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Changes in Stress Hormone, Lymphocytes, and Neutrophils Related to Examination and Social Support in University Students  

Kim, Joo-Hyun (Department of Nursing, Kangwon National University)
Chae, Young-Ran (Department of Nursing, Kangwon National University)
Publication Information
Korean Journal of Adult Nursing / v.22, no.1, 2010 , pp. 11-18 More about this Journal
Abstract
Purpose: The purpose of the study was to identify levels of anxiety, stress hormone, lymphocytes, and neutrophils of the nursing students before an examination and to examine effects of social support on those variables related to taking examinations. Methods: Thirty eight healthy nursing students participated. They completed the questionnaire including state anxiety, test anxiety (VAS scale) and social support two weeks before the exam and again just before the exam. Simultaneously, a venous sample for ACTH, cortisol, lymphocytes & neutrophils count was drawn by a trained nurse. Descriptive statistics, paired t-test, student t-test, and Pearson's correlation with SPSS/WIN 14.0 were used to analyze the data. Results: Test anxiety scores and cortisol level on the exam day showed a significant increment compared with those on the non-exam day. The participants with higher levels of total social support scores showed significantly lower state anxiety on the exam day than those with lower levels of total social support scores. Conclusion: These data indicate a possible alteration in cortisol responsiveness to academic stress in nursing students. Social support would play an important role in modulation of academic stress.
Keywords
Test anxiety; Social support; Adrenocorticotropic hormone; Hydrocortisone; Lymphocytes; Neutrophils;
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Times Cited By KSCI : 3  (Citation Analysis)
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1 Yoo, J. S., Chang, S. J., Choi, E. K., & Park, J. W. (2008). Development of a stress scale for Korean nursing students. Journal of Korean Academy of Nursing, 38(3). 410-419.   과학기술학회마을   DOI
2 Kim, J. T., & Shin, D. K. (1978). A study based on the standardization of the SAIT for Korea. The New Medical Journal, 21 (11), 69-75.
3 Kim, N. S. (2007). Health promoting behaviors and influencing factors of university students: optimism and coping skills. Journal of Korean Academy of Adult Nursing, 19(5), 719- 728.
4 Koh, K. B., Choe, E., Song, J. E., & Lee, E. H. (2006). Effect of coping on endocrinoimmune functions in different stress situations. Psychiatry Research, 143, 223-234.   DOI   ScienceOn
5 Dahanukar, S. A., Thatte, U. M., Deshmukh, U. D., Kulkarni, M. K., & Bapat, R. D. (1996). The influence of surgical stress on the psychoneuro-endocrine-immune axis. Journal of Postgraduate Medicine, 42 (1), 12-14.
6 Gloger, S., Puente, J., Arias, P., Fischman, P., Caldumbide, I., Gonzalez, R., Quiroz, J., Echavarri, O., & Ramirez, C. (1997). Immune response reduced by intenseintellectual stress: Changes in lymphocyte proliferation in medical students. Revista Medica de Chile, 125(6), 665-670.
7 Goldstein, D. S., & Kopin, I. J. (2008). Adrenomedullary, adrenocortical, and sympathoneural responses to stressors: A metaanalysis. Endocrine Regulations, 42 (4), 111-119.
8 Jemmott, J. B., & Magloire, K. (1988). Academic stress, social support, and secretory immunoglobulin A. Journal of Personality and Social Psychology, 55(5), 803-810.
9 Jemmott, J. B., Hellman, C., McClelland, D. C., Locke, S. E., Kraus, L., Williams, R. M., & Valeri, C. R. (1990). Motivational syndromes associated with natural killer cell activity. Journal of Behavioral Medicine, 13(1), 53-73.   DOI
10 Kang, D. H., Coe, C. L., Karaszewski, J., & McCarthy, D. O. (1998). Relationship of social support to stress responses and immune function in healthy and asthmatic adolescents. Research in Nursing & Health, 21, 117-128.   DOI   ScienceOn
11 Kim, C. J., Hur, H. K., Kang, D. H., & Kim, B. H. (2004). Effects of psychosocial stress management on stress and coping in students nurses. Journal of Korean Academy of Adult Nursing, 16(1), 90-101.
12 Kim, D. S., Chung, Y. S., & Park, S. W. (2004). Relationship between the stress hormone, salivary cortisol level and stress score by self-report measurement. The Korean Journal of Health Psychology, 9(3), 633-645.
13 Chae, Y. R., Kim, K. S., Choe, M. A., An, K. H., Kim, M. A., Suh, S. R., Hong, H. S., Jeong, J. S., Park, K. W., & Lee, S. H. (2002). Analysis of the researches on the stress and immune responses. Korean Journal of Biological Nursing Academy, 4 (2), 72-92.   과학기술학회마을
14 Andrews, B., & Wilding, J. M. (2004). The relation of depression and anxiety to life-stress and achievement in students. British Journal of Psychology, 95 , 509-521.   DOI   ScienceOn
15 Alpers, G. W., Abelson, J. L., Wilhelm, F. H., & Roth, W. T. (2003). Salivary cortisol response during exposure treatment in driving phobics. Psychosomatic Medicine, 65, 679-687.   DOI   ScienceOn
16 Brandt, P. A., & Weinert, C. (1981). The PRQ: A social support measure. Nursing Research, 30(5), 277-280.
17 Seo, J. Y., & Kim, M. Y. (2008). The effects of aromatheraphy on dysmenorrhea, menstrual pain, anxiety, and depression in nursing students. Journal of Korean Academy of Adult Nursing, 20(5), 756-764.
18 Spielberger, C. D., Anton, W. D., & Bedell, J. (1976). The nature and treatment of test anxiety. In M. Zuckerman & C. D. Spielberger (ed.), Emotion & anxiety: New concepts, methods, & applications. NY: Lawrence Erlbaum Associates.
19 Suh, M. H., & Oh, K. S. (1993). A study of well-being in caregivers caring for chronically ill family members. The Journal of Nurses Academic Society, 23 (3), 467-486.
20 Wine, J. D. (1980). Cognitive -attentional theory of test anxiety. In I. G. Sarson (ed.), Test anxiety: Theory, research, and applications. NY: Lawrence Erlbaum Associates.
21 Lee, Y. W. (2006). Relationship among daily life stress, self-efficacy, hardness, and health behavior of university students. Journal of Korean Academy of Adult Nursing, 18 (5), 699-708.
22 Shaikh, B. T., Kahloon, A., Kazmi, M., Khalid, H., Nawaz, K., Khan, N. A., & Khan, S. (2004). Students, stress and coping strategies: A case of Pakistani medical school. Education for Health, 17(3), 346-353.   DOI   ScienceOn
23 Song, J. Y., & Won, H. T. (1998). The influences of the social support on performances of dual task and anxiety in stressful situation. Korean Journal of Clinical Psychology, 7(1), 21-30.
24 Spielberger, C. D. (1972). Anxiety current trends in theory and research. NY: Academic Press.
25 Lee, W. H., & Kim, O. J. (2007). Psychology of education. Seoul: Chongmok Press.
26 Leonard, B. E., & Song, C. (1996). Stress and immune system in the etiology of anxiety and depression. Pharmacology Biochemistry & Behavior, 54 (1), 299-303.   DOI   ScienceOn
27 Kim, J. S., & Shin, K. R. (2004). A study on depression, stress, and social support in adult women. Journal of Korean Academy of Nursing, 34(2), 352-361.   과학기술학회마을
28 Nam, E. S., & Uhm, D. C. (2008). Effects of phytoncides inhalation on serum cortisol level and life stress of college students. Journal of Korean Academy of Adult Nursing, 20(5), 697- 706.
29 Segal, A. B., Bruno, S., & Forte, W. C. (2006). Immune function in acute stress. Allergologia et Immunopathologia, 34(4), 136 -140.   DOI   ScienceOn