Department of Psychology and Psychotherapy, University Witten/Herdecke, Alfred-Herrhausen-Straße 50, 58455, Witten, Germany.
Medical Psychology and Medical Sociology, Clinic and Policlinic for Psychosomatic Medicine and Psychotherapy, University Medicine Mainz, Mainz, Germany.
J Clin Psychol Med Settings. 2021 Dec;28(4):771-780. doi: 10.1007/s10880-021-09767-3. Epub 2021 Feb 17.
Due to their work activities, emergency physicians are regularly exposed to exceptional mental and physical situations. In order to prevent stress-related illnesses, the triggers of hormonal and subjectively perceived stress must be understood better. On a sample of emergency physicians from two air rescue services (N = 80), the cortisol awakening response (CAR) was determined on flight rescue days, clinic days, and days off. Pearson correlations showed significant connections between the CAR on flight rescue days and individual scales of the Trier Inventory for Chronic Stress (TICS) and the Perceived Stress Scale (PSS). The results indicate that a lower subjective stress level is associated with higher levels of hormonal stress. Stepwise regression analyses showed a significant influence of the number of professional years, subjectively perceived stress, pressure to succeed, and social isolation. The results suggest that the hormonal stress burden of emergency physicians is in a complex relationship with perceived strain.
由于工作活动，急诊医师经常面临特殊的精神和身体状况。为了预防与压力相关的疾病，必须更好地了解荷尔蒙和主观感知压力的触发因素。在来自两个空中救援服务的急诊医师样本（N=80）中，在飞行救援日、诊所日和休息日确定了皮质醇觉醒反应（CAR）。皮尔逊相关分析显示，飞行救援日的 CAR 与慢性应激特里尔量表（TICS）和感知压力量表（PSS）的个体量表之间存在显著关联。结果表明，较低的主观压力水平与较高的荷尔蒙压力水平相关。逐步回归分析显示，专业年限、主观感知压力、成功压力和社会孤立的数量具有显著影响。结果表明，急诊医师的荷尔蒙压力负担与感知压力之间存在复杂关系。
