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Use of Portable Digital Devices to Analyze Autonomic Stress Response in Psychology Objective Structured Clinical Examination

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Abstract

The aim of the present study was to explore changes in the autonomic stress response of Psychology students in a Psychology Objective Structured Clinical Examination (OSCE) and their relationship with OSCE performance. Variables of autonomic modulation by the analysis of heart rate variability in temporal, frequency and non-linear domains, subjective perception of distress strait and academic performance were measured before and after the two different evaluations that composed the OSCE. A psychology objective structured clinical examination composed by two different evaluation scenarios produced a large anxiety anticipatory response, a habituation response in the first of the evaluation scenarios and a in the entire evaluation, and a no habituation response in the second evaluation scenario. Autonomic modulation parameters do not correlate with academic performance of students.

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References

  1. Figueredo, E., Simulación en salud. Rev. Col. Anest. 44(4):270–271, 2016.

    Article  Google Scholar 

  2. Urra, E., Sandoval, S., and Irribarren, F., El desafío y futuro de la simulación como estrategia de enseñanza en enfermería. Inv. Ed. Med. 6(22):119–125, 2017.

    Google Scholar 

  3. Hesham, A., Izham, M., Diab, M., Pawluk, S., Austin, Z., and Wilby, K., Qualitative evaluation of a cumulative exit-from-degree objective structured clinical examination (OSCE) in a Gulf context. Am. J. Pharm. Educ. 17(1):73–80, 2017.

    Google Scholar 

  4. Utili, F., Simulación en el aprendizaje, práctica y certificación de las competencias en medicina. Ars. Medica. 36(2):152–163, 2007.

    Article  Google Scholar 

  5. Munroe, B., Buckley, T., Curtis, K., and Morris, R., Designing and implementing full immersion simulation as a research tool. Australas. Emerg. Nurs. J. 19(2):90–105, 2016.

    Article  PubMed  Google Scholar 

  6. Borgreve, A., Meijer, J., Schreuder, H., and Cate, O., Simulation-based trauma education for medical students: A review of literature. Med. Teach. 39(6):631–638, 2017.

    Article  Google Scholar 

  7. Ávila, R., Mahana, P., Rivera, C., and Mc Coll, P., Simulación clínica como método de formación de competencias en estudiantes de medicina. Rev. Educ. Cienc. Salud. 13(1):11–14, 2016.

    Google Scholar 

  8. Kane, M., and Engle, R., The role of prefrontal cortex in working-memory capacity, executive attention, and general fluid intelligence: An individual-differences perspective. Psychon. Bull. Rev. 9(4):637–671, 2002.

    Article  PubMed  Google Scholar 

  9. Delgado, R., Robles, J.J., and Clemente, V.J., Combat Stress Decreases Memory of Warfighters in Action. J. Med. Syst. 41(8):124, 2017.

    Article  Google Scholar 

  10. Crego, A., Carrillo-Diaz, M., Armfield, J., and Romero, M., Stress and Academic Performance in Dental Students: The Role of Coping Strategies and Examination-Related Self-Efficacy. J. Dent. Educ. 80(2):165–172, 2016.

    PubMed  Google Scholar 

  11. Alyami, M., Melyani, Z., Al Johani, A., Ullah, E., Alyami, H., Sundram, F., Hill, A., and Hennig, M., The Impact of Self-Esteem, Academic Self-Efficacy and Perceived Stress on Academic Performance: A Cross-Sectional Study of Saudi Psychology Students. Eur. J. Educ. Sci. 4(3):51–63, 2017.

    Google Scholar 

  12. Hood, A., Pulvers, K., Spady, T., Kliebenstein, A., and Bachand, J., Anxiety mediates the effect of acute stress on working memory performance when cortisol levels are high: a moderated mediation analysis. Anxiety Stress Coping. 28(5):545–562, 2015.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Morgan, C., Doran, A., Steffian, G., Hazlett, G., and Southwick, S., Stress-induced deficits in working memory and visuo-constructive abilities in special operations soldiers. Biol. Psychiatry Cogn. Neurosci. Neuroimaging. 60(7):722–729, 2006.

    Google Scholar 

  14. Bradley, P., The history of simulation in medical education and possible future directions. Med. Educ. 40:254–262, 2006.

    Article  PubMed  Google Scholar 

  15. Clemente, V.J., and Robles, J.J., Psycho-physiological response of soldiers in urban combat. Ann. Psychol. 29(2):598–603, 2013.

    Google Scholar 

  16. Clemente, V.J., Psychophysiological response and energy balance during a 14-h ultraendurance mountain running event. Appl. Physiol. Nutr. Metab. 40(3):269–273, 2014.

    Article  Google Scholar 

  17. Clemente, V.J., Fernandes, R.J., Arroyo, J.J., Figueiredo, P., González, J.M., and Vilas, J.P., Autonomic adaptation after traditional and reverse swimming training periodizations. Acta Physiol. Hung. 102(1):105–113, 2015.

    Article  Google Scholar 

  18. Clemente, V.J., Robles, J.J., and Fernández, J., Psycho-physiological response in an automatic parachute jump. J. Sports Sci. 35(19):1872–1878, 2017. https://doi.org/10.1080/02640414.2016.1240878.

    Article  Google Scholar 

  19. Gallego, P., Robles, J. J., and Clemente, V. J., Efectos del estrés de combate en la memoria operativa del combatiente. Caso de estudio. 9° Congreso Nacional de Enfermería de la Defensa, 2014.

  20. Giles, D., Draper, N., and Neil, W., Validity of the Polar V800 heart rate monitor to measure RR intervals at rest. Eur. J. Appl. Physiol. 116(3):563–571, 2016. https://doi.org/10.1007/s00421-015-3303-9.

    Article  PubMed  Google Scholar 

  21. Hernando, D., Garatachea, N., Almeida, R., Casajús, J. A., and Bailón, R., Validation of heart rate monitor Polar RS800 for heart rate variability analysis during exercise. J. Strength Cond. Res. 1-25, 2016. https://doi.org/10.1519/JSC.0000000000001662.

  22. Task Force, Heart rate variability. Standards of measurement, physiological interpretation, and clinical use. Eur. Heart J. Cardiovasc. Pharmacother. 17:354–381, 1996.

    Google Scholar 

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

    Google Scholar 

  24. Miquel, M., Merita, G., Luisa, M., Fuentes, I., and Rojo, L., Habituación y deshabituación de la respuesta de orientación en sujetos deprimidos. Digitum. 9(2):207–212, 1993 Recuperado de: http://digitum.um.es/jspui/handle/10201/13291.

    Google Scholar 

  25. Tapia, D., Cruz, C., Gallardo, I., and Dasso, M., Adaptación de la escala de percepción global de estrés (EPGE) en estudiantes adultos de escasos recursos. Rev. Psiquiatr. Salud. Ment. 1(2):109–119, 2007.

    Google Scholar 

  26. Clemente, V.J., Robles, J.J., Herrera, B., and Fernández, J., Psychophysiological Response and Fine Motor Skills in High-Altitude Parachute Jumps. High Alt. Med. Biol., 2017. https://doi.org/10.1089/ham.2017.0071.

  27. Clemente-Suárez, V. J., and Arroyo-Toledo, J. J., Use of biotechnology devices to analyse fatigue process in swimming training. J. Med. Syst. 41–94, 2017. https://doi.org/10.1007/s10916-017-0741-4.

  28. Tornero-Aguilera, J. F., Robles-Pérez, J. J., and Clemente-Suárez, V. J., Effect of combat stress in the psychophysiological response of elite and non-elite soldiers. J. Med. Syst. 41(6):100, 2017. https://doi.org/10.1007/s10916-017-0748-x.

  29. Clemente-Suárez, V.J., Dalamitros, A., Ribeiro, J., Sousa, A., Fernandes, R., and Vilas-Boas, P., The effects of two different swimming training periodization on physiological parameters at various exercise intensities. Eur. J. Sport Sci. 17(4):425–432, 2016. https://doi.org/10.1080/17461391.2016.1253775.

    Article  PubMed  Google Scholar 

  30. Dong, J.G., The role of heart rate variability in sports physiology. Exp. Ther. Med. 11(5):1531–1536, 2016.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Uusitalo, A.L., Uusitalo, A.J., and Rusko, H.K., Exhaustive Endurance Training for 6-9 Weeks did not Induce Changes in Intrinsic Heart Rate and Cardiac Autonomic Modulation in Female Athletes. Int. J. Sports Med. 19(8):532–540, 1998.

    Article  CAS  PubMed  Google Scholar 

  32. Heffernan, K.S., Kelly, E.E., Collier, S.R., and Fernhall, B., Cardiac autonomic modulation during recovery from acute endurance versus resistance exercise. Eur. J. Prev. Cardiol. 13(1):80–86, 2006.

    Article  Google Scholar 

  33. Teixeira, L., Ritti-Dias, R.M., Tinucci, T., Mion Júnior, D., and Forjaz, C.L., Post-concurrent exercise hemodynamics and cardiac autonomic modulation. Eur. J. Appl. Physiol. 111(9):2069–2078, 2011.

    Article  PubMed  Google Scholar 

  34. Clemente, V.J., Ruisoto, P., and Robles, J.J., Psychophysiological response to acute-high-stress combat situations in professional soldiers. Stress. Health, 2017. https://doi.org/10.1002/smi.2778.

  35. Casari, L.M., Anglada, J., and Daher, C., Psychological profile of 1st year nursing students. Preliminary study. Ciencia y Enfermería. 15(1):99–108, 2014.

    Google Scholar 

  36. Crockett, J., Cashwell, C., Tnagen, J., Hridaya, H., and Scott, J., Breathing Characteristics and Symptoms of Psychological Distress: An Exploratory Study. Couns. Values. 61(1):10–27, 2016.

    Article  Google Scholar 

  37. Way, R., Seibert, G., Sánchez, M., and Finchan, F., Physiology of school burnout in medical students: Hemodynamic and autonomic functioning. Burn. Res. 3(3):63–68, 2016.

    Article  Google Scholar 

  38. Mills, B., Carter, O., Rudd, C., and Claxton, L., and O’Brien, R., An experimental investigation into the extent social evaluation anxiety impairs performance in simulation-based learning environments amongst final-year undergraduate nursing students. Nurse Educ. Today. 45:9–15, 2016.

    Article  PubMed  Google Scholar 

  39. Chaló, P., Pereira, A., Batista, P., and Sancho, L., Brief Biofeedback Intervention on Anxious Freshman University Students. Appl. Psychophysiol. Biofeedback. 42(3):163–168, 2017.

    Article  PubMed  Google Scholar 

  40. Cook, R., Bewick, B., Barkham, M., Bardley, M., and Audin, K., Measuring, monitoring and managing the psychological well-being of first year university students. J. Guid. Counc. 34(4):505–517, 2006.

    Article  Google Scholar 

  41. Scheier, M., Wrosch, C., Baum, A., Martire, L., Matthews, K., Schulz, R., and Zdaniuk, B., The Life Engagement Test: assessing purpose in life. J. Behav. Med. 29(3):291–298, 2006.

    Article  PubMed  Google Scholar 

  42. Tsukasa, K., Development of the Coping Flexibility Scale: Evidence for the Coping Flexibility Hypothesis. J. Guid. Counc. 59(2):262–273, 2012.

    Google Scholar 

  43. Schmidt, A., Aurich, J., Möstl, E., Müller, J., and Aurich, C., Changes in cortisol release and heart rate and heart rate variability during the initial training of 3-year-old sport horses. Horm. Behav. 58(4):628–636, 2010.

    Article  CAS  PubMed  Google Scholar 

  44. Cervantes, J.C., Rodas, G., and Capdevila, L., Heart-rate variability and precompetitive anxiety in swimmers. Psicothema. 21(4):531–536, 2009.

    Google Scholar 

  45. Reynoso, L.F., Hoyos, J.R., García, M., Rosas, A.G., Jaenes, J.C., López, J.M., and Hernández, G., Cortisol y estrés-recuperación durante un periodo competitivo en jugadores de balonmano. Sport Psychol. 26(2):125–131, 2017.

    Google Scholar 

  46. Manso, J.M.G., Aplicación de la variabilidad de la frecuencia cardiaca al control del entrenamiento deportivo: análisis en modo frecuencia. Arch. Med. Deporte. 30(1):43–51, 2013.

    Google Scholar 

  47. Muñiz, J., and Fonseca, E., Construcción de instrumentos de medida para la Evaluación universitaria. Revista de Investigación en Educación. 5:13–25, 2009.

    Google Scholar 

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Acknowledgements

The present research was developed with the David a Wilson award for excellence in teaching and learning research award 2017, project number XOTRIO1712.

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Correspondence to Vicente Javier Clemente-Suárez.

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Beltrán-Velasco, A.I., Bellido-Esteban, A., Ruisoto-Palomera, P. et al. Use of Portable Digital Devices to Analyze Autonomic Stress Response in Psychology Objective Structured Clinical Examination. J Med Syst 42, 35 (2018). https://doi.org/10.1007/s10916-018-0893-x

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