• van der WalRaymond A BRABFrom the Department of Anaesthesiology, Pain and Palliative Medicine, Radboud University Medical Center (RABVDW, MJLB, GS), Behavioural Science Institute, Radboud University (EB), Department of Laboratory Medicine, Radboud Univers, Erik Bijleveld, HerwaardenAntonius E vanAEV, BucxMartin J LMJL, Judith B Prins, and GertJan Scheffer.
• From the Department of Anaesthesiology, Pain and Palliative Medicine, Radboud University Medical Center (RABVDW, MJLB, GS), Behavioural Science Institute, Radboud University (EB), Department of Laboratory Medicine, Radboud University Medical Center (AEVH), Department of Medical Psychology, Radboud University Medical Center, Nijmegen, The Netherlands (JBP).
• Eur J Anaesthesiol. 2022 Jan 1; 39 (1): 263226-32.

BackgroundAnaesthesia is a stressful medical specialty. The reaction to stress is constituted by behavioural, psychological and physiological components. Chronic physiological stress can have negative consequences for health.ObjectivesFirst, we hypothesised that chronic physiological stress is higher for both beginning and late-career consultant anaesthesiologists. Second, we hypothesised that individuals high in emotional intelligence endure lower physiological stress.DesignCross-sectional biomarker and survey study.SettingParticipants were recruited during the May 2019 annual meeting of the Dutch Anaesthesia Society.ParticipantsOf the 1348 colleagues who attended the meeting, 184 (70 male/114 female) participated in the study. Of the study participants, 123 (67%) were consultant anaesthesiologists (52 male/71 female) and 61 (33%) were resident anaesthesiologists (18 male/43 female). Exclusion criteria were endocrine disorders and not having enough hair. Also, experience of a recent major life event led to exclusion from analysis of our hypotheses.Main Outcome MeasuresChronic physiological stress was measured by hair cortisol concentration. Emotional intelligence was assessed using a validated Dutch version of the Trait Emotional Intelligence Questionnaire. As secondary measures, psychological sources of stress were assessed using validated Dutch versions of the home-work interference (SWING) and the effort-reward imbalance questionnaires.ResultsIn support of Hypothesis 1, hair cortisol concentration was highest among early and late-career consultant anaesthesiologists (quadratic effect: b = 45.5, SE = 16.1, t = 2.8, P = 0.006, R2 = 0.14). This nonlinear pattern was not mirrored by self-reported sources of psychological stress. Our results did not support Hypothesis 2; we found no evidence for a relationship between emotional intelligence and physiological stress.ConclusionIn the early and later phases of an anaesthesiologist's career, physiological chronic stress is higher than in the middle of the career. However, this physiological response could not be explained from known sources of psychological stress. We discuss these findings against the background of key differences between physiological and psychological stress.Copyright © 2020 European Society of Anaesthesiology. All rights reserved.

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