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Autonomic Adaption to Clinical Simulation in Psychology Students: Teaching Applications

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Abstract

Simulation is used to facilitate new learning in a variety of situations. One application of simulation could be to help therapists gain therapeutic skills prior to seeing clients. This particular study was interested in measuring changes in stress response by looking at subjective and objective measures of distress (as measured by SUDS, HR, and HRV) over three sessions of simulated therapy. 16 second year psychology students participated in three sessions, and had their HR and HRV measured by Polar watches. Over the three sessions, there was a decrease in perceived distress, as measured by SUDS ratings. During and between sessions, there was inconclusive change in physiological parameters.

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References

  • Bailey, C. (2007). Cognitive accuracy and intelligent executive function in the brain and in business. Annals of the New York Academy of Sciences, 1118(1), 122–141.

    Article  PubMed  Google Scholar 

  • Beltrán-Velasco, A. I., Bellido-Esteban, A., Ruisoto-Palomera, P., & Clemente-Suárez, V. J. (2018). Use of portable digital devices to analyze autonomic stress response in psychology objective structured clinical examination. Journal of Medical System, 42(2), 35.

    Article  Google Scholar 

  • Burgess, P., & Simons, J. (2005). Theories of frontal lobe executive function: Clinical applications. In P. W. Halligan & D. T. Wade (Eds.), Effectiveness of rehabilitation for cognitive deficits (pp. 211–231). New York: Oxford University Press.

    Chapter  Google Scholar 

  • Chiniara, G., Cole, G., Brisbin, K., Huffman, D., Cragg, B., Lamacchia, M., & Norman, D. (2013). Simulation in healthcare: A taxonomy and a conceptual framework for instructional design and media selection. Medical Teacher, 35(8), 1380–1395.

    Article  Google Scholar 

  • Clemente-Suárez, V. J. (2017). Periodized training archive better autonomic modulation and aerobic performance than non periodized training. The Journal of Sports Medicine and Physical Fitness. https://doi.org/10.23736/S0022-4707.17.07582-X.

    Google Scholar 

  • Clemente-Suárez, V. J., & Arroyo-Toledo, J. J. (2017). Use of biotechnology devices to analyse fatigue process in swimming training. Journal of Medical Systems, 41(6), 94.

    Article  PubMed  Google Scholar 

  • Clemente-Suárez, V. J., De la Vega, R., Robles, J., Lautenschlaeger, M., & Fernández, J. (2016a). Experience modulates the psychophysiological response of airborne warfighters during a tactical combat parachute jump. International Journal of Psychophysiology, 110, 212–216. https://doi.org/10.1016/j.ijpsycho.2016.07.502.

    Article  PubMed  Google Scholar 

  • Clemente-Suárez, V. J., Fernandes, R., Arroyo, J., Figueiredo, P., González, J., & Vilas, J. (2015). Autonomic adaptation after traditional and reverse swimming training periodizations. Acta Physiologica Hungarica, 102(1), 105–113. https://doi.org/10.1556/APhysiol.102.2015.1.11.

    Article  PubMed  Google Scholar 

  • Clemente-Suárez, V. J., Robles-Pérez, J. J., & Fernández-Lucas, J. (2016b). Psycho-physiological response in an automatic parachute jump. Journal of Sports Sciences. https://doi.org/10.1080/02640414.2016.1240878.

    PubMed  Google Scholar 

  • Clemente-Suarez, V. J., Robles-Pérez, J. J., Herrera-Mendoza, K., Herrera-Tapias, B., & Fernández- Lucas, J. (2017). Psychophysiological response and fine motor skills in high-altitude parachute jumps. High Altitude Medicine & Biology, 18(4), 392–399.

    Article  PubMed  Google Scholar 

  • Decker, S., Fey, M., Sideras, S., Caballero, S., Rockstraw, L., Boese, T., Franklin, A., Gloe, D., Lioce, L., Sando, C., Meakim, C., & Borum, J. (2013). Standars of best practice: Simulation standard VI: The debriefing process. Clinical Simulation in Nursing, 9, 26–29.

    Article  Google Scholar 

  • Delgado-Moreno, R., Robles-Pérez, J. J., & Clemente-Suárez, V. J. (2017). Combat stress decreases memory of warfighters in action. Journal of Medical Systems, 41(8), 124.

    Article  PubMed  Google Scholar 

  • Diamond, A. (2013). Executive functions. Annual Review of Psychology, 64, 135.

    Article  PubMed  Google Scholar 

  • Dickerson, S. S., & Kemeny, M. E. (2002). Acute stressors and cortisol reactivity: A meta-analytic review. In Psychosomatic medicine (Vol. 64, pp. 105–105). Philadelphia: Lippincott Williams & Wilkins.

    Google Scholar 

  • Friedman, N., Miyake, A., Corley, R., Young, S., DeFries, J., & Hewitt, J. (2006). Not all executive functions are related to intelligence. Psychological Science, 17(2), 172–179.

    Article  PubMed  Google Scholar 

  • Gogtay, N., Giedd, J., Lusk, L., Hayashi, K., Grenstein, D., Vaituzis, A., et al. (2004). Dynamic mapping of human cortical development during childhood through early adulthood. Proceedings of the National Academy of Sciences, 101(21), 8174–8179.

    Article  Google Scholar 

  • Groves, P., & Thompson, R. (1970). Habituation: A dual-process theory. Psychological Review, 77(5), 419.

    Article  PubMed  Google Scholar 

  • Hebb, D. O. (2005). The organization of behavior: A neuropsychological theory. Hove: Psychology Press.

    Google Scholar 

  • Hewig, J., Schlotz, W., Gerhards, F., Breitenstein, C., Lürken, A., & Naumann, E. (2008). Associations of the cortisol awakening response (CAR) with cortical activation asymmetry during the course of an exam stress period. Psychoneuroendocrinology, 33(1), 83–91.

    Article  PubMed  Google Scholar 

  • Kaddoura, M. (2010). New graduate nurses' perceptions of the effects of clinical simulation on their critical thinking, learning, and confidence. The Journal of Continuing Education in Nursing, 41, 506–516.

    Article  PubMed  Google Scholar 

  • Kane, M., & Engle, R. (2002). The role of prefrontal cortex in working-memory capacity, executive attention, and general fluid intelligence: An individual-differences perspective. Psychonomic Bulletin & Review, 9(4), 637–671.

    Article  Google Scholar 

  • Kneebone, R. (2005). Evaluating clinical simulations for learning procedural skills: A theory-based approach. Academic Medicine, 80, 549–553.

    Article  PubMed  Google Scholar 

  • Lacey, K., Zaharia, M. D., Griffiths, J., Ravindran, A. V., Merali, Z., & Anisma, H. (2000). A prospective study of neuroendocrine and immune alterations associated with the stress of an oral academic examination among graduate students. Psychoneuroendocrinology, 25(4), 339–356.

    Article  PubMed  Google Scholar 

  • Liaw, S., Zhou, W., Lau, T., Siau, C., & Chan, S. (2014). An interprofessional communication training using simulation to enhance safe care for a deteriorating patient. Nurse Education Today, 34(2), 259–264.

    Article  PubMed  Google Scholar 

  • McEwen, B. S. (2000). Effects of adverse experiences for brain structure and function. Biological Psychiatry, 48(8), 721–731.

    Article  PubMed  Google Scholar 

  • Medina, J. (2011). Brain rules: 12 principles for surviving and thriving at work, home, and school (Large Print 16pt). http://www.ReadHowYouWant.com.

  • Moya, L., Salvador, A. (2002). Respuesta Cardíaca y Electrodérmica ante Estresores de Laboratorio. Revista Española de Motivación y Emoción, 4(5–6), 75–85.

    Google Scholar 

  • Rankin, C., Abrams, T., Barry, R., Bhatnagar, S., Clayton, D., Colombo, J., & Thompson, R. (2009). Habituation revisited: An updated and revised.

  • Sáiz, V., Chisvert, E., Bañuls, M., & Egeda, R. (1997). Efectos psicológicos de la exposición al tráfico en conductores profesionales y noveles. Anales de Psicología, 13(1), 57–65.

    Google Scholar 

  • Sánchez-Molina, J., Robles-Pérez, J. J., & Clemente-Suárez, V. J. (2017). Effect of parachute jump in the psychophysiological response of soldiers in urban combat. Journal of Medical Systems, 41, 99.

    Article  PubMed  Google Scholar 

  • Sapolsky, R. (2015). Stress and the brain: Individual variability and the inverted-U. Nature Neuroscience, 18, 1344–1346.

    Article  PubMed  Google Scholar 

  • Suárez, V., & Pérez, J. (2013). Psycho-physiological response of soldiers in urban combat. Annals of Psychology, 29(2), 598–603. https://doi.org/10.6018/analesps.29.2.150691.

    Google Scholar 

  • Tapia, D., Cruz, I., Gallardo, I., & Dasso, M. (2007). Adaptación de la escala de percepción global de estrés 8EPGE) en estudiantes adultos de escasos recursos. Psiquiatría y Salud mental, 1(2), 109–119.

    Google Scholar 

  • Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. (1996). Heart rate variability; standards of measurement, physiological interpretation and clinical use. Circulation, 93, 1043–1065.

    Article  Google Scholar 

  • Yonelinas, A. P., Parks, C. M., Koen, J. D., & Mendoza, S. P. (2011). The effects of post-encoding stress on recognition memory: Examining the impact of skydiving in young men and women. Stress, 14(2), 136–144.

    Article  PubMed  Google Scholar 

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Funding

Funding was provided by David Wilson Award (Project Number XOTRIO1712).

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Authors and Affiliations

  1. Applied Psychophysiological Research Group, European University of Madrid, Madrid, Spain

    Vicente Javier Clemente-Suárez & Ana Isabel Beltrán-Velasco

  2. Department of Psychology, European University of Madrid, Madrid, Spain

    Alberto Bellido-Esteban & Pablo Ruisoto-Palomera

  3. Department of Basic Psychology, Psychobiology and Methodology of Human Behavior, University of Salamanca, Salamanca, Spain

    Pablo Ruisoto-Palomera

  4. Department of Sport Science, Faculty of Sport Sciences, Calle Tajo, s/n, Villaviciosa de Odón, 28670, Madrid, Spain

    Vicente Javier Clemente-Suárez

  5. Grupo de Investigación en Cultura, Educación y Sociedad, Universidad de la Costa, Barranquilla, Colombia

    Vicente Javier Clemente-Suárez

Authors
  1. Vicente Javier Clemente-Suárez
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  2. Ana Isabel Beltrán-Velasco
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  3. Alberto Bellido-Esteban
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  4. Pablo Ruisoto-Palomera
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Correspondence to Vicente Javier Clemente-Suárez.

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Clemente-Suárez, V.J., Beltrán-Velasco, A.I., Bellido-Esteban, A. et al. Autonomic Adaption to Clinical Simulation in Psychology Students: Teaching Applications. Appl Psychophysiol Biofeedback 43, 239–245 (2018). https://doi.org/10.1007/s10484-018-9404-6

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  • DOI: https://doi.org/10.1007/s10484-018-9404-6

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