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Meten van stressreacties: hoe betrouwbaar en valide lukt dat?

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TBV – Tijdschrift voor Bedrijfs- en Verzekeringsgeneeskunde Aims and scope

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Doel van dit onderzoek is na te gaan wat de test-hertestbetrouwbaarheid is van de hartslagvariabiliteit en omegametrie en de concurrente validiteit ten opzichte van herstelbehoefte en werkvermogen. Om stressreacties ten gevolge van stressoren op het werk, maar ook vanuit de privésituatie fysiek te meten wordt een hartslagvariabiliteit- (HRV-) meting en omegametrie door middel van een elektro-encefalogram (potentiaalmeting) ingezet. De HRV-meting wordt gezien als representatief voor de balans van het autonome systeem en heeft een duidelijke relatie met hart- en vaatziekten. Omegametrie wordt beschouwd als een mogelijke afspiegeling van chronische stress.

SUMMARY

Measuring stress reactions: how reliable and valid are the results?

The aim of this study is to investigate the intrapersonal test-retest reliability of the heart rate variability and omegametry and their concurrent validity with results from validated measuring methods of the need for recovery after work and work ability.

To physically measure work stress, the heart rate variability (HRV) and omegametry using electroencephalography (measurement of potential) are used. The HRV is considered to be representative for the autonomic balance and is associated with cardiovascular disease and chronic fatigue. Omegametry is said to be representative for chronic stress. An intrapersonal test-retest study with four retest moments took place within eight days with thirty healthy volunteers from an office population.

Results. The intrapersonal test-retest reliability of the HRV and omegametry in rest is reasonable (ICC>0.5) to good (ICC>0.7), if measured at the same day or after one week. Cumulating measurements within a week leads to bad reliability. Omegametry has bad test-retest reliability.

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nu werkzaam als Aios bedrijfsgeneeskunde

thans werkzaam als adviseurs bij Spieren voor Spieren resp. voor HJZ Sport te Amsterdam. Ten tijde van het onderzoek waren Van Bolhuis, Schmidt en Zwolle werkzaam bij Human Energy Management, Amsterdam

respectievelijk als hoogleraar en universitair hoofddocent werkzaam

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van Bolhuis, H., Schmidt, L., Zwolle, H.J. et al. Meten van stressreacties: hoe betrouwbaar en valide lukt dat?. TIJDSCHRIFT VOOR BEDRIJFS- EN VERZEKERINGSGENEESKUNDE 20, 150–156 (2012). https://doi.org/10.1007/s12498-012-0079-2

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