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Pediatric Reports
Volume 8
Issue 1
10.4081/pr.2016.6188
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Article

Salivary Cortisol Levels: The Importance of Clown Doctors to Reduce Stress

by
Flávia G. Saliba
1,
Natanael S. Adiwardana
1,
Eliane U. Uehara
1,
Renata N. Silvestre
1,
Victor V. Leite
1,
Francisca T.V. Faleiros
1,
Flávia H.P. Padovani
1 and
Juliana I.F. De Gobbi
1,*
1
Department of Pediatrics, Medical School of Botucatu, São Paulo State University, Botucatu, SP, Brazil
2
Department of Neurology, Psychology and Psychiatry, Medical School of Botucatu, São Paulo State University, Botucatu, SP, Brazil
3
Department of Physiology, Institute of Bioscience, São Paulo State University, Botucatu, SP, Brazil
*
Author to whom correspondence should be addressed.
Pediatr. Rep. 2016, 8(1), 6188; https://doi.org/10.4081/pr.2016.6188
Submission received: 9 September 2015 / Revised: 22 January 2016 / Accepted: 25 January 2016 / Published: 31 March 2016

Abstract

This study was designed to correlate entertainment of clown-doctors (CD) activities on hospitalized children and aphysiological biomarker. For this purpose we collected saliva samples and verified children satisfaction with these activities by using a visual analog scale (VAS). Children from 6 to 7 years-old, with diagnosis of any acute pathology, interned in the Pediatric Ward of the Botucatu Medical School Hospital (São Paulo, Brazil) were interviewed. Two groups were taken into consideration: lunchCD and dinnerCD. The following protocol was applied in each group (lunch and dinner): collection of the first saliva sample and presentation of VAS prior to CD activities, followed by collection of a second saliva sample and another VAS assessment after CD activities. The salivary cortisol was reduced in both groups comparing the first saliva sample. The satisfaction of the intervention was evident for lunchCD. The CD intervention is effective in decreasing an important physiological biomarker of stress factor, cortisol, in hospitalized children, been effective for the healing process.
Keywords: Salivary cortisol; clowns doctors; biomarker of stress; visual analog scale Salivary cortisol; clowns doctors; biomarker of stress; visual analog scale

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MDPI and ACS Style

Saliba, F.G.; Adiwardana, N.S.; Uehara, E.U.; Silvestre, R.N.; Leite, V.V.; Faleiros, F.T.V.; Padovani, F.H.P.; De Gobbi, J.I.F. Salivary Cortisol Levels: The Importance of Clown Doctors to Reduce Stress. Pediatr. Rep. 2016, 8, 6188. https://doi.org/10.4081/pr.2016.6188

AMA Style

Saliba FG, Adiwardana NS, Uehara EU, Silvestre RN, Leite VV, Faleiros FTV, Padovani FHP, De Gobbi JIF. Salivary Cortisol Levels: The Importance of Clown Doctors to Reduce Stress. Pediatric Reports. 2016; 8(1):6188. https://doi.org/10.4081/pr.2016.6188

Chicago/Turabian Style

Saliba, Flávia G., Natanael S. Adiwardana, Eliane U. Uehara, Renata N. Silvestre, Victor V. Leite, Francisca T.V. Faleiros, Flávia H.P. Padovani, and Juliana I.F. De Gobbi. 2016. "Salivary Cortisol Levels: The Importance of Clown Doctors to Reduce Stress" Pediatric Reports 8, no. 1: 6188. https://doi.org/10.4081/pr.2016.6188

APA Style

Saliba, F. G., Adiwardana, N. S., Uehara, E. U., Silvestre, R. N., Leite, V. V., Faleiros, F. T. V., Padovani, F. H. P., & De Gobbi, J. I. F. (2016). Salivary Cortisol Levels: The Importance of Clown Doctors to Reduce Stress. Pediatric Reports, 8(1), 6188. https://doi.org/10.4081/pr.2016.6188

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