Monitorization of Autonomic Stress Response of Nurse Students in Hospital Clinical Simulation

The aims of this study were to analyze the autonomic stress response of nurse degree students during a hospital clinical simulation and to analyze differences in the autonomic stress response of nurse degree students during a hospital clinical simulation depending on their psychological profile. We analyzed in 45 nurse students their psychological profile (purpose in life, coping flexibility, perceived stress, Framingham Type A Behavior, and personality) and the autonomic modulation by the heart rate variability in a hospital clinical simulation. Students presented decreased heart rate variability and different autonomic stress responses depending on the different psychological parameters evaluated. We concluded that a hospital clinical simulation produced a large sympathetic modulation of nurse students that was maintained during the entire clinical simulation. The autonomic response was modulated by the psychological profile of students, showing higher purpose in life, perceived stress, and neuroticism, presenting higher parasympathetic modulation.

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Stress Watch: The Use of Heart Rate and Heart Rate Variability to Detect Stress: A Pilot Study Using Smart Watch Wearables

Sensors ◽

10.3390/s22010151 ◽

2021 ◽

Vol 22 (1) ◽

pp. 151

Author(s):

Taryn Chalmers ◽

Blake Anthony Hickey ◽

Phillip Newton ◽

Chin-Teng Lin ◽

David Sibbritt ◽

...

Keyword(s):

Heart Rate ◽

Heart Rate Variability ◽

Stress Response ◽

General Population ◽

Stress Responses ◽

Acute Stress ◽

Stress Test ◽

Biological Stress ◽

Stress States ◽

The Individual

Stress is an inherent part of the normal human experience. Although, for the most part, this stress response is advantageous, chronic, heightened, or inappropriate stress responses can have deleterious effects on the human body. It has been suggested that individuals who experience repeated or prolonged stress exhibit blunted biological stress responses when compared to the general population. Thus, when assessing whether a ubiquitous stress response exists, it is important to stratify based on resting levels in the absence of stress. Research has shown that stress that causes symptomatic responses requires early intervention in order to mitigate possible associated mental health decline and personal risks. Given this, real-time monitoring of stress may provide immediate biofeedback to the individual and allow for early self-intervention. This study aimed to determine if the change in heart rate variability could predict, in two different cohorts, the quality of response to acute stress when exposed to an acute stressor and, in turn, contribute to the development of a physiological algorithm for stress which could be utilized in future smartwatch technologies. This study also aimed to assess whether baseline stress levels may affect the changes seen in heart rate variability at baseline and following stress tasks. A total of 30 student doctor participants and 30 participants from the general population were recruited for the study. The Trier Stress Test was utilized to induce stress, with resting and stress phase ECGs recorded, as well as inter-second heart rate (recorded using a FitBit). Although the present study failed to identify ubiquitous patterns of HRV and HR changes during stress, it did identify novel changes in these parameters between resting and stress states. This study has shown that the utilization of HRV as a measure of stress should be calculated with consideration of resting (baseline) anxiety and stress states in order to ensure an accurate measure of the effects of additive acute stress.

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Heart-Rate Variability and Perceived Stress in HIV-Positive Adults

PsycEXTRA Dataset ◽

10.1037/e658272012-001 ◽

2012 ◽

Author(s):

Kimberly M. Lewis ◽

Mark Vosvick

Keyword(s):

Heart Rate ◽

Heart Rate Variability ◽

Perceived Stress ◽

Hiv Positive ◽

Hiv Positive Adults

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Perceived Social Support and Heart Rate Variability: An Integrative Review

Western Journal of Nursing Research ◽

10.1177/01939459211028908 ◽

2021 ◽

pp. 019394592110289

Author(s):

Madison P. Goodyke ◽

Patricia E. Hershberger ◽

Ulf G. Bronas ◽

Susan L. Dunn

Keyword(s):

Social Support ◽

Heart Rate ◽

Heart Rate Variability ◽

Stress Response ◽

Health Care Professionals ◽

Acute Stress ◽

Perceived Social Support ◽

Included Study ◽

Integrative Review ◽

Stress Buffering

The purpose of this integrative review is to explore and synthesize literature about the relationship between perceived social support and cardiac vagal modulation, measured by heart rate variability (HRV), during phases of an acute stress response to assess this potential relationship underlying the stress-buffering effects of perceived social support. A systematic search of seven databases was conducted, including MEDLINE, CINAHL, PsychINFO, Embase, ProQuest, medRxiv, and clinicaltrials.gov. Eight studies met the inclusion criteria and were systematically synthesized. A quality appraisal was completed for each included study. Majority of studies focused on time and frequency domain measures of HRV thought to reflect parasympathetic modulation of heart rate and identified them as positively associated with perceived social support during rest, stress induction, and recovery from an acute stressor. Results highlight the importance for nurses and other health care professionals to assess patients’ perceived social support, as increased perceived social support may contribute to an adaptive stress response.

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P.1.b.003 The correlation between self-rated stress response and short-term heart rate variability (HRV) in healthy females

European Neuropsychopharmacology ◽

10.1016/s0924-977x(10)70276-5 ◽

2010 ◽

Vol 20 ◽

pp. S228-S229

Author(s):

J. Woo ◽

T. Kim ◽

J. Dimsdale

Keyword(s):

Heart Rate ◽

Heart Rate Variability ◽

Stress Response ◽

Short Term ◽

Healthy Females

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Heart Rate Variability Biofeedback in Grandmothers Raising Grandchildren: Effects on Stress, Emotions, and Cognitions

Biofeedback ◽

10.5298/1081-5937-41.3.06 ◽

2013 ◽

Vol 41 (3) ◽

pp. 144-149 ◽

Cited By ~ 9

Author(s):

Jaclene A. Zauszniewski ◽

Tsay-Yi Au ◽

Carol M. Musil

Keyword(s):

Heart Rate ◽

Heart Rate Variability ◽

Perceived Stress ◽

Repeated Measures ◽

Negative Emotions ◽

Pilot Trial ◽

Heart Rate Variability Biofeedback ◽

Grandmothers Raising Grandchildren ◽

Depressive Cognitions ◽

Reducing Stress

Over one million American grandmothers raise grandchildren, and many experience stress that may be alleviated by biofeedback. This pilot trial of 20 grandmothers used a pretest-posttest design with repeated measures to test the effects of heart rate variability (HRV) biofeedback on perceived stress, negative emotions, and depressive cognitions. Significant decreases in stress, negative emotions, and depressive cognitions were found. Biofeedback is thus potentially effective for reducing stress and depressive thoughts and feelings in grandmothers raising grandchildren, and the intervention warrants further testing.

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Association between severity of pain, perceived stress and vagally-mediated heart rate variability in women with endometriosis

Women & Health ◽

10.1080/03630242.2021.1993423 ◽

2021 ◽

pp. 1-10

Author(s):

Marcelo de França Moreira ◽

Olga Lucia Gamboa ◽

Marco Aurelio Pinho Oliveira

Keyword(s):

Heart Rate ◽

Heart Rate Variability ◽

Perceived Stress

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Abstract P315: Increase in Stress May Contribute to Lower Heart Rate Variability in Healthy Young Subjects

Circulation ◽

10.1161/circ.125.suppl_10.ap315 ◽

2012 ◽

Vol 125 (suppl_10) ◽

Author(s):

Amanda C Costa ◽

Ana Gabriela C Silva ◽

Cibele T Ribeiro ◽

Guilherme A Fregonezi ◽

Fernando A Dias

Keyword(s):

Cardiovascular Disease ◽

Heart Rate ◽

Heart Rate Variability ◽

Healthy Volunteers ◽

Perceived Stress ◽

Low Frequency ◽

Statistical Correlation ◽

Total Power ◽

The Impact ◽

Nonparametric Correlation

Background: Stress is one of the risk factors for cardiovascular disease and decreased heart rate variability is associated to increased mortality in some cardiac diseases. The aim of the study was to assess the impact of perceived stress on cardiac autonomic regulation in young healthy volunteers. Methods: 35 young healthy volunteers (19 to 29 years old, 6 men) from a Brazilian population were assessed for perceived stress by the translated and validated Perceived Stress Scale (PSS, 14 questions) and had the R-R intervals recorded at rest on supine position (POLAR RS800CX) and analyzed (5 minutes, Kubius HRV software) by Fast-Fourier Transform for quantification of Heart Rate Variability (HRV). Results: Average data (±SD) for age, heart rate, BMI, waist circumference and percentage of body fat (%BF) were: 21.3±2.7 years; 65.5±7.9 bpm; 22.3±1.9 Kg/m 2 ; 76.0±6.1 cm and 32.1±6.6%; respectively. The mean score for the PSS-14 was 23.5±7.2 and for the HRV parameter as follow: SSDN=54.8±21.2ms; rMSSD=55.9±32.2ms; low-frequency (LF)= 794.8±579.7ms 2 ; High-frequency (HF)= 1508.0±1783.0 ms 2 ; LF(n.u.)= 41.1±16.2; HF(n.u.)= 58.9±16.2; LF/HF=0.89±0.80 and Total power (TP)= 3151±2570ms 2 . Spearman nonparametric correlation was calculated and there was a significant correlation of PSS-14 scores and LF (ms 2 ) (r=−0.343; p= 0.044). Other HRV variables did not shown significant correlation but also had negative values for Spearman r (TP r=−0.265, p=0.124; HF r=−0.158; SSDN r=−0.207; rMSSD r=−0.243, p=0.160). LF/HF and LF(n.u.) did not correlate to PSS-14 having Spearman r very close to zero (LF/HF r=−0.007, p=0.969; LF(n.u.) r=−0.005, p=0.976). No correlation was found for HRV parameters and BMI and there was a trend for statistical correlation of %BF and LF (ms 2 ) (r=−0.309, p=0.071). Conclusions: These data demonstrate a possible association of perceived stress level and HRV at rest. Changes in LF can be a consequence of both sympathetic and parasympathetic activity, however, analyzing the other variables HF, TP, SSDN and rMSSD (all negative Spearman r) and due to the lack of changes in LF/HF ratio and LF(n.u.) we interpret that increased stress may be associated to decrease in overall heart rate variability. These changes were seen in healthy individuals and may point out an important mechanism in cardiovascular disease development.

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Nonlinear dynamics of heart rate variability during experimental hemorrhage in ketamine-anesthetized rats

AJP Heart and Circulatory Physiology ◽

10.1152/ajpheart.2000.279.4.h1669 ◽

2000 ◽

Vol 279 (4) ◽

pp. H1669-H1678 ◽

Cited By ~ 13

Author(s):

James E. Skinner ◽

Brian A. Nester ◽

William C. Dalsey

Keyword(s):

Heart Rate ◽

Heart Rate Variability ◽

Dimensional Reduction ◽

Deterministic Model ◽

Rabbit Heart ◽

Model System ◽

Autonomic Response ◽

Defensive Reaction ◽

Arrhythmic Death ◽

System Variables

Indexes of heart rate variability (HRV) based on linear stochastic models are independent risk factors for arrhythmic death (AD). An index based on a nonlinear deterministic model, a reduction in the point correlation dimension (PD2 i), has been shown in both animal and human studies to have a higher sensitivity and specificity for predicting AD. Dimensional reduction subsequent to transient ischemia was examined previously in a simple model system, the intrinsic nervous system of the isolated rabbit heart. The present study presents a new model system in which the higher cerebral centers are blocked chemically (ketamine inhibition of N-methyl-d-aspartate receptors) and the system is perturbed over a longer 15-min interval by continuous hemorrhage. The hypothesis tested was that dimensional reduction would again be evoked, but in association with a more complex relationship between the system variables. The hypothesis was supported, and we interpret the greater response complexity to result from the larger autonomic superstructure attached to the heart. The complexities observed in the nonlinear heartbeat dynamics constitute a new genre of autonomic response, one clearly distinct from a hardwired reflex or a cerebrally determined defensive reaction.

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The Effect of Psychology Objective Structured Clinical Examination Scenarios Presentation Order on Students Autonomic Stress Response

Frontiers in Psychology ◽

10.3389/fpsyg.2021.622102 ◽

2021 ◽

Vol 12 ◽

Author(s):

Alberto Bellido-Esteban ◽

Ana Isabel Beltrán-Velasco ◽

Pablo Ruisoto-Palomera ◽

Pantelis T. Nikolaidis ◽

Beat Knechtle ◽

...

Keyword(s):

Stress Response ◽

Undergraduate Students ◽

Clinical Examination ◽

Stress Responses ◽

Low Complexity ◽

Presentation Order ◽

Bachelor's Degree ◽

Objective Structured Clinical Examination ◽

Autonomic Response ◽

Psychology Programs

The objective structured clinical examination (OSCE) is a method for assessment clinical competencies and skills. However, there is a need to improve its design in psychology programs. The aim of this study was to analyze the effect of the different scenario's presentation order with different complexity/difficulty on the autonomic stress response of undergraduate students undergoing a Psychology OSCE. A total of 32 students of Psychology Bachelor's Degree (23.4 ± 2.5 years) were randomly selected and assigned to two OSCE scenarios of different complexity. While undergoing the scenarios, participants heart rate variability was analyzed as an indicator of participant's stress autonomic response. Results indicate that the order of presentation of different complexity/difficulty scenarios affects the autonomic stress response of undergraduate Psychology students undergoing an OSCE. Students who underwent the high-complexity scenario (difficult) first, reported significantly higher autonomic stress response than students who began the OSCE with the low-complexity scenario (easy). Highly complex or difficult scenarios require good executive functions or cognitive control, very sensitive to autonomic stress responses. Therefore, OSCE design will benefit from placing easy scenarios first.

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