“…Nonetheless, stress has been measured in various ways; levels of ATCO stress have been documented in terms of physiological adaptations, such as changes in hormonal secretion (Maxwell, 1986;Wetherell, Hyland, & Harris, 2004), heart rate (Collet et al, 2009;Kumar, Weippert, Vilbrandt, Kruezfeld, & Stoll, 2007;Ming et al, 2004), and blood pressure (Maxwell, 1986;Ming et al, 2004). As previously mentioned, physiological measures offer advantages over other measures (e.g., provide objective data, may capture momentary fluctuations in operator stress levels) but also have their limitations and may therefore be seen as complementary to subjective measures already used in ATC research, such as the Dundee Stress State Questionnaire (Helton et al, 2005;Hitchcock et al, 2003), the Stress Diagnostic Survey (Lesiuk, 2008), the Occupational Stress Indicator (Tattersall & Farmer, 1995), the Recovery-Stress Questionnaire (Straussberger, 2006), the Scale of Feelings (Straussberger, 2006), and the Copenhagen Psychosocial Questionnaire (Arvidsson et al, 2006). Finally, behavioral manifestations of arousal, such as distress, physical movements, and voice quality (Maxwell, 1986;Ming et al, 2004), have also been used to measure stress in ATCOs.…”