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Year 2024, Volume: 37 Issue: 3, 282 - 289, 30.10.2024
https://doi.org/10.5472/marumj.1572929

Abstract

References

  • Jaffe LE, D Lindell, Sullivan AM, et al. Clear skies ahead: optimizing the learning environment for critical thinking from a qualitative analysis of interviews with expert teachers. Perspect Med Educ 2019;8:289-97.doi: 10.1007/ s40037.019.00536-5.
  • Shochet RB, Colbert-Getz JM, Levine RB, et al. Gauging events that influence students’ perceptions of the medical school learning environment: findings from one institution. Acad Med 2013;88:246-52. doi: 10.1097/ACM.0b013e31827bfa14.
  • Aktekin M, Karaman T, Senol YY, et al. Anxiety, depression and stressful life events among medical students: a prospective study in Antalya, Turkey. Med Educ 2001;35:12-7.doi: 10.1046/j.1365-2923.2001.00726.x
  • Guthrie E, Black D, Bagalkote H, et al. Psychological stress and burnout in medical students: a five-year prospective longitudinal study. J R Soc Med 1998;91:237-43.doi: 10.1177/014.107.689809100502.
  • Toews JA, Lockyer JM, Dobson DJ, et al. Analysis of stress levels among medical students, resident, and graduate students at four Canadian schools of medicine. Acad Med 1997; 72:997-1002.doi: 10.1097/00001.888.199711000-00019.
  • McGregor BA, Murphy KM, Albano DL, Ceballos RM. Stress, cortisol, and B lymphocytes: a novel approach to understanding academic stress and immune function. Stress 2016;19:185-91. doi: 10.3109/10253.890.2015.1127913
  • Preuß D, Schoofs D, Schlotz W. The stressed student: influence of written examinations and oral presentations on salivary cortisol concentrations in university students. Stress 2010;13:221-9.doi: 10.3109/102.538.90903277579
  • Stegers‐Jager KM, Savas M, van der Waal J, van Rossum EFC, Waltman AM. Gender‐specific effects of raising Year‐1 standards on medical students’ academic performance and stress levels. Med Educ 2020;54:538-46. doi: 10.1111/ medu.14068
  • Boni RADS, Paiva CE, MA De Oliveira MA, Lucchetti G, Fregnani JHTG. Burnout among medical students during the first years of undergraduate school: Prevalence and associated factors. PloS one 2018;13:e0191746. doi: 10.1371/journal. pone.0191746
  • Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among US and Canadian medical students. Acad Med 2006;81:354-73.doi: 10.1097/00001.888.200604000-00009
  • Heinen I, Bullinger M, Kocalevent R-D. Perceived stress in first year medical students-associations with personal resources and emotional distress. BMC Medical Educ 2017;17:1-14.doi: 10.1186/s12909.016.0841-8.
  • Radcliffe C, Lester H. Perceived stress during undergraduate medical training: a qualitative study. Med Educ 2003;37:32-8. doi: 10.1046/j.1365-2923.2003.01405.x.
  • McClure EA, Baker NL, Gray KM, et al. The influence of gender and oxytocin on stress reactivity, cigarette craving, and smoking in a randomized, placebo-controlled laboratory relapse paradigm. Psychopharmacology 2020;237:543-55.doi: 10.1007/s00213.019.05392-z
  • Jurek B, Neumann ID. The oxytocin receptor: From intracellular signaling to behavior. Physiol Rev 2018;98:1805- 908.doi:10.1152/physrev.00031.2017
  • Neumann ID and Landgraf R. Balance of brain oxytocin and vasopressin: implications for anxiety, depression, and social behaviors. TINS 2012;35:649-59. doi: 10.1016/j. tins.2012.08.004
  • Bernhard A, van der Merwe C, Ackermann K, et al. Adolescent oxytocin response to stress and its behavioral and endocrine correlates. Horm Behav 2018;105:157-65.doi: 10.1016/j. yhbeh.2018.08.010
  • Engert V, Koester AM, Riepenhausen A, Singer T. Boosting recovery rather than buffering reactivity: higher stressinduced oxytocin secretion is associated with increased cortisol reactivity and faster vagal recovery after acute psychosocial stress. Psychoneuroendocrinology 2016;74:111- 20.doi:10.1016/j.psyneuen.2016.08.029
  • Bellosta-Batalla M, Del Carmen Blanco-Gandía M, Rodríguez- Arias M, Cebolla A, Pérez-Blasco J, Moya-Albiol L. Brief mindfulness session improves mood and increases salivary oxytocin in psychology students. Stress Health 2020;36:469- 77. doi: 10.1002/smi.2942
  • Uvnäs-Moberg K. Oxytocin may mediate the benefits of positive social interaction and emotions. Psychoneuroendocrinology 1998;23:819-35. doi:10.1016/S0306-4530(98)00056-0
  • Neuderth S, B Jabs, and A Schmidtke. Strategies for reducing test anxiety and optimizing exam preparation in German university students: a prevention-oriented pilot project of the University of Würzburg. J Neural Transm 2009;116:785-90. doi: 10.1007/s00702.008.0123-7
  • Schaefer A, H Matthess, G Pfitzer, et al. Mental health and performance of medical students with high and low tes anxiety. PPMP 2007;57:289-97.doi:10.1055/s-2006-951974
  • Haussmann MF, CM Vleck, and ES Farrar. A laboratory exercise to illustrate increased salivary cortisol in response to three stressful conditions using competitive ELISA. Adv Physiol Educ 2007;31:110 15.doi: 10.1152/advan.00058.2006
  • Lacey K, M Zaharia, J Griffiths, et al. A prospective study of neuroendocrine and immune alterations associated with the stress of an oral academic examination among graduate students. Psychoneuroendocrinology 2000;25:339-56.doi 10.1016/s0306-4530(99)00059-1:
  • Martinek L, K Oberascher-Holzinger, S Weishuhn, et al. Anticipated academic examinations induce distinct cortisol responses in adolescent pupils. Neuro Endocrinol Lett 2003;24:449-53.
  • Riem MME, Kunst LE, Bekker MHJ, Fallon M, Kupper N. Intranasal oxytocin enhances stress-protective effects of social support in women with negative childhood experiences during a virtual Trier Social Stress Test. Psychoneuroendocrinology 2020; 111:104482. doi:10.1016/j.psyneuen.2019.104482.
  • Linnen AM, Ellenbogen MA, Cardoso C, Joober R. Intranasal oxytocin and salivary cortisol concentrations during social rejection in university students. Stress 2012;15:393-402. doi: 10.3109/10253.890.2011.631154.
  • Young Kuchenbecker S, Pressman SD, Celniker J, et al. Oxytocin, cortisol, and cognitive control during acute and naturalistic stress. Stress 2021;24:370-83. doi: 10.1080/10253.890.2021.1876658.
  • Špiljak B, M Vilibić, A Glavina, et al. A Review of psychological stress among students and its assessment using salivary biomarkers. Behav Sci 2022;12:400.doi: 10.3390/bs12100400
  • Kaiseler M, Polman RC, Nicholls AR. Effects of the Big Five personality dimensions on appraisal coping, and coping effectiveness in sport. EJSS 2012; 12: 62-72.doi: 10.1080/17461.391.2010.551410
  • Burgess L, Irvine F, Wallymahmed A. Personality, stress and coping in intensive care nurses: a descriptive exploratory study. Nur Crit Care 2010; 15:129-40.doi: 10.1111/j.1478- 5153.2009.00384.x
  • Tang P, and Wang L. Perceived stress and depression among seven-year program medical students: mediating role of Big Five personality. Chinese J Public Health 2015; 09.doi: 10.11847/zgggws2015-31-09-24
  • Huntley CD, B Young, CT Smith, Jha V, Fisher PL. Assessing metacognitive beliefs in test anxiety: Psychometric properties of the metacognitions questionnaire, 30 (MCQ-30) among university students. Curr Psychol 2022;41:1425-33.doi: 10.1007/s12144.020.00662-y
  • O’Carroll PJ and P Fisher. Metacognitions, worry and attentional control in predicting OSCE performance test anxiety. Med Educ 2013;47:562-68.doi: 10.1111/medu.12125
  • Spada MM, GA Georgiou, and A Wells. The relationship among metacognitions, attentional control, and state anxiety. Cogn Behav Ther 2010;39:64-71.doi: 10.1080/165.060.70902991791
  • Spada MM, AV Nikcevic, GB Moneta, et al. Metacognition as a mediator of the effect of test anxiety on a surface approach to studying. Educ Psychol 2006;26:615-24.doi: 10.1080/014.434.10500390673
  • Păduraru ME. Coping strategies for exam stress. MHGCJ 2018;1:64-6.
  • Renk K, Smith T. Predictors of academic-related stress in college students: An examination of coping, social support, parenting, and anxiety. NASPA 2007; 44: 405-31.doi: 10.2202/1949-6605.1829
  • Drake EC, Sladek MR, and Doane LD. Daily cortisol activity, loneliness, and coping efficacy in late adolescence: A longitudinal study of the transition to college. Int J Behav Dev 2016;40: 334-45.doi: 10.1177/016.502.5415581914
  • Imamoglu SE, B Aydin. Scale of Dimensions of interpersonal relationships. Studies Psychology 2009;29:39-64.
  • Tosun A, M Irak. Adaptation, validity and reliability of Metacognition Questionnaire-30, and its relationship with anxiety and obsessive-compulsive symptoms Turk Psychiatr J 2008-7;18:1-14.
  • Atak H. The Turkish adaptation of the Ten-Item Personality Inventory. Archives Neuropsychiatry 2013; 50:312-19. doi:10.4274/npa.y6128
  • Bacanlı H, M Sürücü, T İlhan. Başa çıkma stilleri ölçeği kısa formunun (BÇSÖ-KF) psikometrik özelliklerinin incelenmesi: geçerlik ve güvenirlik çalışması. KUYEB 2013;13:81-96.
  • Öner N, A Le Compte. Süreksiz Durumluk/Sürekli anksiyete Envanteri El Kitabı, 1. Baskı, İstanbul, Boğaziçi Üniversitesi Yayınları 1983:1-26.
  • Marques AH, MN Silverman, and EM Sternberg. Evaluation of stress systems by applying noninvasive methodologies: measurements of neuroimmune biomarkers in the sweat, heart rate variability and salivary cortisol. Neuroimmunomodulation 2010;17:205-8.doi: 10.1159/000258725
  • Vreeburg SA, Zitman FG, van Pelt J, et al. Salivary cortisol levels in persons with and without different anxiety disorders. Psychosom Med 2010;72:340-7.doi: 10.1097/ PSY.0b013e3181d2f0c8
  • Brown CA, C Cardoso, and MA Ellenbogen. A meta-analytic review of the correlation between peripheral oxytocin and cortisol concentrations. Front Neuroendocrinol 2016;43:19- 27.doi: 10.1016/j.yfrne.2016.11.001
  • Weekes NY, RS Lewis, SG Goto, et al. The effect of an environmental stressor on gender differences on the awakening cortisol response. Psychoneuroendocrinology 2008;33:766-72.doi: 10.1016/j.psyneuen.2008.03.003
  • Madhyastha S, K Latha, and A Kamath. Stress, coping and gender differences in third year medical students. J Health Manag 2014;16:315-26.doi:10.1177/097.206.3414526124
  • Rahimi B, M Baetz, R Bowen, et al. Resilience, stress, and coping among Canadian medical students. CMEJ 2014;5:e5. PMID: 26451221
  • Shah M, S Hasan, S Malik, et al. Perceived stress, sources and severity of stress among medical undergraduates in a Pakistani medical school. BMC Med Educ 2010;10:2.doi: 10.1186/1472- 6920-10-2
  • Stöber J. Dimensions of test anxiety: Relations to ways of coping with pre-exam anxiety and uncertainty. Anxiety Stress Coping 2004;17:213-26.doi: 10.1080/106.158.0041233.129.26 15
  • Batabyal A, A Bhattacharya, M Thaker, et al. A longitudinal study of perceived stress and cortisol responses in an undergraduate student population from India. PloS one 2021;16:e0252579.doi: 10.1371/journal.pone.0252579
  • Ditzen B, ID Neumann, G Bodenmann, et al. Effects of different kinds of couple interaction on cortisol and heart rate responses to stress in women. Psychoneuroendocrinology 2007;32:565-74.doi:10.1016/j.psyneuen.2007.03.0
  • McQuaid RJ, OA McInnis, A Paric, et al. Relations between plasma oxytocin and cortisol: the stress buffering role of social support. Neurobiol Stress 2016;3:52-60. doi: 10.1016/j. ynstr.2016.01.001

Exam-related changes in salivary oxytocin and cortisol levels of preclinical medical students

Year 2024, Volume: 37 Issue: 3, 282 - 289, 30.10.2024
https://doi.org/10.5472/marumj.1572929

Abstract

ABSTRACT
Objective: The relationship between exam conditions with the peripheral oxytocin and cortisol levels and psychological characteristics
by gender were investigated.
Participants and Methods: Thirty-six preclinical medical students gave saliva samples in exam-free and pre-and post-exam conditions
and completed a comprehensive psychometric questionnaire.
Results: Before the theoretical exam, cortisol levels were elevated in females but not in males, whereas, oxytocin levels were similar in
both sexes under exam conditions. Genders were equalized in terms of most psychometric properties. Females did not feel prepared
for the exam and experienced more anxiety before the exam than males. Females had higher cortisol levels before the exam than after
the exam, but no change was observed in the cortisol levels of males by the exam conditions. Oxytocin levels did not differ significantly
for any condition or group.
Conclusion: Females may need to be supported in study planning and time management to increase exam preparedness and stress
management to increase coping with stress. The study’s small sample size casts a shadow on the generalizability of the results. In future
studies, the research process can be spread over a longer period and more people can be reached by not giving up strict selection rules.

References

  • Jaffe LE, D Lindell, Sullivan AM, et al. Clear skies ahead: optimizing the learning environment for critical thinking from a qualitative analysis of interviews with expert teachers. Perspect Med Educ 2019;8:289-97.doi: 10.1007/ s40037.019.00536-5.
  • Shochet RB, Colbert-Getz JM, Levine RB, et al. Gauging events that influence students’ perceptions of the medical school learning environment: findings from one institution. Acad Med 2013;88:246-52. doi: 10.1097/ACM.0b013e31827bfa14.
  • Aktekin M, Karaman T, Senol YY, et al. Anxiety, depression and stressful life events among medical students: a prospective study in Antalya, Turkey. Med Educ 2001;35:12-7.doi: 10.1046/j.1365-2923.2001.00726.x
  • Guthrie E, Black D, Bagalkote H, et al. Psychological stress and burnout in medical students: a five-year prospective longitudinal study. J R Soc Med 1998;91:237-43.doi: 10.1177/014.107.689809100502.
  • Toews JA, Lockyer JM, Dobson DJ, et al. Analysis of stress levels among medical students, resident, and graduate students at four Canadian schools of medicine. Acad Med 1997; 72:997-1002.doi: 10.1097/00001.888.199711000-00019.
  • McGregor BA, Murphy KM, Albano DL, Ceballos RM. Stress, cortisol, and B lymphocytes: a novel approach to understanding academic stress and immune function. Stress 2016;19:185-91. doi: 10.3109/10253.890.2015.1127913
  • Preuß D, Schoofs D, Schlotz W. The stressed student: influence of written examinations and oral presentations on salivary cortisol concentrations in university students. Stress 2010;13:221-9.doi: 10.3109/102.538.90903277579
  • Stegers‐Jager KM, Savas M, van der Waal J, van Rossum EFC, Waltman AM. Gender‐specific effects of raising Year‐1 standards on medical students’ academic performance and stress levels. Med Educ 2020;54:538-46. doi: 10.1111/ medu.14068
  • Boni RADS, Paiva CE, MA De Oliveira MA, Lucchetti G, Fregnani JHTG. Burnout among medical students during the first years of undergraduate school: Prevalence and associated factors. PloS one 2018;13:e0191746. doi: 10.1371/journal. pone.0191746
  • Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among US and Canadian medical students. Acad Med 2006;81:354-73.doi: 10.1097/00001.888.200604000-00009
  • Heinen I, Bullinger M, Kocalevent R-D. Perceived stress in first year medical students-associations with personal resources and emotional distress. BMC Medical Educ 2017;17:1-14.doi: 10.1186/s12909.016.0841-8.
  • Radcliffe C, Lester H. Perceived stress during undergraduate medical training: a qualitative study. Med Educ 2003;37:32-8. doi: 10.1046/j.1365-2923.2003.01405.x.
  • McClure EA, Baker NL, Gray KM, et al. The influence of gender and oxytocin on stress reactivity, cigarette craving, and smoking in a randomized, placebo-controlled laboratory relapse paradigm. Psychopharmacology 2020;237:543-55.doi: 10.1007/s00213.019.05392-z
  • Jurek B, Neumann ID. The oxytocin receptor: From intracellular signaling to behavior. Physiol Rev 2018;98:1805- 908.doi:10.1152/physrev.00031.2017
  • Neumann ID and Landgraf R. Balance of brain oxytocin and vasopressin: implications for anxiety, depression, and social behaviors. TINS 2012;35:649-59. doi: 10.1016/j. tins.2012.08.004
  • Bernhard A, van der Merwe C, Ackermann K, et al. Adolescent oxytocin response to stress and its behavioral and endocrine correlates. Horm Behav 2018;105:157-65.doi: 10.1016/j. yhbeh.2018.08.010
  • Engert V, Koester AM, Riepenhausen A, Singer T. Boosting recovery rather than buffering reactivity: higher stressinduced oxytocin secretion is associated with increased cortisol reactivity and faster vagal recovery after acute psychosocial stress. Psychoneuroendocrinology 2016;74:111- 20.doi:10.1016/j.psyneuen.2016.08.029
  • Bellosta-Batalla M, Del Carmen Blanco-Gandía M, Rodríguez- Arias M, Cebolla A, Pérez-Blasco J, Moya-Albiol L. Brief mindfulness session improves mood and increases salivary oxytocin in psychology students. Stress Health 2020;36:469- 77. doi: 10.1002/smi.2942
  • Uvnäs-Moberg K. Oxytocin may mediate the benefits of positive social interaction and emotions. Psychoneuroendocrinology 1998;23:819-35. doi:10.1016/S0306-4530(98)00056-0
  • Neuderth S, B Jabs, and A Schmidtke. Strategies for reducing test anxiety and optimizing exam preparation in German university students: a prevention-oriented pilot project of the University of Würzburg. J Neural Transm 2009;116:785-90. doi: 10.1007/s00702.008.0123-7
  • Schaefer A, H Matthess, G Pfitzer, et al. Mental health and performance of medical students with high and low tes anxiety. PPMP 2007;57:289-97.doi:10.1055/s-2006-951974
  • Haussmann MF, CM Vleck, and ES Farrar. A laboratory exercise to illustrate increased salivary cortisol in response to three stressful conditions using competitive ELISA. Adv Physiol Educ 2007;31:110 15.doi: 10.1152/advan.00058.2006
  • Lacey K, M Zaharia, J Griffiths, et al. A prospective study of neuroendocrine and immune alterations associated with the stress of an oral academic examination among graduate students. Psychoneuroendocrinology 2000;25:339-56.doi 10.1016/s0306-4530(99)00059-1:
  • Martinek L, K Oberascher-Holzinger, S Weishuhn, et al. Anticipated academic examinations induce distinct cortisol responses in adolescent pupils. Neuro Endocrinol Lett 2003;24:449-53.
  • Riem MME, Kunst LE, Bekker MHJ, Fallon M, Kupper N. Intranasal oxytocin enhances stress-protective effects of social support in women with negative childhood experiences during a virtual Trier Social Stress Test. Psychoneuroendocrinology 2020; 111:104482. doi:10.1016/j.psyneuen.2019.104482.
  • Linnen AM, Ellenbogen MA, Cardoso C, Joober R. Intranasal oxytocin and salivary cortisol concentrations during social rejection in university students. Stress 2012;15:393-402. doi: 10.3109/10253.890.2011.631154.
  • Young Kuchenbecker S, Pressman SD, Celniker J, et al. Oxytocin, cortisol, and cognitive control during acute and naturalistic stress. Stress 2021;24:370-83. doi: 10.1080/10253.890.2021.1876658.
  • Špiljak B, M Vilibić, A Glavina, et al. A Review of psychological stress among students and its assessment using salivary biomarkers. Behav Sci 2022;12:400.doi: 10.3390/bs12100400
  • Kaiseler M, Polman RC, Nicholls AR. Effects of the Big Five personality dimensions on appraisal coping, and coping effectiveness in sport. EJSS 2012; 12: 62-72.doi: 10.1080/17461.391.2010.551410
  • Burgess L, Irvine F, Wallymahmed A. Personality, stress and coping in intensive care nurses: a descriptive exploratory study. Nur Crit Care 2010; 15:129-40.doi: 10.1111/j.1478- 5153.2009.00384.x
  • Tang P, and Wang L. Perceived stress and depression among seven-year program medical students: mediating role of Big Five personality. Chinese J Public Health 2015; 09.doi: 10.11847/zgggws2015-31-09-24
  • Huntley CD, B Young, CT Smith, Jha V, Fisher PL. Assessing metacognitive beliefs in test anxiety: Psychometric properties of the metacognitions questionnaire, 30 (MCQ-30) among university students. Curr Psychol 2022;41:1425-33.doi: 10.1007/s12144.020.00662-y
  • O’Carroll PJ and P Fisher. Metacognitions, worry and attentional control in predicting OSCE performance test anxiety. Med Educ 2013;47:562-68.doi: 10.1111/medu.12125
  • Spada MM, GA Georgiou, and A Wells. The relationship among metacognitions, attentional control, and state anxiety. Cogn Behav Ther 2010;39:64-71.doi: 10.1080/165.060.70902991791
  • Spada MM, AV Nikcevic, GB Moneta, et al. Metacognition as a mediator of the effect of test anxiety on a surface approach to studying. Educ Psychol 2006;26:615-24.doi: 10.1080/014.434.10500390673
  • Păduraru ME. Coping strategies for exam stress. MHGCJ 2018;1:64-6.
  • Renk K, Smith T. Predictors of academic-related stress in college students: An examination of coping, social support, parenting, and anxiety. NASPA 2007; 44: 405-31.doi: 10.2202/1949-6605.1829
  • Drake EC, Sladek MR, and Doane LD. Daily cortisol activity, loneliness, and coping efficacy in late adolescence: A longitudinal study of the transition to college. Int J Behav Dev 2016;40: 334-45.doi: 10.1177/016.502.5415581914
  • Imamoglu SE, B Aydin. Scale of Dimensions of interpersonal relationships. Studies Psychology 2009;29:39-64.
  • Tosun A, M Irak. Adaptation, validity and reliability of Metacognition Questionnaire-30, and its relationship with anxiety and obsessive-compulsive symptoms Turk Psychiatr J 2008-7;18:1-14.
  • Atak H. The Turkish adaptation of the Ten-Item Personality Inventory. Archives Neuropsychiatry 2013; 50:312-19. doi:10.4274/npa.y6128
  • Bacanlı H, M Sürücü, T İlhan. Başa çıkma stilleri ölçeği kısa formunun (BÇSÖ-KF) psikometrik özelliklerinin incelenmesi: geçerlik ve güvenirlik çalışması. KUYEB 2013;13:81-96.
  • Öner N, A Le Compte. Süreksiz Durumluk/Sürekli anksiyete Envanteri El Kitabı, 1. Baskı, İstanbul, Boğaziçi Üniversitesi Yayınları 1983:1-26.
  • Marques AH, MN Silverman, and EM Sternberg. Evaluation of stress systems by applying noninvasive methodologies: measurements of neuroimmune biomarkers in the sweat, heart rate variability and salivary cortisol. Neuroimmunomodulation 2010;17:205-8.doi: 10.1159/000258725
  • Vreeburg SA, Zitman FG, van Pelt J, et al. Salivary cortisol levels in persons with and without different anxiety disorders. Psychosom Med 2010;72:340-7.doi: 10.1097/ PSY.0b013e3181d2f0c8
  • Brown CA, C Cardoso, and MA Ellenbogen. A meta-analytic review of the correlation between peripheral oxytocin and cortisol concentrations. Front Neuroendocrinol 2016;43:19- 27.doi: 10.1016/j.yfrne.2016.11.001
  • Weekes NY, RS Lewis, SG Goto, et al. The effect of an environmental stressor on gender differences on the awakening cortisol response. Psychoneuroendocrinology 2008;33:766-72.doi: 10.1016/j.psyneuen.2008.03.003
  • Madhyastha S, K Latha, and A Kamath. Stress, coping and gender differences in third year medical students. J Health Manag 2014;16:315-26.doi:10.1177/097.206.3414526124
  • Rahimi B, M Baetz, R Bowen, et al. Resilience, stress, and coping among Canadian medical students. CMEJ 2014;5:e5. PMID: 26451221
  • Shah M, S Hasan, S Malik, et al. Perceived stress, sources and severity of stress among medical undergraduates in a Pakistani medical school. BMC Med Educ 2010;10:2.doi: 10.1186/1472- 6920-10-2
  • Stöber J. Dimensions of test anxiety: Relations to ways of coping with pre-exam anxiety and uncertainty. Anxiety Stress Coping 2004;17:213-26.doi: 10.1080/106.158.0041233.129.26 15
  • Batabyal A, A Bhattacharya, M Thaker, et al. A longitudinal study of perceived stress and cortisol responses in an undergraduate student population from India. PloS one 2021;16:e0252579.doi: 10.1371/journal.pone.0252579
  • Ditzen B, ID Neumann, G Bodenmann, et al. Effects of different kinds of couple interaction on cortisol and heart rate responses to stress in women. Psychoneuroendocrinology 2007;32:565-74.doi:10.1016/j.psyneuen.2007.03.0
  • McQuaid RJ, OA McInnis, A Paric, et al. Relations between plasma oxytocin and cortisol: the stress buffering role of social support. Neurobiol Stress 2016;3:52-60. doi: 10.1016/j. ynstr.2016.01.001
There are 54 citations in total.

Details

Primary Language English
Subjects Surgery (Other)
Journal Section Original Research
Authors

Sinem Yıldız İnanıcı 0000-0001-8488-3231

Sevil Arabacı Tamer 0000-0002-8701-6894

Faize Elif Bahadır 0000-0002-0715-8199

Sibel Sakarya 0000-0002-9959-6240

Berrak Yegen 0000-0003-0791-0165

Publication Date October 30, 2024
Submission Date November 15, 2023
Acceptance Date February 6, 2024
Published in Issue Year 2024 Volume: 37 Issue: 3

Cite

APA Yıldız İnanıcı, S., Arabacı Tamer, S., Bahadır, F. E., Sakarya, S., et al. (2024). Exam-related changes in salivary oxytocin and cortisol levels of preclinical medical students. Marmara Medical Journal, 37(3), 282-289. https://doi.org/10.5472/marumj.1572929
AMA Yıldız İnanıcı S, Arabacı Tamer S, Bahadır FE, Sakarya S, Yegen B. Exam-related changes in salivary oxytocin and cortisol levels of preclinical medical students. Marmara Med J. October 2024;37(3):282-289. doi:10.5472/marumj.1572929
Chicago Yıldız İnanıcı, Sinem, Sevil Arabacı Tamer, Faize Elif Bahadır, Sibel Sakarya, and Berrak Yegen. “Exam-Related Changes in Salivary Oxytocin and Cortisol Levels of Preclinical Medical Students”. Marmara Medical Journal 37, no. 3 (October 2024): 282-89. https://doi.org/10.5472/marumj.1572929.
EndNote Yıldız İnanıcı S, Arabacı Tamer S, Bahadır FE, Sakarya S, Yegen B (October 1, 2024) Exam-related changes in salivary oxytocin and cortisol levels of preclinical medical students. Marmara Medical Journal 37 3 282–289.
IEEE S. Yıldız İnanıcı, S. Arabacı Tamer, F. E. Bahadır, S. Sakarya, and B. Yegen, “Exam-related changes in salivary oxytocin and cortisol levels of preclinical medical students”, Marmara Med J, vol. 37, no. 3, pp. 282–289, 2024, doi: 10.5472/marumj.1572929.
ISNAD Yıldız İnanıcı, Sinem et al. “Exam-Related Changes in Salivary Oxytocin and Cortisol Levels of Preclinical Medical Students”. Marmara Medical Journal 37/3 (October 2024), 282-289. https://doi.org/10.5472/marumj.1572929.
JAMA Yıldız İnanıcı S, Arabacı Tamer S, Bahadır FE, Sakarya S, Yegen B. Exam-related changes in salivary oxytocin and cortisol levels of preclinical medical students. Marmara Med J. 2024;37:282–289.
MLA Yıldız İnanıcı, Sinem et al. “Exam-Related Changes in Salivary Oxytocin and Cortisol Levels of Preclinical Medical Students”. Marmara Medical Journal, vol. 37, no. 3, 2024, pp. 282-9, doi:10.5472/marumj.1572929.
Vancouver Yıldız İnanıcı S, Arabacı Tamer S, Bahadır FE, Sakarya S, Yegen B. Exam-related changes in salivary oxytocin and cortisol levels of preclinical medical students. Marmara Med J. 2024;37(3):282-9.