Stress reactivity and cognitive performance in a simulated emergency (firefighting)

Robinson, Sarita J. and Leach, John and Owen-Lynch, Jane and Sünram-Lea, Sandra-Ilona (2013) Stress reactivity and cognitive performance in a simulated emergency (firefighting). Aviation, Space, and Environmental Medicine, 84 (6). pp. 592-599. ISSN 0095-6562

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Abstract

BACKGROUND: During emergencies maladaptive behavior can reduce survival. This study compared the effects of a basic firefighter training course on twenty-one volunteers (with no firefighting experience) with age and gender-matched controls. METHODS: Stress reactivity (salivary cortisol and anxiety) were monitored across the course - day 1 (classroom), day 2 (physical equipment training) and day 3 (simulated fire emergency). Cognitive performance (visual attention, declarative and working memory) considered important in surviving a fire emergency were measured immediately post-training or after a 20 min delay. RESULTS: Prior to threat subjects showed an anticipatory cortisol increase but no corresponding increase in self-reported anxiety. On day 3 cortisol was higher in fire-fighters tested immediately after (10.37 nmol/L) and 20 min after training (7.20 nmol/L) compared to controls (3.13 nmol/L). Differences in cognitive performance were observed post-threat, with impairments in visual declarative memory in the fire- fighting subjects tested immediately, and WM impairments observed in those tested after a 20 min delay. CONCLUSIONS: Cognitive impairments were found following a simulated emergency and could explain maladaptive responses observed during real fires. Moreover, the results suggest the type of cognitive impairments observed may be time dependent, with different cognitive difficulties becoming evident at different times following an emergency.

Item Type:
Journal Article
Journal or Publication Title:
Aviation, Space, and Environmental Medicine
Uncontrolled Keywords:
/dk/atira/pure/subjectarea/asjc/2700/2739
Subjects:
ID Code:
61706
Deposited By:
Deposited On:
21 Jan 2013 10:32
Refereed?:
Yes
Published?:
Published
Last Modified:
11 Jun 2020 02:34