2006 Novemmber, 25 th Carmen Prenn
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Transcript of 2006 Novemmber, 25 th Carmen Prenn
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Effects of Individual Critical SituationsEffects of Individual Critical Situations on psychological and biochemical on psychological and biochemical
Variables in Air Traffic Controllers Variables in Air Traffic Controllers
2006 Novemmber, 25th Carmen Prenn
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Aims of the study
Do Individual Critical Situation(s) affect cortisol gradient parameters during the workday?
Is there a difference in subjective parameters depending on the occurrence of Individual Critical Situation(s) during the workday?
Do cortisol gradient parameters reflect recovery during the subsequent 3 days after the occurrence of Individual Critical Situation(s) ?
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____________________ 50 49 48 47 46 45 44 43 42 41 ____________________________ 40 39 38 37 36 35 34 33 32 31 ______________ ______________ 30 29 28 27 26 25 24 23 22 21 ____________________________ 20 19 18 17 16 15 14 13 12 11 ____________________________ 10 9 8 7 6 5 4 3 2 1 ____________________________
____________________ 50 49 48 47 46 45 44 43 42 41 ____________________________ 40 39 38 37 36 35 34 33 32 31 ____________________________ 30 29 28 27 26 25 24 23 22 21 ____________________________ 20 19 18 17 16 15 14 13 12 11 ____________________________ 10 9 8 7 6 5 4 3 2 1 ___________________________
____________________ 50 49 48 47 46 45 44 43 42 41 ____________________________ 40 39 38 37 36 35 34 33 32 31 ____________________________ 30 29 28 27 26 25 24 23 22 21 ____________________________ 20 19 18 17 16 15 14 13 12 11 ____________________________ 10 9 8 7 6 5 4 3 2 1 0
___________________ _________ 50 49 48 47 46 45 44 43 42 41 ____________________________ 40 39 38 37 36 35 34 33 32 31 ____________________________ 30 29 28 27 26 25 24 23 22 21 ____________________________ 20 19 18 17 16 15 14 13 12 11 ____________________________ 10 9 8 7 6 5 4 3 2 1 0 ____________________________
1. Hatten Sie heute eine Situation, die Sie über Routine hinaus belastet hat?
(zutreffendes bitte ankreuzen)
ja nein Wenn ja:
2. Wie weit war die Situation von einer Routine-Situation entfernt?
Bitte schätzen Sie die Situation auf folgender Skala ein:
Critical Incident
nahe am Critical Incident
starke Abweichung von Routine-Situation
Abweichung von Routine –Situation
leichte Abweichung von Routine-Situation
Routine-Situation
Individual Critical Situation (ICS) Rating
(Kallus, Hoffmann, Prenn, Winkler, Kohlberger, 2005)
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salivary cortisol concentration (µg/dL)
day 1 day 2 day 3 day 4
t1 1
t1 2
t1 3
t1 4
t1 5
t1 6
t2 1
t2 4
t2 6
t3 1
t3 4
t3 6
t4 1
t4 4
t4 6
Individual Critical Situation
yes7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 Σn = 7
Individual Critical Situation
no24 24 24 24 24 24 Σn = 24
Σn=31 Σn=7
Design for biochemical variable cortisol
t x 1… awakening valuet x 2…morning value (6:30 – 7:00)t x 3…noon value (11:30 – 12:30)t x 4…afternoon value (15:00 – 16:00)t x 5…evening value (18:00 – 19:00)
t x 6…night value (21:30 – 22:30)
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Design for psychological variables
DV2 mood state
DV3 physical condition
day 1
t 1 before work t 2 after work
Individual Critical Situation – yes
10 10 Σn = 10
Individual Critical Situation – no
43 43 Σn = 43
Σn=53 Σn=53
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Individual Critical Incident no
Individual Critical Incident yes
M SD M SD group
gender 0.14 0.35 0.20 0.42F(1,51)=0.22
p=.638
age (years) 32.09 5.73 33.80 5.75F(1,51)=0.72
p=.401
height (cm) 179.58 7.28 177.60 8.29F(1,51)=0.75
p=.453
weight (kg) 79.77 13.09 78.50 8.45F(1,51)=0.08
p=.772
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Test procedure - DAY 1
t1 cortisol awakening value
demographical data questionnaireMKSLBSKE
t2 cortisol morning value 6:30 – 7:00t3 cortisol noon value 11:30 – 12:30t4 cortisol afternoon value 15:00 – 16:00t5 cortisol evening value 18:00 – 19:00t6 cortisol night value 21:30 – 22:30
Individual Critical Situation (ICS) Rating MKSL BSKE
at home
before work ~ 30 min
after work ~ 30 min
start of shift
end of shift
time
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Results salivary cortisol concentrations DAY 1
Salivary cortisol concentration
(µg/dL) – DAY 1
Individual Critical
Situation – noN=24
Individual Critical
Situation - yesN=7
M SD M SDgroup
(ICS yes/no)
time group * time
awakening 0.59 0.28 0.60 0.35 F(1,29) = 4.47
p=.043*
F(2.88,83.74)= 52.04
p=.001***
F(2.88,83.74) = 2.18
p=.099(*)morning 1.22 0.41 1.71 0.80
noon 0.64 0.26 0.80 0.28
afternoon 0.56 0.25 0.63 0.25
evening 0.37 0.21 0.45 0.13
night 0.19 0.15 0.28 0.10
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Results salivary cortisol concentrations DAY 1
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Cortisol concentrations on DAY 2 to 4 after Individual Critical Situation
Salivary cortisol concentration (µg/dL)
M SD N
DAY 2
awakening 1.22 0.48 7
afternoon 0.41 0.17 7
night 0.29 0.28 7
DAY 3
awakening 0.82 0.39 7
afternoon 0.50 0.18 7
night 0.21 0.08 7
DAY 4
awakening 0.85 0.30 7
afternoon 0.65 0.19 7
night 0.31 0.14 7
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Salivary cortisol concentrations on 4 subsequent days
-0,2
0
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0,8
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Individual Critical Situation yes Individual Critical Situation no
DAY 1
DAY 2
DAY 3 DAY 4
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subtest group time group * time
“general wellbeing”F(1,51)=1.70
p=.142(-)F(1,51)=2.23
p=.142(-)F(1,51)=0.07
p=.796
“performance related activation”
F(1,51)=3.13p=.082(*)
F(1,51)=0.02p=.900
F(1,51)=0.77p=.384
“anger”F(1,51)=1.26
p=.266F(1,51)=1.40
p=.243F(1,51)=0.07
p=.796
“anxiety/depression”F(1,51)=1.88
p=.176(-)F(1,51)=0.84
p=.364F(1,51)=0.00
p=.983
“general disactivation”F(1,51)=1.30
p=.259F(1,51)=0.06
p=.805F(1,51)=3.63
p=.062(*)
“extraversion”F(1,51)=0.77
p=.383F(1,51)=0.23
p=.632F(1,51)=1.12
p=.296
“physical discomfort”F(1,51)=0.00
p=.971F(1,51)=1.56
p=.217F(1,51)=4.04
p=.050*
Results BSKE (mood state)
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Individual differences in mood state are evidently important factors
• Reduced performance related activation in group
with ICS
• Increased general disactivation before work in
group with ICS
• Increased physical discomfort after work in group
with ICS
Results BSKE (mood state)
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subtest group time group * time
“adrenergic physical symptoms”
F(1,51)=1.19p=.280
F(1,51)=3.02p=.088(*)
F(1,51)=0.04p=.835
“cholinergic physical symptoms”
F(1,51)=0.01p=.915
F(1,51)=0.00p=.947
F(1,51)=0.38p=.540
“physical relaxation”F(1,51)=1.94
p=.170(-)F(1,51)=9.27
p=.004**F(1,51)=1.24
p=.271
“pain”F(1,51)=0.10
p=.748F(1,51)=0.40
p=.530F(1,51)=0.175
p=.678
“nausea”F(1,51)=2.14
p=.150(-)F(1,51)=2.61
p=.112(-)F(1,51)=7.96
p=.007**
“palpitation”F(1,51)=6.23
p=.016*F(1,51)=1.56
p=.217F(1,51)=1.24
p=.271
”subjective perception of having difficulties to
breath”
F(1,51)=0.54p=.464
F(1,51)=3.18p=.080(*)
F(1,51)=8.21p=.006**
Results MKSL (physical condition)
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Individual differences in physical condition are evidently
important factors
• More intense palpitation of the heart in group with ICS
• Increased subjective feeling of nausea after work in group with ICS
• Increased subjective perception of having difficulties to breath before work in group with ICS
Results MKSL (physical condition)
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Summary and Interpretation
• Controllers with Individual Critical Situation(s) show increased salivary cortisol levels on all six sampling points during the day
• The circadian rhythm of cortisol secretion is reproduced and represented by a peak in morning values and a continuous decrease until night value
• A statistically significant increase in salivary cortisol is reflected in the morning values (6:30 to 7:00) by persons with Individual Critical Situation(s)
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Summary and Interpretation
• Elevated salivary cortisol concentrations before work reflect a probability increase to experience Individual Critical Situation(s) on that work day
• Maybe controllers show a stress reaction in advance based on their experience because they anticipate stressful traffic conditions
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Summary and Interpretation
• On the following 3 days after Individual Critical Situation(s) the awakening values are increased and reflect incomplete recovery
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Cortisol of air traffic controllersbefore and after a major organisational change
0,0
0,5
1,0
1,5
2,0
2,5
3,0
Aufwachwert Frühwert Mittagswert Nachmittagswert Abendwert Nachtwert
µg
/dL
vor Change t1 (N = 17) nach Change t2 (N = 17)
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Thank you for your attention!Thank you for your attention!