Stress and Health最新文献

{"title":"Between Vulnerability and Connection: Longitudinal Evidence on the Impact of Transformative Religious/Spiritual Experiences.","authors":"Zhuo Job Chen, Renae Wilkinson, Richard G Cowden","doi":"10.1002/smi.70110","DOIUrl":"10.1002/smi.70110","url":null,"abstract":"<p><p>Transformative religious/spiritual experiences (RSE) represent a subset of extraordinary experiences that are both self-destabilizing and relational in nature. This double-edged quality positions transformative RSE as both a potential source of psychological vulnerability and a catalyst for enhanced social connectedness. This study investigates the antecedents and outcomes of transformative RSE using a nationally representative longitudinal sample of 10,529 young adults from the National Longitudinal Study of Adolescent to Adult Health T0 (1994-1995), T1 (2001-2002), and T2 (2008). We examined associations of reporting a transformative RSE at T1 (late adolescence) on a broad range of physical, mental, behavioural, and social health and wellbeing indicators assessed at T2 (early adulthood). Primary analyses controlled for an extensive set of covariates assessed at T0 (early adolescence), with sensitivity analyses employing both liberal (T0 sociodemographic characteristics only) and conservative (contemporaneous covariates taken from T1) adjustment strategies. Antecedents (T0 correlates) of transformative RSE included adverse childhood environments, negative parental dynamics, and heightened religious involvement. Consistent T2 outcomes of transformative RSE involved some markers of mental and social vulnerability (i.e., PTSD diagnosis and loneliness), as well as increased prosocial engagement (i.e., volunteering and voting). These findings support the theorized double-edged sword effect of transformative RSE and suggest the potential role of meaning-making and integration in shaping long-term psychological and social outcomes.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 5","pages":"e70110"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risks to the Unborn: An Umbrella Review on the Effects of Prenatal Maternal Stress Caused by Natural Disasters.","authors":"Kaia A Bustnes, Sarah Schäfer, Linus Held, Hannah Wessels, Maximilian A Friehs","doi":"10.1002/smi.70108","DOIUrl":"10.1002/smi.70108","url":null,"abstract":"<p><p>Traditionally, to promote an optimal pregnancy trajectory and child development, encompassing both physical and mental health, a preventative focus is crucial and - ideally - exposure to negative influences is supposed to be limited. However, when prevention is not feasible, early identification of developmental impairments is paramount to address potential risk factors for future development. Specifically, one source of developmental impairment is prenatal maternal stress. This umbrella review integrates and summarizes current research on the diverse developmental consequences of prenatal maternal stress caused by natural disasters. The cumulative evidence strongly suggests that the effect of maternal stress during pregnancy does not end after pregnancy but can lead to a wide range of detrimental effects on a child's development throughout the whole lifespan. By synthesizing previous empirical findings, the current review provides an overview about potential congenital developmental difficulties as well as the interdependence of these negative effects. The depicted results highlight a risk of overarching negative effects of prenatal stress for the child. It is stated that in order to prevent possible long-lasting effects this risk has to be effectively taken into account. Possible recommendations for prevention interventions are discussed.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 5","pages":"e70108"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12477415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived Work Dirtiness and Procrastination Among Frontline Healthcare Workers: The Moderating Role of Patient Relationship Attachment.","authors":"Huajun Ma, Zimeng Chen, Xin Liu, Xinglin Liu, RuiHeng Han","doi":"10.1002/smi.70111","DOIUrl":"https://doi.org/10.1002/smi.70111","url":null,"abstract":"<p><p>In the healthcare sector, frontline healthcare workers often have to deal with tasks that are labelled as 'dirty work.' These tasks not only pose potential threats to their physical health but may also significantly impact their psychological state and work outcomes. Despite the critical nature of these issues, there is currently a relative scarcity of research in this area. Therefore, based on the cognitive appraisal theory of stress, we conducted a two-stage time-lagged questionnaire survey among frontline healthcare workers in three large hospitals in China. The analysis of 526 valid questionnaires revealed that the perception of dirty work among frontline medical staff has a positive impact on work procrastination, with avoidance motivation, approach motivation, and sense of work meaning playing a serial mediating role in this process, and patient attachment moderating this mediating effect. These findings not only provide a new perspective for understanding the psychological mechanisms behind the work procrastination behaviour of frontline healthcare workers but also lay the foundation for healthcare institutions, especially for those medical staff who are frequently in dirty work environments, to develop scientific, evidence-based intervention strategies.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 5","pages":"e70111"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hsp70 and Hsp90 as Molecular Correlates of Anxiety in Children and Adolescents: The Role of Early-Life Stress.","authors":"Seda Kafali, Selma Tural Hesapcioglu, Mehmet Emin Seker, Mehmet Fatih Ceylan","doi":"10.1002/smi.70109","DOIUrl":"https://doi.org/10.1002/smi.70109","url":null,"abstract":"<p><p>Hsp70 and Hsp90, members of the heat shock protein family known for their cell-protective effects against stress at the molecular level. This study aims to compare the Hsp70 and Hsp90 levels in children and adolescents with anxiety disorders and the healthy controls and to investigate the relation between Hsp70 and Hsp90 levels and the clinical parameters. The study group consisted of children and adolescents aged 8-18 who applied to the child and adolescent psychiatry outpatient clinic and were diagnosed with anxiety disorders and a healthy control group of similar age and gender. The Sociodemographic and Clinical Data Form, Screen for Child Anxiety Related Disorders, Children's Depression Inventory, and Clinical Global Impressions Scale were used. Venous blood samples were collected from the participants, and serum Hsp70 and Hsp90 levels were measured using the ELISA method. Serum levels of Hsp70 and Hsp90 were significantly lower in children and adolescents diagnosed with anxiety disorders compared to healthy controls (Hsp70: p = 0.019; Hsp90: p = 0.043). While no significant correlation was found between Hsp levels and disease severity, exposure to early-life stress (ELS) was associated with a significant increase in Hsp70 levels overall (p = 0.005). However, among participants exposed to ELS, those in the anxiety disorder group exhibited a markedly smaller increase in Hsp70 compared to controls with ELS exposure, suggesting a possible dysregulation of the cellular stress response in this clinical population. The results of our study indicate that psychological stress in anxiety disorders may be linked to changes in cellular stress-related mechanisms. The reduction in serum levels of heat shock proteins, which help maintain cellular stability under stress, may contribute to the pathophysiology of anxiety disorders. However, further studies using additional cellular and molecular markers are warranted to validate these findings.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 5","pages":"e70109"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depressive Symptoms in Individuals With Chronic Conditions During the Covid-19 Pandemic: A 2-Year Longitudinal Study.","authors":"Øyvind Halsøy, Omid V Ebrahimi, Sverre Urnes Johnson, Asle Hoffart, Hugo Cogo-Moreira, Krister Fjermestad","doi":"10.1002/smi.70082","DOIUrl":"10.1002/smi.70082","url":null,"abstract":"<p><p>Individuals with chronic conditions are at increased risk of developing depressive symptomatology. While the COVID-19 pandemic increased the risk of mental health problems in the general population, there remains a gap in understanding the association between chronic conditions and depressive symptoms throughout the COVID-19 pandemic. Using data from MAP-19: A representative study of the Norwegian population during the COVID-19 pandemic, longitudinal design with nine measurements was implemented to follow 2564 individuals over the 2-year period using Generalised Estimating Equations (M age = 39 years, SD = 13.8; 77% females, 23% males). Individuals with chronic conditions exhibited a differing trajectory of depressive symptomatology compared to those without throughout the COVID-19 pandemic, when controlling for shared socioeconomic status and psychosocial risk factors. We found a significant main effect of time β = -0.16, 95% confidence interval (CI) [-0.235-0.0832] indicating a decrease in depressive symptomatology for controls and a significant interaction effect between group and time β = 0.22, CI [ 0.115-0.331], indicating an increase in depressive symptoms for individuals with chronic conditions (β = -0.16 + β = 0.22 = 0.04). Moreover, individuals with chronic conditions were more likely to seek mental health treatment from a professional (doctor, psychiatrist, clinical psychologist) compared to those without a chronic condition (OR = 1.45, 95% CI [1.20, 1.75]). Individuals with chronic conditions exhibited increasing levels of depressive symptomatology across 2 years of the pandemic, highlighting the need for routine screening for depressive symptomatology in individuals with chronic conditions in primary care.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 4","pages":"e70082"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Integrative Emotion Regulation in Adaptive Coping and Daily Stress Regulation.","authors":"Nergiz Erdem, Guy Roth, Netta Weinstein","doi":"10.1002/smi.70066","DOIUrl":"10.1002/smi.70066","url":null,"abstract":"<p><p>Emotional integration involves ways of responding to one's emotions: receptive attention (i.e., open and nonjudgmental attention to emotions) and intentional exploration (i.e., active and motivated pursuit of one's own emotions. Across two studies (Study 1: two waves longitudinal, N = 239; Study 2: daily diary, N = 132), we compared these two dimensions of integrative emotion regulation (i.e. receptive attention and intentional exploration) in adaptive and maladaptive coping styles (i.e., specific strategies to shape one's response to stress) and daily well-being. In Study 1, both forms of integrative emotion regulation were positively associated with adaptive coping (e.g., the use of active coping, acceptance, planning, and positive reframing) 1 month later, but only intentional exploration (and not receptive attention) showed benefits for well-being in a 7-day daily diary context (Study 2). Intentional exploration was negatively associated with perceived daily stress and positively associated with constructive self-reflection, a marker of productive processing of emotions, and daily day satisfaction. In all, both forms of emotion regulation promote adaptive coping, but intentional exploration showed more consistent benefits across our studies. This research highlights the independent importance of motivated pursuit of emotional information in the coping process.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 4","pages":"e70066"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Temporal Dynamics Between Daily Stress, Activity Choice, and Well-Being: An Experience Sampling Study.","authors":"Huiqing Huang, Xuebing Wu, Jun Hu, Yueqin Hu, Yiqun Gan","doi":"10.1002/smi.70085","DOIUrl":"https://doi.org/10.1002/smi.70085","url":null,"abstract":"<p><p>Daily life is full of stressful events, but previous studies have inconsistent findings on how stress predicts daily activities. This study explored the relationship between perceived stress, activity choice, and happiness and meaning through an experience sampling method. Over 10 days, 205 participants reported their perceptions of momentary demands, resources, happiness, meaning, and activities four times a day, totaling 7362 observations. Stress was operationalised using both perceived demands and the ratio of demands to resources. Multilevel modelling showed that both concurrent demands and the demands-to-resources ratio were positively associated with meaning-increasing activities (e.g., working and studying) and negatively associated with activities that promote both happiness and meaning (e.g., eating and shopping). The ratio also predicted greater engagement in meditation, which also increases both happiness and meaning. Additionally, higher prior demands predicted reduced physical activity-an activity linked to increased happiness and meaning. These findings revealed behavioural tendencies and motivations under stress and offered implications for stress management in daily life.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 4","pages":"e70085"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Phasic Vagal-Mediated Heart Rate Variability and Momentary Exhaustion in Daily Life.","authors":"Magdalena Katharina Wekenborg, Christian Rominger, Andreas R Schwerdtfeger","doi":"10.1002/smi.70074","DOIUrl":"10.1002/smi.70074","url":null,"abstract":"<p><p>Stress-related chronic exhaustion can be predicted longitudinally by reduced basic vagal tone (i.e., vagally-mediated heart rate variability [vmHRV]). However, little is known about the relationship between phasic vmHRV and momentary exhaustion in daily life. To examine this relationship, this preregistered study used ecological momentary assessment (EMA) in a sample of N = 151 healthy participants (age = 22.17 years [SD = 4.98 years]; 14.57% male) for three consecutive weekdays. Exploratorily, we examined if individuals with higher chronic exhaustion would show different patterns of phasic vmHRV when perceiving acute stress. We analysed data on momentary (emotional, cognitive, physical) exhaustion, perceived acute stress, ambulatory ECG data and adjusted for relevant covariates (e.g., age, gender, and momentary movement acceleration) using multi-level analyses. After adjusting for preregistered covariates, phasic vmHRV showed a positive association with momentary emotional and cognitive exhaustion, but not with momentary physical exhaustion. Our exploratory analyses revealed that individuals with higher levels of chronic exhaustion did not show the expected negative association between situationally perceived acute stress and phasic vmHRV, whereas those with lover levels did. These findings indicate that momentary exhaustion is associated with increased phasic vmHRV in daily life. Combined with our exploratory results that chronic exhaustion modulates vagal withdrawal under perceived acute stress, this study offers important directions for future research into the link between stress-related exhaustion and autonomic changes. Study Registration: The study and analysis plan were preregistered at OSF (DOI: 10.17605/OSF.IO/T2C4X).</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 4","pages":"e70074"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12282498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Positive Stress Mindset Is Vulnerable: Unpacking the Internal System and External Loop of Dynamic Stress Mindset.","authors":"Jingwei Ma, Xiaohui Luo, Yueqin Hu","doi":"10.1002/smi.70089","DOIUrl":"https://doi.org/10.1002/smi.70089","url":null,"abstract":"<p><p>Research has shown that individuals' stress mindset-the belief that stress is enhancing or debilitating-can be altered through interventions. However, there is still a lack of findings regarding the dynamic fluctuations of stress mindset and its interplays with psychological outcomes in natural settings. Moreover, few studies have examined the distinct roles of positive and negative stress mindset. The present study aimed to investigate the dynamic characteristics of positive and negative stress mindset in daily life, as well as its reciprocal effects with affective well-being and psychological distress. A total of 365 college students completed the assessment of positive and negative stress mindset, affective well-being (i.e., positive affect and negative affect), and psychological distress for seven consecutive days (five assessments per day). We examined the dynamic characteristics of the internal system of positive and negative stress mindset, as well as their external interactions with affective well-being (i.e., positive affect and negative affect), and psychological distress. Results showed that stress mindset exhibited substantial dynamic fluctuations and individual differences. Both positive and negative stress mindset had significant inertia within a day, and negative stress mindset negatively predicted subsequent positive stress mindset. In addition, there was a self-perpetuating cycle between negative stress mindset and negative affective experiences, whereas positive stress mindset was unidirectionally impaired by psychological distress. These findings highlight the dynamic nature of stress mindset, pinpointing the susceptibility of positive stress mindset to daily negative influences, as such call for targeted interventions on protecting and cultivating a positive view of stress.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 4","pages":"e70089"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting Performance in a Military Hand-to-Hand Combat Course From Salivary Hormones, Psychological State, and Academic Performance.","authors":"Meaghan E Beckner, Jesse A Stein, Drew Van Dam, Nicholas Barringer, Tracey J Smith, Matthew C Larsen, Joseph J Knapik, Harris R Lieberman","doi":"10.1002/smi.70096","DOIUrl":"https://doi.org/10.1002/smi.70096","url":null,"abstract":"<p><p>There are limited opportunities to study physiological and psychological factors that predict success in real world high stress environments where individuals must engage in controlled aggressive behaviour. All cadets attending the United States Military Academy must take a combatives course where they are taught to compete in hand-to-hand combat with peers and graded on performance. This study assessed, in this highly competitive environment, the physiological, psychological, and academic predictors of success in the course's final exam, a final hand-to-hand combat match. Male (n = 109) and female (n = 23) cadets completed self-report assessments of resilience (Connor-Davidson Resilience Scale; CD-RISC), mental toughness (Mental Toughness Questionnaire; MTQ-10), and aggression (Buss-Perry Aggression Questionnaire; BPAQ) upon enrolment in Combatives. Immediately preceding the final match, cadets provided saliva samples and completed mood state (Profile of Mood States; POMS), self-confidence and competitive state anxiety (Competitive State Anxiety Inventory; CSAI-2) questionnaires. Cortisol, testosterone, and secretory immunoglobulin A (SIgA) in saliva were assessed. Instructors provided match outcome, win versus loss, and each cadet's grade point averages (GPA; academic, military, and physical). Logistic regression analyses determined if physiological, psychological, or academic variables predicted match outcome. Sex, time of day, prior combatives experience, and midterm combatives performance were included as covariates. Greater self-confidence (OR [95% CI]; 1.13 [1.03, 1.25]) and a better physical GPA (4.51 [1.52, 13.42]) were associated with increased odds of winning the final match, with an overall classification accuracy of 68.9% and explained 31% of the variance in match outcome. Greater cognitive anxiety independently decreased the odds of winning (0.93 [0.87, 0.99]), but not when combined with self-confidence and physical GPA. No other factors significantly impacted odds of winning. Self-confidence and physical performance are key contributors to success in hand-to-hand combat and may mediate the influence of anxiety on performance.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 4","pages":"e70096"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}