Stress and Health最新文献

{"title":"Graduate Students Trapped Between Pressures and Screens: A Multi-Wave Longitudinal Network and Cross-Lagged Panel Study.","authors":"Peng Ma, Zhonglin Wen, Jin Meng, Yifan Wang, Shisi Chen, Linke Zhang, Xiqin Liu","doi":"10.1002/smi.70227","DOIUrl":"10.1002/smi.70227","url":null,"abstract":"<p><p>Chinese graduate students face multiple pressures from academic, familial, social, and personal sources, like academic learning inefficiency (difficulty completing research tasks), campus unfamiliarity (poor environmental adaptation), and certification pressure (obligation to obtain professional credentials). That may drive many to overuse short-form videos as a coping strategy. However, how these pressures dynamically relate to video overuse over time remains unclear. We conducted a three-wave longitudinal study (N = 2471) using Network analysis, Cross-Lagged Panel Network Analysis (CLPN), and Random Intercept Cross-Lagged Model (RI-CLPM). Results revealed three findings. First, across all three waves, strong associations existed between learning inefficiency and campus unfamiliarity, as well as between the ideal-reality gap (discrepancy between expected and actual graduate life) and social adjustment. Central nodes were mainly certification pressure and parental expectations. Second, CLPN indicated that short-form video overuse showed the strongest autoregressive edge; the strongest cross-lagged edge was from social pressure to personal stress. School pressure appears to have had a stronger impact on other variables at the subsequent time point, while both school pressure and family pressure appear to have exerted a greater contemporaneous influence on other variables. School pressure and family pressure may have subsequently increased short-form video overuse. Last, RI-CLPM indicated that higher overall pressure levels significantly predicted increased video overuse at the next wave, but the reverse effect was non-significant. Implications include prioritising certification pressure and parental expectations, proactive school pressure management, and addressing video overuse by targeting its pressure drivers rather than the behaviour itself.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 5","pages":"e70227"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149169084","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":"Effects of Mindfulness Therapy on Stress Biomarkers and Psychological Symptoms in Women With Recurrent Pregnancy Loss: A Randomized Clinical Trial.","authors":"Elaine C F Oliveira, Sara P C Paiva, Enrrico Bloise, Fernando M Reis","doi":"10.1002/smi.70228","DOIUrl":"10.1002/smi.70228","url":null,"abstract":"<p><p>Women with recurrent pregnancy loss (RPL) exhibit high levels of depression, anxiety, and stress, which negatively impact their quality of life. This randomized clinical trial evaluated the effects of an eight-week online Mindfulness-Based Intervention (MBI), with weekly one-hour sessions, on psychological and biological markers of stress in 35 women with RPL. Participants were randomly assigned to either the MBI or standard care (control group) and assessed before and after the intervention through salivary biomarkers (cortisol, alpha-amylase, and Immunoglobulin A-IgA) and the validated questionnaires Depression, Anxiety and Stress Scale-21 (DASS-21) and Psychological General Well-Being Index (PGWB-I). No significant time × group interactions were observed for salivary biomarkers, including cortisol (p = 0.672), alpha-amylase (p = 0.342), and IgA (p = 0.148). Participants in the MBI group showed significant reductions in total DASS-21 (p = 0.018), depression (p = 0.026), and stress (p = 0.015) scores, whereas anxiety did not differ significantly between groups (p = 0.121). They also showed robust improvements in overall well-being (p < 0.001) and multiple PGWB-I domains. These findings suggest that MBI may improve self-reported psychological well-being in women with RPL; however, as no significant effects were observed in the primary biomarker outcomes, these secondary psychological findings should be considered exploratory and hypothesis-generating. TRIAL REGISTRATION: https://ensaiosclinicos.gov.br/rg/RBR-4xc76cr.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 5","pages":"e70228"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185874","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":"Are Interpersonal Relationships Predictors or Outcomes of Psychological Distress in Children With Special Educational Needs.","authors":"Zhang Qiaochu","doi":"10.1002/smi.70217","DOIUrl":"https://doi.org/10.1002/smi.70217","url":null,"abstract":"<p><p>Psychological distress is more prevalent in adolescents with special educational needs than in typically developing adolescents. Despite previous evidence and theories for the association between interpersonal relationships and psychological distress, longitudinal research is lacking to investigate the temporal association between interpersonal relationships and psychological distress. The two-wave longitudinal study aimed to investigate the reciprocal association between interpersonal relationships and psychological distress in a sample of adolescents with special educational needs. The study involved 580 high school students in the project. Students completed online inventories twice with an assessment interval of 1 year to measure adolescent-parent relationships, peer relationships, and sibling relationships, as well as psychological distress, with the assistance of teachers. The cross-lagged panel models suggested that adolescent-parent relationships and peer relationships at the first wave did not predict psychological distress at the second wave. High psychological distress at the first wave predicted poor adolescent-parent relationships and poor peer relationships at the second wave. Good sibling relationships at the first wave predicted low psychological distress at the second wave. However, psychological distress at the first wave did not predict sibling relationships at the second wave. The findings suggested that for adolescents with special educational needs, adolescent-parent relationships and peer relationships were the consequences rather than the predictors of psychological distress, and sibling relationships were the predictors rather than the consequences of psychological distress, which provided implications for theories and psychoeducational interventions for adolescents with special educational needs.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 5","pages":"e70217"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168023","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":"Effects of Brief Breathwork Under a State of Cognitive Fatigue on Subjective Well-Being and Diaphragm Function: A Randomized Crossover Design.","authors":"Kenichiro Uemori, Yuka Shimozawa, Tadashi Suga, Tadao Isaka, Masafumi Terada","doi":"10.1002/smi.70234","DOIUrl":"10.1002/smi.70234","url":null,"abstract":"<p><p>Previous investigations have identified the effectiveness of breathwork on both psychological and physical health for individuals under a resting state. However, there was no study investigating the effects of breathwork under a mentally-fatigued state. The purpose of this study was to examine the acute effects of breathwork administered after the induction of mental fatigue by a cognitive tasks on primary self-reported outcomes including positive and negative affect and self-reported stress indices, as well as on secondary physiological outcomes including diaphragm function and stress-related physiological responses. This study was employed with a randomized cross-over study design. Twenty healthy university students voluntarily participated in this study. Each of them performed a 20-min breathwork and control (quiet bed rest) condition following the Colour-Word Stroop Task (CWST) in a randomized sequence over two days separated at least by a week. Participants completed self-reported questionnaires for positive and negative affect and stress indices and underwent ultrasonographic assessments of the diaphragm function, saliva collection for cortisol and IgA, and heart rate variability assessments at baseline, pre-CWST, post-CWST, and post-intervention. The breathwork condition demonstrated significantly higher positive affect at post-intervention compared to the control condition (p = 0.021). Right hemidiaphragm excursion and left hemidiaphragm thickness at end-inspiration significantly increased from post-CWST to post-intervention in the breathwork condition. The breathwork condition appeared to improve positive affect and diaphragm function even under a mentally-fatigued state, compared to the control condition. These findings indicate that breathwork may serve as a simple, accessible, and practical strategy to enhance subjective well-being in a stressful environment and diaphragm function regardless of mental fatigue.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 5","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13688055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149240305","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":"Decoding the Anxiety Burden in Asia and Developing an XGBoost-Based Online Screening Tool Using Korean Data.","authors":"Runmin Cao, Yurun Zhang, Ling Cao, Honghe Jiang","doi":"10.1002/smi.70231","DOIUrl":"https://doi.org/10.1002/smi.70231","url":null,"abstract":"<p><p>Anxiety disorders impose a substantial burden across Asia, yet comprehensive regional surveillance remains limited. In addition, the utility of the Health-Related Quality of Life Instrument with 8 Items (HINT-8) for anxiety screening in the Korean population has not been fully clarified. This study integrated data from Global Burden of Disease (GBD) 2021 and Korea National Health and Nutrition Examination Survey (KNHANES) to comprehensively assess the prevalence, incidence, and disability-adjusted life year (DALY) rates of Anxiety disorders across 48 Asian countries and territories from 1990 to 2021. Joinpoint regression, age-period-cohort modelling, decomposition analysis, and health inequality indices were employed to analyse trends and driving factors. In the Korean dataset, eight machine learning algorithms were compared. SHAP analysis was used to interpret the results, and the best-performing model was ultimately developed into an online prediction model. In 2021, Asia accounted for over half of global anxiety cases, and age-standardized rates increased by 14.6%-17.1% since 1990. After 2019, incidence (APC = 9.532%) and DALY rates (APC = 9.157%) rose sharply. Burden patterns varied by sex and age, and population growth was a major driver. In the Korean dataset, XGBoost showed the best performance (AUC = 0.894). An 8-feature parsimonious model performed comparably to the 17-feature model while improving interpretability and practical feasibility. Asia's growing anxiety burden demands prioritised care for women, adolescents, and middle-aged populations and better crisis mental health services. A Korean machine-learning tool shows potential but requires broader Asian validation.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 5","pages":"e70231"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129208","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":"Collective Ambiguous Loss and Psychological Distress of the Public During War-Related Hostage Crisis: A Three-Wave Longitudinal Study Over 18 Months.","authors":"Einat Yehene, Shay Ohayon, Hagai Levine","doi":"10.1002/smi.70225","DOIUrl":"https://doi.org/10.1002/smi.70225","url":null,"abstract":"<p><p>The mass kidnapping of 251 individuals by Hamas on October 7, 2023, created a collective ambiguous loss for Israeli society, marked by prolonged uncertainty over the hostages' fate. While ambiguous loss is typically studied in families, its population-level health associations during continuous armed conflict are unknown. This study provides the first longitudinal evidence of this experience. Israeli adults were surveyed at three (T1; N = 740), six (T2; N = 336), and eighteen (T3; N = 254) months post-kidnapping; a representative subsample (N = 220) completed all waves. We assessed general psychological distress (DASS), abduction-related separation distress (ALI+-SD), and boundary ambiguity (BAS). Within-subject mixed-effects models indicated significant reductions in DASS and BAS scores from T1 to T2 (B = 1.04 and B = 1.28, respectively; ps < 0.01), followed by a plateau thereafter. Separation distress declined significantly only at T3 (B = -1.58, p < 0.01). ALI+-SD and BAS each significantly predicted DASS beyond time effects, with multilevel mediation indicating that ALI+-SD mediated the BAS-DASS association. In the longitudinal sample, ALI+-SD and BAS together explained 44% (T1), 34% (T2), and 41% (T3) of the variance in general distress. The findings suggest that ongoing collective ambiguous loss constitutes a substantial public health concern during war. Unresolved uncertainty surrounding the hostages stalls societal recovery, creating a state of collective limbo and posing a barrier to collective healing. Therefore, ambiguous loss following mass hostage-taking should be considered a widespread societal stressor with consequences extending far beyond directly affected families.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 5","pages":"e70225"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118394","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 Mental and Physical Stress in the Occurrence and Development of Pancreatic Cancer.","authors":"Qinyu Lin, Liqi Bao, Junru Wang, Shiyu Zhou, Zelai Lian, Weijie Cui, Chengfei Li, Hongwei Sun, Shengjie Dai, Tiantong Liu","doi":"10.1002/smi.70235","DOIUrl":"https://doi.org/10.1002/smi.70235","url":null,"abstract":"<p><p>Pancreatic cancer is a highly aggressive malignancy of the digestive tract, often associated with poor prognosis, short survival, and diminished quality of life upon diagnosis. To improve clinical outcomes and extend patient survival, early intervention at the etiological level is essential to reduce the risk of onset and progression. Recent studies have highlighted the significant roles of both psychological and physical stress in the initiation and development of pancreatic cancer. This article systematically examines the link between stress and pancreatic carcinogenesis from the dual dimensions of psychological and physical stress, incorporating mechanisms such as neuroendocrine modulation, immune dysregulation, and behavioural changes. Furthermore, it explores individualised stress management strategies for pancreatic cancer patients, aiming to offer new insights for early intervention and comprehensive treatment.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 5","pages":"e70235"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229127","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":"Coping-Related Insight as a Mechanism of Resilience Capacity Development in Emerging Adulthood: A Registered Report.","authors":"Monique F Crane, Marjorie G Li, Eyal Karin, Daniel Gucciardi, Raffael Kalisch, Hester Xiao, Penny Van Bergen, Maria Kangas","doi":"10.1002/smi.70229","DOIUrl":"https://doi.org/10.1002/smi.70229","url":null,"abstract":"<p><p>The Systematic Self-Reflection Model of Resilience Strengthening (Crane, Searle, et al., 2019) proposes that coping self-reflection on everyday stressors can generate coping-related insights that refine modifiable capacities for resilience (e.g., coping beliefs, coping adjustment, and coping-enabling resources), thereby increasing the likelihood of resilience. However, reflective engagement and insight generation may be constrained by individual and contextual factors, raising the possibility that externally modeled coping insights could scaffold subsequent self-reflection and strengthen downstream adaptation. This preregistered study tests whether narrative exposure that explicitly models coping-related insights enhances the effects of structured self-reflection among emerging adults (18-25 years). Participants (target final N = 400; recruited from Australia and the United Kingdom) will be randomly assigned to one of three conditions: (1) high-insight priming story + reflection, in which short video stories explicitly convey a coping-related insight; (2) low-insight priming story + reflection, in which the same stories omit explicit meaning-making; or (3) reflection-only. Participants complete five weekly tasks, with assessments at baseline (T1), post-intervention (T2), and 3-month follow-up (T3). Primary outcomes include coping-related insight (self-report and blind-coded written insights), resilient capacities (coping self-efficacy, coping adjustment, support-seeking intentions, perceived social support), and mental ill-health symptoms (depression and anxiety). Resilience is operationalized as stressor reactivity, symptom levels relative to stressor exposure, calculated as residualised symptoms after accounting for adversity and daily hassles, at each time point. We hypothesize that high-insight priming narratives will increase insight and resilient capacities and reduce stressor reactivity over time. Mediation analyses will test underlying mechanisms.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 5","pages":"e70229"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13635957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118357","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":"Comprehensive Health Predictors of Injury, Illness, and Separation From Service After Enrollment in Special Forces Assessment and Selection: A Two-Year Longitudinal Study.","authors":"Meaghan E Beckner, Emily K Farina, Lauren A Thompson, Joseph J Knapik, Stefan M Pasiakos, James P McClung, Harris R Lieberman","doi":"10.1002/smi.70226","DOIUrl":"https://doi.org/10.1002/smi.70226","url":null,"abstract":"<p><p>Individuals in physically and cognitively demanding professions face increased risk of injury, illness, and attrition due to repeated exposure to physical and psychological stressors. Identifying modifiable factors associated with these outcomes can guide risk mitigation strategies. This longitudinal study examined the 2-year cumulative incidence of injuries, illnesses, and attrition following enrollment in the United States Army Special Forces Assessment and Selection (SFAS) course (n = 792) and assessed how physical, nutritional, cognitive, sleep, and social support at the time of enrollment were associated with illness, injury, and attrition outcomes. Upon SFAS enrollment, candidates completed psychological, sleep, and nutrition surveys. Anthropometrics and physical performance were assessed, and fasted blood was collected for physiological and nutritional biomarker analyses. Medical encounters and active-duty status were monitored for all candidates, post 2 years enrollment, regardless of SFAS outcome. Logistic regression identified baseline factors associated with 2-year incidence of injury, illness, or attrition. Slower road march times were associated with 25%-66% higher odds of injury, mental or behavioural illness, sleep disorder, and separation from service. Conversely, greater resistance training, better sleep quality, and higher protein intake were associated with 18%-45% lower odds of injury. Elevated morning cortisol at enrollment was associated with 23% lower odds of mental or behavioural illness, whereas negative mood, poorer sleep quality, and less social support were each associated with increased odds of separation by 28%-31%. This study identified modifiable factors that may be targeted to reduce injury and illness and improve resilience and retention in demanding occupations.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 5","pages":"e70226"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118320","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 Associations Between Job Insecurity and Subjective Well-Being Among Dual-Earner Couples: The Role of Spouses' Work-Family Centrality Using an Actor-Partner Interdependence Model.","authors":"Sanman Hu, Lixin Jiang, Mingqian Liu, Chuangang Shen","doi":"10.1002/smi.70232","DOIUrl":"https://doi.org/10.1002/smi.70232","url":null,"abstract":"<p><p>Job insecurity reflects employees' perceived threat to employment continuity and their powerlessness to retain their job. Existing research has largely focused on individual well-being outcomes, overlooking dyadic stress processes within dual-earner couples. Drawing on Conservation of Resources theory and the Spillover-Crossover Model, this study adopts the actor-partner interdependence model (APIM) and APIM mediation model (APIMeM) to analyse data from 300 Chinese dual-earner couples. This study examines actor-partner associations between job insecurity and multifaceted subjective well-being, as well as the mediating function of work-family centrality. Constrained APIM results indicate robust detrimental actor associations across all well-being dimensions. Partner crossover associations are dimension-specific, linking job insecurity to elevated spousal negative affect and reduced spousal life satisfaction. Further APIMeM analyses reveal selective, role-specific mediating effects of work-family centrality, encompassing both theoretically grounded intrapersonal spillover pathways and atypical inconsistent mediation pathways. These findings refine understandings of dyadic job insecurity transmission. Theoretical and practical implications are discussed.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 5","pages":"e70232"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170790","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}