Stress and Health最新文献

{"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":"Exploring the Impact of Different Mindfulness Meditation Interventions on College Students' Resilience: A Randomized Controlled Trial.","authors":"Jianhao Zhou, Xin Zhao, Cheng Fan, Mengjiao Wu, Huibiao Li, Xiaonan Zhan, Hong Liu, Zheng Jiang","doi":"10.1002/smi.70072","DOIUrl":"10.1002/smi.70072","url":null,"abstract":"<p><p>Resilience helps mitigate the negative impacts of stress and promotes effective adaptation in adverse situations. This study investigated the impact of immediate and standardized mindfulness meditation (MM) on the resilience of college students, aiming to offer adaptable MM practices for different stress scenarios. The blood pressure (BP) and heart rate variability (HRV) of 48 participants were assessed during rest, stress, immediate MM, and repeated stress conditions. They were then randomly distributed into two groups to undergo an 8-week standardized MM intervention (n = 24) or a sham MM intervention (n = 24). Emotional states and mindfulness levels were evaluated at baseline (W0), post-training (W8), and a 12-week follow-up (W20) using the Depression, Anxiety, and Stress Scale-21 (DASS-21) and the Five Facet Mindfulness Questionnaire (FFMQ). HRV and BP were measured under resting and stress conditions after training. Compared to the initial stress condition, immediate MM significantly enhanced normalized high-frequency HRV (nHF), while reducing BP, normalized low-frequency HRV (nLF), and LF/HF. No notable changes in HRV or BP were observed across different stress conditions. After an 8-week intervention, both groups exhibited significant reductions in DASS-21 and enhancements in FFMQ, persisting at follow-up. The standard deviation of the normal-to-normal interval was notably elevated under stress compared to rest in both groups. In the meditation group, stress-induced BP significantly decreased. Immediate MM effectively reduces stress responses, while standardized MM improves resilience and offers sustained benefits, suggesting that college students can select various meditation practices to address different stress scenarios. TRAIL REGISTRATION: The trial was registered with the Chinese Clinical Trial Registry (ref. ChiCTR2300070457).</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 4","pages":"e70072"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592893","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 Hair Cortisol and Psychopathology in Children With a Chronic Physical Illness.","authors":"Emma A L Littler, Zahid A Butt, Andrea Gonzalez, Mark A Ferro","doi":"10.1002/smi.70087","DOIUrl":"10.1002/smi.70087","url":null,"abstract":"<p><p>Children with a chronic physical illness (CPI) experience significant stress and are at a greater risk of psychopathology. However, little is known about chronic stress and its relationship with psychopathology in this population. Over the last decade, hair cortisol concentration (HCC) has emerged as a viable biomarker of chronic stress. This study identified trajectories of HCC in children with a CPI and examined their associations with psychopathology. The study included data from 244 children enroled in the Multimorbidity in Children and Youth across the Life-course (MY LIFE) study. MY LIFE is a prospective study of children aged 2-16 years with a CPI recruited from outpatient clinics at a Canadian paediatric hospital and followed for 48 months. Children provided 3-cm hair samples for cortisol assay and parents reported psychopathology symptoms using the Emotional Behavioural Scales. We identified three HCC trajectories: (1) Hypersecretion (n = 166, 68.03%); (2) Hyposecretion (n = 21, 8.61%); and (3) Hyper-to-Hypo (n = 57, 23.36%). When adjusting for sociodemographic and clinical characteristics, children in the Hyper-to-Hypo class had lower internalising (β = -3.17, p = 0.005) and externalising (β = -2.27, p = 0.007) psychopathology symptoms compared to the Hypersecretion class. This study provides evidence that children with a CPI follow distinct HCC trajectories. Children who followed a decreasing trajectory exhibited lower psychopathology symptoms compared to children who followed a consistently elevated trajectory, indicating that chronically high cortisol levels may contribute to the development of psychopathology.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 4","pages":"e70087"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144719111","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 Moderating Role of Risk Attitude in the Relationship Between Childhood Stress and Depressive Symptoms.","authors":"Yutong Liu, Hongxia Duan, Jianhui Wu","doi":"10.1002/smi.70086","DOIUrl":"10.1002/smi.70086","url":null,"abstract":"<p><p>The present study explored the role of two types of uncertainty attitudes, that is, risk and ambiguity, in the relationship between childhood stress and depressive symptoms among 214 undergraduates. Participants completed an economic decision-making task designed to assess their attitudes towards risk and ambiguity. Risk attitude and ambiguity attitude were quantified using a theoretical model of decision-making under uncertainty. Childhood stress was measured by the Childhood Trauma Questionnaire (CTQ) and depressive symptoms by the Self-rating Depression Scale (SDS). Results indicated that higher levels of childhood stress were significantly associated with greater risk aversion but not with ambiguity attitude. Moreover, risk attitude statistically moderated the relationship between childhood stress and depressive symptoms, with gender differences emerging in the direction of this effect. Specifically, among females, increased risk aversion strengthened the association between childhood stress and depressive symptoms. In contrast, in males, greater risk aversion weakened this relationship. These findings suggest that risk attitude may operates in a context-dependent and gender-specific manner, highlighting the need for tailored interventions.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 4","pages":"e70086"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144719112","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 Mechanisms Underlying the Relationship Between Self-Compassion and Psychological Outcomes in Adult Populations: A Systematic Review.","authors":"Jun Wang, Constance H C Drossaert, Maleah Knevel, Liyan Chen, Ernst T Bohlmeijer, Maya J Schroevers","doi":"10.1002/smi.70090","DOIUrl":"10.1002/smi.70090","url":null,"abstract":"<p><p>Self-compassion has emerged as a protective factor for psychological health and well-being. Interest has grown in understanding the mechanisms that explain how self-compassion contributes to improved psychological outcomes. This systematic review aimed to identify and synthesise the results of studies that investigated the mediators underlying the relationship between self-compassion and psychological outcomes. Potential eligible studies were searched on Embase, APA PsycINFO, PubMed, and Web of Science (search up till January 2025). Included were peer-reviewed, English-language studies investigating mediators between self-compassion and psychological outcomes. Study quality was assessed using the Mediation Quality Checklist. A total of 113 studies were included, and most were cross-sectional and focused on psychological symptoms rather than well-being. Repetitive negative thinking, such as worry and rumination, was the most studied process and found to be significantly mediating self-compassion and reduced psychological symptoms across studies. There is also growing evidence for experiential avoidance and mindfulness as significant mediators. Limited studies precluded drawing conclusions about other coping strategies, self-concept, and social factors. This systematic review points toward a significant mediational role of maladaptive (e.g. repetitive negative thinking, experiential avoidance) and adaptive (e.g. mindfulness) emotion regulation and coping strategies, that explain the association of self-compassion with psychological outcomes. Future studies with more rigorous designs including intensive longitudinal and experimental designs are needed to clarify causality.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 4","pages":"e70090"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12302336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735161","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":"Workload, Work-Life Conflict, and Stress Amongst Mental Health Professionals: The Moderating Role of Segmentation Preference.","authors":"Ilona M McNeill, Eloisa Cullington","doi":"10.1002/smi.70095","DOIUrl":"10.1002/smi.70095","url":null,"abstract":"<p><p>The nature of the mental health profession inherently puts its workers at risk of heightened psychological stress. This raises the importance of understanding why some mental health professionals show greater resilience when faced with common work stressors than others. One work stressor that has been consistently linked with stress is workload. Research has found that higher workload generally leads to greater work-life conflict, which, in turn, leads to greater stress. The current study aimed to test this mediation model amongst mental health professionals and examined how individuals' preference for segmentation versus integration of work and private life moderates the strength of the pathways in this mediation model. Research participants, consisting of 152 Australian mental health professionals aged 18-69 years (M = 37.58, SD = 12.12), voluntarily completed a 30-min survey capturing workload, work-life conflict, segmentation preference, and stress. In line with expectations, higher workload predicted greater stress via higher levels of work-life conflict. Furthermore, segmentation preference moderated the path between workload and work-life conflict as well as the path between work-life conflict and stress. Simple slopes analyses showed that a stronger (vs. weaker) preference for segmentation was associated with a stronger positive relationship between workload and work-life conflict as well as a stronger positive relationship between work-life conflict and stress. Segmentation preference may thus influence the workload-work-life conflict-stress relationship through two distinct mechanisms. Improving our understanding of such mechanisms facilitates creation of targeted strategies to reduce work-induced stress amongst mental health professionals.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 4","pages":"e70095"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755083","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":"Thriving Under Threat: A Scoping Review of Human Thriving in Recurring Potentially Traumatic, Elevated Threat and High Stress Work Environments.","authors":"Sally Edmondson, Kemi Wright, Ben Jackson, Aaron Simpson, Bonnie Furzer","doi":"10.1002/smi.70084","DOIUrl":"10.1002/smi.70084","url":null,"abstract":"<p><p>In this scoping review, we explore the concept of human thriving in work populations that are repeatedly exposed to high stress, elevated threat, and potential trauma-professions such as first responders and front-line military personnel. The concept of thriving, defined as the joint experience of development and success, shares some similarities with other psychological concepts (e.g., resilience, posttraumatic growth, flourishing), but is distinct due to the consideration of physical wellbeing, and success (e.g., performance). It is posited that thriving offers a more holistic approach to understanding human functioning and is flexible enough to be applied to a variety of populations. We aimed to synthesis the existing literature on human thriving in high stress and recurring trauma occupations, and report factors that enable individuals to thrive. Database searches were conducted in CINAHL, Embase, Medline, and PsycINFO. The review adhered to recommended guidelines including the PRISMA extension for scoping reviews. Eight hundred and thirty-two original sources were identified and underwent title and abstract review, with 149 retained for full text review and 28 retained for data extraction. Whilst no articles were found that utilised 'thriving' as the central concept of investigation in relevant occupational settings (i.e., high stress, recurring trauma), the final sample retained 28 articles that focused on one or more components of thriving (26 quantitative, one mixed method and one qualitative study). Occupations included police officers, paramedics, firefighters, and military personnel. Personal factors identified that align with the thriving framework included resilience, posttraumatic growth and subjective wellbeing. Coping styles also appeared to be related to an individual's ability to thrive with findings suggesting that an active coping style is linked to greater wellbeing, and that an avoidant coping may be helpful during a stressful event. Contextual factors identified included social support from colleagues and supervisors, shared humour, and positive human connection. For individuals in occupations where they are regularly exposed to recurring trauma and stress, and the corresponding negative impacts, finding ways to facilitate thriving may have significant social, psychological, and organisational benefits. Understanding how individuals thrive and positively adapt to disruptions may inform workplace education and interventions and assist in supporting these vital workforces.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"41 4","pages":"e70084"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12287625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700312","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}