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Updated: May 1, 2026

Assessment of Stress Effects on Cognitive Flexibility using an Operant Strategy Shifting Paradigm
Published on: May 4, 2020
Association between exposure to work stressors and cognitive performance
Marko Vuori1, Ritva Akila, Virpi Kalakoski
1From the Finnish Institute of Occupational Health (Mr Vuori, Ms Akila, Dr Kalakoski, Ms Pentti, Dr Kivimäki, Dr Vahtera, Dr Härmä, and Dr Puttonen), Helsinki, Finland; University College London (Dr Kivimäki), UK; and University of Turku and Turku University Hospital (Dr Vahtera), Finland.
High work stress negatively impacts cognitive functions, particularly the speed of memory retrieval in hospital staff. This finding highlights stress as a key factor affecting job performance.
Area of Science:
- Occupational Health
- Cognitive Psychology
- Neuroscience
Background:
- Work-related stress is a prevalent issue in healthcare settings.
- Cognitive performance is crucial for effective job execution in demanding professions.
Purpose of the Study:
- To investigate the relationship between occupational stress (job strain) and cognitive abilities.
- To assess how different levels of job strain affect learning, short-term memory, and memory retrieval speed.
Main Methods:
- A cohort of 99 female hospital ward employees was studied.
- Participants were categorized into high job strain (top quartile) and low job strain (bottom quartile) groups.
- Cognitive performance was evaluated using validated tests measuring learning, short-term memory, and speed of memory retrieval.
Main Results:
- The high job strain group demonstrated significantly lower performance in learning, short-term memory, and speed of memory retrieval compared to the low job strain group.
- After adjusting for education level, the difference in the speed of memory retrieval remained statistically significant.
- P-values: Learning (P=0.025), Short-term memory (P=0.027), Speed of memory retrieval (P=0.003, adjusted P=0.010).
Conclusions:
- Job strain is associated with deficits in cognitive functions, especially the speed of memory retrieval.
- Impaired speed of memory retrieval due to work stress may be a significant factor contributing to reduced work performance.
- Findings suggest interventions targeting stress reduction could improve cognitive function and performance in healthcare workers.
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