernández-González, Liria
Montesinos-Magraner, Lluïsa
Marco-Ahulló, Adrià
Solana-Tramunt, Mònica
Calvete, Esther
Other authors
Universitat Ramon Llull. Facultat de Psicologia, Ciències de l’Educació i de l’Esport Blanquerna
Publication date
2019Abstract
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
Keywords
Residents (Medicina)
Estrès laboral
Son--Privació
Pages
14 p.
Publisher
PLOS (Public Library of Science)
Is part of
PLOS ONE, April 4, 2019
Grant agreement number
Aristos Campus Mundus grant (ref. ACM2016_09)
Basque Country Government grant (ref. IT982-16)
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Rights
© L'autor/a
Except where otherwise noted, this item's license is described as http://creativecommons.org/licenses/by/4.0/