Pupilometer efficacy in monitoring anxiety in undergraduate medical students during high-fidelity clinical simulation

被引:0
|
作者
Martin-Rodriguez, Francisco [1 ,2 ]
Martin-Sanchez, Rafael [2 ]
del Pozo Vegas, Carlos [1 ,3 ]
Lopez-Izquierdo, Raul [1 ,4 ]
Martin-Conty, Jose Luis [5 ,6 ]
Silva Alvarado, Eduardo [7 ,8 ,9 ]
Gracia Villar, Santos [7 ,8 ,10 ]
Lopez, Luis Alonso Dzul [7 ,8 ,10 ]
Obregon, Silvia Aparicio [7 ,9 ,11 ]
Calderon Iglesias, Ruben [7 ,9 ,12 ]
Sanz-Garcia, Ancor [5 ,6 ]
Villamor, Miguel Angel Castro
机构
[1] Univ Valladolid, Fac Med, Valladolid, Spain
[2] Emergency Med Serv SACYL, Adv Life Support, Valladolid, Spain
[3] Hosp Clin Univ, Emergency Dept, Valladolid, Spain
[4] Hosp Univ Rio Hortega, Emergency Dept, Valladolid, Spain
[5] Univ Castilla La Mancha, Fac Hlth Sci, Avda Real Fabr Seda S-N, Talavera De La Reina 45600, Spain
[6] Univ Castilla La Mancha, Fac Hlth Sci, Technol Innovat Appl Hlth Res Grp ITAS Grp, Talavera De La Reina 45600, Spain
[7] Univ Europea Atlantico, Santander, Spain
[8] Univ Int Iberoamer, Campeche, Mexico
[9] Univ La Romana, La Romana, Dominican Rep
[10] Univ Int Iberoamer Arecibo, Arecibo, PR USA
[11] Fdn Univa Int Colombia, Bogota, Colombia
[12] Univ Int Cuanza, Cuito, Bie, Angola
来源
SCIENTIFIC REPORTS | 2025年 / 15卷 / 01期
关键词
Anxiety; High-fidelity clinical simulation; STAI; Pupillary diameter; Learning;
D O I
10.1038/s41598-025-95290-6
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
The aim of the present work was to determine the correlation between the State-Trait Anxiety Inventory (STAI) score and pupillary diameter and whether this correlation exists to develop a predictive model of anxiety with the pupillary diameter of students exposed to high-fidelity clinical simulation. This was a randomized, blinded, simulation-based clinical trial. The study was conducted at the Advanced Clinical Simulation Center, Faculty of Medicine, Valladolid University (Spain), from February 1 to April 15, 2023, and involved volunteer sixth-year undergraduate medical students. The STAI score, vital signs (oxygen saturation, perfusion index, blood pressure, heart rate, and temperature), and pupillary response were assessed. The primary outcomes were the delta (pre/postsimulation) of the state STAI and the delta of the pupillary diameter. Sixty-one sixth-year students fulfilled the inclusion criteria. There was no difference regarding the clinical scenario. There was a statistically significant correlation between the state STAI score and pupillary diameter. The predictive model had an AUC of 0.876, with the delta diameter of the pupillary being the only statistically significant variable for anxiety prediction. Our results showed that both the pupillary response and the STAI score allowed the identification of students with disabling anxiety. These results could pave the way for appropriate protocol development that allows for personalized tutoring of students with elevated anxiety levels.
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页数:9
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