Stress and health : journal of the International Society for the Investigation of Stress最新文献

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Perceived control and reactivity to acute stressors: Variations by age, race and facets of control. 感知控制和对急性压力源的反应:年龄、种族和控制方面的差异。
IF 4.1
Stress and health : journal of the International Society for the Investigation of Stress Pub Date : 2022-08-01 Epub Date: 2021-10-15 DOI: 10.1002/smi.3103
Jin H Wen, Nancy L Sin
{"title":"Perceived control and reactivity to acute stressors: Variations by age, race and facets of control.","authors":"Jin H Wen,&nbsp;Nancy L Sin","doi":"10.1002/smi.3103","DOIUrl":"https://doi.org/10.1002/smi.3103","url":null,"abstract":"<p><p>Greater perceived control is associated with better health and well-being outcomes, possibly through more adaptive stress processes. Yet little research has examined whether facets of perceived control (personal mastery and perceived constraints) predict psychological and physiological stress reactivity. The present study evaluated the associations of personal mastery and perceived constraints with changes in subjective stress and cortisol in response to acute laboratory stressors, with age and race as potential moderators. In the Midlife in the United States Refresher Study (N = 633 adults aged 25-75), participants completed a baseline perceived control measure and were subsequently recruited to participate in the laboratory stress protocol. The protocol consisted of completing two mental stress tasks (mental arithmetic and Stroop) as well as providing saliva samples and subjective stress ratings. Race moderated the association between perceived constraints and subjective stress reactivity, such that higher constraints predicted greater subjective stress responses in White participants, but no association was observed in Black participants. Higher personal mastery and perceived constraints each predicted greater increases in cortisol in response to the stress tasks (AUC<sub>i</sub> ) among younger but not older adults. These findings suggest that older adults were buffered against the association between facets of control and cortisol stress reactivity. Discussion on potential racial differences in the link between constraints and stress reactivity are elaborated further, as well as considerations for future work to distinguish between facets of control and examine age and racial differences.</p>","PeriodicalId":309674,"journal":{"name":"Stress and health : journal of the International Society for the Investigation of Stress","volume":" ","pages":"419-434"},"PeriodicalIF":4.1,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39500222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
It's worth the trouble: Stressor exposure is related to increased cognitive reappraisal ability. 麻烦是值得的:压力源暴露与认知重新评估能力的增强有关。
IF 4.1
Stress and health : journal of the International Society for the Investigation of Stress Pub Date : 2022-08-01 Epub Date: 2021-10-14 DOI: 10.1002/smi.3101
Peter Zeier, Laura E Meine, Michèle Wessa
{"title":"It's worth the trouble: Stressor exposure is related to increased cognitive reappraisal ability.","authors":"Peter Zeier,&nbsp;Laura E Meine,&nbsp;Michèle Wessa","doi":"10.1002/smi.3101","DOIUrl":"https://doi.org/10.1002/smi.3101","url":null,"abstract":"<p><p>Recent theories propose moderate (compared to high or no) stressor exposure to promote emotion regulation capacities. More precisely, stressful situations are expected to serve as practice opportunities for cognitive reappraisal (CR), that is, the reinterpretation of a situation to alter its emotional impact. Accordingly, in this study, we expect an inverted U-shaped relationship between exposure to daily hassles and performance in a CR task, that is, best reappraisal ability in individuals with a history of moderate stressor exposure. Participants (N = 165) reported the number of daily hassles during the last week as indicator of stressor exposure and completed the Script-based Reappraisal Test (SRT). In the SRT, participants are presented with fear-eliciting scripts and instructed to either downregulate negative affect via reappraisal (reappraisal-trials) or react naturally (control-trials). Two measures indicate CR ability: (1) reappraisal effectiveness, that is, the difference between affective ratings in reappraisal- and control-trials and (2) reappraisal inventiveness, that is, the number of valid and categorically different reappraisal thoughts. Multiple regression analyses revealed positive linear, but not quadratic, relationships of exposure to daily hassles and both indicators of CR ability. Potential benefits of stressor exposure for emotion regulation processes are discussed.</p>","PeriodicalId":309674,"journal":{"name":"Stress and health : journal of the International Society for the Investigation of Stress","volume":" ","pages":"602-609"},"PeriodicalIF":4.1,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39497471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
COVID-19 pandemic-related stressors and posttraumatic stress: The main, moderating, indirect, and mediating effects of social support. COVID-19大流行相关应激源和创伤后应激:社会支持的主要、调节、间接和中介作用
IF 4.1
Stress and health : journal of the International Society for the Investigation of Stress Pub Date : 2022-08-01 Epub Date: 2021-11-28 DOI: 10.1002/smi.3115
Mali D Zaken, Güler Boyraz, Sally S Dickerson
{"title":"COVID-19 pandemic-related stressors and posttraumatic stress: The main, moderating, indirect, and mediating effects of social support.","authors":"Mali D Zaken,&nbsp;Güler Boyraz,&nbsp;Sally S Dickerson","doi":"10.1002/smi.3115","DOIUrl":"https://doi.org/10.1002/smi.3115","url":null,"abstract":"<p><p>The COVID-19 pandemic has created a variety of stressors, some of which have been linked to intense stress reactions, such as posttraumatic stress (PTS)-like symptoms. However, we have limited knowledge on cumulative effects of pandemic-related stressors on PTS or on variables that may mitigate the effects of these stressors. We aimed to address some of these knowledge gaps by testing three models to examine the interrelationships among pandemic-related stressors, perceived social support, coping flexibility, and pandemic-related PTS. The sample of this cross-sectional correlational study is comprised of 2291 adults from the United States who completed an online survey between 22 May 2020 and 15 July 2020. Results indicated that greater exposure to secondary stressors, but not COVID-19-related stressors, was associated with increased PTS. After controlling for COVID-19-related and secondary stressors, social support had negative direct and indirect (via coping flexibility) effects on PTS. In addition, social support mediated the effects of COVID-19-related and secondary stressors on PTS. Our findings highlight the complexity of the role of social support in relation to pandemic-related stressors and PTS, and suggest that early interventions that target social support and coping flexibility may help reduce pandemic-related PTS.</p>","PeriodicalId":309674,"journal":{"name":"Stress and health : journal of the International Society for the Investigation of Stress","volume":" ","pages":"522-533"},"PeriodicalIF":4.1,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8646628/pdf/SMI-38-522.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39630959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Effects of an evidence-based nursing intervention on prevention of anxiety and depression in the postpartum period. 循证护理干预对预防产后焦虑抑郁的影响。
IF 4.1
Stress and health : journal of the International Society for the Investigation of Stress Pub Date : 2022-08-01 Epub Date: 2021-10-15 DOI: 10.1002/smi.3104
Jun Meng, Junying Du, Xiaoli Diao, Yingxia Zou
{"title":"Effects of an evidence-based nursing intervention on prevention of anxiety and depression in the postpartum period.","authors":"Jun Meng,&nbsp;Junying Du,&nbsp;Xiaoli Diao,&nbsp;Yingxia Zou","doi":"10.1002/smi.3104","DOIUrl":"https://doi.org/10.1002/smi.3104","url":null,"abstract":"<p><p>Postpartum depression has been one of the most common psychological disorders in patients during postpartum period. The constant anxiety and depression during this period seriously affect the physiological and psychological health of both the mother and infant. Evidence-based nursing has been widely applied in clinical practice and has achieved remarkable results. However, the effect of evidence-based nursing on postpartum depression remains unclear. Pregnant women who were not diagnosed with postpartum depression during hospitalisation (Edinburgh Postpartum Depression Scale [EPDS] ≤ 13 points) but prone to postpartum depression (EPDS scores of 9-13) were recruited into the study. They were randomly divided into the Intervention group (N = 60) and Control group (N = 60). Hamilton Depression Scale (HAMD), Hamilton Anxiety Scale (HAMA), EPDS and Pittsburgh Sleep Quality Index (PSQI) were used to investigate the psychological outcomes of puerperae during and after the 6-week intervention. Both the intention-to-treat and per-protocol analyses showed that 6 weeks of evidence-based nursing intervention significantly reduced the incidence of postpartum depression. The application of the evidence-based nursing also improved the patients' satisfaction degree and effectively alleviated their anxiety according to both the intention-to-treat and per-protocol analyses. Evidence-based nursing intervention had positive effects against anxiety and depression in the postpartum period.</p>","PeriodicalId":309674,"journal":{"name":"Stress and health : journal of the International Society for the Investigation of Stress","volume":" ","pages":"435-442"},"PeriodicalIF":4.1,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39504532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
How parents' psychological detachment from work affects their children via fatigue: The moderating role of gender. 父母心理脱离工作如何通过疲劳影响子女:性别的调节作用。
IF 4.1
Stress and health : journal of the International Society for the Investigation of Stress Pub Date : 2022-08-01 Epub Date: 2021-11-01 DOI: 10.1002/smi.3107
Yanwei Shi, Julan Xie, Zhiqing E Zhou, Hongyu Ma, Yan Tang
{"title":"How parents' psychological detachment from work affects their children via fatigue: The moderating role of gender.","authors":"Yanwei Shi,&nbsp;Julan Xie,&nbsp;Zhiqing E Zhou,&nbsp;Hongyu Ma,&nbsp;Yan Tang","doi":"10.1002/smi.3107","DOIUrl":"https://doi.org/10.1002/smi.3107","url":null,"abstract":"<p><p>Previous studies demonstrated that psychological detachment from work can impact employees' work and family lives. Based on conservation of resources theory and social role theory, the present study examined the process through which working parents' psychological detachment from work influences their children's perception of neglectful parenting (emotional warmth and rejection). Specifically, we examined the mediating role of parents' fatigue and the moderating role of parent gender in this process. Data were collected from working parents (n = 371) and their children in junior high school (n = 371, 10-13 years old) at two time points with a three-month interval. Our results showed that working parents' psychological detachment from work at Time 1 significantly predicted children's perception of parent emotional warmth and rejection at Time 2, and parents' fatigue at Time 2 mediated this relationship. Besides, parent gender moderated this mediated process such that the positive indirect effect of parent psychological detachment from work on emotional warmth via fatigue was stronger for working mothers than for working fathers. These findings contribute to the limited research on the effects of psychological detachment from work on family members and highlight the importance of parent gender in children's perceptions of working parents' behaviours.</p>","PeriodicalId":309674,"journal":{"name":"Stress and health : journal of the International Society for the Investigation of Stress","volume":" ","pages":"463-476"},"PeriodicalIF":4.1,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39543172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Change in measures of moral function following acute bouts of Marine Corps Martial Arts Training. 海军陆战队武术训练后道德功能指标的变化。
IF 4.1
Stress and health : journal of the International Society for the Investigation of Stress Pub Date : 2022-08-01 Epub Date: 2021-11-30 DOI: 10.1002/smi.3109
Jacob A Siedlik, Jake A Deckert, Aaron W Clopton, Trent J Herda, Joseph P Weir, Philip M Gallagher, John Phillip Vardiman
{"title":"Change in measures of moral function following acute bouts of Marine Corps Martial Arts Training.","authors":"Jacob A Siedlik,&nbsp;Jake A Deckert,&nbsp;Aaron W Clopton,&nbsp;Trent J Herda,&nbsp;Joseph P Weir,&nbsp;Philip M Gallagher,&nbsp;John Phillip Vardiman","doi":"10.1002/smi.3109","DOIUrl":"https://doi.org/10.1002/smi.3109","url":null,"abstract":"<p><p>The Marine Corps Martial Arts Program (MCMAP) was developed to prepare Marines for complex battlefield situations that include hand-to-hand combat and ethical decision making. The objective of this study was to quantify changes in ethical decision-making following MCMAP training. Fifty-five, active duty, newly enlisted U.S. Marines (Males: n = 37; age = 19 ± 1 years; height = 176 ± 7 cm; mass = 74 ± 7 kg; Females: n = 18; age = 20 ± 2 years; height = 164 ± 6 cm; mass = 61 ± 6 kg) volunteered for this investigation and were assessed three times over 6 weeks, with 3 weeks between each visit, using serial blood samples for cortisol, norepinephrine, and epinephrine collected before training and during recovery [Immediate Post (IP), 15, 30, 45 and 60 min]. The Moral Functioning Continuum was used to quantify moral function before training, IP, 30, and 60 min post. Moral intention exhibited an acute response to training with significantly impaired decision making immediately post training. Moreover, both moral intention and moral judgement worsened over the visits suggesting a chronic impairment related to time in training suggesting a functional change in ethical decision-making following acute bouts of MCMAP.</p>","PeriodicalId":309674,"journal":{"name":"Stress and health : journal of the International Society for the Investigation of Stress","volume":" ","pages":"534-543"},"PeriodicalIF":4.1,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39635904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
An exploratory qualitative study exploring GPs' and psychiatrists' perceptions of post-traumatic stress disorder in postnatal women using a fictional case vignette. 一项探索性质的研究,探索全科医生和精神科医生对产后妇女创伤后应激障碍的看法,使用一个虚构的案例。
IF 4.1
Stress and health : journal of the International Society for the Investigation of Stress Pub Date : 2022-08-01 Epub Date: 2021-11-29 DOI: 10.1002/smi.3114
Harriet Mortimer, Haniah Habash-Bailey, Maxwell Cooper, Susan Ayers, Jennifer Cooke, Judy Shakespeare, Daron Aslanyan, Elizabeth Ford
{"title":"An exploratory qualitative study exploring GPs' and psychiatrists' perceptions of post-traumatic stress disorder in postnatal women using a fictional case vignette.","authors":"Harriet Mortimer,&nbsp;Haniah Habash-Bailey,&nbsp;Maxwell Cooper,&nbsp;Susan Ayers,&nbsp;Jennifer Cooke,&nbsp;Judy Shakespeare,&nbsp;Daron Aslanyan,&nbsp;Elizabeth Ford","doi":"10.1002/smi.3114","DOIUrl":"https://doi.org/10.1002/smi.3114","url":null,"abstract":"<p><p>Postnatal post-traumatic stress disorder (PTSD) affects 3%-4% of women who give birth. It is underdiagnosed and undertreated. Thus far, no studies have investigated doctors' perceptions of PTSD in postnatal women. We investigated whether GPs and psychiatrists perceive PTSD symptoms after birth to indicate pathology and what diagnosis and management they would offer. Semi-structured interviews were conducted with six GPs and seven psychiatrists using a fictional vignette featuring a woman experiencing PTSD following a traumatic birth. A framework analysis approach was used. Despite half the GPs recognizing trauma-related features in the vignette their most common diagnosis was postnatal depression whereas six of the seven psychiatrists identified PTSD. Management plans reflected this. Both GPs and psychiatrists lacked trust in timeliness of referrals to psychological services. Both suggested referral to specialist perinatal mental health teams. Results suggest women are unlikely to get a PTSD diagnosis during initial GP consultations, however the woman-centred care proposed by GPs means that a trauma-focussed diagnosis later in the care pathway was not ruled out. Further research is needed to confirm these findings, which suggest that an evidence base around best management for women with postnatal PTSD is sorely needed, especially to inform GP training.</p>","PeriodicalId":309674,"journal":{"name":"Stress and health : journal of the International Society for the Investigation of Stress","volume":" ","pages":"544-555"},"PeriodicalIF":4.1,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39710683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
An integrated dual-process model for coping behaviour. 应对行为的综合双过程模型。
IF 4.1
Stress and health : journal of the International Society for the Investigation of Stress Pub Date : 2022-08-01 Epub Date: 2021-12-21 DOI: 10.1002/smi.3121
Jacob J Keech, Kyra Hamilton
{"title":"An integrated dual-process model for coping behaviour.","authors":"Jacob J Keech,&nbsp;Kyra Hamilton","doi":"10.1002/smi.3121","DOIUrl":"https://doi.org/10.1002/smi.3121","url":null,"abstract":"<p><p>Stress management interventions have traditionally aimed to change coping behaviour with little attention to mechanisms that drive behaviour change. We sought to test an integrated dual-process model, accounting for reasoned and automatic processes, for predicting problem-focussed coping behaviour. The study adopted a two-wave prospective correlational design with a 1-week follow-up. University students aged 17-25 (N = 272) completed survey measures online. At Time 1, participants completed self-report measures of attitude, subjective norm, perceived behavioural control, intention, behavioural automaticity, and past problem-focussed coping behaviour. At Time 2, participants completed follow-up measures of behavioural automaticity and problem-focussed coping behaviour. Structural equation modelling testing the hypothesised dual-process model exhibited a good fit to the data, accounting for 50.0% and 45.4% of the variance in intentions and problem-focussed coping behaviour, respectively. Attitude, subjective norm, perceived behavioural control, and past behaviour directly predicted intention. Intention, past behaviour, and behavioural automaticity directly predicted problem-focussed coping behaviour. Past behaviour also indirectly predicted problem-focussed coping behaviour via behavioural automaticity. Results suggest that problem-focussed coping behaviour tends to be regulated by reasoned psychological processes, and more strongly by automatic psychological processes. Future research aiming to increase problem-focussed coping should utilise behaviour change methods known to influence these processes.</p>","PeriodicalId":309674,"journal":{"name":"Stress and health : journal of the International Society for the Investigation of Stress","volume":" ","pages":"591-601"},"PeriodicalIF":4.1,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39735749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
The 50th anniversary of May 4, 1970 is associated with elevations of distress but no increase in mental health symptoms. 1970年5月4日50周年与痛苦程度升高有关,但心理健康症状没有增加。
IF 4.1
Stress and health : journal of the International Society for the Investigation of Stress Pub Date : 2022-08-01 Epub Date: 2021-11-29 DOI: 10.1002/smi.3117
Emily P Rabinowitz, MacKenzie A Sayer, Marielle R Samii, Elizabeth L Straub, Lindsay A Kutash, Douglas L Delahanty
{"title":"The 50th anniversary of May 4, 1970 is associated with elevations of distress but no increase in mental health symptoms.","authors":"Emily P Rabinowitz,&nbsp;MacKenzie A Sayer,&nbsp;Marielle R Samii,&nbsp;Elizabeth L Straub,&nbsp;Lindsay A Kutash,&nbsp;Douglas L Delahanty","doi":"10.1002/smi.3117","DOIUrl":"https://doi.org/10.1002/smi.3117","url":null,"abstract":"<p><p>Anniversaries of traumatic events are associated with increased symptoms of posttraumatic stress disorder (PTSD), depression, and anxiety, especially in individuals with prior mental health symptoms. However, research has largely focussed on 1-year anniversaries, and it is unclear whether symptom exacerbation persists for more distal, or milestone, anniversaries. Symptoms typically decrease over time after traumatic events, but major anniversaries may be associated with increases in mental health symptoms. During and 3 months after the 50th anniversary of the political protest violence at Kent State University on May 4, 1970, 115 individuals completed measures of PTSD, depression, anxiety, and anniversary-related stress. Participants reported greater stress (t(97) = 4.04 p ≤ .001) during the 50th anniversary compared to 3 months later, but there were no differences in total PTSD (t(114) = .65, p = .52) or depression/anxiety symptoms (all p's > .05). Even in higher-risk individuals (those who previously received mental health services), symptoms did not differ during versus after the anniversary. In general, long-term anniversaries may contribute to transient increases in distress but do not induce major changes in mental health symptoms.</p>","PeriodicalId":309674,"journal":{"name":"Stress and health : journal of the International Society for the Investigation of Stress","volume":" ","pages":"556-567"},"PeriodicalIF":4.1,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39751334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The role of prenatal posttraumatic stress symptoms among trauma exposed women in predicting postpartum depression. 创伤暴露妇女产前创伤后应激症状在预测产后抑郁中的作用
IF 4.1
Stress and health : journal of the International Society for the Investigation of Stress Pub Date : 2022-08-01 Epub Date: 2021-10-15 DOI: 10.1002/smi.3100
Rebecca Grekin, Emily B K Thomas, Michelle L Miller, Michael W O'Hara
{"title":"The role of prenatal posttraumatic stress symptoms among trauma exposed women in predicting postpartum depression.","authors":"Rebecca Grekin,&nbsp;Emily B K Thomas,&nbsp;Michelle L Miller,&nbsp;Michael W O'Hara","doi":"10.1002/smi.3100","DOIUrl":"https://doi.org/10.1002/smi.3100","url":null,"abstract":"<p><p>Research suggests that a history of trauma and prenatal posttraumatic stress symptoms (PTSS) are predictive of postpartum depression (PPD). Pregnant women at risk for PPD are often identified through depression symptom measures, while PTSS also may help to identify those at increased risk. Women who do not endorse depressive symptoms, though experience PTSS, may be missed when screening is exclusively based on depressive symptoms. The current study aimed to determine if prenatal PTSS were associated with PPD at 4- and 12-week postpartum in trauma-exposed women. Pregnant women (N = 230) in their third trimester were assessed for depression and PTSS at pregnancy, 4 and 12 weeks postpartum. Traumatic life events were assessed during pregnancy. Hierarchical regression analyses examined predictors of PPD, including history of depression, number of past traumas, and symptoms from the posttraumatic stress disorder (PTSD) Checklist short-form (PCL-6). At 4 and 12 weeks postpartum, history of trauma and depression did not predict depressive symptoms, however, irritability and unwanted intrusive memories of trauma were predictive of increased depressive symptoms. Prenatal irritability and unwanted memories may be predictive of elevated PPD symptoms. Future research should examine whether these symptoms represent increased risk of postpartum depressive symptoms to improve screening, prevention, and treatment efforts.</p>","PeriodicalId":309674,"journal":{"name":"Stress and health : journal of the International Society for the Investigation of Stress","volume":" ","pages":"610-614"},"PeriodicalIF":4.1,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8986883/pdf/nihms-1750296.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39495567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
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