Junior doctors and the full shift rota – psychological and hormonal changes: a comparative cross-sectional study

The full text article is temporarily unavailable.

We apologise for the inconvenience. Please try again later.


We studied the hormonal and psychological effect of the full shift rota on junior doctors after implementation of the European Working Time Directive, using a comparative, cross-sectional study design of male doctors in South Yorkshire. Cortisol and testosterone levels were measured and subjects completed the general health questionnaire (GHQ-12) and the androgen deficiency in the aging male screening questionnaire (ADAM), after a week of holiday (baseline), a week of nights, and a normal working week. The results showed that cortisol levels decreased from 480.6±33.1 nmol/l at baseline (after a week of holiday), to 355.7±29.1 nmol/l post normal working week (p=0.003); to 396.7±32.5 nmol/l post nights (p=0.03). GHQ-12 scores increased from 0.5±0.3 at baseline, to 1.8±0.5 post normal working week (p=0.02) and to 2.3±0.5 post nights (p=0.005). These results suggest that there are still appreciable physiological consequences with new work patterns.


Document Type: Research Article

Publication date: March 1, 2006

Related content

Share Content

Access Key

Free Content
Free content
New Content
New content
Open Access Content
Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content
Cookie Policy
Cookie Policy
ingentaconnect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more