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Updated: Jul 30, 2025

Reducing State Anxiety Using Working Memory Maintenance
Published on: July 19, 2017
[Cognition in medical residents with and without anxiety in a specialist training hospital]
Janeth Ramírez-Mendoza1, Arturo García-Galicia1, Alejandra Aréchiga-Santamaría2
1Instituto Mexicano del Seguro Social, Centro Médico Nacional "Gral. de Div. Manuel Ávila Camacho", Hospital de Especialidades de Puebla, Dirección de Educación e Investigación en Salud. Puebla, Puebla, México.
Background:
The resident doctor plays an important role in people's health care.
Objective:
To compare the cognition of medical residents with/without anxiety in a specialist training hospital.
Material And Methods:
Comparative, prospective, cross-sectional study. Medical residents of any grade and specialty were included, who signed informed consent. Those with a diagnosis of cognitive impairment were excluded, and who did not complete the tests were eliminated. AMAS-A test was applied to assess anxiety and NEUROPSI: Attention and memory test for cognitive characteristics. Mann-Whitney's U and Spearman's rho were used, p≤0.05 was considered significant.
Results:
155 residents were evaluated, 55.5% men, mean age 32.4 years. Internal Medicine was the predominant specialty (25.2%). AMAS-A identified 94.19% residents with anxiety. NEUROPSI reported Attention and memory domain (38.7%) in normal classification, Memory (34.2%) in high normal, and Attention and executive functions (32.3%) in severe alteration as predominant assessments. Only Memory showed a significant difference between residents with and without anxiety (p=0.015). Attention and executive functions-Physiological anxiety (r=-0.21, p=0.009) and Attention and memory-Social concern (r=-0.268, p=0.001) correlations were significant.
Conclusions:
The percentage of anxiety and cognitive alterations in residents physicians is high. Anxiety decisively affects memory capacity in these medical doctors.
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